T
E
L
KO
M
NIK
A
, V
ol
.
17
,
No.
6,
Dec
em
be
r
20
1
9,
p
p.
31
2
0
~
31
2
5
IS
S
N: 1
69
3
-
6
93
0
,
accr
ed
ited
F
irst
Gr
ad
e b
y K
em
en
r
istekdikti,
Decr
ee
No:
21
/E
/
K
P
T
/20
18
DOI:
10.12928/TE
LK
OM
N
IK
A
.v
1
7
i
6
.
13263
◼
31
20
Rec
ei
v
ed
M
ay
31
,
20
1
9
; R
ev
i
s
ed
J
u
l
y
2
, 2
01
9
; A
c
c
ep
t
ed
J
ul
y
18
,
20
1
9
Streami
ng
i
n
-
p
a
tien
t
BPM
da
ta
t
o t
h
e clo
ud
w
i
th
a re
al
-
ti
me
mo
n
ito
ri
ng
s
y
s
t
em
M
o
h
amm
ed G
.
A
you
b
*
1
,
M
a
z
in N. F
ar
h
an
2
, M
o
h
amm
ed S
.
Ja
r
jee
s
3
T
e
c
h
n
i
c
a
l
En
g
i
n
e
e
ri
n
g
Co
l
l
e
g
e
/M
o
s
u
l
,
Nort
h
e
r
n
T
e
c
h
n
i
c
a
l
Un
i
v
e
rs
i
ty
,
M
o
s
u
l
,
Ir
a
q
*C
o
rre
s
p
o
n
d
i
n
g
a
u
th
o
r,
e
-
m
a
i
l
:
m
o
h
a
m
m
e
d
.
g
h
a
n
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m
@n
tu
.e
d
u
.i
q
1
,
m
a
z
i
n
.
n
a
d
h
e
e
r@nt
u
.e
d
u
.i
q
2
,
m
o
h
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m
m
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d
.
s
.j
a
r
j
e
e
s
@nt
u
.e
d
u
.i
q
3
Ab
strac
t
M
o
n
i
to
ri
n
g
t
h
e
h
e
a
rt
a
c
ti
v
i
ti
e
s
f
o
r o
l
d
p
e
o
p
l
e
o
r p
e
o
p
l
e
wi
th
m
e
d
i
c
a
l
h
i
s
to
r
y
(Arrh
y
th
m
i
a
o
r C
HD
) i
s
ta
rg
e
te
d
b
y
m
o
s
t
n
e
w
m
e
d
i
c
a
l
te
c
h
n
o
l
o
g
i
e
s
.
Th
i
s
p
a
p
e
r
d
e
m
o
n
s
tra
t
e
d
a
n
i
n
-
p
a
ti
e
n
t
re
a
l
-
ti
m
e
m
o
n
i
to
ri
n
g
s
y
s
te
m
fo
r
h
e
a
rt
r
a
te
e
s
ti
m
a
ti
o
n
.
A
r
a
ti
o
o
f
b
e
a
ts
p
e
r
m
i
n
u
te
(
BP
M
)
i
s
c
o
n
ti
n
u
o
u
s
l
y
re
c
o
rd
e
d
,
s
tr
e
a
m
e
d
a
n
d
a
rc
h
i
v
e
d
to
th
e
c
l
o
u
d
v
i
a
We
M
o
s
W
i
Fi
d
e
v
e
l
o
p
m
e
n
t
b
o
a
r
d
.
Th
i
s
c
o
s
t
e
ff
e
c
ti
v
e
s
y
s
t
e
m
i
s
s
i
m
p
l
y
b
a
s
e
d
o
n
two
s
u
b
-
s
y
s
te
m
s
:
BPM
d
a
ta
a
c
q
u
i
s
i
t
i
o
n
th
r
o
u
g
h
p
u
l
s
e
s
e
n
s
o
r
a
n
d
We
M
o
s
-
b
a
s
e
d
c
o
m
m
u
n
i
c
a
ti
o
n
s
y
s
te
m
s
.
Th
e
s
tre
a
m
e
d
BPM
d
a
ta
a
re
s
a
v
e
d
i
n
s
ta
n
ta
n
e
o
u
s
l
y
i
n
G
o
o
g
l
e
d
ri
v
e
a
s
s
p
re
a
d
s
h
e
e
t
s
whi
c
h
c
a
n
o
n
l
y
b
e
a
c
c
e
s
s
e
d
b
y
a
u
t
h
o
ri
z
e
d
p
e
rs
o
n
s
whe
re
v
e
r
t
h
e
i
n
te
rn
e
t
s
e
r
v
i
c
e
i
s
a
v
a
i
l
a
b
l
e
.
Th
u
s
,
th
e
p
e
r
s
o
n
i
n
c
h
a
rg
e
c
a
n
re
m
o
te
l
y
o
b
s
e
r
v
e
t
h
e
p
a
ti
e
n
t’
s
s
ta
tu
s
a
n
d
d
o
a
n
a
l
y
ti
c
s
fo
r
th
e
a
rc
h
i
v
e
d
d
a
ta
.
A
p
i
l
o
t
s
tu
d
y
wit
h
e
i
g
h
t
s
u
b
j
e
c
t
s
wa
s
c
a
rri
e
d
o
u
t
to
v
a
l
i
d
a
te
th
e
d
e
v
e
l
o
p
e
d
BPM
te
l
e
-
m
o
n
i
to
ri
n
g
s
y
s
te
m
.
En
c
o
u
ra
g
i
n
g
re
s
u
l
t
s
h
a
v
e
b
e
e
n
a
c
h
i
e
v
e
d
.
Key
w
ords
:
BPM
,
p
u
l
s
e
s
e
n
s
o
r
,
s
tre
a
m
i
n
g
,
te
l
e
m
e
d
i
c
i
n
e
,
W
e
M
o
s
,
wir
e
l
e
s
s
c
o
m
m
u
n
i
c
a
ti
o
n
Copy
righ
t
©
2
0
1
9
Uni
v
e
rsi
t
a
s
Ahm
a
d
D
a
hl
a
n.
All
rig
ht
s
r
e
s
e
rve
d
.
