Review of Architectures in IoT Remote Patient Monitoring Systems

Lan Sovinc¹ and Marko Bajec¹

University of Ljubljana
Večna pot 113, 1000 Ljubljana, Slovenia
ls7312@student.uni-lj.si, marko.bajec@fri.uni-lj.si

Abstract

This review article examines different architectural approaches for IoT-based Remote Patient Monitoring Systems. Four different classification categories have been identified, each with their own strengths and weaknesses. Fog-based architectures reduce latency and enhance privacy through localized data processing. Cloud-based solutions offer robust storage and analytics capabilities, but struggle with latency and centralization. Hybrid systems combine edge and cloud computing to improve scalability and efficiency, while blockchain-enabled architectures focus on secure, decentralized data management. The findings from 11 original publications were summarized. This paper describes the characteristics of the identified approaches by examining common and unique concepts used by the solutions in the same classification category based on prior analysis.

Key words

Remote Patient Monitoring, RPM, Internet of Things, IoT, IoT Health-care Systems, Fog Computing, Cloud Computing, Blockchain, Scalable RPM Systems, Wearable Devices, Real-time Health Monitoring

Digital Object Identifier (DOI)

https://doi.org/10.2298/CSIS250208003S

Publication information

Volume 23, Issue 1 (January 2026)
Year of Publication: 2026
ISSN: 2406-1018 (Online)
Publisher: ComSIS Consortium

Full text

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How to cite

Sovinc, L., Bajec, M.: Review of Architectures in IoT Remote Patient Monitoring Systems. Computer Science and Information Systems, Vol. 23, No. 1, 61-74. (2026), https://doi.org/10.2298/CSIS250208003S