Ireland runs its national cardiac device registry on HRI: every private cardiac hospital and the vast majority of public cardiac device services, since 2008.
Recognised by HIQA as the national registry100,000+ implants and around a million follow-ups recorded across more than 50 hospitals and clinics, public and private, with about half the records originating in private care.
The network effect
Each hospital that joins widens the safety net for every patient.
At the Mater, 1,921 serials were matched in three minutes. Four days later an affected patient attended Connolly Hospital Blanchardstown, the physiologist there saw the flag and applied the update, and the Mater's dashboard updated itself.
What a system gets
Safety that crosses sites
A notice raised by one hospital reaches the patient wherever they next present within the participating network. A group super-admin sees every hospital they cover.
Registry data without a registry burden
Audit and registry data are produced by the clinical workflow, so completeness does not depend on each site finding time to re-enter it. The Living Registry
Service-level visibility
Procedure volumes, device and manufacturer mix, follow-up load and overdue patients, comparable across sites and against last year. Dashboards
Find patients with no recorded follow-up across the network
A hospital can manage its own did-not-attend list. It cannot know whether a missing patient was seen at another centre. Network-wide tracking surfaces patients with no recorded follow-up anywhere on the network within their expected window.
Ready for device identification rules
The EU Medical Device Regulation already requires hospitals to keep the UDI of Class III implantable devices, preferably electronically. Australia introduced mandatory UDI requirements for Class III and IIb devices from 1 July 2026. Capturing the identifier by barcode at implant, and keeping it queryable for the life of the device, is how a hospital makes use of both. Pulse+IT, Australia's health technology publication, examined the Living Registry as a blueprint for connected cardiac care there.
The Pulse+IT featureA new device class on the registry from day one
Starting with one hospital
A network takes time to build, and nothing here depends on having one. A first site gets the whole-life record, field safety across its own population in minutes, and registry-grade data created through the clinical workflow, with no separate HRI registry data-entry step. The cross-site value compounds as others join.
Patients
The record reaches the patient through HRI Plus, with a Cardiac Device ID and time-limited access for clinicians elsewhere. HRI Plus
Procurement
ISO/IEC 27001:2022, Cyber Essentials Plus, and routes to buy in Ireland, Australia and the UK. IT and procurement
Research
Whole-life national data is a different foundation for prediction than remote transmissions alone. Research and AI