1.
Int
r
o
d
u
ctio
n
Real
-
t
i
m
e
c
on
ti
nu
o
us
m
o
ni
tor
i
ng
f
or
ph
y
s
i
o
l
og
i
c
al
pa
r
am
ete
r
s
of
pa
ti
en
ts
are
v
er
y
es
s
en
ti
a
l
t
o
t
he
i
r
da
i
l
y
he
a
l
th
c
are
[
1]
.
O
ne
of
the
s
e
p
h
y
s
i
ol
o
gi
c
a
l
p
aram
ete
r
s
i
s
the
he
art
r
ate
(
HR)
.
HR,
w
h
i
c
h
i
s
al
s
o
k
no
w
n
as
a
be
at
p
er
m
i
nu
te
(
B
P
M),
i
s
the
nu
m
be
r
of
c
on
tr
ac
ti
on
s
of
the
he
art
pe
r
m
i
nu
te.
S
e
v
era
l
he
art
d
i
s
ea
s
es
are
as
s
oc
i
ate
d
wi
th
t
he
c
ha
n
ge
of
the
HR
v
ari
ab
i
l
i
t
y
[2
–
4]
.
F
or
ex
am
pl
e,
l
o
w
h
ea
r
t
r
ate
v
ari
ab
i
l
i
t
y
i
s
as
s
oc
i
ate
d
wi
th
i
nc
i
de
nc
e
of
Cor
on
ar
y
Heart
Di
s
e
as
e
(
CHD)
w
h
i
c
h
i
s
a
c
om
m
on
c
au
s
e
of
de
at
h
i
n
t
he
w
or
l
d
wi
de
[2
–
4]
.
M
oreo
v
er,
arr
h
y
thm
i
as
(
A
b
no
r
m
al
he
art
r
h
y
t
hm
s
)
are
c
on
s
eq
ue
nc
es
of
un
d
erl
y
i
n
g
h
ea
r
t
di
s
ea
s
es
an
d
c
o
m
orbi
di
t
i
es
,
the
y
are
th
e
m
os
t
c
o
m
m
on
c
au
s
e
of
s
ud
de
n
c
ardi
ac
de
ath
s
(
S
CD)
[5]
.
T
hu
s
,
pa
ti
en
ts
wi
th
s
uc
h
m
ed
i
c
a
l
c
on
d
i
ti
on
s
n
ee
d
c
o
nti
nu
ou
s
/pe
r
i
od
i
c
al
m
on
i
tor
i
ng
f
or
the
i
r
he
art
ac
ti
v
i
t
i
es
es
pe
c
i
al
l
y
t
he
H
R.
Rec
ordi
ng
a
nd
arc
hi
v
i
ng
B
P
M
d
ata
f
or
th
os
e
i
n
-
pa
t
i
e
nts
or
out
-
pa
t
i
e
nts
l
et
ph
y
s
i
c
i
a
ns
do
the
c
orr
ec
t
d
ec
i
s
i
o
n
i
n
c
as
e
of
he
al
t
h
de
teri
orati
on
.
T
he
r
ef
ore,
an
ef
f
i
c
i
en
t
s
ol
ut
i
on
f
or
c
on
ti
n
uo
us
r
ea
l
-
ti
m
e
m
on
i
tori
n
g
of
HR
i
s
r
eq
ui
r
e
d,
pa
r
t
i
c
ul
arl
y
i
n
p
ati
en
ts
wi
th
c
hron
i
c
he
art
d
i
s
ea
s
e
tha
t
i
s
ab
l
e
to
c
o
l
l
ec
t
a
n
d
arc
hi
v
e
th
e
d
ata
i
n
or
de
r
to
o
bs
erv
e
i
t
r
em
ote
l
y
.
F
or
t
he
p
urpos
e
of
k
ee
p
tr
ac
i
ng
t
he
he
a
l
t
h
s
tat
us
of
pa
ti
e
nts
wi
th
c
hroni
c
di
s
ea
s
e
,
the
te
l
e
-
m
ed
i
c
i
n
e
he
al
t
h
c
a
r
e
s
y
s
t
em
ha
s
be
en
a
pp
l
i
e
d
[6
–
8]
.
S
uc
h
s
y
s
t
em
s
are
i
m
pl
e
m
en
ted
i
n
ho
s
pi
t
al
s
pe
c
i
f
i
c
al
l
y
i
n
t
he
Int
e
ns
i
v
e
C
are
U
ni
t
(
ICU
)
be
c
au
s
e
i
ts
t
ec
hn
o
l
o
gi
e
s
are
us
ed
to
i
m
prov
e e
f
f
i
c
i
en
c
y
a
nd
de
c
r
ea
s
e c
os
t
[9
]
.
R
e
c
en
tl
y
,
te
l
e
-
m
e
d
i
c
i
n
e
s
y
s
t
e
m
s
a
r
e
o
ne
o
f
th
e
m
o
s
t
e
x
pa
nd
i
n
g
r
e
s
ea
r
c
h
a
r
e
a
s
i
n
t
h
e
fi
el
d
o
f
b
i
o
m
e
d
i
c
a
l
e
ng
i
ne
e
r
i
ng
[1
0
]
.
T
h
e
e
x
pa
nd
ed
r
e
s
e
a
r
c
h
e
s
i
n
t
el
e
-
m
e
di
c
i
n
e
s
y
s
t
e
m
s
c
o
v
e
r
t
h
e
a
r
ea
o
f
t
h
e
h
ea
l
t
h
c
a
r
e
a
nd
m
o
n
i
to
r
i
n
g
s
y
s
te
m
p
ar
t
i
c
ul
a
r
l
y
fo
r
th
e
d
i
s
t
an
t
p
a
ti
en
t
s
[1
1,
12
]
.
T
h
e
t
el
e
-
m
e
di
c
i
n
e
s
y
s
te
m
c
a
n
b
e
u
s
ed
fo
r
r
ea
l
-
t
i
m
e
m
o
n
i
t
o
r
i
ng
o
f
th
e
p
h
y
s
i
ol
og
i
c
al
p
a
r
a
m
e
t
e
r
s
o
f
h
o
s
pi
tal
i
z
ed
a
nd
/o
r
d
i
s
ta
nt
pa
ti
en
t
s
w
i
th
c
h
r
on
i
c
di
s
e
a
s
e
a
nd
/
o
r
di
s
ab
i
l
i
t
y
[
13
]
.
