PDF-ECG in clinical practice : a model for long-term preservation of digital 12-lead ECG data
Articolo
Data di Pubblicazione:
2017
Citazione:
PDF-ECG in clinical practice : a model for long-term preservation of digital 12-lead ECG data / R. Sassi, R..R. Bond, A. Cairns, D..D. Finlay, D. Guldenring, G. Libretti, L. Isola, M. Vaglio, R. Poeta, M. Campana, C. Cuccia, F. Badilini. - In: JOURNAL OF ELECTROCARDIOLOGY. - ISSN 0022-0736. - 50:6(2017), pp. 776-780.
Abstract:
Background: In clinical practice, data archiving of resting 12-lead electrocardiograms (ECGs) is mainly achieved by storing a PDF report in the hospital electronic health record (EHR). When available, digital ECG source data (raw samples) are only retained within the ECG management system. Objective: The widespread availability of the ECG source data would undoubtedly permit successive analysis and facilitate longitudinal studies, with both scientific and diagnostic benefits. Methods & results: PDF-ECG is a hybrid archival format which allows to store in the same file both the standard graphical report of an ECG together with its source ECG data (waveforms). Using PDF-ECG as a model to address the challenge of ECG data portability, long-term archiving and documentation, a real-world proof-of-concept test was conducted in a northern Italy hospital. A set of volunteers undertook a basic ECG using routine hospital equipment and the source data captured. Using dedicated web services, PDF-ECG documents were then generated and seamlessly uploaded in the hospital EHR, replacing the standard PDF reports automatically generated at the time of acquisition. Finally, the PDF-ECG files could be successfully retrieved and re-analyzed. Conclusion: Adding PDF-ECG to an existing EHR had a minimal impact on the hospital's workflow, while preserving the ECG digital data.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Clinical ECG; ECG digital data; ECG long-time preservation; PDF report; Cardiology and Cardiovascular Medicine
Elenco autori:
R. Sassi, R..R. Bond, A. Cairns, D..D. Finlay, D. Guldenring, G. Libretti, L. Isola, M. Vaglio, R. Poeta, M. Campana, C. Cuccia, F. Badilini
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