Abstract: Based on the Internet of things, cloud computing, 5G, big data and other new technologies, combined with implementation of national "healthy China" development strategy and the unceasing exploration of the great healthy ecological system endowed with modern intelligent science and technology, the article aims at the common problems existing in hospital wards at present, based on the study of intelligent ward construction planning and system architecture design, this paper explores the design of intelligent cloud ward system based on Internet of things architecture from aspects of enhancing humanized service, convenient and efficient management, energy saving, integration of peace and epidemic, etc., this paper introduces the system architecture, main functions and main implementation contents of the smart cloud ward, and expounds the popularization significance and challenges of the smart cloud ward system in order to provide references for optimizing the construction of the smart ward in the hospital.