Purpose Fog computing (FC) is a new field of research and has emerged as a complement to the cloud, which can mitigate the problems inherent to the cloud computing (CC) and internet of things (IoT) model such as unreliable latency, bandwidth constraints, security and mobility. Because there is no comprehensive study on the FC in health management processing systems techniques, this paper aims at surveying and analyzing the existing techniques systematically as well as offering some suggestions for upcoming works. Design/methodology/approach The paper complies with the methodological requirements of systematic literature reviews (SLR). The present paper investigates the newest systems and studies their practical techniques in detail. The applications of FC in health management systems have been categorized into three major groups, including review articles, data analysis, frameworks and models mechanisms. Findings The results have indicated that despite the popularity of FC as having real-time processing, low latency, dynamic configuration, scalability, low reaction time (less than a second), high bandwidth, battery life and network traffic, a few issues remain unanswered, such as security. The most recent research has focused on improvements in remote monitoring of the patients, such as less latency and rapid response. Also, the results have shown the application of qualitative methodology and case study in the use of FC in health management systems. While FC studies are growing in the clinical field, CC studies are decreasing. Research limitations/implications This study aims to be comprehensive, but there are some limitations. This research has only surveyed the articles that are mined, according to a keyword exploration of FC health, FC health care, FC health big data and FC health management system. Fog-based applications in the health management system may not be published with determined keywords. Moreover, the publications written in non-English languages have been ignored. Some important research studies may be printed in a language other than English. Practical implications The results of this survey will be valuable for academicians, and these can provide visions into future research areas in this domain. This survey helps the hospitals and related industries to identify FC needs. Moreover, the disadvantages and advantages of the above systems have been studied, and their key issues have been emphasized to develop a more effective FC in health management processing mechanisms over IoT in the future. Originality/value Previous literature review studies in the field of SLR have used a simple literature review to find the tasks and challenges in the field. In this study, for the first time, the FC in health management processing systems is applied in a systematic review focused on the mediating role of the IoT and thereby provides a novel contribution. An SLR is conducted to find more specific answers to the proposed research questions. SLR helps to reduce implicit researcher bias. Through the adoption of broad search strategies, predefined search strings and uniform inclusion and exclusion criteria, SLR effectively forces researchers to search for studies beyond their subject areas and networks.