Simulation-based assessment of digital twin systems for immunisation

BackgroundThis paper presents the application of simulation to assess the functionality of a proposed Digital Twin (DT) architecture for immunisation services in primary healthcare centres. The solution is based on Industry 4.0 concepts and technologies, such as IoT, machine learning, and cloud comp...

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Main Authors: Leonardo de Oliveira El-Warrak, Claudio Miceli de Farias, Victor Hugo Dias Macedo De Azevedo Costa
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1603550/full
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author Leonardo de Oliveira El-Warrak
Claudio Miceli de Farias
Victor Hugo Dias Macedo De Azevedo Costa
author_facet Leonardo de Oliveira El-Warrak
Claudio Miceli de Farias
Victor Hugo Dias Macedo De Azevedo Costa
author_sort Leonardo de Oliveira El-Warrak
collection DOAJ
description BackgroundThis paper presents the application of simulation to assess the functionality of a proposed Digital Twin (DT) architecture for immunisation services in primary healthcare centres. The solution is based on Industry 4.0 concepts and technologies, such as IoT, machine learning, and cloud computing, and adheres to the ISO 23247 standard.MethodsThe system modelling is carried out using the Unified Modelling Language (UML) to define the workflows and processes involved, including vaccine storage temperature monitoring and population vaccination status tracking. The proposed architecture is structured into four domains: observable elements/entities, data collection and device control, digital twin platform, and user domain. To validate the system's performance and feasibility, simulations are conducted using SimPy, enabling the evaluation of its response under various operational scenarios.ResultsThe system facilitates the storage, monitoring, and visualisation of data related to the thermal conditions of ice-lined refrigerators (ILR) and thermal boxes. Additionally, it analyses patient vaccination coverage based on the official immunisation schedule. The key benefits include optimising vaccine storage conditions, reducing dose wastage, continuously monitoring immunisation coverage, and supporting strategic vaccination planning.ConclusionThe paper discusses the future impacts of this approach on immunisation management and its scalability for diverse public health contexts. By leveraging advanced technologies and simulation, this digital twin framework aims to improve the performance and overall impact of immunization services.
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spelling doaj-art-df974554783f4cb5a0681f4dcc919ecd2025-08-22T05:26:46ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-08-01710.3389/fdgth.2025.16035501603550Simulation-based assessment of digital twin systems for immunisationLeonardo de Oliveira El-Warrak0Claudio Miceli de Farias1Victor Hugo Dias Macedo De Azevedo Costa2COPPE - Graduate School and Research in Engineering, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, BrazilCOPPE - Graduate School and Research in Engineering, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, BrazilFEN - Graduate School in Engineering, State University of Rio de Janeiro (UERJ), Rio de Janeiro, BrazilBackgroundThis paper presents the application of simulation to assess the functionality of a proposed Digital Twin (DT) architecture for immunisation services in primary healthcare centres. The solution is based on Industry 4.0 concepts and technologies, such as IoT, machine learning, and cloud computing, and adheres to the ISO 23247 standard.MethodsThe system modelling is carried out using the Unified Modelling Language (UML) to define the workflows and processes involved, including vaccine storage temperature monitoring and population vaccination status tracking. The proposed architecture is structured into four domains: observable elements/entities, data collection and device control, digital twin platform, and user domain. To validate the system's performance and feasibility, simulations are conducted using SimPy, enabling the evaluation of its response under various operational scenarios.ResultsThe system facilitates the storage, monitoring, and visualisation of data related to the thermal conditions of ice-lined refrigerators (ILR) and thermal boxes. Additionally, it analyses patient vaccination coverage based on the official immunisation schedule. The key benefits include optimising vaccine storage conditions, reducing dose wastage, continuously monitoring immunisation coverage, and supporting strategic vaccination planning.ConclusionThe paper discusses the future impacts of this approach on immunisation management and its scalability for diverse public health contexts. By leveraging advanced technologies and simulation, this digital twin framework aims to improve the performance and overall impact of immunization services.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1603550/fullimmunisationdigital twinvaccinesTwinVaxsimulationIoT
spellingShingle Leonardo de Oliveira El-Warrak
Claudio Miceli de Farias
Victor Hugo Dias Macedo De Azevedo Costa
Simulation-based assessment of digital twin systems for immunisation
Frontiers in Digital Health
immunisation
digital twin
vaccines
TwinVax
simulation
IoT
title Simulation-based assessment of digital twin systems for immunisation
title_full Simulation-based assessment of digital twin systems for immunisation
title_fullStr Simulation-based assessment of digital twin systems for immunisation
title_full_unstemmed Simulation-based assessment of digital twin systems for immunisation
title_short Simulation-based assessment of digital twin systems for immunisation
title_sort simulation based assessment of digital twin systems for immunisation
topic immunisation
digital twin
vaccines
TwinVax
simulation
IoT
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1603550/full
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