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Driving is a complex activity with the continuously changing environment. Safe driving can be challenged by changes in drivers’ physical, emotional, and mental condition. Population in the developed world is aging, so the number of older drivers is increasing. Older drivers have relatively higher incidences of crashes precipitated by drivers’ medical emergencies when compared to another age group. On the elderly population, automakers are paying more attention to developing cars that can measure and monitor the drivers’ health status to protect them. In recent years, the automotive industry has been integrating health, wellness, and wellbeing technologies into cars with Internet of Things (IoT). A broad range of applications is possible for the IoT-based elderly smart healthcare monitoring systems.