DIGITS. Strategy
v1 · INTERNAL
Internal Strategy Memo

DRC now,
DCS later.

Ship a research-grade hand assessment product this year. Let the platform that powers it emerge deliberately, not speculatively.

From
Radek Rybicki, CPO
To
Dr. Caitlin Symonette · Dev Team
Date
May 2026
Status
Draft for review
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i.TL;DR

The strategy in three short paragraphs.

In the next three to six months, we build and launch Digits Research Connect (DRC) — a Research-Use-Only web platform for academic researchers, powered by our two strongest publication-backed assessments: Range of Motion and Dexterity.

In the longer arc, DRC becomes the first client of Digits Core Service (DCS) — the regulated, SDK-accessible infrastructure that will power digital hand assessment across web, mobile, and the clinical AI products being built by Google, AWS, Microsoft, Anthropic, OpenAI, and Meta. In the further-out arc, the same measurement infrastructure extends into robotics through DIGITS Mimic — a standardized way to score humanoid robot hand performance against the human baseline DIGITS has already validated.

This memo asks for alignment on the DRC-first sequencing, on the four architectural commitments laid out below, and on the recommended sequencing of mobile and platform work that follows from them.

Fig. 01 Three products, one platform
DRC, DCS, and DIGITS Mimic — sequenced One platform, three products, three time horizons. Each builds on the assets created by the one before it. PHASE 1 · MONTHS 0–6 Digits Research Connect DRC Research-Use-Only web platform for academic researchers. ROM + Dexterity at launch. Server-side inference. IRB-attested, partner-held data. The first delightful product. PHASE 2 · MONTHS 6–24 Digits Core Service DCS Regulated, SDK-accessible infrastructure powering web, mobile, EMR, and hyperscaler clinical AI products. Tiered modes: research, clinical, wellness — enforced in code. The platform underneath. PHASE 3 · MONTHS 24+ DIGITS Mimic   Robotic hand performance, scored against the validated human DIGITS baseline. One scale for humans and robots. Adopted by humanoid robotics. The standard the industry uses. Each phase reuses the validated ML pipeline, the scoring methodology, and the API contract built by the phase before.
The same measurement asset — the clinically validated, peer-reviewed DIGITS scoring engine — powers all three products. What changes across phases is the audience and the surface, not the underlying capability.
Glossary & abbreviations
510(k)
A U.S. FDA submission pathway for Class II medical devices that demonstrate substantial equivalence to an already-cleared device. DIGITS' likely clinical pathway.
API
Application Programming Interface — the set of HTTP endpoints (or other calls) through which one piece of software talks to another. The DCS API contract is the most important interface in the system.
ASP.NET Core
Microsoft's open-source web framework, written in C#. The platform underlying the current DIGITS web application, which will sunset as DRC takes over.
Auth0
A managed identity and authentication service. DIGITS uses it today and continues to in DRC v1 — handles sign-in, multi-tenancy, and role-based access.
BAA
Business Associate Agreement — a U.S. HIPAA contract between a covered entity (e.g., a hospital) and a vendor that handles patient data on its behalf.
BD
Business Development — the function that builds external relationships and partnership deals. Becomes important in Phase 2 for hyperscaler conversations.
Class II
A U.S. FDA device classification for moderate-risk devices. Most digital health measurement tools (including DIGITS) are Class II.
Covered entity
Under HIPAA, an organization (hospital, clinic, health plan) that handles protected health information directly. DIGITS is not a covered entity in the partner-held data model.
CPO
Chief Product Officer. Radek's role at DIGITS.
CSV
Comma-Separated Values — a simple tabular file format commonly used for data export. One of DRC's planned export options.
CV
Computer Vision — the subfield of ML focused on extracting information from images and video. DIGITS uses CV to extract hand pose from video.
Datadog
A commercial observability and monitoring platform. One option for collecting OpenTelemetry data; needed for SLA conversations with future partners.
