ScalableDigitalHealth (SDH): An IoT-Based Scalable Framework for Remote Patient Monitoring.

Addressing the increasing demand for remote patient monitoring, especially among the elderly and mobility-impaired, this study proposes the "ScalableDigitalHealth" (SDH) framework. The framework integrates smart digital health solutions with latency-aware edge computing autoscaling, providing a novel approach to remote patient monitoring. By leveraging IoT technology and application autoscaling, the "SDH" enables the real-time tracking of critical health parameters, such as ECG, body temperature, blood pressure, and oxygen saturation. These vital metrics are efficiently transmitted in real time to AWS cloud storage through a layered networking architecture. The contributions are two-fold: (1) establishing real-time remote patient monitoring and (2) developing a scalable architecture that features latency-aware horizontal pod autoscaling for containerized healthcare applications. The architecture incorporates a scalable IoT-based architecture and an innovative microservice autoscaling strategy in edge computing, driven by dynamic latency thresholds and enhanced by the integration of custom metrics. This work ensures heightened accessibility, cost-efficiency, and rapid responsiveness to patient needs, marking a significant leap forward in the field. By dynamically adjusting pod numbers based on latency, the system optimizes system responsiveness, particularly in edge computing's proximity-based processing. This innovative fusion of technologies not only revolutionizes remote healthcare delivery but also enhances Kubernetes performance, preventing unresponsiveness during high usage.