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A distributed medical record on a Holter-ECG archiving and analysis system
V Pentcheva-Spiridonov1, A Horsch, M Hadamitzky
1Department of Medical Statistics, Technical University of Munich, Germany.
Insights
A new distributed medical record (DMR) system, based on Holter-ECG technology, enhances collaborative cardiac care and research. This system supports over 6500 Holter-ECGs and is used for all heart catheter patients.
Area of Science:
- Cardiology
- Medical Informatics
- Health Information Systems
Background:
- Collaborative treatment of cardiac disease patients requires integrated data management.
- Existing systems may not adequately support both clinical care and research needs.
Purpose of the Study:
- To implement and evaluate a distributed medical record (DMR) system.
- To enhance collaborative treatment and cardiological studies.
- To report on the architecture, experiences, and benefits of the implemented DMR.
Main Methods:
- Implementation of a distributed medical record (DMR) system.
- Utilizing a Holter-ECG archiving and analysis system as the foundation.
- Integration into routine clinical workflows for heart catheter patients.
Main Results:
- Archived and analyzed 6500 Holter-ECGs between January 1995 and December 1997.
- The DMR has been in routine operation since January 1996.
- The system supports collaborative treatment and cardiological studies.
Conclusions:
- The implemented DMR system effectively supports collaborative cardiac care.
- The Holter-ECG based DMR provides significant benefits for clinical studies.
- Distributed medical records are a viable solution for integrated cardiology data management.
Abstract:
At the Department of Cardiology of the Technical University of Munich and the Deutsches Herzzentrum München cardiac disease patients are treated in close co-operation. In order to support the collaborative treatment as well as cardiological studies a distributed medical record (DMR) has been implemented on the basis of a Holter-ECG archiving and analysis system. Architecture, experiences and major benefits of the solution are reported in the paper. Between January 1995 and December 1997 6500 Holter-ECGs have been archived and analysed. The DMR is in routine operation since January 1996 for all heart catheter patients.