DCS
Digits Core Service — the regulated, SDK-accessible platform infrastructure that DRC becomes the first client of. Powers all future DIGITS products.
De Novo
A U.S. FDA submission pathway for novel medical devices that don't have an existing equivalent. An alternative to 510(k) for genuinely new device categories.
De-identified
Data with all personally identifiable information removed. Under HIPAA, properly de-identified data is not subject to the same restrictions as identified patient data.
DRC
Digits Research Connect — the Research-Use-Only web platform DIGITS is building over the next 3–6 months for academic researchers.
DUA
Data Use Agreement — a contract governing how data can be shared and used between two parties. For DIGITS, the template that lets research institutions share de-identified telemetry.
Elliott and Connolly
A 2021 robotics benchmark from Carnegie Mellon that proposed 13 in-hand manipulation patterns for evaluating humanoid robot hands. One of several competing standards Mimic could supersede.
EMR
Electronic Medical Record — the clinical software systems hospitals and clinics use (e.g., Epic, Cerner) to manage patient charts.
Entity Framework
Microsoft's database-access library for ASP.NET Core. Part of the current stack being replaced.
FastAPI
A modern Python web framework, known for clean API design and type safety. The recommended choice for the DCS service layer if Python is chosen.
FDA
U.S. Food and Drug Administration — the regulatory body that clears medical devices for use in the United States.
gRPC
A high-performance API protocol developed by Google. Faster than REST for service-to-service communication; relevant for the eventual DCS server-to-server SDK.
Headless
A design pattern where a service has no native UI of its own — it is consumed entirely through APIs by other applications, agents, or interfaces. Slack and Salesforce are the leading enterprise examples.
Headless 360
Salesforce's April 2026 announcement that exposes its entire platform — CRM, Slack, Agentforce — as APIs, MCP tools, and CLI commands. The 'API is the UI' framing.
Health Canada
Canada's federal health regulator, equivalent to the FDA. DIGITS pursues Canadian clearance in parallel with U.S. clearance.
HIPAA
U.S. Health Insurance Portability and Accountability Act — the federal law governing protected health information.
Honeycomb
Another commercial observability platform, known for high-cardinality trace analysis. An alternative to Datadog.
HumanoidBench
A 2024 simulated benchmark for humanoid robot whole-body control, including dexterous hand manipulation. Another fragmented standard in the robotics evaluation space.
ICC
Intraclass Correlation Coefficient — a statistical measure of reliability. DIGITS' published clinical validation reports ICCs of 0.82–0.96.
IP
Intellectual Property — patents, trade secrets, and copyrighted work. DIGITS' patent-pending algorithms are core IP.
IRB
Institutional Review Board — the ethics committee at a research institution that approves studies involving human subjects. Canadian equivalent is an REB (Research Ethics Board).
JSON
JavaScript Object Notation — the standard structured data format used by modern APIs.
MCP
Model Context Protocol — an open protocol introduced by Anthropic in 2024 that lets AI agents and applications discover and call tools, data sources, and capabilities through a standard interface. Increasingly the substrate for headless platforms.
MediaPipe
An open-source computer vision framework from Google. DIGITS uses MediaPipe to extract 21-point hand landmarks from video as the first stage of its scoring pipeline.
Mimic
DIGITS Mimic — a future capability that scores robotic hand performance against the validated human DIGITS baseline. The long-arc extension into humanoid robotics.
ML
Machine Learning — the field of algorithms that learn patterns from data. For DIGITS, the scoring engine that converts pose data into clinical measurements.
Mode
In DCS, a configuration that determines which assessments, disclaimers, and data flows are allowed for a given partner. Three modes are planned: research, clinical, and wellness.
Multi-tenant
A software architecture where one running instance serves multiple separate customer organizations (tenants) with strict data isolation between them.
