Simulate the treatment plan before making the decision.

APEX matches your patient to thousands of historical twins across anatomy, hemodynamics, and comorbidities. Your care team sees comparative procedural trajectories, adverse event risks, and guideline eligibility before booking the table. A clinician always reviews and signs off.

See how APEX works →
HIPAA BAA·SOC 2 TYPE II·MAYO CLINIC PLATFORM_ACCELERATE
APEX
Simulated clinical demo · 30 seconds

How a doctor or patient uses the digital twin in 30 seconds

{{ sec }}s / 30.0s

{{ narration }}

TIME {{ sec }}s · REC
Physician twin similarity configuration

Click to select which phenotypic similarities the twin cohort must match.

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Cohort pool: {{ pool }}
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SAVR twins found3,842
TAVR twins found1,420
Real-time outcome sweep · SAVR vs TAVR

Kaplan-Meier survival probability (SAVR vs. TAVR)

30-day acute follow-up · matched cohort

Log-rank p = 0.008 · hazard ratio 0.78 (95% CI: 0.64–0.94) favouring surgical stability in matched anatomy

Cascade stream: day {{ kmDay }}/30 SAVR (n=3,842) TAVR (n=1,420)
Real-time stepped waterfall in progress: day {{ kmDay }} of 30 SAVR: {{ kmStreamSavr }}% (n={{ kmStreamSavrN }}) TAVR: {{ kmStreamTavr }}% (n={{ kmStreamTavrN }})
1 0.98 0.96 0.94 0.92 0.90 0.88 0.86 0.84 0.82 0.80 0.78 0.76 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 Survival probability Time (days)
Day {{ kmHoverDay }} Post-procedural horizon SAVR survival: {{ kmHoverSavr }}%(95% CI: {{ kmHoverSavrCi }} · n={{ kmHoverSavrN }}) TAVR survival: {{ kmHoverTavr }}%(95% CI: {{ kmHoverTavrCi }} · n={{ kmHoverTavrN }})
Hover along the timeline (0–30 days) to inspect exact survival probabilities, adverse event steps, and numbers at risk.
{{ m.days }} Cascade drop
{{ m.phase }}
SAVR: {{ m.savrEnd }} {{ m.savrDrop }}
TAVR: {{ m.tavrEnd }} {{ m.tavrDrop }}
Cumulative 30-day survival differential: +5.4% SAVR advantage in matched anatomic cohort.
Consensus sealed

Heart team consensus: SAVR recommended

In this 68-year-old with bicuspid aortic stenosis and low STS surgical risk, surgical aortic valve replacement yields superior 10-year durability and virtually eliminates paravalvular regurgitation and re-intervention.

91.2% 5-YR SURVIVAL (+5.4 PP) 0.0% PARAVALVULAR LEAK PACEMAKER NEED 2.1%
{{ sec }}s 30.0s
Speed
About Dr. Data · the patient digital twin company
Part of the Mayo Clinic Platform_Accelerate 2026 cohort

Millions of high-stakes treatment decisions happen every year. Give your care team the confidence that they chose the optimal plan.

Today, care teams navigate complex treatment decisions using fragmented chart notes, siloed imaging studies, and manual guideline scouring.

Dr. Data built APEX to simulate the treatment plan before making the decision, matching your patient's exact profile to real historical cases at your institution and showing your care team what was chosen, and what happened next.

By providing high-dimensional outcome modeling and surveillance prior to the table, hospital schedules stay protected, margins are safeguarded, and every case makes the next treatment decision better. A licensed clinician always reviews and signs the chart.

Dr. Data participated in the 2026 Mayo Clinic Platform_Accelerate cohort, a 30-week program supporting digital health companies as they further develop their solutions using program resources and de-identified clinical data.

Protected by HIPAA BAA and on-premise / hosted isolation
The core platform 01

High-dimensional patient digital twins

Twins matched to identical phenotypes drawn from your own institution's historical case volume.

