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This was the first ECG format based on the eXtensible Markup Language (XML).
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Additionally, as compared with the binary based ECG formats, the cross-platform XML ECG document can be visualized and easily edited via web browsers and cloud application without the limitations of computer O.S.
This is likely to be caused by the fact that current ECG formats specialise in catering for popular ECG acquisition methods, such as the 12-lead ECG.
The three major industrial ECG formats exist; the Digital Imaging and Communication in Medicine ECG (DICOM-ECG) format; Health Level 7 Annotated ECG (HL7/aECG) and the Standardised Communication Protocol ECG (SCP-ECG) format.
It is clear that open-standard ECG formats are superior to vender-specific ECG formats.
Other influential ECG formats include ecgML [ 7], XML-ECG [ 8], MFER [ 9], to name but a few.
One option is to propose a BSPM extension to one of the current ECG formats such as SCP-ECG.
This decision is partially attributed to the fact that there has been a development in growth in specialised ECG formats.
In conclusion, each of the above three open-standard ECG formats has pros and cons when it is used in ECG telemedicine.
Other ECG formats store lead data using a different name, i.e. aECG [ 13] uses the name 'digits' and the ecgML [ 7] format uses the name 'channel'channel
All of the aforementioned ECG formats are non proprietary and are therefore capable of achieving interoperability, whereas many ECG Management Systems EMSS) integrate closed proprietary formats into the EPHR.
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