{"id":"https://openalex.org/W4414101236","doi":"https://doi.org/10.52710/cfs.752","title":"Digital Twin Governance: IoT-Driven Real-Time Regulatory Auditing in Smart Hospital Architectures","display_name":"Digital Twin Governance: IoT-Driven Real-Time Regulatory Auditing in Smart Hospital Architectures","publication_year":2025,"publication_date":"2025-09-08","ids":{"openalex":"https://openalex.org/W4414101236","doi":"https://doi.org/10.52710/cfs.752"},"language":"en","primary_location":{"id":"doi:10.52710/cfs.752","doi":"https://doi.org/10.52710/cfs.752","is_oa":true,"landing_page_url":"https://doi.org/10.52710/cfs.752","pdf_url":"https://computerfraudsecurity.com/index.php/journal/article/download/752/510","source":{"id":"https://openalex.org/S158429083","display_name":"Computer Fraud & Security","issn_l":"1361-3723","issn":["1361-3723","1873-7056"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Computer Fraud and Security","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://computerfraudsecurity.com/index.php/journal/article/download/752/510","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119400124","display_name":"Naga Srinivasulu Gaddapuri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Naga Srinivasulu Gaddapuri","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5119400124"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":2.214,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.90947843,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":97},"biblio":{"volume":null,"issue":null,"first_page":"1462","last_page":"1470"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13038","display_name":"Internet of Things and AI","score":0.3869999945163727,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T13038","display_name":"Internet of Things and AI","score":0.3869999945163727,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10273","display_name":"IoT and Edge/Fog Computing","score":0.33230000734329224,"subfield":{"id":"https://openalex.org/subfields/1705","display_name":"Computer Networks and Communications"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10270","display_name":"Blockchain Technology Applications and Security","score":0.16279999911785126,"subfield":{"id":"https://openalex.org/subfields/1710","display_name":"Information Systems"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/smart-hospitals","display_name":"smart hospitals","score":0.8180000185966492},{"id":"https://openalex.org/keywords/healthcare-compliance","display_name":"healthcare compliance","score":0.8100000023841858},{"id":"https://openalex.org/keywords/internet-of-things","display_name":"Internet of Things","score":0.38999998569488525},{"id":"https://openalex.org/keywords/edge-computing","display_name":"edge computing","score":0.9079999923706055},{"id":"https://openalex.org/keywords/blockchain-audit-trails","display_name":"blockchain audit trails","score":0.7900000214576721},{"id":"https://openalex.org/keywords/rule-engine","display_name":"rule engine","score":0.6579999923706055},{"id":"https://openalex.org/keywords/explainable-ai","display_name":"explainable AI","score":0.7940000295639038},{"id":"https://openalex.org/keywords/ensemble-learning","display_name":"ensemble learning","score":0.6449999809265137},{"id":"https://openalex.org/keywords/edge-cloud-orchestration","display_name":"edge-cloud orchestration","score":0.8650000095367432},{"id":"https://openalex.org/keywords/healthcare-data-security","display_name":"healthcare data security","score":0.5540000200271606}],"concepts":[{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.7889000177383423},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.6557000279426575},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.5351999998092651},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.4993000030517578},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4724000096321106},{"id":"https://openalex.org/C2781460075","wikidata":"https://www.wikidata.org/wiki/Q1399332","display_name":"Compliance (psychology)","level":2,"score":0.4156000018119812},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4007999897003174},{"id":"https://openalex.org/C80958533","wikidata":"https://www.wikidata.org/wiki/Q1047174","display_name":"Audit trail","level":3,"score":0.3905999958515167},{"id":"https://openalex.org/C2780233690","wikidata":"https://www.wikidata.org/wiki/Q535347","display_name":"Transparency (behavior)","level":2,"score":0.3873000144958496},{"id":"https://openalex.org/C81860439","wikidata":"https://www.wikidata.org/wiki/Q251212","display_name":"Internet of Things","level":2,"score":0.36719998717308044},{"id":"https://openalex.org/C166052673","wikidata":"https://www.wikidata.org/wiki/Q83021","display_name":"Empirical evidence","level":2,"score":0.35740000009536743},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.34630000591278076},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.3319000005722046},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3255000114440918},{"id":"https://openalex.org/C2778160497","wikidata":"https://www.wikidata.org/wiki/Q869830","display_name":"Service-level agreement","level":3,"score":0.31850001215934753},{"id":"https://openalex.org/C82876162","wikidata":"https://www.wikidata.org/wiki/Q17096504","display_name":"Latency (audio)","level":2,"score":0.31189998984336853},{"id":"https://openalex.org/C147007100","wikidata":"https://www.wikidata.org/wiki/Q3344190","display_name":"External auditor","level":4,"score":0.2985000014305115},{"id":"https://openalex.org/C75684735","wikidata":"https://www.wikidata.org/wiki/Q858810","display_name":"Big data","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.27900001406669617},{"id":"https://openalex.org/C12725497","wikidata":"https://www.wikidata.org/wiki/Q810247","display_name":"Baseline (sea)","level":2,"score":0.2768999934196472},{"id":"https://openalex.org/C162307627","wikidata":"https://www.wikidata.org/wiki/Q204833","display_name":"Enhanced Data Rates for GSM Evolution","level":2,"score":0.26739999651908875},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.25870001316070557},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.25859999656677246},{"id":"https://openalex.org/C137577040","wikidata":"https://www.wikidata.org/wiki/Q431965","display_name":"Information asymmetry","level":2,"score":0.25189998745918274}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.52710/cfs.752","doi":"https://doi.org/10.52710/cfs.752","is_oa":true,"landing_page_url":"https://doi.org/10.52710/cfs.752","pdf_url":"https://computerfraudsecurity.com/index.php/journal/article/download/752/510","source":{"id":"https://openalex.org/S158429083","display_name":"Computer Fraud & Security","issn_l":"1361-3723","issn":["1361-3723","1873-7056"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Computer Fraud and Security","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.52710/cfs.752","doi":"https://doi.org/10.52710/cfs.752","is_oa":true,"landing_page_url":"https://doi.org/10.52710/cfs.752","pdf_url":"https://computerfraudsecurity.com/index.php/journal/article/download/752/510","source":{"id":"https://openalex.org/S158429083","display_name":"Computer Fraud & Security","issn_l":"1361-3723","issn":["1361-3723","1873-7056"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","norway-1"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Computer Fraud and Security","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.5378999710083008,"display_name":"Industry, innovation and infrastructure","id":"https://metadata.un.org/sdg/9"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320314997","display_name":"Strong","ror":"https://ror.org/041vyzr56"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414101236.pdf","grobid_xml":"https://content.openalex.org/works/W4414101236.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W4245926026","https://openalex.org/W4311097251","https://openalex.org/W2586548817","https://openalex.org/W2625093826","https://openalex.org/W4410295802","https://openalex.org/W4200598720","https://openalex.org/W2921026492","https://openalex.org/W4247463117","https://openalex.org/W4361251261"],"abstract_inverted_index":{"In":[0,221],"this":[1],"paper,":[2],"we":[3],"attribute":[4],"a":[5,37,69,124,193,213,308],"new":[6],"framework":[7],"of":[8,29,54,60,71,170,200,205,212,224,287,291],"Digital":[9],"Twin":[10],"Governance":[11],"(DTG)":[12],"where":[13,110],"regulatory":[14,105],"auditing":[15,301],"is":[16,176,241,254,276],"conducted":[17],"in":[18,23,39,115,123,130,154,296,303,307],"the":[19,27,58,99,102,111,159,198,203,210,222,228,267,270,273,298,304],"same":[20],"manner":[21],"as":[22,158,217,245,247],"Smart":[24],"hospital":[25,128,226],"with":[26,51,89,104,144],"help":[28],"IoT":[30],"and":[31,48,73,107,137,168,243,251,289],"edge":[32],"technologies":[33],"used":[34],"to":[35,56,97,165,179],"be":[36,78,294],"reality":[38],"real":[40],"time.":[41],"Old":[42],"healthcare":[43,305],"audit":[44,186,253,274],"systems":[45],"are":[46,118],"retrograde":[47],"mix":[49],"up":[50],"exhibiting":[52],"lack":[53],"ability":[55],"intercept":[57],"contravention":[59],"policy":[61],"at":[62,162,197],"an":[63,189,206],"early":[64],"enough":[65],"stage":[66],"thus":[67],"causing":[68],"threat":[70],"damage":[72],"nonconformance.":[74],"This":[75],"gap":[76],"will":[77],"occupied":[79],"by":[80,93,282],"our":[81],"contribution":[82],"that":[83,150,175,239],"allows":[84],"marrying":[85],"digital":[86,299],"twin":[87],"models":[88],"explainability":[90],"engines,":[91],"powered":[92],"AI,":[94],"rule":[95],"engines":[96],"drive":[98],"workflow":[100],"guiding":[101],"compliance":[103,194,261],"requirements,":[106],"blockchain":[108,277],"logging":[109],"most":[112],"critical":[113],"services":[114],"secure":[116],"administration":[117],"offered.":[119],"DTG":[120,240],"was":[121,152],"implemented":[122],"designed":[125],"mimicked":[126],"smart":[127],"structure":[129],"which":[131],"more":[132],"than":[133],"5,000":[134],"virtual":[135],"patients":[136],"various":[138],"IoMT":[139],"gadgets":[140],"were":[141],"utilized":[142],"along":[143],"edge-cloud":[145],"orchestration.":[146],"Empirical":[147],"findings":[148,237],"confirmed":[149],"there":[151],"reduction":[153],"breach":[155],"detection":[156],"latency":[157],"value":[160],"arrived":[161],"83":[163],"minutes":[164,178,181],"0.32":[166],"minutes,":[167],"time":[169],"auditor":[171],"review":[172],"also":[173,265],"reduced":[174],"17":[177],"3.4":[180],"per":[182],"incident.":[183],"The":[184,235,256,279],"predictive":[185],"based":[187],"on":[188],"ensemble":[190,207],"model":[191,208,215],"distinguished":[192],"violation":[195],"rate":[196,199],"95.4%":[201],"within":[202],"abilities":[204],"outperforming":[209],"rates":[211],"baseline":[214],"such":[216],"XGBoost":[218],"or":[219],"MLP.":[220],"range":[223],"scale-out":[225],"workloads,":[227],"system":[229,302],"revealed":[230],"sub-60ms":[231],"latencies":[232],"regarding":[233],"alerts.":[234],"above":[236],"demonstrate":[238],"plausible":[242],"effective":[244],"far":[246],"offering":[248],"proactive,":[249],"elastic,":[250],"transparent":[252],"concerned.":[255],"architecture":[257],"not":[258],"only":[259],"automates":[260],"activities":[262],"but":[263],"it":[264],"increases":[266],"trust":[268],"between":[269],"stakeholders":[271],"since":[272],"trail":[275],"anchored.":[278],"paper":[280],"ends":[281],"providing":[283],"architectural":[284],"details,":[285],"measures":[286],"scalability,":[288],"implications":[290],"governance":[292],"should":[293],"adopted":[295],"implementing":[297],"twin-led":[300],"sector":[306],"real-life":[309],"scenario.":[310]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-09-24T07:57:37.273135","created_date":"2025-10-10T00:00:00"}