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In this article, we propose an approach toward the integration of heterogeneous electrocardiography data and the implementation of an integrated electrocardiography information system into the existing Hospital Information System. The system integrates different electrocardiography formats into a consistent electrocardiography rendering by using Java software. The interface acts as middleware to seamlessly integrate different electrocardiography formats. Instead of using a common electrocardiography protocol, we applied a central format based on Java classes for mapping different electrocardiography formats which contains a specific parser for each electrocardiography format to acquire the same information. Our observations showed that the new system improved the effectiveness of data management, work flow, and data quality; increased the availability of information; and finally improved quality of care.<\/jats:p>","DOI":"10.1177\/1460458214530981","type":"journal-article","created":{"date-parts":[[2014,4,26]],"date-time":"2014-04-26T00:41:01Z","timestamp":1398472861000},"page":"34-45","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Implementation of integrated heterogeneous electronic electrocardiography data into Maharaj Nakorn Chiang Mai Hospital Information System"],"prefix":"10.1177","volume":"22","author":[{"given":"Piyapong","family":"Khumrin","sequence":"first","affiliation":[{"name":"Chiang Mai University, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pitupoom","family":"Chumpoo","sequence":"additional","affiliation":[{"name":"Maharaj Nakorn Chiang Mai Hospital, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,4,25]]},"reference":[{"key":"bibr1-1460458214530981","doi-asserted-by":"publisher","DOI":"10.1109\/CIC.1997.647881"},{"key":"bibr2-1460458214530981","volume-title":"Computers in cardiology","author":"Van der Velde ET","year":"2006"},{"key":"bibr3-1460458214530981","doi-asserted-by":"publisher","DOI":"10.1109\/TITB.2011.2176955"},{"key":"bibr4-1460458214530981","doi-asserted-by":"publisher","DOI":"10.1109\/CIC.2005.1588133"},{"key":"bibr5-1460458214530981","doi-asserted-by":"publisher","DOI":"10.1109\/CIC.2008.4749074"},{"issue":"1","key":"bibr6-1460458214530981","first-page":"1","volume":"3","author":"Gon\u00e7alves B","year":"2009","journal-title":"Electron J Commun Inform Innovat Health"},{"key":"bibr7-1460458214530981","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2010.08.007"},{"key":"bibr8-1460458214530981","author":"Kokkinaki A","year":"2006","journal-title":"IEEE ITAB 2006"},{"key":"bibr9-1460458214530981","first-page":"2861","volume-title":"30th annual international IEEE EMBS conference","author":"Kokkinaki A"},{"key":"bibr10-1460458214530981","unstructured":"Walford C. 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The National Center for Biomedical Ontology, 2013, http:\/\/bioportal.bioontology.org\/ontologies\/ECG (accessed 26 October 2013)."},{"key":"bibr14-1460458214530981","doi-asserted-by":"publisher","DOI":"10.1109\/TITB.2012.2191296"}],"container-title":["Health Informatics Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458214530981","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1460458214530981","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1460458214530981","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:29:54Z","timestamp":1777501794000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1460458214530981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,25]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1177\/1460458214530981"],"URL":"https:\/\/doi.org\/10.1177\/1460458214530981","relation":{},"ISSN":["1460-4582","1741-2811"],"issn-type":[{"value":"1460-4582","type":"print"},{"value":"1741-2811","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4,25]]}}}