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. 2024 Aug 14;32(9):304–314. doi: 10.1007/s12471-024-01886-4

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© The Author(s) 2024

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 4 — A learning healthcare system in heart failure management using telemedicine is an iterative process: evaluating current treatment of the patient and data from the electronic health record (EHR). (Continuously developing) telemedicine devices are used to inform healthcare professionals about the health status of the patient. This information, combined with scientific research findings, leads to knowledge that supports clinical decision making, resulting in personalised treatment. These personalised treatments are then re-evaluated