NestJS
A TypeScript web framework for Node.js, structured similarly to Angular. The alternative to FastAPI for the DCS service layer if Node is chosen.
NHPT
Nine-Hole Peg Test — a clinical hand dexterity assessment widely used as a comparison standard. DIGITS' dexterity scores correlate strongly with NHPT results in published validation.
On-device inference
Running the ML model directly on the user's phone or computer. Faster and more private but harder to validate and audit. A future DCS capability, not in DRC v1.
OpenTelemetry
An open standard for collecting traces, metrics, and logs from a software system. The recommended observability foundation for DCS.
PI
Principal Investigator — the lead researcher on an academic study. The primary DRC user role inside a research institution.
PIPEDA
Canada's Personal Information Protection and Electronic Documents Act — the federal law governing personal information including health data.
Postgres
An open-source relational database. Recommended for DRC as the boring, correct, well-understood choice for the relational data layer.
React
The dominant JavaScript library for building web UIs. Recommended for the DRC frontend.
React Native
A framework for building native mobile apps (iOS and Android) using the same React patterns as the web. Recommended for the eventual DIGITS mobile app.
REST
Representational State Transfer — a common style of API that uses standard HTTP verbs (GET, POST, etc.) and JSON. The DCS Assessment API is REST-based.
RUO
Research Use Only — a regulatory posture in which a product is labeled for research and is not intended for clinical decision-making. Does not require FDA premarket clearance.
SaaS
Software as a Service — a software business model where customers subscribe to access a hosted product. The likely commercial shape for DCS wellness-tier deployments.
SDK
Software Development Kit — a packaged set of libraries and tools that lets developers integrate a service into their own application. For DIGITS, the way partners will call DCS.
Server-side inference
Running the ML model on DIGITS' servers rather than on the user's device. Easier to validate and reproduce; requires the video data to be uploaded.
Service Boundary
The clean interface between the DRC application layer and the assessment service layer. The most important interface in the system because it becomes the public DCS API later.
SLA
Service Level Agreement — a contractual commitment to uptime, latency, and reliability. Required for hyperscaler and EMR partner conversations in Phase 2.
Slack
The enterprise messaging platform owned by Salesforce. Used in this memo as the analogy for how DCS becomes a headless service consumed by other AI products.
SPA
Single Page Application — a web app that loads once and updates dynamically without full page reloads. DRC is being built as a SPA.
Stripe
A widely admired payments infrastructure company. Used in this memo as the analogy for how DIGITS becomes a platform company while shipping a delightful first product.
TAM
Total Addressable Market — the full revenue opportunity a product could capture. The platform framing meaningfully widens DIGITS' TAM.
Telemetry
Anonymous, aggregated usage and performance data sent back to DIGITS from deployed products. The dataset DIGITS retains under the partner-held data model.
TEMPO
An FDA pilot program (Total Product Lifecycle Advisory Program) that gives developers earlier and more iterative engagement with the agency. DIGITS has drafted a Statement of Interest for the musculoskeletal track.
Tier
Used interchangeably with Mode in this memo. The clinical-tier and wellness-tier deployments of DCS have different regulatory and contractual requirements.
TypeScript
A typed superset of JavaScript. Recommended for both DRC frontend and (if chosen) the Node-based service layer.
USP
United States Pharmacopeia — a non-profit that sets standards used across the pharmaceutical industry. Cited as a positioning analogue for DIGITS as a standards-body in hand measurement.
Versioned model release
Treating each version of the scoring model as a numbered, dated release that researchers can pin to. Ensures studies use consistent scoring even as the model improves.
ii.Why this, why now

