A Standard-Based and Context-Aware Architecture for Personal Healthcare Smart Gateways

The rising availability of Personal Health Devices (PHDs) capable of Personal Network Area (PAN) communication and the desire of keeping a high quality of life are the ingredients of the Connected Health vision. In parallel, a growing number of personal and portable devices, like smartphones and tablet computers, are becoming capable of taking the role of health gateway, that is, a data collector for the sensor PHDs. However, as the number of PHDs increase, the number of other peripherals connected in PAN also increases. Therefore, PHDs are now competing for medium access with other devices, decreasing the Quality of Service (QoS) of health applications in the PAN. In this article we present a reference architecture to prioritize PHD connections based on their state and requirements, creating a healthcare Smart Gateway. Healthcare context information is extracted by observing the traffic through the gateway. A standard-based approach was used to identify health traffic based on ISO/IEEE 11073 family of standards. A reference implementation was developed showing the relevance of the problem and how the proposed architecture can assist in the prioritization. The reference Smart Gateway solution was integrated with a Connected Health System for the Internet of Things, validating its use in a real case scenario.