Methods, apparatus, and systems for medical procedures are disclosed herein and include a monitoring and processing apparatus that includes a memory configured to store a diagnostic algorithm, a sensor configured to sense a patient data of a first patient, a processor configured to generate a first diagnostic result based on the patient data and the diagnostic algorithm. A local computing device is provided and includes a processor and configured to receive the first diagnostic result via a first network, receive a first correction indication that comprises a correction of the first diagnostic result and transmit the first correction indication via a second network. A remote computing device may be provided and be configured to generate an updated diagnostic algorithm that is updated based on the first correction indication and transmit the updated diagnostic algorithm via the second network.