Exact phenotypic alignment
Validation 02

Mayo Clinic Platform_Accelerate startup

Selected cohort startup, validated against longitudinal de-identified records.

Benchmarked on tens of thousands of patient journeys
Clinical governance 03

Care team retains 100% sign-off authority

Human-in-the-loop by construction: a licensed clinician reviews, edits, and digitally signs.

100% human-in-the-loop
The digital twin pipeline

We run the simulation before the table.

Here is the path APEX walks for every case.

STEP 01

Ingest clinical and PACS records

Connects to EHR records, lab panels, and PACS DICOM cine studies. No manual entry, no chart-scouring.

STEP 02

Physician sets the match criteria

Age, sex, comorbidities, hemodynamics, and anatomical tolerances — the clinician defines the twin.

STEP 03

Simulate the matched twin

Optimal-transport matching across thousands of historical cases projects real comparative trajectories.

STEP 04

Care team reviews and signs

A cited, auditable consensus brief that the attending reviews and signs off with confidence.

The core platform

APEX

Four specialized agents, coordinated by Dr. Data, match your patient to identical historical phenotypes across anatomy, hemodynamics, and comorbidities at your organization, showing what was chosen and what happened next.

See the agents
01 · Guideline Agent AUDITED EVIDENCE

Audits treatment options against ACC/AHA and ESC guidelines with line-level paragraph citations.

02 · Imaging Agent DICOM VISION

Segments fluoroscopy cines and CT runs for exact stenosis and annular clearance.

03 · Digital Twin Agent OUTCOME SIMULATION

Matches your patient to historical twins and projects comparative outcomes and survival for each option.

04 · Cohort Analytics POPULATION SQL

Turns natural-language questions into population benchmarks that calibrate survival trends.

The APEX ecosystem

Four specialized agents. One decision-ready report.

The Digital Twin is the core of APEX. Four specialized agents — Clinical Guidelines, Imaging, Cohort Analytics, and the Heart Team synthesizer — exist to make that twin trustworthy, cited, and defensible. Dr. Data coordinates all of them.

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★ Core product

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Study: APEX de-identified protocol #2026-VHD Source DICOM & corpus verified
Critical case-stopping flag Severe AS evaluation · scheduled in 48 h

76 M · severe calcific aortic stenosis (SAVR vs TAVR)

Matched against 3,842 historical twins across identical anatomy and STS-PROM 3.8%.

Procedural risk surfaced · antiplatelet hold window violated

Patient took apixaban 5 mg BID this morning against the required 48-hour pre-procedural hold. Surfaced to the care team two days prior — protecting the scheduled room block and preventing acute access-site bleeding.

Anatomic annulus sizing IMAGING

Cardiac CT reconstruction. Annular perimeter 76.4 mm (area 462 mm²), favorable for a 26 mm transcatheter prosthesis.

PERIMETER 76.4 MM · LM CLEARANCE 10.2 MM
Digital twin simulation 3,842 TWINS

The identical intermediate-risk cohort achieved lower 30-day procedural trauma with transfemoral TAVR over open SAVR sternotomy.

94.1% SURVIVAL PARITY · AVOIDED ICU 88.4%
Guideline consensus EVIDENCE

ACC/AHA 2020 VHD § 3.2 and ESC/EACTS 2021 recommend transfemoral TAVR (Class I, LoE A) for patients ≥ 75 with favorable vascular caliber.

CLASS I, LEVEL A · 6/6 AGREEMENT
Coronary SYNTAX score CATH CINE

Isolated focal pLAD lesion (70–99%) with patent circumflex and right coronary artery.

SYNTAX 14 · SUITABLE FOR CONCOMITANT PCI
Comorbidity vectors EHR

Hypertension, mild peripheral vascular disease, prior CVA without residual neurological deficit.

STS-PROM 3.8% · eGFR 58 ML/MIN
Consensus brief KENDALL W 0.88

Synthesized recommendation: transfemoral TAVR via balloon-expandable valve. Ready for care team sign-off.

ONE-CLICK SIGN-OFF READY
Who we serve

Built for the people who own the decision.

