A Web based ECG monitoring service in which a longitudinal clinical record is used for management of patients, is described. The Web application is used to collect clinical data from the patient's home. A database server acts as a central repository where this clinical information is stored. A Web browser provides access to the patient's records and clinical data. An intelligent software agent on the Web server is activated whenever new patient data is collected remotely from the home. The agent compares historical data with newly acquired data. Using this method, an optimum patient care strategy can be evaluated, with reminders and suggestions for action sent to the doctor and patient by email.
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Magrabi et al. (2002) studied this question.