When I say I'm confirming they got it, I mean I'm confirming someone actually looked at it. The fact that it was delivered successfully is indeed reported to me

When I say I'm confirming they got it, I mean I'm confirming someone actually looked at it. The fact that it was delivered successfully is indeed reported to me. The act of transmitting the EKG serves to give the hospital a heads up that I'm coming, and that I think this patient needs care right away. I understand you're suggesting a system where every bit of data my monitor collects is available in every hospital in real-time, so I just have to call them up and reference it. My point is that is that the act of sending the EKG is a really miniscule part of the process. You're talking about 5 seconds over the course of a 30 minute event. I don't think the tradeoffs in complexity and quiet failure modes would be worth it. If I transmit something, I get a confirmation right then that it did or didn't work. If a passive data aggregation system fails (and I'm used to it 'just working'), then I may not notice that it failed.