Using science and technology to empower primary health care institutions and promote the construction of cardiac networks in the medical consortium.   

On March 5, 2019, the Department of Primary Health Care of the National Health Care Commission issued the Notice of the General Office of the National Health Care Commission on the Pilot Work on the Construction of Community Hospitals, emphasizing the installation of at least an ECG room in community health service centers and accelerating the establishment of telemedicine service system. The basic establishment of the primary health-care service network system is one of the key tasks of deepening the medical reform.

Traditional holter tape extraction is complicated and requires a lot of time for physicians to make reports; the technical level of the medical staff is high and the efficiency is low; the lead wires are tangled and affect the electrocardiographic acquisition. The weight of the equipment itself and the excessive number of leads make patient coordination poor and long-range monitoring difficult, as well as the high one-time cost of purchasing equipment, which is unaffordable for many primary care organizations and therefore not widely available.  

THOTH wearable ECG monitoring products, using artificial intelligence technology, micro-sensor technology, wireless low-power transmission technology, new material technology, to make up for the deficiencies of traditional products, to achieve dynamic electrocardiogram monitoring technology at all levels of the organization from top to bottom wide configuration, through the THOTH information management platform, to achieve the grass-roots hospitals depend on the higher level hospitals, so that the electrocardiogram business sinks to grass-roots hospitals.

When the primary hospital does not have sufficient capacity to carry out electrocardiogram reading, the system can feed back the electrocardiogram data of the primary hospital patients to the parent hospital in real time, and the parent hospital will assist in reading the electrocardiogram and issuing a report. The combination of the advantages of medical resources has solved the twin problems of "difficult to see patients" in large hospitals and "few patients" in small hospitals, achieving patient triage and increasing patient satisfaction.

When the primary hospital does not have sufficient capacity to carry out electrocardiogram reading, the system can feed back the electrocardiogram data of the primary hospital patients to the parent hospital in real time, and the parent hospital will assist in reading the electrocardiogram and issuing a report. The combination of the advantages of medical resources has solved the twin problems of "difficult to see patients" in large hospitals and "few patients" in small hospitals, achieving patient triage and increasing patient satisfaction.

（i）Graded diagnosis and treatment application case - a district central hospital in Shanghai and its graded diagnosis and treatment community hospital cardiac remote network solution

1. Community hospital wears THOTH at the workstation for patients and enters basic patient information

2. Real-time ECG data from community hospital patients transmitted to THOTH Cloud server via 4G/5G signal

3. Network connection between THOTH Cloud server and central hospital

4. The central hospital is responsible for the real-time monitoring of patients in the community hospital, and if patients have abnormal ECG conditions, the doctors in the community hospital will be notified in time for appropriate treatment.

5. Patient data is stored on the central hospital server after the end of the supervision

(ii) Case of primary health care coverage - a district primary hospital in Taizhou

The wearable electrocardiogram monitoring products of Saussure are empowering primary care institutions with technology, with zero threshold for electrocardiogram monitoring business and full coverage of primary care institutions.