ECG remote patient monitoring
How to remotely monitor your patients using a personal ECG monitor in real time
During a Video Call consultation, you have the option to remotely monitor a patient using a connected electrocardiogram (ECG or EKG) device, in real time. Once you launch the Patient Monitoring Device application and instruct your patient to connect their bluetooth enabled monitoring device to the Video Call, you will see the results live in the call screen. You have the option to take a screenshot for the patient's record and you can export the data, if desired.
Please see below for instructions regarding supported devices and how to use the Patient Monitoring Device App to connect a patient's Bluetooth enabled ECG during a Video Call consultation.
Sending the appointment information to patients
For staff sending out appointment information to patients
Staff sending the appointment information to patients who will be connecting a monitoring device during their Video Call, can use the following recommendations when sending the clinic link and supporting information. For patients using a Windows or Mac computer, you can send out the clinic link in the usual way and can add information letting them know they need to have their pulse oximeter ready. Click here for more information about sending the clinic link.
These recommendations below show how to send links to patients using iPhone/iPad (Bluefy browser link) or Android devices (Google Chrome or Microsoft Edge), to ensure the patient is using a compatible browser for the call.
Instructions for iPhone and iPad (iOS) users:When sending the clinic link to patients, please be aware that some will be attending their appointment using an iOS device. They will need a special link to attend, that will prompt the Bluefy browser to open. This browser supports Bluetooth, which enables the connection to the medical device. This link is easy to create and you can then add to your invitation with clear patient instructions.
Your clinic link can be copied or you can send directly from the platform, using SMS or Email. |
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SMS or Email When you use this option, the clinic link is automatically added at the bottom of the SMS or Email. This image shows the default text for invitations (which can be edited to suit the clinic needs). |
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You can cover all device options by editing the default text and adding the specific link for iPhone/iPad users. This example shows suggested text for remote patient monitoring appointments, including Bluefy browser link for this clinic. The Bluefy browser allows the patient monitoring device to connect to the call using Bluetooth. The patient will need to install and use the free Bluefy browser app on their device. To create the Bluefy link, copy your usual clinic link and replace the 'https://' with 'bluefy://open?url='. Note that I have chosen the SMS option here, as this means attending the appointment is a simple click on their iPhone or iPad. |
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The usual clinic link will appear at the bottom of the received invitation. Example Bluefy information and link are shown in this example. Patients can then click on the relevant link that suits their device. This removes the need to copy and paste the link into the Bluefy browser on iPhone or iPad, which some patients may find challenging. |
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Some patients may prefer to use the WebBLE Browser on their iPhone or iPad - however Bluefy provides a better user experience and is free to download. This example shows suggested text for remote patient monitoring appointments, if requiring the WebBLE clinic link. To create the WebBLE link, copy your usual clinic link and replace the 'https' with 'webble'. Note that I have chosen the SMS option here, as this means attending the appointment is a simple click on their smart phone. Please note: the patient will need to install and use the WebBLE browser on their device. This app costs $2.99. |
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Instructions for Android users:When sending the clinic link to patients, please be aware that some will be attending their appointment using an Android device. They will need to use the Google Chrome or Microsoft Edge browser to attend their appointment - so you can let them know this when you send out the appointment information. |
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SMS or Email When you use this option, the clinic link is automatically added at the bottom of the SMS or Email. This image shows the default text for invitations which you can edit to give more specific instructions, if desired. |
Supported ECG devices
Supported ECG monitoring devices (including the KardiaMobile 6L)
The information on this page regarding turning on Bluetooth, supported browsers and operating systems, as well as how to connect the monitoring device during a video call all apply to bluetooth ECG monitors. An electrocardiogram (ECG or EKG) records the electrical signal from the heart to check for different heart conditions.
The following ECG devices have been tested and are compatible with Video Call for remote physiological monitoring:
KardiaMobile 6L
The KardiaMobile 6L is a simple to use six-lead personal ECG. The leads are inside the device so there is no need for patients to attach the leads to their body.
Watch the short demonstration video:
Detailed information:
The KardiaMobile 6L is a simple to use six-lead personal ECG. The leads are inside the device so there is no need to attach the leads to your body, you simply need to know how to hold and place the device correctly to get accurate results. | |
To use the KardiaMoble 6L during a Video Call, make sure that your device's (computer, tablet or phone) bluetooth is turned on.
