An open source ECG toolkit with DICOM

Unlike the ubiquitous use of DICOM for sharing various medical image modalities, the storage and retrieval of digital 12-lead electrocardiograms across different ECG management systems is often limited to manual file-based export and import using vendor-specific solutions. In addition to SCP-ECG, a number of open standard initiatives have been introduced, such as DICOM-ECG and HL7 aECG. By extending and improving a previously developed ECG toolkit we have explored the capabilities of these open standards in terms of interoperability, filesize and transmission times. The ECG toolkit is almost entirely available under the Apache License Version 2.0.