Before you can upload the patient's data from the Holter device, you must have first:

• enrolled the patient's procedure in BeatBox, and
• enrolled the patient on the device.

Once you have completed these steps, the procedure will be in 'Enrolled on device' status.
You can then upload the patient data from the Holter device into BeatBox.

This process shows you how to:

1. Change the patient's hookup date and time (if required)
2. Upload Holter data (without having to search for a patient)  
3. Check/add patient events

To upload a patient's Holter procedure in BeatBox, follow these steps:

1. Go to https://www.beatbox.cloud/ and log into BeatBox. 

2. Check that the Holter device is plugged into your computer:

• attach the Holter device to the docking station, then insert the docking station cable into the USB port on your computer.

3. On the Worklist Actions drop-down menu select, Upload Holter.

4. Select the Holter where the recording is captured and click [Select Folder].

Note: You only need to do this once per browser session, if permission is already granted you will not see this message.

5. On the upload window, select the folder that contains the patient's Holter data files then click Upload.

6. Grant access to allow BeatBox to read from the selected location, by clicking Edit Files.

For a myPatch device

• Select the drive that says "MYPATCHSL".

For a Vine, Navyn, Axis or Alto device

• Select the drive the name with the name of the Holter device.  I.e. Vine

Please refer to this article if your device still displays "MEDSET_ATA".

Note: Due to a Windows operation, your files won't display when you select the folder. Don't worry, this is normal.

You may encounter a variance where the button says [Upload] instead of [Select Folder].  Please ensure you have checked that you have selected the correct folder, then click Upload:

BeatBox performs a patient verification check and displays a prompt to confirm if the Holter recording is the patient you are uploading for.

7. On the Patient Verification pop-up, select Continue after you have verified the patient details.

Holter recording information

When a Holter recording file is selected, a new screen will be displayed in the Holter upload process to be able to see the Holter information.

Top section – Hookup date and time of the procedure

The row with an arrow pointing against it indicates to the user that this is the selected information for the procedure.

• Where the source indicates that it’s BeatBox means that this was the enrolled date and time first created by the user in BeatBox.
• Recording means that this was the actual time of when the recording started.

Magnified version of the top section

Should users have the need to adjust the start date and time for the procedure, an [Adjust] button allow users to make changes where appropriate.

Top section – Hookup date and time of the procedure adjustment

• When the [Adjust] button is clicked, users can select a start hook up date and time from:
  • BeatBox – The start date and time selected at enrolment.
  • Recording – The actual start date and time of the Holter recording from the device.
  • Other – A self-adjusted date and time for the procedure.

Special note: Day selected cannot exceed the date of today.

• Click [Back] if no adjustments needed to be made and you will return to the Holter information screen.
• When required adjustments are made, click [Ok].

The blue arrow indicator will move based on the adjustment made for the procedure.

Bottom section – Recording duration

Same as the top section, the row with an arrow pointing against it indicates to the user that this is the selected information for the procedure.

Magnified version of the bottom section

Should users have the need to adjust the recording duration for the procedure, an [Adjust] button allow users to make changes where appropriate.

If both the enrolled and recording duration are 1 day, you will not see the [Adjust] button as both days are the same.

Bottom section – Recording duration of the procedure adjustment

• When the [Adjust] button is clicked, users can select a recording duration from:
  • BeatBox – The recording duration selected at enrolment.
  • Recording – The recording duration of the Holter recording from the device.
  • Other – A self-adjusted recording duration for the procedure.

BeatBox will round up to the next day of the recording duration with an hour buffer. 

For example:  

• If the recording duration is 23 hours, BeatBox will round up to 1 day.
  • If the recording duration is 25 hours inclusive, BeatBox will round to 1 day.
• If the recording duration is 48 hours, BeatBox will round up to 2 days.
  • If the recording duration is 49 hours inclusive, BeatBox will round to 2 days.

Special note: Recording duration days cannot exceed the enrolled recording days.

• Click [Back] if no adjustments needed to be made and you will return to the Holter information screen.
• When required adjustments are made, click [Ok].

The blue arrow indicator will move based on the adjustment made for the procedure.

Manage patient events in BeatBox

8. Obtain the Patient diary from the patient, then correlate the events recorded on this document against the events listed in the Events window (if any).  Or if there are logged entries from the digital patient diary, logged symptoms will be displayed also.

9. Add/update details as required to match the details recorded by the patient in their Patient diary:

Add new event

• click
• select the date and time of the event
• select any symptoms and choose the relevant activity intensity

Edit an event

• to clear all details for an event, click Clear then click Yes to confirm (or No to cancel)
• to edit specific details for an event, update the options in the relevant field/s

Copy an event

• click next to the event 
• to edit specific details for a copied event, update the options in the relevant field/s

Delete an event

• click next to the event
• click Yes to confirm your deletion (or click No to cancel your delete request)

Sort events

• To sort events into date order (with the earliest event at the top of the list) click [Sort events].

If a patient double-tapped their device to record an event but didn't add corresponding symptoms in their Patient diary for that event, the words 'Patient-triggered event' will display in the Symptoms field.

10. When you have finished, click [Done].

If there are no patient events, BeatBox will display a message to confirm with you if you are sure that you don't want to add any new events.

11. The File Upload process will begin. 

12. On completion of the file upload, click Ok to delete the patient’s Holter file.

myPatch, Vine, Navyn, Axis and Alto	BI9800 Device