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Article

EmotiCloud: Cloud System to Monitor Patients Using AI Facial Emotion Recognition

by
Ana-María López-Echeverry
1,2,*,†,
Sebastián López-Flórez
2,*,†,
Jovany Bedoya-Guapacha
1,† and
Fernando De-La-Prieta
3
1
Engineering Faculty, Universidad Tecnológica de Pereira, Pereira 660003, Colombia
2
Doctorate in Computer Science, Doctoral School, Universidad de Salamanca, 37008 Salamanca, Spain
3
Department of Computer Science and Automation, Faculty of Science, Universidad de Salamanca, 37008 Salamanca, Spain
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
Systems 2025, 13(9), 750; https://doi.org/10.3390/systems13090750
Submission received: 4 July 2025 / Revised: 22 August 2025 / Accepted: 26 August 2025 / Published: 29 August 2025
(This article belongs to the Section Artificial Intelligence and Digital Systems Engineering)

Abstract

Comprehensive healthcare seeks to uphold the right to health by providing patient-centred care in both personal and work environments. However, the unequal distribution of healthcare services significantly restricts access in remote or underserved areas—a challenge that is particularly critical in mental health care within low-income countries. On average, there is only one psychiatrist for every 200,000 people, which severely limits early diagnosis and continuous monitoring in patients’ daily environments. In response to these challenges, this research explores the feasibility of implementing an information system that integrates cloud computing with an intelligent Facial Expression Recognition (FER) module to enable psychologists to remotely and periodically monitor patients’ emotional states. This approach enhances comprehensive clinical assessments, supporting early detection, ongoing management, and personalised treatment in mental health care. This applied research follows a descriptive and developmental approach, aiming to design, implement, and evaluate an intelligent cloud-based solution that enables remote monitoring of patients’ emotional states through Facial Expression Recognition (FER). The methodology integrates principles of user-centred design, software engineering best practices, and machine learning model development, ensuring a robust and scalable solution aligned with clinical and technological requirements. The development process followed the Software Development Life Cycle (SDLC) and included functional, performance, and integration testing. To assess overall system quality, we defined an evaluation framework based on ISO/IEC 25010 quality characteristics: functional suitability, performance efficiency, usability, and security. The intelligent FER model achieved strong validation results, with a loss of 0.1378 and an accuracy of 96%, as confirmed by the confusion matrix and associated performance metrics.
Keywords: mental health; e-health monitoring; facial emotion recognition—FER; Cloud computing mental health; e-health monitoring; facial emotion recognition—FER; Cloud computing

Share and Cite

MDPI and ACS Style

López-Echeverry, A.-M.; López-Flórez, S.; Bedoya-Guapacha, J.; De-La-Prieta, F. EmotiCloud: Cloud System to Monitor Patients Using AI Facial Emotion Recognition. Systems 2025, 13, 750. https://doi.org/10.3390/systems13090750

AMA Style

López-Echeverry A-M, López-Flórez S, Bedoya-Guapacha J, De-La-Prieta F. EmotiCloud: Cloud System to Monitor Patients Using AI Facial Emotion Recognition. Systems. 2025; 13(9):750. https://doi.org/10.3390/systems13090750

Chicago/Turabian Style

López-Echeverry, Ana-María, Sebastián López-Flórez, Jovany Bedoya-Guapacha, and Fernando De-La-Prieta. 2025. "EmotiCloud: Cloud System to Monitor Patients Using AI Facial Emotion Recognition" Systems 13, no. 9: 750. https://doi.org/10.3390/systems13090750

APA Style

López-Echeverry, A.-M., López-Flórez, S., Bedoya-Guapacha, J., & De-La-Prieta, F. (2025). EmotiCloud: Cloud System to Monitor Patients Using AI Facial Emotion Recognition. Systems, 13(9), 750. https://doi.org/10.3390/systems13090750

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