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The Telecardiology of 12-Lead ECG

The Telecardiology of 12-Lead ECG. Ray Hsieh Ph.D. 謝瑞建 Department of Information Management Yuan Ze University, Taiwan. The result of biology is from good engineering. -F. Starmer. Virtual Heart. Spiral Wave Simulation. Introduction.

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The Telecardiology of 12-Lead ECG

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  1. The Telecardiology of 12-Lead ECG Ray Hsieh Ph.D. 謝瑞建 Department of Information Management Yuan Ze University, Taiwan

  2. The result of biology is from good engineering. -F. Starmer

  3. Virtual Heart

  4. Spiral Wave Simulation

  5. Introduction • Most hospitals use paper 12-lead ECG. • How to extract waveform data from clinically-used ECG instruments ? • How to integrate different ECG file formats ? (HP SCP-ECG & Philips XML-ECG)

  6. Paper-Based 12-lead ECG

  7. 12-lead ECG Measurement

  8. Paper ECG

  9. Objectives • To enable the integration of heterogeneous and encrypted clinically-used 12-lead ECG file formats, such as HP SCP-ECG, Philips XML-ECG. • To develop a novel 12-lead ECG information management system for clinical applications.

  10. System Construction

  11. Methods • SCP-ECG decode • XML-ECG noise removal • WEB-based and mobile-based ECG system and DICOM-ECG Conversion • Integration with HIS and PACS

  12. SCP-ECG Decoding

  13. Noise Removal by Stationary Wavelet Transform

  14. ECG processing

  15. Noise Removal of ECG

  16. Web-based ECG Information System

  17. Web-based ECG Information System

  18. 12-lead ECG on iPod

  19. Mobile-based 12-Lead ECG Queries and Diagnoses

  20. Medical Informatics Standards • Digital Image and Communication in Medicine (DICOM) • Picture Archiving and Communication System (PACS). • Hospital Information System (HIS).

  21. HIS-PACS-DICOM-ECG

  22. PACS ECG Scheduling Query

  23. PACS Viewer with Embedded Image and Waveform Interpreters

  24. Mobilized DICOM-ECG & Image Viewer

  25. Mobilized DICOM-ECG & Image Viewer

  26. Clinical Applications

  27. Discussions • Clinical Applications • Mobile-based 12-lead ECG system can enhance the time efficiency in emergency medical treatments. • DICOM-ECG can enhance the interoperability of 12-lead ECG records. • Web-based 12-lead ECG can improve the readability and portability of clinical 12-lead ECG reports. • The developed Web and mobile 12-lead ECG system has been adopted by Taoyuan Armed Forces General Hospital-Taiwan since March, 2008.

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