The opportunity is bigger than an app.

Until now we have framed DIGITS as a product company building hand assessment applications. The clinical validation, the publications, the patent-pending algorithms, the MediaPipe-based pipeline — all of it consistent with that framing.

But the actual asset we have built is something else: a trusted, peer-reviewed, regulatorily-defensible measurement service for the human hand. That asset can power one application, or it can power hundreds.

The hyperscalers will not build hand assessment in-house. It is too narrow, too clinically specialized, too regulatorily encumbered for a horizontal platform to invest in. They will license.
— The strategic premise

The question is whether we have a product they can license from. Today, we do not. The current ASP.NET Core web app is a vertically integrated application — not designed to be embedded, called over an API, or wrapped in an SDK. To win the distribution opportunity in front of us, the asset has to be re-shaped into infrastructure.

Fig. 02 Today vs. tomorrow — the architectural reshape
From vertically integrated app to platform infrastructure Same clinical asset underneath. Different shape on top. TODAY Vertically integrated. One user. No API surface. Healthcare User One audience, one product ASP.NET Core Web App UI + workflows + clinical logic + scoring + auth + data — all coupled No callable API. No SDK. No partners. Not embeddable. Not licensable. TOMORROW Platform. Many clients. Stable API contract. DRC Web Research Mobile Clinical Hyperscalers Clinical Robotics Mimic DIGITS SDK — versioned, mode-gated, multi-platform Digits Core Service (DCS) Assessment APIs · scoring engine · mode & policy · partner management · audit · telemetry The validated clinical asset is the same on both sides. What changes is whether it can be consumed by anyone other than us.
Today, the clinical asset is locked inside a single web application. Tomorrow, the same asset is exposed as platform infrastructure that multiple clients — including products we will not build ourselves — can consume.

Why DRC first, not DCS directly

It would be tempting to start by building DCS — the platform — directly. We are choosing not to, for three reasons.

Put another way

DRC is how we ship something valuable in 2026 while building the foundation for the much larger opportunity in 2027 and beyond. We are not delaying the platform vision. We are de-risking it.

iii.Two analogies

Build the product. Let it become the platform.

Two analogies have helped us frame what DIGITS is becoming. The first — Stripe — describes the business shape: a delightful first product on top of regulated infrastructure that compounds into a platform. The second — Slack's headless platform, and the broader "headless" turn in enterprise software — describes the technical shape: a service whose primary surface is increasingly other products rather than its own UI.

Both apply. They are doing different jobs.

Fig. 03 Two analogies, one platform — looking at DIGITS through different lenses
Two lenses on the same company Stripe and Slack are not competing analogies. They answer different questions about what DIGITS is becoming. LENS A · STRIPE The business shape What kind of company is DIGITS becoming? A regulated infrastructure company that ships a delightful first product on top of a compounding asset. First product → DRC. Compounding asset → clinical validation, IP, regulatory posture. DIGITS DRC + DCS + MIMIC LENS B · SLACK / HEADLESS 360 The technical shape What kind of product is DCS? A headless service whose primary surface is increasingly other products, not its own UI. Consumed by web, mobile, EMRs, hyperscaler clinical AI products, and (eventually) agents. API and MCP-ready from day one. SYNTHESIS A regulated infrastructure company (Stripe shape) shipping a headless platform (Slack shape) for digital hand measurement.
The Stripe analogy explains the kind of company DIGITS becomes. The Slack analogy explains the kind of product DCS is. The same DIGITS sits at the intersection — viewed from two different angles.

a. Stripe — the business shape

Stripe started as a payments API that one developer could integrate in an afternoon. The product was a payment form. The asset was the infrastructure underneath — the bank relationships, the risk models, the compliance posture, the API contract. Over a decade, Stripe layered on tiered products (Connect, Atlas, Issuing, Climate) and grew into the payments infrastructure for the internet. The original payment form became one of dozens of consumption surfaces.

DIGITS has a structurally similar opportunity. The shape of the parallel is worth being explicit about:

Stripe
DIGITS
Bank relationships, risk models, compliance posture Expensive to acquire, slow to replicate, compounding over time.
Clinical validation, peer-reviewed publications, patent-pending algorithms, regulatory pathway The asset. The moat.
The payment form First consumption surface — delightful for one specific segment, exercising the API contract.
Digits Research Connect First consumption surface — delightful for academic researchers, exercising the assessment API.
Connect, Atlas, Issuing Tiered products built on the platform, each opening new markets.
Clinical EMR integrations, hyperscaler distribution, consumer wellness SDK DCS-powered products on different distribution channels.

The strategic move is the same one Stripe made: build the first delightful product as a real product, but architect it so that the asset underneath becomes the platform.

b. Slack — the technical shape

Stripe explains what kind of company DIGITS is becoming. Slack's recent platform direction explains what kind of product DCS is.

In September 2025, Slack announced a major reorientation of its developer platform for what it called "the agentic era." Two pieces of that announcement matter for us:

Salesforce extended this further in April 2026 with what it branded Headless 360 — the more aggressive claim that "our API is the UI." Every Salesforce capability — CRM, Agentforce, Slack — is now exposed as APIs, MCP tools, and CLI commands, designed to be consumed by agents and products that may never render a Salesforce screen.