T
el
e
-
m
on
i
tori
ng
he
al
t
hc
are
s
y
s
tem
,
w
h
i
c
h
i
s
a
t
y
p
e
of
the
tel
e
-
m
ed
i
c
i
n
e
s
y
s
t
e
m
,
ha
s
be
en
us
e
d
f
or
m
on
i
tor
i
ng
th
e
h
ea
l
th
s
tat
us
of
pa
ti
e
nt
at
di
s
t
an
c
e,
s
uc
h
as
h
om
e
or
of
f
i
c
e
.
T
hi
s
i
s
done
b
y
us
i
ng
v
ari
o
us
a
pp
l
i
c
ati
on
s
of
i
nf
orm
ati
on
an
d
c
om
m
un
i
c
ati
on
t
ec
h
no
l
og
y
[8
,
1
4]
.
T
he
tel
e
-
m
on
i
tor
i
ng
h
ea
l
th
c
are
s
y
s
tem
no
t
on
l
y
h
as
po
s
i
t
i
v
e
ef
f
ec
ts
on
pa
t
i
en
ts
’
h
ea
l
th
s
tat
us
an
d
the
i
r
qu
a
l
i
t
y
of
l
i
f
e
b
ut
al
s
o
h
as
p
os
i
t
i
v
e
ec
on
om
i
c
i
m
pa
c
ts
on
th
e
pa
t
i
en
t
an
d
the
wi
de
r
s
oc
i
et
y
[7,
8]
.
Num
erous
s
tud
i
es
of
c
on
t
i
nu
ou
s
t
el
e
-
m
on
i
tori
ng
he
a
l
thc
are
s
y
s
tem
s
are
di
s
c
us
s
ed
i
n
th
e
l
i
ter
atu
r
e.
Ho
w
e
v
er,
the
m
aj
orit
y
of
the
pr
es
en
te
d
s
y
s
tem
s
di
d
no
t
t
ak
e
i
nto
Evaluation Warning : The document was created with Spire.PDF for Python.
T
E
L
KO
M
NIK
A
IS
S
N: 1
69
3
-
6
93
0
◼
S
tr
ea
mi
n
g
i
n
-
pat
i
e
nt
B
P
M d
ata
t
o t
h
e c
l
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ud
w
i
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a rea
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-
ti
me
...
(
Mo
ha
mm
e
d G.
A
y
o
ub
)
3121
c
on
s
i
de
r
a
ti
o
n
t
he
c
os
t
an
d
s
i
z
e
as
w
e
l
l
arc
hi
v
i
ng
th
e
d
ata
f
or
f
utu
r
e
an
a
l
y
t
i
c
s
.
L
ei
bo
l
d
et
a
l
,
f
or
ex
am
pl
e,
us
ed
C
ortex
M3
wi
r
el
es
s
m
i
c
r
oc
on
tr
ol
l
er
MCU
to
pro
v
i
de
r
ea
l
-
ti
m
e
m
on
i
tori
ng
i
n
bi
ore
ac
tors
[15]
.
T
he
y
us
e
d
the
MCU
wi
th
a
de
d
i
c
ate
d
IE
E
E
8
02
.
15
.
4
RF
tr
an
s
c
ei
v
er
ha
r
d
war
e
m
od
ul
e
f
or
wi
r
el
es
s
c
o
m
m
un
i
c
ati
on
.
Mo
r
e
ov
er,
S
k
r
ab
a
et
al
us
ed
B
l
ue
t
oo
th
an
d
W
i
-
F
i
tec
hn
o
l
og
i
es
i
n
di
f
f
erent
i
m
pl
e
m
en
tat
i
o
ns
to
s
tr
ea
m
HR
da
ta
t
o
the
c
l
ou
d
[1
6]
.
A
wearab
l
e
s
y
s
t
em
ha
s
be
en
prop
os
ed
b
y
T
af
f
on
i
et
al
f
or
m
on
i
tor
i
ng
r
es
pi
r
at
or
y
f
r
eq
u
en
c
y
a
nd
h
ea
r
t
r
at
e.
T
he
y
us
e
d
B
l
ue
t
oo
t
h
m
od
ul
e
as
a
c
om
m
un
i
c
ati
on
t
ec
hn
o
l
og
y
w
i
th
m
ul
ti
pl
e
s
e
ns
ors
s
uc
h
a
s
P
P
G
,
S
P
D a
nd
I
MU
to
m
on
i
tor th
e p
h
y
s
i
ol
og
i
c
al
v
ar
i
ab
l
es
[1
7]
.
Me
s
s
ag
e
Q
ue
u
i
n
g
T
el
em
etr
y
T
r
an
s
po
r
t
(
MQ
T
T
)
m
es
s
ag
i
ng
protoc
o
l
h
as
b
ee
n
u
s
ed
i
n
r
ea
l
-
ti
m
e
m
on
i
tori
n
g
[
18
]
.
MQ
T
T
w
as
us
ed
i
n
i
nte
gr
a
ti
on
wi
th
E
S
P
82
6
6
Wi
-
F
i
m
od
u
l
e
f
or
h
ea
r
t
r
ate
m
on
i
tori
ng
.
A
c
om
m
e
r
c
i
al
B
l
ue
t
oo
th
U
A
RT
c
om
pa
ti
bl
e
was
a
l
s
o
us
e
d
wi
t
h
a
3
-
in
-
1
b
i
o
s
i
gn
a
l
-
proc
es
s
i
n
g
c
hi
p
f
or
B
r
ai
n
-
H
ea
r
t
m
on
i
tori
n
g
[19]
.
In
2
01
6,
a
s
y
s
t
em
propos
e
d
b
y
A
ul
i
a
e
t
al
,
us
e
d
a
s
i
n
gl
e
E
CG
l
ea
d
c
on
ne
c
te
d
to
A
R
M
-
Cor
tex
M4
wi
th
a
B
l
u
eto
oth
Lo
w
E
n
erg
y
(
B
LE
)
f
or
he
art r
ate
m
on
i
t
orin
g
[20]
.
