Methods, apparatus, and systems for medical procedures are disclosed hereinand include amonitoring and processing apparatus that includes a memory configured to storea diagnosticalgorithm, a sensor configured to sense a patient data of a first patient, aprocessor configuredto generate a first diagnostic result based on the patient data and thediagnostic algorithm. Alocal computing device is provided and includes a processor and configured toreceive thefirst diagnostic result via a first network, receive a first correctionindication that comprises acorrection of the first diagnostic result and transmit the first correctionindication via a secondnetwork. A remote computing device may be provided and be configured togenerate anupdated diagnostic algorithm that is updated based on the first correctionindication andtransmit the updated diagnostic algorithm via the second network.