The pattern across both companies is the same, and it is the pattern DCS is built around:

Headless platform pattern
How DCS expresses it
The product is a capability, not a destination Slack's headless agents and Salesforce's MCP-exposed platform are invoked from wherever work is happening, not from their own UI.
DCS is a capability called from anywhere ROM, dexterity, swelling, and pain assessments are services consumed by DRC today, by mobile apps tomorrow, and by hyperscaler clinical AI products after that.
The host is no longer the only surface Slack data flows into Claude. Salesforce capabilities render inside Slack, Teams, ChatGPT, and Claude. Build once, consume everywhere.
DCS surfaces wherever a partner is DRC is the first surface. The Google clinical assistant, the AWS HealthLake workflow, the Claude-powered care app — each becomes another surface, served by the same DCS contract.
MCP and clean APIs are the integration substrate The headless turn assumes agents and other apps will discover and call capabilities through standard protocols, not custom integrations.
DCS is API-first and MCP-ready from day one The assessment API in DRC v1 is shaped to become a public SDK in Phase 2 and an MCP-exposed tool in Phase 3 — without rewrites.
The platform that exposes itself headlessly wins distribution Slack's GM has publicly forecast that within two years, AI agents will outnumber human users on Slack. The growth driver is no longer human signups.
DIGITS' future users may not be human If clinical AI agents proliferate, the agent calling our assessment API in 2028 is a more important customer than the human researcher in 2026. Designing for that future starts now.
DCS is the hand assessment capability — invoked by humans through DRC today, and increasingly by agents and other products tomorrow. The capability is the asset. The surfaces are interchangeable.
— The technical premise

One implication worth naming explicitly: a headless service has different success metrics than an app. Daily active users matter less than API call volume, integrator count, and the quality of the partners who depend on us. The number of products that cannot ship without DIGITS is the number that matters. DRC will produce both — paying users and partner relationships — but as DCS opens up, the partner-count metric is the one that compounds.

iv.Four commitments

Decisions that shape both DRC and DCS.

This strategy depends on four decisions we are asking the team to commit to now. Each one shapes both the product we ship in six months and the platform we are building toward. We have intentionally chosen the simpler option for the near term and named the harder option as the future destination.

01 · Inference
Server-side now, configurable per integrator later.
Researchers want reproducibility. Server-side scoring with versioned model releases gives every study identical results against an identical model, removing browser and device variance as confounds.
DCS will let partners choose server, on-device, or hybrid inference based on their latency and privacy constraints. We keep scoring behind a clean API boundary now so it can be packaged for on-device later without a rewrite.
02 · Regulatory
RUO mode now, tiered model later.
Every screen, every export, every API response labeled "Research Use Only — Not for Clinical Decision-Making." Users attest to IRB or equivalent ethics oversight at signup and per-study.
DCS will support three modes — research, clinical, wellness — each with different available assessments, disclaimers, data flows, and partner requirements. The mode boundary is enforced in code, not just in legal agreements.
03 · Data
Partner-held data, DIGITS-held telemetry.
Research institutions hold patient/subject data under their existing IRB protocols. DIGITS receives only de-identified telemetry under a standard Data Use Agreement.
Same posture for hyperscaler partners. We are never a HIPAA covered entity for partner data. What we negotiate hard for: de-identified telemetry rights, model feedback rights, publication rights on aggregate findings. That is our dataset.
04 · Codebase
DRC is a fresh build. Current web app sunsets.
DRC is built fresh on a stack and architecture chosen for the platform vision, with clear separation between application layer and the service layer that becomes DCS. Existing web app operates until DRC is ready, then sunsets on a defined schedule.
What carries over: the validated ML pipeline, the clinical algorithms, the data model schema. These are the assets. Application code around them is replaceable.
Fig. 04 The four commitments — direction of travel
Each commitment, from "simple now" to "harder later" The four NOW choices below are not the end-states. They are deliberate starting points that DCS evolves toward, additively. NOW · DRC v1 LATER · DCS at scale 01 INFERENCE Server-side only One mode. Reproducible. Easy to validate. Configurable per integrator Server, on-device, or hybrid — same code path 02 REGULATORY RUO mode only Research labeling. IRB attestation. No FDA path yet. Three modes — research, clinical, wellness Enforced in code, not just contracts 03 DATA Partner-held + telemetry Research institutions under IRB hold the data Same posture across all partner tiers Hyperscalers, EMRs, consumer apps — all partner-held 04 CODEBASE Fresh build of DRC Internal API boundary as if external from day 1 DRC becomes one of many SDK clients Same API contract, now public The "NOW" column is what we build in 6 months. The "LATER" column is what those same components grow into without rewrites.
Each row reads left-to-right: from the simple, shippable starting point to the platform end-state. The arrow is the discipline that protects the path — every NOW choice was made specifically to allow its corresponding LATER without a rebuild.
On RUO positioning

