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The advancement in automation and medical care technologies in recent decade has changed the traditional medical treatment of patients. Although, these technologies have increased the treatment’s precision but the growing number and the complexity of IoT healthcare devices are impacting accuracy along with several other challenges. Moreover, the use of different programming languages, operating platforms and data management methodologies are creating restrictions in safe exchange, integration and reuse of information across different applications. However, with the advent of the semantic web, the semantic technologies are growing in healthcare systems due to the capability of machine interpretation and processing by overcoming the restriction of languages and data heterogeneity. The most common shortcoming in the existing systems are the context-awareness and quality of services and the absence of rich patient ontology; leading towards low accuracy of results. To this aim, this paper provides a smart health framework, consisting on the collection and processing of IoT data (related to patient conditions and context). The framework is supported by the patient ontology along with SWRL rules for better decision making that consider different features (context-awareness and quality of services) differently that results in the improved accuracy. In the evaluation process the proposed work has achieved an accuracy of 89.81%. This work will help the practitioners to treat the patients in a better way.