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Interpretive software conversion following changes of patient status and diagnostic goals

Augustyniak P.

Acta of Bioengineering and Biomechanics

2009

Vol. 11, nr 2

3-11

This paper presents selected issues concerning the on-the-run conversion of ECG interpretive software following the changes of the patient status and diagnostic goals. The adaptation of diagnostic procedure, common in human action, but still absent in computerized processing, raises the necessity of including the additional medical knowledge in the feedback loop controlling the diagnostic process. Considering this knowledge in the form of complementary data attributes and the use of modern information processing and digital communication techniques opens up the opportunity to simulate a continuous presence of cardiology expert accompanying the patient in motion. At the same time, the software does not assume the exclusive correctness of the automated diagnosis and provides a human expert with verification tools at all stages of signal processing. The portable remote recorder was designed and prototyped in our laboratory allowing various approaches to automatic software adaptation to be tested.