Cloud-based Digital Twin Framework and IoT for Smart Emergency Departments in Hospitals

Authors

  • Haider Q. Mutashar Department of Computer Engineering, Mustansiriyah University, Baghdad, Iraq
  • Sawsan M. Mahmoud Department of Computer Engineering, Mustansiriyah University, Baghdad, Iraq
  • Hiba A. Abu-Alsaad Department of Computer Engineering, Mustansiriyah University, Baghdad, Iraq https://orcid.org/0000-0002-5034-0113
Volume: 15 | Issue: 3 | Pages: 22269-22277 | June 2025 | https://doi.org/10.48084/etasr.10290

Abstract

Emergency response time has always been one of the most important factors in saving lives, yet many healthcare systems struggle with delays and resource inefficiencies. This paper proposes the use of cloud-based digital twin technology, integrated with an Internet of Things (IoT) hub, to enhance patient care and optimize emergency department workflows. The system utilizes an Azure IoT virtual hub and an Azure Digital Twins model for real-time data transmission and processing of bed availability and capacity in a hospital emergency department. Azure Digital Twins can create virtual models of any physical environment, such as an emergency department, which is essential for creating an automated decision-making system using advanced and modern technologies. Unlike previous solutions that lack coherence in resource allocation systems or real-time decision-making mechanisms, our system dynamically updates emergency department bed availability in real-time through embedded system devices in hospitals, and makes automated decisions based on both patient location and resource availability. The system is implemented using a mobile application and validated using a case study. The case study includes data from multiple emergency departments in hospitals within a specific area. The system provides the best options for emergency patients based on the hospital location and bed availability.

Downloads

Download data is not yet available.

Author Biography

Hiba A. Abu-Alsaad, Department of Computer Engineering, Mustansiriyah University, Baghdad, Iraq

Hiba A.Abu-Alsaad
Assist.Prof  at Mustansiriyah University
College of Engineering
Computer Engineering Department
Baghdad, Iraq

References

H. A. Abu-Alsaad and R. R. K. Al-Taie, "Smart Parking System Using IoT," in 2024 16th International Conference on Electronics, Computers and Artificial Intelligence, Iasi, Romania, 2024, pp. 1–7.

S. M. Mahmoud, H. A. Alabbasi, and T. E. Abdulabbas, "Monitoring and detecting outliers for elder’s life activities in a smart home: A case study," in 2017 E-Health and Bioengineering Conference, Sinaia, Romania, 2017, pp. 458–461.

A. F. Abbas and M. Z. Abdullah, "Design and Implementation of Tracking a user’s Behavior in a Smart Home," IOP Conference Series: Materials Science and Engineering, vol. 1094, no. 1, Feb. 2021, Art. no. 012008.

A. F. Abbas and M. Z. Abdullah, "Design and Implementation of a Smart Home Gas Detection based on Mobile Network System," Journal of Engineering and Sustainable Development, vol. 25, no. 2, pp. 9–16, Mar. 2021.

H. A. Abu-Alsaad, "CNN-Based Smart Parking System," International Journal of Interactive Mobile Technologies, vol. 17, no. 11, pp. 155–170, Jun. 2023.

C. Verdouw, B. Tekinerdogan, A. Beulens, and S. Wolfert, "Digital twins in smart farming," Agricultural Systems, vol. 189, Apr. 2021, Art. no. 103046.

B. F. Alshammari and M. T. Chughtai, "IoT Gas Leakage Detector and Warning Generator," Engineering, Technology & Applied Science Research, vol. 10, no. 4, pp. 6142–6146, Aug. 2020.

E. Wang, P. Tayebi, and Y.-T. Song, "Cloud-Based Digital Twins’ Storage in Emergency Healthcare," International Journal of Networked and Distributed Computing, vol. 11, no. 2, pp. 75–87, Dec. 2023.

R. H. Hussan and N. H. Hussan, "A Review of Enhancing Government Offices Experience and Operational Efficiency of Knowledge Management Systems depending on Information Technologies," Mustansiriyah Journal of Pure and Applied Sciences, vol. 1, no. 3, pp. 134–147, Oct. 2023.

G. N. Keshava Murthy, "Smart Emergency Management with IoT for Integration of Emergency Centers and Patients," International Journal of Recent Technology and Engineering, vol. 8, no. 4, pp. 3979–3983, Nov. 2019.

M. Singh, E. Fuenmayor, E. P. Hinchy, Y. Qiao, N. Murray, and D. Devine, "Digital Twin: Origin to Future," Applied System Innovation, vol. 4, no. 2, Jun. 2021, Art. no. 36.

H. K. Omar, M. Frikha, and A. K. Jumaa, "Improving Big Data Recommendation System Performance using NLP techniques with multi attributes," Informatica, vol. 48, no. 5, pp. 63–70, Feb. 2024.

"Azure Digital Twins Documentation - Tutorials, API Reference." Microsoft Learn. https://learn.microsoft.com/en-us/azure/digital-twins/.

"AWS IoT TwinMaker Documentation." AWS. https://docs.aws.amazon.com/iot-twinmaker/.

