Digital transformation of cardiopulmonary exercise test data

Cardiopulmonary exercise test results were printed on paper or saved as static PDFs, making it impossible to search, compare, or digitally process the data for longitudinal analysis.
Without digitized historical data, clinicians couldn't track patient progress over multiple tests. Comparing VO2max improvements or fat oxidation changes across months required manually pulling archived files.
Breath-by-breath metabolic data from COSMED K5 equipment was manually transcribed into spreadsheets, introducing transcription errors and consuming valuable clinical time.
Paper printouts and static PDFs for CPET results
Digital reports with interactive charts and automated analysis
Manual spreadsheet transcription of breath-by-breath data
Direct data import from COSMED K5 with automated processing pipeline
No way to compare patient results across multiple test sessions
Longitudinal trend analysis with VO2max and FATMAX progression tracking
The platform ingests raw breath-by-breath data from COSMED K5 equipment and processes it through a standardized pipeline: parsing raw CSV exports, applying smoothing algorithms (30-second rolling averages), calculating derived metrics (VO2max, VT1/VT2, FATMAX), and generating publication-quality reports. TimescaleDB hypertables store time-series data efficiently, enabling sub-second queries across thousands of data points per test. UUID-based patient identification with encrypted subject names ensures HIPAA-compliant data handling throughout the pipeline.
BDD Pipeline Flow

Streamlined interface for importing breath-by-breath metabolic data from COSMED K5 exports. Supports multiple test protocols (Bruce, Ramp) with automatic parameter detection and validation of physiological ranges.

One-click generation of comprehensive CPET reports including VO2max, ventilatory thresholds (VT1/VT2), FATMAX zone, and exercise prescription. Exports to PDF with publication-quality charts and clinical interpretation guidelines.

Longitudinal visualization of patient progress across multiple CPET sessions. Track VO2max improvements, fat oxidation rate changes, and ventilatory threshold shifts over weeks and months with interactive comparison charts.

Supports industry-standard exercise protocols including Bruce (staged treadmill) and Ramp (continuous incremental). Protocol-specific analysis templates ensure accurate threshold detection regardless of test methodology.
High-frequency metabolic data processing from COSMED K5
Automated publication-quality CPET reports
Bruce and Ramp protocols with protocol-specific analysis
Encrypted identification for compliant longitudinal tracking