T
hi
s
pa
pe
r
pres
en
ts
a
c
os
t
-
ef
f
ec
ti
v
e
tec
hn
o
l
og
y
f
or
s
tr
ea
m
i
ng
HR
to
the
c
l
o
ud
us
i
ng
W
e
Mo
s
W
i
F
i
de
v
e
l
o
pm
en
t
bo
ard
an
d
G
o
og
l
e
Dr
i
v
e
s
erv
i
c
e,
w
h
i
c
h
i
s
f
r
ee
of
c
ha
r
ge
.
E
i
gh
t
he
a
l
th
y
v
o
l
un
t
ee
r
s
w
ere
pa
r
ti
c
i
pa
t
ed
i
n
th
i
s
s
tud
y
a
nd
t
he
i
r
da
ta
ha
v
e
be
en
s
tr
e
am
i
ng
to
G
o
og
l
e
on
l
i
ne
s
pr
ea
ds
h
ee
t
i
ns
tan
t
an
eo
us
l
y
.
M
oreo
v
er,
th
e
c
ap
ture
d
da
t
a
h
av
e
be
en
c
om
pa
r
ed
wi
th
a
c
om
eric
al
weara
bl
e
de
v
i
c
e a
s
w
e
l
l
as
s
tat
e
of
art s
y
s
tem
s
.
2.
Res
ea
r
ch M
eth
o
d
s
2.1
.
S
y
stem
O
v
er
v
iew
and
A
r
chit
ec
t
u
r
e
T
he
propos
ed
m
on
i
tori
ng
s
y
s
t
em
c
on
s
i
s
ts
of
tw
o
s
u
b
-
s
y
s
t
em
s
:
B
P
M
da
ta
ac
q
ui
s
i
t
i
on
an
d
c
om
m
un
i
c
ati
on
s
y
s
t
em
ba
s
ed
o
n
a
n
o
pe
n
s
ou
r
c
e
IoT
pl
atf
orm
W
eM
os
D1
V
2
i
n
ad
di
t
i
o
n
to
the
m
on
i
t
orin
g
c
en
ter.
T
he
W
e
Mo
s
de
v
el
op
m
en
t
bo
ard
us
es
a
l
o
w
c
os
t
S
y
s
t
em
-
on
-
Ch
i
p
(
S
oC)
W
i
F
i
m
od
ul
e
E
S
P
-
82
66
E
X
.
It
i
s
us
ed
as
m
i
c
r
oc
on
tr
ol
l
er
an
d
c
om
m
un
i
c
ati
on
t
ec
hn
o
l
og
y
in
the
pr
op
os
e
d
s
y
s
tem
.
W
e
Mo
s
s
up
p
orts
IE
E
E
80
2.1
1
b/g
/
n
a
nd
h
as
e
l
e
v
en
di
gi
t
al
I/O
pi
ns
an
d
s
i
ng
l
e
a
na
l
og
i
n
pu
t
pi
n
w
i
th
on
-
bo
ard
a
nte
nn
a
an
d
4
MB
of
f
l
as
h
m
e
m
o
r
y
[
21
,
2
2]
.
T
he
m
od
ul
e
i
s
s
up
p
orted
b
y
A
r
d
ui
no
i
nt
eg
r
ate
d
d
ev
el
op
m
en
t
en
v
i
r
on
m
en
t
(
IDE
)
.
T
he
r
ef
ore
,
th
i
s
en
v
i
r
o
nm
en
t
was
us
e
d
t
o
progr
am
the
m
on
i
tori
ng
pa
r
t.
T
he
t
ec
hn
i
c
al
s
p
ec
i
f
i
c
ati
o
ns
of
t
he
m
o
du
l
e
are
s
h
o
w
n
i
n T
ab
l
e
1.
T
ab
l
e 1
. T
ec
hn
i
c
a
l
S
pe
c
i
f
i
c
ati
o
ns
of
th
e
W
eM
os
Dev
e
l
op
m
en
t B
oa
r
d
I
t
e
m
S
p
e
c
i
f
i
c
a
t
ion
Op
e
r
a
t
ing
V
o
l
t
a
g
e
3
V
3
D
igit
a
l
I
/
O
P
in
s
11
A
n
a
log
I
n
p
u
t
P
ins
1
(
M
a
x
inp
u
t
:
3
V
2
)
C
loc
k
S
p
e
e
d
8
0
M
H
z
/
1
6
0
MHz
Flas
h
M
e
m
o
r
y
4
M
B
D
i
m
e
n
s
ion
3
4
.
2
*2
5
.
6
mm
W
e
igh
t
10g
T
he
pu
l
s
e
r
at
e
s
e
ns
or
m
od
ul
e
b
as
i
c
al
l
y
c
on
s
i
s
ts
of
t
wo
p
arts
:
l
i
g
ht
em
i
tti
ng
d
i
od
e
(
LE
D)
and
p
ho
t
o
-
de
t
ec
tor
[23
]
.
T
he
s
e
c
o
m
po
ne
nts
are
a
r
r
an
ge
d
s
i
de
b
y
s
i
de
m
ak
i
ng
the
l
i
gh
t
tr
an
s
i
ti
on
ba
s
e
d
up
o
n
r
ef
l
e
c
ti
v
e
m
eth
od
r
ath
er
th
an
t
he
tr
an
s
m
i
s
s
i
on
m
eth
od
.
T
he
LE
D
s
en
ds
l
i
g
ht
to
th
e
f
i
ng
er
an
d
th
e
i
nte
ns
i
t
y
of
the
r
ef
l
ec
te
d
l
i
g
ht
i
s
m
ea
s
ured
i
ns
ta
nta
n
eo
us
l
y
b
y
the
p
ho
t
o
d
ete
c
tor.
T
he
ou
tpu
t
of
the
p
ho
t
o
-
de
t
ec
tor
i
nv
o
l
v
es
th
e
h
ea
r
t
p
ul
s
at
i
n
g
wav
e
th
at
wi
l
l
be
us
ed
i
n
the
de
t
erm
i
na
ti
o
n
of
B
P
M.
