EHR-Integrated CathPCI and Chest Pain MI Registry at a Tertiary Care Center in Pakistan.

BACKGROUND: Since 2012, our institute has contributed data to the National Cardiovascular Data Registry's CathPCI and Chest Pain-MI registries using manual forms and semidigital tools. PROJECT RATIONALE: Manual data entry across 4 registries by 3 research assistants led to workflow delays, duplication, and quality gaps. A centralized, electronic health record (EHR)-integrated solution was needed to improve accuracy, reduce redundancy, and streamline compliance reporting. PROJECT SUMMARY: We developed and launched Cardiopulse.pk, a fully paperless digital registry integrated with the hospital's EHR. The platform unified CathPCI and Chest Pain-MI data collection, enabled direct role-based entry, automated patient data transfer, and included built-in validation and skipping logic. It eliminated manual duplication, reduced research assistant workload by 67%, and improved data accuracy (from 60% to 95%) and completeness (from 40% to 100%). Historical data from 2012 to 2024 were successfully migrated. TAKE-HOME MESSAGE: This project shows that EHR-integrated digital registries can significantly enhance data quality, efficiency, and clinical ownership, and the outcomes can serve as a scalable model for other institutions.