APEX is deployed where high-stakes treatment decisions get made: by the clinicians who make them, the systems that standardize them, and the organizations that measure them.

Clinicians

Care teams

Multidisciplinary teams, attending physicians, surgical specialists, and coordinators deliberating complex pathways daily. APEX speeds consensus without removing judgment from the loop.

Guideline check in seconds, not hours of chart review
Twin survival and outcome forecasts for this specific patient
Auditable clinical reasoning they can sign and defend
Health systems

Hospitals and networks

Department chairs, service-line directors, and networks standardizing treatment decisions across inpatient and outpatient sites — reducing variability and accelerating deliberation throughput.

Reduced inter-clinician decision variability
Structured output ready for quality and accreditation reporting
EHR-embeddable via SMART-on-FHIR and CDS Hooks
Research and payers

Payers and research groups

Payers measuring decision appropriateness and outcomes researchers running retrospective or prospective cohort studies. APEX output is a data layer, not a black box.

Publication-ready cohort tables and Kaplan–Meier curves
Appropriateness scoring with guideline citations
FHIR-exportable for downstream analytics
Clinical governance and safety

Safe by design. Built for the way care teams work.

Built with practicing physicians. Outcome simulation and protocol adherence catch medication conflicts and clearance issues before surgery, not after.

Human-in-the-loop

The care team is always in the loop

Nothing reaches a patient or your EHR without a physician reviewing and signing it. Your EHR remains the source of truth, and there is zero autonomous ordering.

Protected health information

Single-tenant, zero model retraining

A signed BAA precedes any clinical data connection. Every deployment is an isolated, single-tenant US environment, encrypted in transit and at rest, never used to train public models.

Cryptographic provenance

Auditable to the source DICOM frame

Every stenosis measurement, annular perimeter, and guideline recommendation carries its source timestamp and frame coordinates back to the raw imaging series.

Institutional benchmarking

Validated on real historical cohorts

Trained and validated on longitudinal de-identified cohorts. Every simulation is grounded in real historical outcomes, not hypothetical black-box assumptions.

Operating boundaries

What Dr. Data APEX will never do

HARD CLINICAL GUARDRAILS
Diagnose without physician oversight
Autonomously order procedures or medications
Operate as an uncalibrated black box
Replace a licensed clinician or care team
Act without explicit care team sign-off

Anything outside the approved clinical protocol is surfaced and routed to your care team, never improvised around.

Deployment

Meet your hospital's data posture, not the other way around.

Immediate cloud pilot access or an air-gapped on-premise installation wired into your PACS and EHR.

Hosted (SaaS)

Fastest pilot

Cloud-hosted in a HIPAA-configured environment with single sign-on and role-based access control.

HIPAA BAA signed · SOC 2 Type II
Enterprise SSO (SAML 2.0 / Okta / Azure AD)
Granular role-based access control
Zero hardware footprint; deploy in days

On-premise

Zero PHI egress

For hospitals with data-residency or PHI-egress requirements. Runs on your own infrastructure.

Containerized Kubernetes / Helm deployment
Air-gapped or on-prem private cloud
DICOM studies never leave the perimeter
Local PACS and GPU cluster acceleration

System integration

Native workflow

APEX connects to PACS, imaging archives, and EHR sidebars via CDS Hooks or SMART-on-FHIR.

SMART-on-FHIR embedded sidebar app
CDS Hooks order and consult triggers
DICOMweb C-MOVE / C-STORE pipeline
Built on open standards (HL7 FHIR, DICOM); vendor-neutral by design

HIPAA, DICOM PS3.1–3.20, and HL7 FHIR R4 ready

No vendor lock-in. APEX outputs structured CDA documents, FHIR resources, and audit manifests.

Clinical leadership and inquiries

Walk one of your own cases through APEX.

Thirty minutes with our clinical team: bring a de-identified case and watch the twin simulation, guideline audit, and heart-team deliberation run end to end.