T
hu
s
,
the
ou
tp
ut
of
the
s
en
s
or
w
i
l
l
s
ho
w
a
s
erie
s
of
pe
ak
s
s
y
nc
hron
i
z
ed
wi
th
th
e
he
art
be
ats
.
Rega
r
d
i
n
g
to
t
he
c
l
o
ud
s
er
v
i
c
e,
a
c
l
o
ud
s
tora
ge
s
ol
uti
on
f
r
o
m
G
oo
gl
e
h
as
be
e
n
us
ed
i
n
the
pro
po
s
ed
s
y
s
t
em
i
n
order
to
s
tore
t
he
B
P
M
v
al
u
e
s
ov
er
ti
m
e.
It
i
s
a
f
r
ee
of
c
ha
r
ge
s
erv
i
c
e
prov
i
de
d
b
y
G
oo
gl
e
Inc
.
a
nd
al
l
o
w
s
us
ers
to
s
tore
f
i
l
es
up
to
15
G
B
whi
c
h
i
s
ad
eq
ua
t
e
f
or
m
on
i
tori
ng
s
y
s
t
em
w
i
th
m
ul
ti
pl
e
pa
t
i
en
ts
.
Mo
r
e
ov
er,
i
t
of
f
er
s
s
erv
i
c
es
s
uc
h
as
s
preads
h
ee
t
to
s
tore
da
ta
an
d
m
a
k
e
c
ha
r
ts
an
d
grap
hs
o
nl
i
ne
w
i
th
t
he
p
os
s
i
b
i
l
i
t
y
of
us
i
ng
the
s
av
ed
f
i
l
es
i
n
of
f
l
i
ne
m
od
e.
E
ac
h
s
pread
s
he
et
on
t
he
G
oo
gl
e
D
r
i
v
e
ha
s
a
un
i
qu
e
k
e
y
w
h
i
c
h
i
s
ne
c
es
s
ar
y
i
n
the
pro
gram
m
i
ng
pa
r
t.
Evaluation Warning : The document was created with Spire.PDF for Python.
◼
IS
S
N: 16
93
-
6
93
0
T
E
L
KO
M
NIK
A
V
ol
.
17
,
No
.
6,
D
ec
em
be
r
20
19
:
31
2
0
-
31
2
5
3122
2.2
.
Har
d
w
ar
e Con
f
igu
r
atio
n
T
he
pu
l
s
e
r
at
e
s
en
s
or
m
od
ul
e
i
s
c
on
ne
c
ted
to
t
he
W
e
Mo
s
W
i
f
i
de
v
e
l
op
m
en
t
bo
ard
throug
h
A
DC
pi
n
(
A
0),
whi
l
e
t
wo
m
ore
p
i
ns
3
V
3
an
d
G
ND
are
us
e
d
f
or
po
wer
i
ng
t
he
s
e
ns
or.
A
m
i
c
r
o US
B
c
ab
l
e
i
s
us
e
d
to
s
up
p
l
y
po
wer
to
th
e
en
t
i
r
e s
y
s
tem
.
2.3
.
S
o
f
t
w
ar
e De
v
elop
men
t
A
s
of
tw
are
a
l
go
r
i
thm
ha
s
be
en
d
ev
el
op
e
d
i
n
ord
er
to
m
an
ag
e
th
e
da
t
a
c
ol
l
ec
ti
ng
an
d
ha
r
d
w
are
c
om
m
un
i
c
ati
ng
.
I
t
us
es
A
r
d
ui
no
I
DE
tha
t
c
a
n
c
on
n
ec
t
th
e
s
y
s
tem
to
th
e
c
l
o
ud
t
hroug
h
a
W
i
F
i
c
on
ne
c
ti
o
n.
T
he
de
v
e
l
o
pe
d
a
l
g
orit
hm
s
ho
ul
d
c
on
tai
n
t
he
S
erv
i
c
e
S
e
t
Ide
nt
i
f
i
er
S
S
ID,
pa
s
s
wor
d
of
the
W
i
F
i
ne
twork
an
d
the
ad
dres
s
of
the
s
preads
he
et
i
n
order
to
s
t
ore
the
B
P
M
da
ta
i
ns
i
de
.
Mo
r
e
ov
er,
th
e
na
m
e
an
d
k
e
y
of
the
s
preads
he
et
wer
e
em
be
dd
e
d
i
n
t
he
G
o
og
l
e
s
c
r
i
pt
be
f
ore
p
ub
l
i
s
hi
ng
.
F
urtherm
ore,
a
pe
r
m
i
s
s
i
on
of
da
ta
s
a
v
i
ng
i
s
en
ab
l
ed
i
n
t
he
s
c
r
i
pt
i
n
order
to
s
t
art s
tr
ea
m
i
ng
.
T
he
pe
r
s
on
who
i
s
r
es
po
n
s
i
bl
e
f
or
m
on
i
tori
n
g
i
s
a
bl
e
to
r
em
ote
l
y
ob
s
er
v
e
the
i
ns
tan
t
B
P
M
an
d
th
e
v
ari
ati
on
ov
er
ti
m
e
of
a
pa
ti
en
t
b
y
ac
c
es
s
i
ng
th
e
s
prea
ds
he
ets
on
th
e
G
oo
gl
e
Dr
i
v
e
.
Data
are
pres
en
ted
i
n
thre
e
c
ol
um
ns
,
ID,
ti
m
e
an
d
r
ate
.
A
s
i
m
pl
e
c
ha
r
t
c
an
be
pro
du
c
e
f
r
o
m
the
s
tored
r
ate
s
an
d
the
ti
m
e.
Mo
r
eo
v
er,
th
e
B
P
M
c
an
be
m
on
i
tore
d
l
o
c
al
l
y
throu
gh
the
s
eria
l
m
on
i
tor
wi
n
do
w
on
the
A
r
du
i
no
ID
E
.
