1. A remote medical data transfer system in which data from one or more IMDs in a patient is transferred to a remote server or physician, the data transfer system comprising: an IRM in wireless communication with the one or more IMDs; an EPR containing long term barometric pressure data; and a data transfer medium in operable communications with the IRM; said IRM having engagement means to download said barometric data from the EPR and further implementing the wireless communication to uplink the one or more IMDs to transfer patient data in real time and to thereby integrate the patient data and the EPR for transmission to the remote server or physician via said data transfer medium.