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The health service provider clicks on Apps & Tools and selects Patient Monitoring Device. This opens the App and the patient clicks on Click here to connect to your device and selects the device in the pop up window. Please note: the device must be held as outlined above to keep it activated or it will go to sleep within 5 seconds. This means the patient has to quickly connect the device and get their fingers back in place to keep the device active. If possible, it is really helpful to have someone with the patient so they can click to connect the device to the call while the patient holds the device with both hands. |
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Once the device is connected to the call, the patient holds it as outlined above and places the bottom of the device on their knee or ankle to start the ECG reading. | |
The results share into the call for the doctor to view and download, as required.
You can also provide control to the patient end, if required, so they can see the same options as the clinician. Do this by clicking on the desired participant name at the top of the shared monitoring screen. Names showing in a blue rectangle have control. |
Berry-PM6750
The Berry-PM6750 is multi-function patient monitor. It can be used at home, in ICU, hospitals and in community health organisations to measure the vital signs of patients. This monitoring device measures NIBP, ECG, Sp02, Resp, Temp and PR and can be connected to a Video Call via bluetooth. |
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Once connected via Bluetooth to the Video Call and the patient has the required leads attached to measure their vital signs, the shared results appear in the call.
Clinicians can also provide control to the patient end, if required, so they can see the same options. Do this by clicking on the desired participant name at the top of the shared monitoring screen. Names showing in a blue rectangle have control. |
Creative Medical PC-80B
The Creative Medical PC-80B Medical Grade ECG monitor is used for measuring and recording ECG (electrocardiogram) waveforms and average heart rate. Suitable for use at home, with a doctor or nursing staff and in medical clinics and facilities. |
Quick reference guides for clinicians and patients
Quick reference guides
Quick Reference Guide for clinicians:
Quick reference guides for patients (please click on the link for the device or computer you are using):
Information for patients
Supported operating systems and browsers
Device Type | Operating System minimum requirements | Browser minimum requirements |
Internet Bandwidth Requirements (All device types) |
Windows computer | Microsoft Windows 10 |
Google Chrome 108 Microsoft Edge 108
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750kbps both upstream and downstream for a 2 participant call 1.5mbps both upstream and downstream for a 3 participant call
2.25mbps both upstream and downstream for a 4 participant call |
Mac (Apple) Computer | MacOS Big Sur |
Google Chrome 108 Microsoft Edge 108
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Android tablet or smart phone | Android 10 |
Google Chrome 108 Microsoft Edge 108
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Apple iPhone or iPad | iOS 15 | Bluefly 3.8.2+ WebBLE 1.6.0+ |
* The data usage for Video Call plus realtime monitoring is similar to watching a YouTube video, if you can do so with your internet connection, then you have enough bandwidth to participate in the Video Call consult.
Downloading and using the Bluefy browser - required for iOS devices
If using an iPhone or iPad (iOS device) for your video consultation that will include remote physiological monitoring, please download and use the Bluefy browser from the App Store. This browser is required on iOS devices so that the Bluetooth connection to the monitoring device will share the results into the consultation.
1. Go the App store and search for Bluefy. Click to install the app and provide your Apple ID password, when requested. The Bluefy browser allows your patient monitoring device to connect to your Video Call via Bluetooth. It is free and easy to use. |
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2. Your clinic will send you the link for your appointment. They should include a specific Bluefy link for your appointment - similar to the one shown in this example. | |
If a specific Bluefy link is not provided, press and hold on the link provided and select Copy, then open Bluefy browser and paste the link into the web address section of the browser. | |
Start your Video Call by clicking on the Start A Video Call button. For more information about starting a call as a patient, please click here . |
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Once the consultation begins your health service provider will give you instructions for sharing the results from your monitoring device (eg pulse oximeter) into the call. |
Important information for mobile phone users: Changing your screen sleep behaviour
If you are using your smartphone to participate in a Video Call where remote patient monitoring will be included in the consultation, you will need to set the phone's sleep time to 5 minutes or more. This is because on a phone you have the ability to switch between the call screen, showing the other participant/s, and the results screen. If you are on the results screen your phone will go to sleep at the time you have set in your phone settings and this may be as short as 30 seconds, for example. If the phone goes to sleep the results will stop updating live in the Video Call.
For this reason, it is best practice to set the phone sleep time to 5 minutes or more before the consultation begins.
To do this:
On an Android device, go to Settings > Display > Screen timeout and set to 5 or 10 minutes for the duration of the Video Call. You can easily change the setting back at the end of the consultation.
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On an iPhone, go to Settings > Display & Brightness > Auto-Lock and set to 5 minutes or 'never' for the duration of the Video Call. You can easily change the setting back at the end of the consultation.
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