RUO is not a compromise. Researchers actively prefer RUO tools because they aren't locked into clinical claims that constrain study design. "Trusted research-grade infrastructure" is a sharper story for both this user segment and the Synapse pitch than "clinical product pursuing clearance."

v.The path

From DRC to DCS, without rewrites.

The strategic claim of this architecture is that DRC and DCS are not two separate builds. They are one build, sequenced — where every component of DRC v1 either becomes part of DCS unchanged, or stays inside DRC as one of many clients of DCS. Nothing built in the next six months is wasted in the platform we are building toward.

Fig. 05 DRC v1 — what we ship in 6 months
DRC v1 Architecture — Server-Side, Single-Tenant, RUO One product. One tenant model. One regulatory mode. Built so DCS emerges later without rewrites. USER & CLIENT Academic Researcher IRB-approved study Browser (desktop) DRC APPLICATION LAYER DRC Web App (SPA) Study setup, subject mgmt, capture flows, data export React + TypeScript Researcher Workflows RUO labeling, attestation, audit logs, consent capture Identity & Tenancy Auth0 (carry over) Institution-scoped orgs Role-based access DCS SERVICE BOUNDARY — internal API today, public API later Assessment API /v1/assessments/rom /v1/assessments/dexterity Stable contract from day 1 Scoring Engine MediaPipe pose extraction Proprietary scoring algos Versioned model releases Mode & Policy Layer RUO enforcement (only mode) Disclaimer injection Clinical/wellness stubs ready DATA & INFRASTRUCTURE Postgres Studies, subjects, sessions Object Storage Video + landmark data Telemetry Store De-id metrics for DIGITS R Server (carry over) Analytics / score validation
The middle layer — the DCS Service Boundary — is the most important interface in the system. It is internal in v1 but designed as if external integrators will consume it. They will.
Fig. 06 DCS — the platform DRC becomes
DCS Future State — Platform with Multiple Clients and Tiered Modes DRC is one of many clients. The same DCS core powers research, clinical, and wellness deployments via mode-gated SDK. CLIENTS — each consumes the SDK DRC Web Research mode Academic users DIGITS Mobile (iOS) Clinical mode Patients + clinicians EMR Integrations Clinical mode Epic, Cerner, etc. Hyperscaler Health Clinical mode Google, AWS, MSFT Consumer Health Wellness mode Apple Health, Fitbit DIGITS SDK — the single integration surface DIGITS SDK — iOS, Android, Web, Server (REST + gRPC) Mode flag enforcement Configurable inference location Auth, retries, telemetry Versioned API contract Partners integrate DIGITS by integrating the SDK; the SDK enforces what they are allowed to do. DIGITS CORE SERVICE (DCS) — regulated, the cleared medical device Assessment APIs ROM, Dexterity, Swelling, Pain, +future Same contract as DRC v1 Scoring + ML Server-side or packaged for on-device deployment Versioned, audited models Mode & Policy Research / Clinical / Wellness firewall Enforced in code Partner Mgmt & Audit API keys, BAAs/DUAs, audit trails, SLAs Multi-tenant from day 1 DATA — partner-held; DIGITS holds de-identified telemetry only Partner-held: patient data, study data, video (HIPAA / IRB scope) DIGITS-held: de-identified telemetry, model performance, aggregates
When DCS opens to external SDK consumers, the API contract should not have to change. It should just become publicly documented. The work of the next 6 months protects that future.
Fig. 07 The migration path — additive, not transformational
From DRC to DCS — How the Architecture Evolves Without Rewrites Each phase adds capability; nothing built in phase 1 is thrown away. The internal API contract becomes the external SDK contract. PHASE 1 — DRC v1 Months 0–6 · ship the product DRC Web (single client) • Server-side inference only • Research mode only (RUO) • ROM + Dexterity • Single-tenant per institution • Internal API boundary in place • Mode + policy layer (stubs for clinical & wellness) • DUA template for partners • Telemetry pipeline live Outcome: paying research customers; validated API shape PHASE 2 — DCS v1 + Mobile Months 6–12 · platform emerges DRC + DIGITS Mobile + Public SDK (iOS, Web) + Clinical mode (with FDA path) + Swelling + Pain assessments + Multi-tenant partner mgmt + React Native iOS app • DRC keeps running (now an SDK consumer like any other) • Internal API → public SDK contract • 510(k) submission in progress Outcome: 2 clients, 4 assessments, regulated tier in flight PHASE 3 — DCS at scale Months 12–24 · distribution DCS as Infrastructure + Hyperscaler integrations + Wellness mode + On-device inference option + EMR connectors + Consumer SDK partners • Many clients consume DCS • Tiered modes fully enforced • Configurable inference live • FDA clearance secured Outcome: DIGITS is the standard digital hand assessment infra What stays the same across all three phases: The Assessment API contract. The scoring engine. The data model. The mode/policy abstraction. The validated ML pipeline. The clinical IP. Everything else (clients, SDK packaging, regulatory tier, inference location, partner count) grows additively. No phase invalidates prior work.
The three phases compound. Phase 1 generates revenue and validates the API. Phase 2 opens the platform. Phase 3 scales distribution to where the largest companies in the world consume DIGITS as infrastructure.

