The goal of this observational experimental study is to validate a rule-based algorithm to automate CPET interpretation.
The endpoints of this study are the following:
* The change in agreement between key opinion leaders (KOLs) and the algorithm-generated CPET interpretation reports, comparing baseline to the end of the 6 month study period.
* Baseline agreement between KOLs and the algorithm
* Agreement at 6 months between KOLs and the algorithm
* Change in self-reported confidence scores before and after using the automated report
* Feedback on automated protocols generated via the platform during the 6-month implementation period
* Descriptive evaluation of center-level CPET interpretation reports practices at three timepoints
Patients referred for a CPET will be included to collect observational data without interference within clinical routine. KOLs will be recruited from participating centres to fill out a survey for CPET interpretations.