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. Upload Holter data
2. Check/add patient events

Upload Holter data

1. In your Worklist search for the patient's procedure.

2. To the right of the procedure, click the [Get Data] button from the Worklist as per current process.

3. Follow the prompts on the popup that displays and check that:

• the Holter device is plugged into your computer
• you have selected the correct patient (their name displays at the top of the popup)
• Once confirmed, click [Browse].

The “Change Hook up Date and Time” button is no longer available and has been relocated to another screen.

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

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

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:

6. Go to Check/add patient events (below).

Check/add patient events

Holter devices enables the patient to indicate if they experience any mild symptoms while wearing the device.

For myPatch, Vine, Axis or Alto

The patient double-taps the device when they experience an event then records the date and time in their Patient diary, as well as their symptoms and the activities that they were performing at the time.

For BI9800 devices

The patient will need to press the big yellow button on the device until they hear a long beep sound.  This is when they experience an event then records the date and time in their Patient diary, as well as their symptoms and the activities that they were performing at the time.  There is an interval of approximately one minute before the patient can record another symptom to the device.

Patient-registered events are included with the Holter data that you upload from the device. 

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.

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.
  • 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.
  • Other – A self-adjusted recording duration for the procedure.

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

1. 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.

2. 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.

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

If the Holter data files are uploaded successfully, the procedure status changes to 'Ready for analysis'.

If the upload was not successful, the relevant warning message will display. Check that you plugged the correct Holter device into your computer (i.e. the device matches the patient files that you selected).

• the device doesn't contain multiple files for the patient.
• the Upload folder contains all relevant files required for the upload.

4. To upload a Patient Diary:

• Click on the paperclip icon on the worklist (after a patient's Holter study has been uploaded) and the Support documents pop up screen will display.
• Alternatively, if you are viewing an Analysed report, in the button located at the bottom of the screen, select "Support documents" and a window will pop up.
• Select [Add files] 

• On the windows explorer folder, search for and select the Patient Diary from your local computer and click Open to upload: 

• In the Document Type dropdown box, select the appropriate option (Patient Diary) and click the [Upload] button.
• The Patient Diary will be uploaded and stored on the Support Docs button:

• Click on the Support Docs to open a Patient Diary, the diary will open on a new tab. 

Note: Please refer to the worklist to confirm if a patient diary is available for a particular patient.  

• Blue paperclip: Support documents available.
• Grey paperclip: No support documents available.