Mobile, sequenced

DIGITS will ship a native mobile experience. The question is when, and against what foundation. The recommendation in this plan is that mobile follows DCS rather than precedes it — for a specific architectural reason: a mobile app built today would integrate against the legacy web architecture, and would need to be re-integrated against DCS once it exists. Building once, against the right foundation, is faster than building twice.

The recommended sequence is therefore:

This sequencing is a deliberate strategic choice, not a deprioritization. Mobile-first researchers exist, but they are a smaller segment than desktop-first researchers, and the research workflows DRC supports — study setup, multi-subject management, longitudinal data export — are desktop-natural. Mobile's strongest use cases sit in the clinical and patient-facing tiers, which is exactly where the timeline brings mobile online.

vi.The longer arc

Beyond healthcare: DIGITS Mimic.

Everything in this memo so far has treated DIGITS as digital hand assessment infrastructure for healthcare. That framing is correct for the next three to five years. It is not the whole opportunity.

The longer arc of DIGITS extends into a sector that today has the same problem healthcare had ten years ago: no standardized way to measure hand performance. That sector is humanoid robotics. We are calling this future capability DIGITS Mimic.

The problem the robotics field is openly asking to have solved

Humanoid robots are being built by Tesla, Figure, Boston Dynamics, Agility, Sanctuary, Unitree, and a wave of well-funded entrants. The hand is the hardest part of the body to engineer, and dexterity is the bottleneck capability that determines whether a humanoid robot can do useful work. Every one of these companies is, separately, trying to figure out how good their robot's hand actually is.

