Services

YTS - Yara Telemedicine System - is a platform for collecting, transmitting, organizing and presenting medical data especially the patient's blood glucose level, blood pressure and heart rate.

 

The YTS consists of a glucometer and or blood pressure monitor, a wireless data transmitter unit or a data cable. The captured data is transmitted to the internet, where it is available to authorized persons and medical specialists.

 

Features:

 

  • Ease of understanding and simplicity of operation;
  • Coverage of large geographical areas, including remote areas with low density of specialist physicians;
  • Allows front-line healthcare professionals to receive guidance from the specialist, who may be at a long distance;
  • Allows ease of assessment of cardiologic risks;
  • Low response time and diagnostic accuracy;
  • Cost reduction related to exams, transport and hospitalizations.

 

Architecture:

 

The figure below shows the operating structure, the relationship between doctors and managers, and the expected results:

 

Yara Telemedicine - Architecture

At its first level, the structure required to support the operation is presented.

 

At the second level, front-line health professionals, medical specialists, and managers. The system works with two networks of medical professionals, integrated with each other and supported by managers.

 

The health professional, in local or remote physical location, assists the patient and if necessary, applies the exam. The specialist doctor analyzes the exam and issues an opinion, which guides the clinician in his actions with the patient.

 

This cloud-based architecture overcomes geographic distances and enables better utilization of physicians' care capabilities, regardless of their locations. Arrows show desired results.

Glycemic Profile Exam - EPG

To present blood glucose levels, measured over a period and classified by time slot according to a certain normality criterion, in order to provide the medical team with a data set that allows greater accuracy of diagnosis, therapy and patient follow-up.

 

Applications:

 

It is recommended to apply this exam in the following situations:

 

  • Prior to consultation with an endocrinologist, nutritionist, nephrologist or cardiologist;
  • Prior to diagnosis of diabetes, prediabetes or kidney disease;
  • Before surgery in general;
  • Every 6 months for Type 1 diabetics;
  • Every 12 months for Type 2 diabetics;
  • As a legal basis for granting legal benefits;
  • During the adaptation period with new insulin or insulin pumps;

 

The images below show the EPG:

 

BGS - image 1
BGS - image 2
BGS - image 3
BGS - image 4

Blood Pressure Monitoring

Remote monitoring system with free protocol can be used in several ways such as:

 

  • AMPA - Auto Blood Pressure Monitoring;
  • 24-hour screening; and
  • MRPA - Residential Blood Pressure Monitoring, auxiliary tool for diagnosis, monitoring and therapeutic evaluation of patients with suspected or diagnosed hypertension - Systemic Arterial Hypertension and CKD - ​​Chronic Kidney Disease.

 

It presents the levels of BP and heartbeat measured over a period, constituting a data set that allows greater accuracy of diagnosis, therapy and monitoring of patients in their daily lives.

 

Blood Pressure Behavior Exam:

 

This is the record of the blood pressure measurements of a given patient and displays the list of measurements, Systolic Pressure, Diastolic and Heartbeat graphs, normality patterns, pressure loads and averages over the period.

 

Measurement records are received by telemetry, organized and displayed to the healthcare professional in the form of graphs and tables, to make it easier and faster to understand the patient's blood pressure. This display is made in digital document type PDF, can be saved in its own folder or sent via e-mail.

 

The following image shows the chronological SBP (Systolic Pressure) / DBP (Diastolic Pressure) line chart, the SBP x DBP plot chart with SBC - Brazilian Society of Cardiology patterns.

 

It also shows a table of SBP and DBP averages by period, in the period in which the exam was applied.

 

AMPA
Applications:

 

  • Assist the physician in the Diagnosis of SAH - Systemic Arterial Hypertension - and CKD - Chronic Kidney Disease;
  • Remote monitoring of hypertensive patients including pregnant women;
  • BP Off-site or home monitoring, especially in higher-risk patients;
  • Measurement series for medical evaluation;
  • Before surgery in general;
  • Before each periodic consultation;
  • Before applying an Ambulatorial blood pressure monitoring;
  • During the adaptation period with new drugs or therapies;
  • Allows the physician to have ample mobility to consult patient data, even when away from the office.