305-204-7384
Headquarters
Dr. Data, Inc.
111 NE 1st Street, 8th Floor #8966
Miami, FL 33132
HIPAA BAA COMPLIANT · SOC 2 TYPE II CERTIFIED
Interactive workbench De-identified case #2072163 · 68 F CAD + severe AS
Active study: Protocol #2026-VHD · synthetic DICOM dataset
STS-PROM: 4.8% (intermediate) SYNTAX-I: 27.0 (intermediate) AVA: 0.72 cm² · mean 44 mmHg Consensus: {{ consensusChip }}
{{ cur.num }} · {{ cur.label }} {{ cur.focus }}

{{ cur.title }}

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Interactive live model
Remote access · APEX physician bot Mobile · secure channel
APEX physician messenger bot Official production interface capture (2500 × 1585)
9:41 AM 5G
APEX Bot
APEX Bot AI ASSISTANT
Online
Today · 2:14 AM
Write me a treatment plan for patient ID 123
Analyzing multi-agent signals…
Running full Heart Team analysis…
{{ c.k }} {{ c.v }}
Can you summarize a treatment plan?
Treatment plan
1.Transfemoral TAVR scheduled · valve: SAPIEN 3 26 mm
2.Pre-procedure: CT angiogram annular sizing + vascular access check
3.Post-op: same/next-day discharge protocol · echo at 30 days
{{ mInput }}

When to use the bot

Full Heart Team consultation from your phone: on-call, in the ER, or between cases.

{{ u.title }}

{{ u.body }}

Doctor live texting sim {{ mClock }} / 0:15
1080p HD
Compare procedures Best Option: {{ bestId }} ({{ bestScore }}%)
{{ av.eyebrow }}

{{ av.title }}

{{ av.scene }}
Select procedures to compare {{ gCounter }}
{{ c.id }} {{ c.fullName }} {{ c.invasiveness }} {{ c.cursorLabel }}
Consult guidelines → Consulting guidelines
Guideline evidence · {{ optionsLabel }}
{{ b.head }} {{ b.text }}
Final consensus · 6/6 panel

{{ gVerdictTitle }}

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Ask the reference population
{{ cTyped }} Run
{{ c.label }}
Patients remaining after filters: {{ cRemaining }}
1-year MACE · split by treatment arm 0–100 scale
{{ b.label }} {{ b.value }}
0255075100
1,318 patients 25.0% of this cohort
Share of the severe AS cohort
{{ htRoundLabel }}
Consensus reached — {{ bestId }}
Output · Heart Team meeting report

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{{ n.h }}

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{{ a.name }} · {{ a.status }}{{ a.text }}
{{ v.role }} R1 → R2 → R3: {{ v.path }} SWITCHED
ILLUSTRATIVE DRAFT NOTE · HEART TEAM AGENT {{ rSignedLine }}
SpecialistR1 · openingR2 · challengesR3 · final
{{ r.role }} {{ c.text }}
{{ t.label }} {{ t.text }}
Heart Team consensus

{{ bestId }} · 8 of 8 specialists · unanimous after three rounds.

{{ l.round }} · {{ l.role }} · {{ l.vote }} {{ l.switchLabel }}

{{ l.text }}

{{ av.clock }}
Speed
APEX
Simulated clinical demo · 30 seconds

How a doctor or patient uses the digital twin in 30 seconds

{{ sec }}s / 30.0s

{{ narration }}

TIME {{ sec }}s · REC
Physician twin similarity configuration

Click to select which phenotypic similarities the twin cohort must match.

