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Related Experiment Video

Updated: Jun 11, 2025

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function

Published on: December 11, 2019

A Remote Patient Monitoring System With Feedback Mechanisms Using a Smartwatch: Concept, Implementation, and

Reto Wettstein¹, Farbod Sedaghat-Hamedani^2,3,4, Oliver Heinze⁵

¹Institute of Medical Informatics, Heidelberg University Hospital, Heidelberg, Germany.

JMIR Mhealth and Uhealth

|October 4, 2024

Summary

This study developed a user-friendly remote patient monitoring system using a consumer wearable. The system successfully integrated into patients' daily routines, showing potential for clinical workflow integration.

Keywords:

HL7 FHIR Health Level 7 Fast Healthcare Interoperability Resources cardiology consumer device dilated cardiomyopathy heart failure mobile health mobile phone remote patient monitoring telemedicine usability wearable

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Last Updated: Jun 11, 2025

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function

Published on: December 11, 2019

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

An Application for Pairing with Wearable Devices to Monitor Personal Health Status

An Application for Pairing with Wearable Devices to Monitor Personal Health Status

Published on: February 3, 2022

Area of Science:

Biomedical Engineering
Health Informatics
Digital Health

Background:

Patient-generated health data from smartphones and wearables offer potential for remote patient monitoring (RPM).
Current RPM systems often lack integration with hospital IT and patient-centric design.
Secure sharing of patient data is crucial for personalized health management and feedback.

Purpose of the Study:

To conceptualize and implement a user-friendly, reusable, interoperable, and secure RPM system using a consumer wearable (Apple Watch).
To incorporate asynchronous feedback mechanisms into the RPM system.
To evaluate patient acceptance and factors influencing its use.

Main Methods:

System requirements gathered via focus groups; iterative design and implementation focused on technical feasibility.
Clinical feasibility assessed in the activeDCM study with 95 dilated cardiomyopathy patients over 12 months.
Usability measured by System Usability Scale; wearable interaction frequency and data completeness (SHD, PROMs) evaluated.

Main Results:

The RPM system consisted of four interoperable components.
The app achieved a mean System Usability Scale score of 78; 87% of patients integrated it well into daily routines.
71% saw a benefit for health management; wearable interaction and data completeness were influenced by intervention group membership.

Conclusions:

This study represents a significant step towards integrating consumer wearable-based RPM systems into clinical workflows.
The developed system serves as a blueprint for user-friendly, reusable, interoperable, and secure RPM solutions.
Successful integration into patients' daily routines highlights the potential of such systems for continuous health management.