title: Remote Monitoring of Cardiac Implantable Devices: Ontology Driven Classification of the Alerts.
abstract: The number of patients that benefit from remote monitoring of cardiac implantable electronic devices, such as pacemakers and defibrillators, is growing rapidly. Consequently, the huge number of alerts that are generated and transmitted to the physicians represents a challenge to handle. We have developed a system based on a formal ontology that integrates the alert information and the patient data extracted from the electronic health record in order to better classify the importance of alerts. A pilot study was conducted on atrial fibrillation alerts. We show some examples of alert processing. The results suggest that this approach has the potential to significantly reduce the alert burden in telecardiology. The methods may be extended to other types of connected devices.
authors.affiliation: INSERM CIC-IT 804, CHU Pontchaillou, Rennes, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Rosier
authors.affiliation: INSERM CIC-IT 804, CHU Pontchaillou, Rennes, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Mabo
authors.affiliation: LTSI (Inserm UMR1099), Université de Rennes 1, Rennes, France.
authors.forename: Lynda
authors.initials: L
authors.lastname: Temal
authors.affiliation: LTSI (Inserm UMR1099), Université de Rennes 1, Rennes, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Van Hille
authors.affiliation: University of Rennes 1, UMR 6074 IRISA, 35042, Rennes, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Dameron
authors.affiliation: LIMSI-CNRS, 91405 Orsay, France.
authors.forename: Louise
authors.initials: L
authors.lastname: Deleger
authors.affiliation: LIMSI-CNRS, 91405 Orsay, France.
authors.forename: Cyril
authors.initials: C
authors.lastname: Grouin
authors.affiliation: LIMSI-CNRS, 91405 Orsay, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Zweigenbaum
authors.affiliation: ALICANTE SA, Lille, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Jacques
authors.affiliation: CERIM, Lille University, Lille, France.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Chazard
authors.affiliation: SORIN CRM SAS, Parc Noveos, Clamart, France.
authors.forename: Laure
authors.initials: L
authors.lastname: Laporte
authors.affiliation: SORIN CRM SAS, Parc Noveos, Clamart, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Henry
authors.affiliation: INSERM UMR_S 1138 Eq 22, Paris Descartes University, France.
authors.forename: Anita
authors.initials: A
authors.lastname: Burgun
mesh_terms: D001281:Atrial Fibrillation / Q000175:diagnosis* / Q000517:prevention & control; D064229:Biological Ontologies; D056902:Clinical Alarms; D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D017147:Defibrillators, Implantable; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D015716:Electrocardiography, Ambulatory / Q000379:methods*; D057286:Electronic Health Records / Q000458:organization & administration*; D006801:Humans; D009323:Natural Language Processing; D010138:Pacemaker, Artificial; D010865:Pilot Projects; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D017216:Telemedicine / Q000379:methods*; D013813:Therapy, Computer-Assisted / Q000379:methods