T
he
proc
es
s
i
ng
s
c
he
m
e
an
d
the
ov
erv
i
e
w
arc
hi
tec
ture
of
the
pro
po
s
ed
s
y
s
tem
f
or
m
on
i
tori
ng
an
d
s
tr
ea
m
i
ng
i
n
-
pa
t
i
e
nt
B
P
M
da
t
a
are
i
l
l
us
tr
ate
d i
n Fi
gu
r
e
s
1
an
d
2,
r
es
pe
c
ti
v
e
l
y
.
F
i
gu
r
e
1.
T
he
proc
es
s
i
n
g
s
c
he
m
e o
f
the
pro
po
s
e
d s
y
s
tem
F
i
gu
r
e
2.
T
he
o
v
er
v
i
e
w arc
hi
tec
t
ure of
th
e
prop
os
ed
s
y
s
t
em
2.4
.
S
u
b
jec
t
s a
n
d
D
ata
A
c
q
u
isi
t
ion
E
i
g
ht
r
i
gh
t
h
an
d
ed
ab
l
e
bo
di
e
d
s
ub
j
ec
ts
(
a
ge
:
40
±
6
y
e
ars
;
he
i
gh
t
:
1
76
±
6.
2
c
m
;
bo
d
y
m
a
s
s
:
73
.5
±
7.
6
K
g)
t
oo
k
pa
r
t
i
n
t
he
s
t
ud
y
.
T
he
i
r
p
arti
c
i
p
ati
on
w
as
c
om
pl
ete
l
y
v
ol
u
nta
r
y
an
d
ev
er
y
o
ne
of
the
m
ha
d
t
he
r
i
gh
t
to
qu
i
t
he
r
/h
i
s
pa
r
t
i
c
i
pa
t
i
on
whe
ne
v
er
s
/h
e
w
a
nt
s
.
A
l
l
s
ub
j
ec
ts
ha
d
t
he
c
h
an
c
e
t
o
b
e
f
am
i
l
i
ari
z
e
d
w
i
th
t
he
ex
pe
r
i
m
en
t
ap
p
aratus
a
nd
proc
ed
ure
wi
th
a
w
r
i
tte
n
c
on
s
en
t
f
orm
.
T
he
s
ub
j
ec
t’
s
an
o
n
y
m
i
t
y
wi
l
l
b
e
c
on
s
erv
ed
thro
ug
h
da
ta
an
al
y
s
i
s
an
d
r
es
ul
ts
pu
b
l
i
s
h
i
ng
.
T
hu
s
,
e
v
er
y
s
ub
j
ec
t
wi
l
l
be
de
no
t
ed
b
y
a
s
pe
c
i
f
i
c
n
um
be
r
an
d
al
l
ex
p
erim
en
t
r
ec
ordi
ng
s
wi
l
l
b
e s
a
v
ed
i
n
a s
af
e l
oc
at
i
on
to
be
ac
c
es
s
ed
on
l
y
b
y
au
tho
r
i
z
ed
p
ers
on
s
.
E
v
er
y
s
ub
j
ec
t
was
s
ea
ted
c
o
m
f
ortabl
y
an
d
th
e
s
en
s
o
r
pl
ac
ed
on
h
er/hi
s
i
nd
ex
fi
ng
er
.
T
he
s
en
s
or
pri
nc
i
p
l
e
ba
s
e
d
o
n
t
he
f
ac
t
of
di
f
f
erenti
a
l
ab
s
orp
ti
o
n
c
h
arac
teri
s
t
i
c
s
of
the
bl
oo
d
i
n
the
f
i
ng
er
du
e
t
o
he
art
be
at
i
ng
.
T
he
p
i
c
k
ed
s
i
gn
a
l
w
as
di
r
ec
tl
y
proc
es
s
ed
b
y
W
eM
os
bo
ard
a
nd
i
ts
da
ta
wer
e
tr
an
s
f
err
ed
t
o
G
oo
gl
e
s
prea
ds
he
e
ts
th
r
ou
gh
a
W
i
F
i
c
on
ne
c
t
i
on
an
d
s
a
v
e
d
on
the
G
oo
g
l
e
Dr
i
v
e.
T
he
ex
p
erim
en
t
i
s
c
om
pl
ete
l
y
s
af
e
an
d
w
i
l
l
n
ot
af
f
ec
t
the
pa
r
ti
c
i
pa
nt
’
s
he
a
l
th.
T
he
r
ef
ore, th
ere are
no
po
t
en
ti
al
r
i
s
k
s
or di
s
c
o
m
f
orts
.
Evaluation Warning : The document was created with Spire.PDF for Python.
T
E
L
KO
M
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A
IS
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N: 1
69
3
-
6
93
0
◼
S
tr
ea
mi
n
g
i
n
-
pat
i
e
nt
B
P
M d
ata
t
o t
h
e c
l
o
ud
w
i
th
a rea
l
-
ti
me
...
(
Mo
ha
mm
e
d G.
A
y
o
ub
)
3123
3.
Re
sult
s a
n
d
D
isc
u
s
sio
n
A
f
ter
de
s
i
g
n
an
d
i
m
pl
em
e
nta
t
i
on
of
the
prop
os
ed
h
ea
r
t
r
ate
t
el
e
-
m
on
i
tori
ng
s
y
s
t
em
.
E
i
g
ht
s
ub
j
ec
ts
ha
v
e
b
ee
n
a
s
k
ed
to
pa
r
ti
c
i
pa
t
e
i
n
the
s
t
ud
y
i
n
ord
er
to
v
al
i
d
ate
t
he
i
m
pl
e
m
en
ted
s
y
s
t
em
.
T
he
propos
ed
s
y
s
t
em
ha
s
be
en
c
om
pa
r
ed
w
i
th
c
om
eric
al
s
y
s
tem
(
S
an
i
t
as
di
g
i
ta
l
w
r
i
s
t
bl
o
od
pres
s
ure
m
on
i
tor
(
S
B
C
22
)
,
G
erm
an
)
i
n
t
erm
s
of
HR
m
on
i
tori
n
g.
T
ab
l
e
2
s
ho
w
s
the
av
arage
B
P
M
of
th
e
pr
op
os
ed
a
nd
c
om
eric
al
s
y
s
t
em
s
.