{{ c.label }} {{ c.badge }}
Cohort pool: {{ pool }}
{{ cursorLabel }}
SAVR twins found3,842
TAVR twins found1,420
Real-time outcome sweep · SAVR vs TAVR

Kaplan-Meier survival probability (SAVR vs. TAVR)

30-day acute follow-up · matched cohort

Log-rank p = 0.008 · hazard ratio 0.78 (95% CI: 0.64–0.94) favouring surgical stability in matched anatomy

Cascade stream: day {{ kmDay }}/30 SAVR (n=3,842) TAVR (n=1,420)
Real-time stepped waterfall in progress: day {{ kmDay }} of 30 SAVR: {{ kmStreamSavr }}% (n={{ kmStreamSavrN }}) TAVR: {{ kmStreamTavr }}% (n={{ kmStreamTavrN }})
1 0.98 0.96 0.94 0.92 0.90 0.88 0.86 0.84 0.82 0.80 0.78 0.76 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 Survival probability Time (days)
Day {{ kmHoverDay }} Post-procedural horizon SAVR survival: {{ kmHoverSavr }}%(95% CI: {{ kmHoverSavrCi }} · n={{ kmHoverSavrN }}) TAVR survival: {{ kmHoverTavr }}%(95% CI: {{ kmHoverTavrCi }} · n={{ kmHoverTavrN }})
Hover along the timeline (0–30 days) to inspect exact survival probabilities, adverse event steps, and numbers at risk.
{{ m.days }} Cascade drop
{{ m.phase }}
SAVR: {{ m.savrEnd }} {{ m.savrDrop }}
TAVR: {{ m.tavrEnd }} {{ m.tavrDrop }}
Cumulative 30-day survival differential: +5.4% SAVR advantage in matched anatomic cohort.
Consensus sealed

Heart team consensus: SAVR recommended

In this 68-year-old with bicuspid aortic stenosis and low STS surgical risk, surgical aortic valve replacement yields superior 10-year durability and virtually eliminates paravalvular regurgitation and re-intervention.

91.2% 5-YR SURVIVAL (+5.4 PP) 0.0% PARAVALVULAR LEAK PACEMAKER NEED 2.1%
{{ sec }}s 30.0s
Speed

{{ scenario.name }}: {{ scenario.description }}

Heart team verdict · best option Fit score: {{ best.score }}/100 {{ best.guidelineClass }} · {{ best.loe }} Unanimous 6/6 model deliberation

{{ bestMeta.name }} · {{ bestMeta.fullName }}

{{ best.why }}

Recommended invasiveness
{{ bestMeta.invasiveness }}
{{ bestMeta.recoveryTimeline }}
Clinical decision pathway Patient → guidelines → candidates → consensus
Side-by-side deliberation matrix Ranked highest → lowest clinical concordance
{{ r.rankLabel }} {{ r.score }}% match

{{ r.id }}

{{ r.guidelineClass }}

{{ r.fullName }}

{{ r.rationale }}

+ {{ r.pro }} − {{ r.con }}
{{ r.panel }} {{ r.inspectLabel }}
Evidence signals · {{ inspected }} {{ inspectedScoreLabel }}
{{ s.label }} {{ s.score }}%

{{ s.help }}

Guardrail screens All pass
{{ g.text }}
Corpus citations · {{ inspected }} 100% resolved
{{ c.source }} Match {{ c.match }}%

{{ c.claim }}

“{{ c.excerpt }}”

Voters: {{ v.name }}
Live deliberation feed 132 TPS
{{ i.who }} {{ i.time }}

{{ i.text }}

Angiography Imaging & SYNTAX-I Scoring

Imaging is shown live, not self-serve.

Because this agent works directly with angiogram frames and patient imagery, our clinical team walks you through it live instead of opening it here. Fill out the form and we will run the imaging agent end to end on a de-identified case with you.

In the meantime, the Digital Twin agent below is fully live and interactive.

The APEX digital twin ★ Core product

The community, individualized for your profile.

APEX matches your patient's exact clinical profile to thousands of real historical cases at your own institution, whatever fork your heart team is facing — surgery or intervention, repair or replace, aggressive treatment or watchful waiting. Dr. Data tells you what they chose, and what happened next.

