The monitoring pathway
- Patient-reported symptoms and functional impact.
- Only the wearable measures that a selected device can actually provide.
- A personal baseline, a defined observation window and a prespecified signal rule.
- A review queue, contact pathway and documented human action.
What it is not
A stream of measurements is not a diagnosis, an emergency service or a telemedicine consultation by itself. A safe pathway begins with a clinical question, responsibilities and response time—not with a dashboard.
What a pilot should test
- Data completeness and missingness.
- Participant and staff burden.
- Signal frequency, review time and false alerts.
- Only prespecified feasibility, organisational or clinical endpoints.