Real-Time Medical Device Data Stream Processing

Create an event-driven database architecture for ingesting continuous telemetry from IoT medical devices (heart monitors, insulin pumps) with sub-100ms latency. Design a schema that supports complex event processing, handles potential data spikes of 10,000 events/second, and provides instant alerting for critical patient health thresholds. Include recommendations for stream processing, time-series data storage, and anomaly detection mechanisms.