Interactive sandbox
Patient presets:

Clinical profile controls

Live calibration
Patient age {{ twin.age }} yrs
45658092
Biological sex
Prior sternotomy
Aortic valve morphology
Physical activity / frailty
Kidney health (eGFR)
Pulmonary / lungs
STS-PROM risk tier
Treatment priority & clinical goal
Institution-specific matched cohort Verified registry
{{ twinMatches }} exact historical twins at your hospital

These are real patients who arrived with your anatomy, age, and risk profile. Dr. Data tracked their decisions, survival curves, and 24-month clinical endpoints.

30-day adverse outcome simulator

TAVR vs. SAVR predicted risk

Favours {{ twinFavours }}
Kaplan-Meier step analysis

30-day survival probability curves

SAVR ({{ twinSavrSurv }}%) TAVR ({{ twinTavrSurv }}%)
1 0.92 0.84 0.76 0 15 30 Time (days)

Log-rank p = 0.008 · hazard ratio 0.78 (95% CI 0.64–0.94) · matched twins n = {{ twinMatches }}

Quick queries:
Active filters: {{ c.label }} → {{ cohortN }} match
Cohort visualisation tray

Chart grammar adapts to the query you run · ECharts & Vega-Lite spec

{{ chartTitle }}

{{ queryEcho }}

{{ chartRationale }}

scope: {{ cohortN }} patients · cardiovascular intervention 2019–2026 {{ chartMeta }}
Population breakdown · cohort composition

Stratified against global multi-center reference registry (N = 56,697)

5,389 MATCHES
{{ b.label }} {{ b.pct }}% ({{ b.n }})
Suggested refinements
Pinboard · active charts
MACE by arm · Kaplan-Meier
LVEF distribution · Vega
Virtual heart team deliberation
{{ s.name }} {{ s.vote }}

{{ s.role }}

{{ s.why }}

Specialist vote ledger · live · {{ lgRoundText }} {{ lgStatus }}
{{ c.label }}
{{ lgBestLabel }} {{ lgBestCount }}
{{ lgAltLabel }} {{ lgAltCount }}
{{ s.role }} {{ s.why }} SWITCHED {{ s.vote }}
Consensus agreement index KENDALL'S W = 0.74
Inter-voter agreement Strong (0.74)

Dissent reconciled: {{ dissentText }}

Guardrail verification gates
{{ g.mark }} {{ g.name }} {{ g.note }}

Dr. Data heart team consensus sealed

{{ sealedText }}

{{ sealedChip }}
AUDIT ID: HT-2072163
{{ lgPendingText }}
Output · Heart Team meeting report

{{ rCaseLine }}

{{ n.h }}

{{ n.body }}

{{ e.source }}{{ e.claim }}
{{ g.tag }}{{ g.text }}
{{ a.name }} · {{ a.status }}{{ a.text }}
{{ v.role }} R1 → R2 → R3: {{ v.path }} SWITCHED
ILLUSTRATIVE DRAFT NOTE · HEART TEAM AGENT {{ rSignedLine }}
Source capture · APEX de-identified protocol #2026-VHD
Full cryptographic audit trail verified to source DICOM & corpus
|
Clinical report, full view
APEX
Direct heart-team clinical walk-through

Bring APEX to your heart team

Book a 30-minute walk-through. We will run a de-identified case end to end in the live product: guideline check, digital twin, imaging, cohort, and consensus report with our clinical team.

info@drdatainc.com 305-204-7384 111 NE 1st St, 8th Fl #8966, Miami, FL 33132

Something went wrong sending your request. Please try again, or email info@drdatainc.com directly.

Or email info@drdatainc.com directly

Walk-through requested

Thank you, {{ form.name }}. Our clinical team will reach out from info@drdatainc.com to {{ form.email }} within 24 hours with calendar coordinates and case overview materials.

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Patient digital twins for clinical decision support. Fusing diagnostic imaging, clinical guidelines, and historical institutional outcomes so care teams can commit to the optimal treatment plan.

Contact
© 2026 Dr. Data, Inc. All rights reserved. Dr. Data APEX™. Cardiovascular clinical decision support. APEX provides evidence synthesis to assist multidisciplinary heart teams; clinical judgment remains the ultimate authority.