T
he
di
f
f
erenc
e
be
t
we
en
t
he
r
ea
d
i
ng
s
of
the
t
w
o
s
y
s
tem
i
s
s
tat
ed
as
an
err
or.
T
he
m
ax
i
m
u
m
di
f
f
erenc
e
was
2%
whi
c
h
i
s
c
on
s
i
de
r
ab
l
y
ac
c
ep
tab
l
e.
A
qu
a
nti
t
ati
v
e
an
a
l
y
s
i
s
s
tud
y
d
em
on
s
tr
ate
d
a
s
m
al
l
ab
s
u
l
at
e
err
or
of
the
HR
m
ea
s
ure
m
en
t
ac
qu
i
r
e
d
b
y
po
r
t
ab
l
e
s
y
s
t
em
s
c
o
m
pa
r
i
ng
to
E
CG
ba
s
e
d
HR
m
ea
s
ure
m
en
t
s
y
s
t
em
s
[24]
.
Ho
wev
er,
t
hi
s
a
bs
ul
ate
err
or
i
s
ac
c
ep
tab
l
e
whe
n
t
ak
e
i
nto
ac
c
ou
nt
t
he
c
os
t
ef
f
ec
ti
v
e a
n
d t
h
e s
i
m
pl
i
c
i
t
y
of
th
e p
ort
ab
l
e s
y
s
t
em
.
T
he
propos
ed
s
y
s
tem
ha
s
no
t
o
nl
y
b
ee
n
c
om
pa
r
ed
wi
th
S
B
C22
s
y
s
tem
bu
t
al
s
o
ha
s
been
c
om
pa
r
ed
wi
th
s
tat
e
of
art
s
y
s
tem
s
i
n
t
erm
s
of
t
y
p
e
an
d
p
os
i
t
i
on
o
f
the
s
en
s
or,
ex
pe
r
i
m
en
tal
pro
toc
ol
,
t
y
p
e
of
c
o
m
m
un
i
c
ati
o
n
m
et
ho
d
es
,
an
d
ac
c
urac
y
of
the
r
ea
di
ng
.
T
ab
l
e
3
s
ho
w
s
tha
t
th
e
ex
p
erim
en
tal
pr
oto
c
o
l
a
nd
nu
m
be
r
of
s
ub
j
ec
ts
ha
v
e
n
ot
b
ee
n
m
e
nti
o
ne
d
i
n
m
os
t
of
the
l
i
terat
ure
wh
i
c
h
are
i
m
po
r
tan
t
to
v
al
i
da
te
the
s
y
s
tem
.
T
he
t
y
p
e
(
op
t
i
c
al
)
an
d
th
e
po
s
ti
on
(
f
i
ng
erti
p
of
the
i
n
de
x
f
i
ng
er)
of
the
s
en
s
or
ha
v
e
be
en
c
h
os
en
b
ec
au
s
e
i
t
i
s
ea
s
y
,
s
af
e,
non
-
i
nv
as
i
v
e
an
d
v
al
i
da
t
ed
m
eth
od
.
T
he
m
ea
n
an
d
s
tan
d
ard
de
v
i
ati
on
of
the
r
e
s
ul
t
ha
s
on
l
y
be
en
s
tat
e
d b
y
o
ne
s
tu
d
y
w
hi
c
h
i
s
al
s
o
ne
c
es
s
ar
y
to
s
h
o
w
th
e a
c
c
urac
y
of
th
e res
u
l
ts
.
No
w
ad
a
y
s
,
s
w
i
tc
hi
ng
f
r
om
the
pa
pe
r
w
ork
do
c
u
m
en
tat
i
on
to
t
he
e
l
ec
tr
on
i
c
do
c
um
en
tat
i
o
n
ha
s
b
ee
n
w
i
de
s
prea
d
pa
r
ti
c
u
l
ar
l
y
i
n
the
m
ed
i
c
al
f
i
l
ed
[2
5]
.
T
he
G
oo
gl
e
S
prea
ds
he
e
t
i
s
on
e
of
the
m
os
t
po
pu
l
ar
w
a
y
s
i
n
el
e
c
tr
on
i
c
do
c
um
en
tat
i
on
du
e
to
i
ts
f
r
ee
of
c
ha
r
ge
an
d
e
as
i
l
y
ac
c
es
s
.
Us
i
ng
go
og
l
e
s
preads
h
ee
ts
al
l
o
w
t
he
ph
y
s
i
c
i
an
s
t
o
m
on
i
tor
th
e
H
R
of
the
p
ati
en
ts
i
n
r
ea
l
-
ti
m
e
an
d
to
arc
h
i
v
e
the
i
r
HR
d
ata
f
or
l
ate
r
whi
c
h
i
s
v
er
y
i
m
po
r
tan
t
t
o
m
on
i
tor
the
h
i
s
tori
c
a
l
h
ea
l
th
s
ta
tus
of
the
p
ati
en
ts
[2
6]
.
T
he
r
ef
ore,
the
go
o
gl
e
s
prea
ds
he
et
ha
s
b
ee
n
p
r
op
os
e
d
i
n
thi
s
s
y
s
t
em
w
hi
c
h
of
f
ers
organi
z
ed
,
ea
s
y
to
ac
c
es
s
an
d
s
ec
ure
e
nv
i
r
on
m
en
t
to
m
on
i
tor and
s
tor
e t
h
e HR
o
f
th
e p
at
i
en
ts
.
F
i
gu
r
e
3
de
p
i
c
ts
the
ac
t
of
he
art
r
ate
s
tr
ea
m
i
ng
d
urin
g
a
pe
r
i
o
d
of
ti
m
e
f
or
ea
c
h
s
ub
j
ec
t
when
he
r
/h
i
s
i
n
de
x
f
i
ng
er
ha
s
be
en
c
o
nn
ec
te
d
to
t
he
HR
s
e
ns
or.
T
he
s
y
s
te
m
i
s
up
da
ti
n
g
the
v
al
ue
of
the
HR
ev
ery
15
s
ec
o
nd
s
al
l
o
wi
n
g
the
pe
r
s
on
i
n
c
h
arge
t
o
m
on
i
tor
th
e
HR
i
n
a
ne
ar
l
y
r
e
al
-
t
i
m
e.
