A system for processing ECG recordings from multiple patients includes a preprocessing database containing unprocessed ECG records from multiple patients, a reporting database containing processed ECG records from multiple patients, a processor, and a triage module executable on the processor to assess each of the unprocessed ECG recordings from the multiple patients. The triage module is executable to detect a presence or absence of one or more known abnormalities and determines at least one abnormality identifier based on the detected known abnormality. One or more abnormality groups are then identified based on the abnormality identifiers. A normal group of ECG recordings from multiple patients is then identified from those ECG recordings that are not in the abnormality group. The normal group of ECG recordings is then stored in the reporting database then associated a normal identifier.