A computer-implemented method for evaluating ambulatory electrocardiographic (ECG) monitoring of cardiac rhythm disorders is provided. A patient (12) is registered online and medical records for the patient (12) are assembled. An ambulatory ECG monitor (15) that includes leadless integrated sensing electrodes independently suspended from a flexible housing, is registered to the patient (12). The monitor is sent to a referral center, e.g. using a pre-addressed sealable envelope (18). An electrocardiogram (25) is retrieved from the recording circuitry. The electrocardiogram (25) and the medical records are evaluated against diagnostic criteria. Upon making a finding when the diagnostic criteria is met, the patient (12) is referred to a cardiac rhythm specialist online, which includes sending the cardiac rhythm abnormality finding. As a result, both physicians and patients enjoy an ease-of-use not found with conventional ambulatory ECG monitors (15). By bypassing determining whether a referral is needed and separately establishing the referral, patients (12) can be treated more completely and more rapidly than through conventional patient referral, especially for serious illness, with less cost and less delay.