"IoT platform product architecture on Google Cloud | Cloud Architecture Center." Google Cloud. https://cloud.google.com/architecture/connected-devices/iot-platform-product-architecture.

R. Issa, M. S.Hamad, and M. Abdel-Geliel, "Digital Twin of Wind Turbine Based on Microsoft® Azure IoT Platform," in 2023 IEEE Conference on Power Electronics and Renewable Energy, Luxor, Egypt, 2023, pp. 1–8.

J. Corral-Acero et al., "The ‘Digital Twin’ to enable the vision of precision cardiology," European Heart Journal, vol. 41, no. 48, pp. 4556–4564, Dec. 2020.

J. Chen et al., "A Revolution of Personalized Healthcare: Enabling Human Digital Twin With Mobile AIGC," IEEE Network, vol. 38, no. 6, pp. 234–242, Nov. 2024.

Mrs. C. Ramya, S. Elamathi, D. Nithya, K. Priyadarshini, and S. Suganthini, "IoT-Powered Digital Twin Solution for Real-Time Health Monitoring," International Journal of Engineering Research & Technology, vol. 12, no. 2, Feb. 2023.

M. Al-khafajiy, H. Kolivand, T. Baker, D. Tully, and A. Waraich, "Smart hospital emergency system," Multimedia Tools and Applications, vol. 78, no. 14, pp. 20087–20111, Jul. 2019.

K. Papachristou, P. F. Katsakiori, P. Papadimitroulas, L. Strigari, and G. C. Kagadis, "Digital Twins’ Advancements and Applications in Healthcare, Towards Precision Medicine," Journal of Personalized Medicine, vol. 14, no. 11, Nov. 2024, Art. no. 1101.

A. Vallée, "Digital twin for healthcare systems," Frontiers in Digital Health, vol. 5, Sep. 2023, Art. no. 1253050.

R. S. A. Corpuz, J. Usa, J. C. Obaña, J. N. Borbe, D. A. Salazar, and T. M. Valeza, "A hospital bed availability monitoring system using the Internet of Things," International Journal on Information Technologies and Security, vol. 16, no. 3, pp. 13–26, Sep. 2024.

S. Han, S. He, and H. C. Oh, "Data-Driven Inpatient Bed Assignment Using the P Model." arXiv, Nov. 16, 2021.

M. C. Lam, M. Ayob, J. Y. Lee, N. Abdullah, F. A. Hamzah, and S. S. M. Zahir, "Mobile-based Hospital Bed Management with Near Field Communication Technology : A Case Study," Engineering, Technology & Applied Science Research, vol. 10, no. 3, pp. 5706–5712, Jun. 2020.

S. Ayouni, M. Maddeh, S. Al-Otaibi, M. B. Alazzam, N. M. Alturki, and F. Hajjej, "Development of a Smart Hospital Bed Based on Deep Learning to Monitor Patient Conditions," Journal of Disability Research, vol. 2, no. 2, pp. 25–36, Jul. 2023.

"Emergency Department Volume and Capacity." Department of Health Care Access and Information, [Online]. Available: https://catalog.data.gov/dataset/emergency-department-volume-and-capacity.

"Azure IoT Hub Documentation." Microsoft Learn. https://learn.microsoft.com/en-us/azure/iot-hub/.

"Azure Functions documentation." Microsoft Learn. https://learn.microsoft.com/en-us/azure/azure-functions/.

"Flutter documentation." Flutter Docs. https://docs.flutter.dev.

"OSRM API Documentation." OSRM Project. https://project-osrm.org/docs/v5.5.1/api/?language=Python#general-options.

P. S. Akshatha, S. M. D. Kumar, and K. R. Venugopal, "MQTT Implementations, Open Issues, and Challenges: A Detailed Comparison and Survey," International Journal of Sensors, Wireless Communications and Control, vol. 12, no. 8, pp. 553–576, Dec. 2022.

M. Trevisan, D. Giordano, I. Drago, and A. S. Khatouni, "Measuring HTTP/3: Adoption and Performance," in 2021 19th Mediterranean Communication and Computer Networking Conference, Ibiza, Spain, 2021, pp. 1–8.

A. M. Khan, "Proposing and Deployment of Attractive Azure AD Honeypot With Varying Security Measures To Evaluate Their Performance Against Real Attacks," M.S. thesis, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede, Netherlands, 2021.

C. B. Gemirter, Ç. Şenturca, and Ş. Baydere, "A Comparative Evaluation of AMQP, MQTT and HTTP Protocols Using Real-Time Public Smart City Data," in 2021 6th International Conference on Computer Science and Engineering, Ankara, Turkey, 2021, pp. 542–547.

Downloads

How to Cite

[1]
Mutashar, H.Q., Mahmoud, S.M. and Abu-Alsaad, H.A. 2025. Cloud-based Digital Twin Framework and IoT for Smart Emergency Departments in Hospitals. Engineering, Technology & Applied Science Research. 15, 3 (Jun. 2025), 22269–22277. DOI:https://doi.org/10.48084/etasr.10290.

Metrics

Abstract Views: 162
PDF Downloads: 99

Metrics Information