Unified Architecture

DT4H Unified Longitudinal Adaptive Infrastructure

A unified systems diagram connecting transactional history, physiological signals, behavioral systems, clinician intelligence, cohort modeling, StateK computation, SETPOINT execution, and recalibration.

Unified architecture flow #

EHRTransactional History

Encounters · labs · notes · referrals

WEARABLESPhysiological Signals

Sleep · HRV · recovery · movement

ARENAKBehavioral Signals

Reaction · adaptation · resilience

CLINICIANSMental Models

Heuristics · interpretation · continuity

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REFERENCE HUMANSPopulation Priors

PubMed · NIH · cohorts · runtime learning

COHORT INTELLIGENCEContext Modeling

Similarity · trajectories · variance envelopes

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DT4HTwin Infrastructure

Twin initialization · calibration · confidence · trajectory · adaptive longitudinal state

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STATEKState Computation

Readiness · transition · uncertainty · drift

SETPOINTExecution Runtime

Protocols · practices · outcomes · check-ins

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FEEDBACK / RECALIBRATION LOOP

Outcomes · adherence · recovery · engagement · clinician review · confidence evolution

Architecture principles #

01

Longitudinal over episodic

DT4H models adaptive trajectories instead of isolated snapshots.

02

Calibration over static scoring

Confidence and state evolve continuously through evidence.

03

Execution-aware intelligence

SETPOINT outcomes become new evidence for Twin recalibration.

04

Governed infrastructure

DT4H remains bounded as adaptive infrastructure support.

LayerArchitecture Layer
StatusActive Draft
SystemDT4H / StateK / SETPOINT
BoundaryInfrastructure, not diagnosis
System lineageDT4H→Twin→StateK→SETPOINT→Outcomes→Recalibration
Infrastructure boundaryDT4H models cohorts, Twins, calibration, and runtime state. It does not diagnose, prescribe, or replace licensed clinical judgment.
Document statusInfrastructure draft
Last updatedMay 2026
Applies toDT4H.ai / AvatarK.ai ecosystem