The robotics research literature has been explicit about this gap for years. A few representative voices:

Carnegie Mellon · 2021
"One notable bottleneck hampering the development of improved hardware for dexterous manipulation is the lack of a standardized benchmark for evaluating in-hand dexterity."
The Elliott and Connolly Benchmark
IEEE Humanoids 2021
Frontiers · 2022
"There is a lack of comprehensive, holistic tests that evaluate dexterity as a whole and can be adapted to evaluate the capabilities of both robotic grippers and hands as well as human hands."
An Accessible, Open-Source Dexterity Test
Frontiers in Robotics and AI
CASIA · 2024
"The dexterity of robotic hand is hard to evaluate… the design for a dexterous anthropomorphic hand is largely based on the intuition of designers."
50 Benchmarks for Anthropomorphic Hand Function
IEEE

Multiple competing benchmarks exist — Elliott and Connolly, HD-marks, HumanoidBench, DexH2R — but no single standard has emerged, and none of them is anchored to a clinically validated human baseline. Robotic hands are typically evaluated against ad-hoc "human baseline results" produced by the same lab that publishes the benchmark, with no inter-lab consistency.

DIGITS has, almost as a byproduct of our healthcare work, built the thing the robotics field has been asking for: a clinically validated, peer-reviewed, regulatorily-defensible measurement system for the human hand, with a real and growing human reference dataset. Our healthcare moat doubles as the missing component of an industry-standard robotics benchmark.

What DIGITS Mimic is

DIGITS Mimic is a service, exposed through the same DCS infrastructure that powers our healthcare products, that scores a humanoid robot's hand performance against the human DIGITS baseline using identical methodology. A robotics company points DIGITS Mimic at their robot's hand performing standard tasks; DIGITS returns range-of-motion and dexterity scores expressed on the same scale as our human assessments.

Concretely, the value proposition has three parts:

Healthcare gave us the validated human baseline. Robotics is the second industry that cannot exist at scale without it.
— The Mimic thesis

Why this works strategically

Adding DIGITS Mimic to the long-term plan does three things for the company:

The dual-baseline framing is worth being explicit about, because it changes how we describe what DIGITS is:

One scale. Humans and robots, measured the same way. DIGITS Mimic places robotic hands on the validated human dexterity scale. 0 25 50 75 100 DIGITS dexterity score (percentile of healthy adult hand performance) Human baseline (validated) Aging, injury, post-surgical recovery, healthy adult range — DIGITS healthcare post-injury recovering healthy adult Robotic hands (DIGITS Mimic) Same methodology, same scale — humanoid robot hands scored against the human baseline early today's best target 2028 A robot scoring at the 50th percentile means the same thing across every lab, every company, every product cycle.

What this means for the next 6 months

Concretely: nothing changes in the DRC build. Mimic is a Phase 3+ capability, not a Phase 1 or Phase 2 commitment. The reason it belongs in this memo is that knowing Mimic exists in the long-arc plan affects two near-term decisions:

Beyond those two threads, Mimic is a future-state capability that informs investor and partner narratives — particularly for hyperscaler conversations, where robotics is a parallel platform play many of the same companies are already making — but does not require any near-term engineering commitment.

A note on positioning

DIGITS does not have to compete with the robotics companies. We measure them. The strongest version of this story is that DIGITS becomes to humanoid hand performance what IEEE, NIST, or USP became to their respective fields — the neutral, trusted, reference-standard organization that the industry builds on top of.

vii.Decisions requested

Four things we are asking for alignment on.

Each of these is a yes/no decision. The accompanying architecture document and execution plan describe the technical and operational implications in detail. This memo asks for endorsement of the direction; the details are in the supporting documents.

  1. DRC-first sequencing. DRC ships in the next 3–6 months as the single primary product focus.
  2. Mobile sequenced after DCS. Mobile development begins in Phase 2 as the first non-web client of DCS, taking advantage of the validated API contract and avoiding integration rework against the legacy architecture.
  3. Four architectural commitments. Server-side inference; RUO regulatory posture; partner-held data with DIGITS-held telemetry; fresh build of DRC with current web app sunsetting.
  4. Platform direction, in principle. Endorsement of the DCS platform vision as the destination DRC is being built toward, with the understanding that specifics will be revisited based on what we learn in the next six months.

If we get this right, the next 6 months produce a profitable, growing research product. The next 12–18 months produce the platform that becomes the standard digital hand assessment infrastructure for the clinical AI products that are about to be built by the largest companies in the world.