It
c
an
be
ob
s
erv
ed
th
at
th
e
HR
v
a
l
ue
s
of
al
l
s
ub
j
ec
ts
an
d
f
or
al
l
m
on
i
tor
i
ng
ti
m
es
w
ere
wi
th
i
n t
he
r
a
ng
e
of
r
es
ti
ng
s
tat
e HR
wh
i
c
h i
s
f
r
o
m
60
to
10
0
bp
m
[27]
.
T
ab
l
e 2
. T
he
A
v
arage
B
P
M
of
the
P
r
op
os
e
d a
n
d Co
m
eric
al
S
y
s
tem
s
S
ho
wi
n
g t
h
e A
v
er
ag
e
an
d
E
r
r
or Rate
S
u
b
jec
t
N
o
.
A
v
e
r
a
g
e
B
P
M
(
P
r
o
p
o
s
e
d
M
e
t
h
o
d
)
A
v
e
r
a
g
e
B
P
M
(
A
lt
e
r
n
a
t
iv
e
M
e
t
h
o
d
)
E
r
r
o
r
1
66
68
2
2
61
62
1
3
67
67
0
4
64
63
1
5
66
67
1
6
64
66
2
7
71
72
1
8
83
82
1
T
ab
l
e 3
. C
om
pa
r
i
s
on
of
th
e
P
r
op
os
ed
S
y
s
tem
an
d t
he
S
tat
e o
f
A
r
t
S
y
s
tem
s
i
n T
erm
s
of
S
en
s
or
T
y
pe
an
d
P
os
i
ti
on
,
E
x
pe
r
i
m
en
ta
l
P
r
oto
c
o
l
, T
y
pe
of
Co
m
un
c
ati
on
Me
tho
de
s
,
a
nd
A
c
urac
y
R
e
f
.
N
o
.
o
f
S
u
b
je
c
t
s
S
e
n
s
o
r
Ty
p
e
S
e
n
s
o
r
P
o
s
it
ion
E
x
p
e
r
im
e
n
t
a
l
P
r
o
t
o
c
o
l
C
o
mm
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t
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r
r
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ote
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y
m
on
i
tori
n
g
.
Ref
er
en
ce
s
:
[1
]
Ki
p
n
i
s
E,
e
t
a
l
.
M
o
n
i
to
ri
n
g
i
n
th
e
i
n
t
e
n
s
i
v
e
c
a
r
e
.
Cri
t
.
Care
Re
s
.
Pra
c
t.
2
0
1
2
:
1
–
2
0
.
[2
]
Carn
e
y
R
M
,
Fre
e
d
l
a
n
d
KE
.
Dep
re
s
s
i
o
n
a
n
d
h
e
a
rt
ra
te
v
a
ri
a
b
i
l
i
ty
i
n
p
a
ti
e
n
t
s
w
i
th
c
o
r
o
n
a
ry
h
e
a
r
t
d
i
s
e
a
s
e
.
Cle
v
e
l
.
Cli
n
.
J
.
M
e
d
.
2012
;
76
(
Su
p
p
l
2
)
:
13
–
17
.
[3
]
G
re
i
s
e
r
KH,
e
t
a
l
.
Card
i
o
v
a
s
c
u
l
a
r
d
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s
e
a
s
e
,
r
i
s
k
fa
c
to
rs
a
n
d
h
e
a
rt
ra
t
e
v
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ri
a
b
i
l
i
ty
i
n
t
h
e
e
l
d
e
rl
y
g
e
n
e
ra
l
p
o
p
u
l
a
ti
o
n
:
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e
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n
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o
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ti
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th
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i
o
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,
L
i
v
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a
n
d
Ag
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i
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Hal
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(CAR
L
A) St
u
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y
.
BM
C Card
i
o
v
a
s
c
.
Di
s
o
rd
.
2
0
0
5
;
5
(
33
)
:
1
–
1
4
.
Evaluation Warning : The document was created with Spire.PDF for Python.
T
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Rat
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[6
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a
n
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l
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l
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.
2
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1
4
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:
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–
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1
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.
[7
]
Pa
re
G
,
Po
b
a
-
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a
o
u
P
.
Ho
m
e
T
e
l
e
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o
n
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n
g
fo
r
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n
i
c
Di
s
e
s
a
s
M
a
n
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t:
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Ec
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o
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c
As
s
e
s
s
m
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n
t
Pro
Q
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e
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t
.
I
n
t.
J
.
Te
c
h
n
o
l
.
A
s
s
e
s
s
.
Hea
l
th
C
a
re
.
2013
;
29
(
2
)
:
1
5
5
–
1
6
1
.
[8
]
Pa
ré
G
,
J
a
a
n
a
M
,
Si
c
o
tt
e
C.
Sy
s
te
m
a
ti
c
Rev
i
e
w
o
f
Hom
e
T
e
l
e
m
o
n
i
to
r
i
n
g
fo
r
Chr
o
n
i
c
Dis
e
a
s
e
s
:
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h
e
Ev
i
d
e
n
c
e
Ba
s
e
Hom
e
T
e
l
e
m
o
n
i
t
o
ri
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g
:
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Def
i
n
i
ti
o
n
.
J
.
Am
.
M
e
d
.
In
fo
rm
a
ti
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s
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s
s
o
c
.
2
0
0
7
;
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4
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2
6
9
–
277
.
[9
]
Be
n
d
e
r
W
,
Hi
d
d
l
e
s
o
n
CA
,
Bu
c
h
m
a
n
TG
.
In
te
n
s
i
v
e
Car
e
Uni
t
T
e
l
e
m
e
d
i
c
i
n
e
:
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n
o
v
a
ti
o
n
s
a
n
d
L
i
m
i
ta
ti
o
n
s
.
Cri
t.
C
a
re
Cl
i
n
.
2
0
1
9
;
35
(
3
)
:
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9
7
–
509
[1
0
]
Cha
n
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g
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0
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0
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:
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–
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1
]
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.
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l
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o
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2
]
Cars
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m
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m
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s
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s
.
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:
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–
12.
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3
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L
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.
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