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Customer Case Study

40x Growth. 57% API-Generated Notes.
The Largest Virtual Cardiology Practice Runs on Canvas.

A venture-backed virtual cardiology platform scaled note volume 40x on Canvas, with 57% of all notes generated programmatically through the API. With ~5.5 remote vitals per patient, a nationwide care model, and a growing clinical team, this practice delivers cardiovascular disease prevention and management at a scale no traditional cardiology practice could match.

40xNote Growth
57%API-Generated Notes
~5.5Vitals per Patient
15Plugins Deployed
The Customer

Virtual Cardiology - Built by Cardiologists, for Cardiologists

Founded by a board-certified cardiologist, this virtual cardiology platform delivers same-day diagnostic reads, televisits, e-consults, chronic care management, and connected health monitoring to patients nationwide - partnering with health systems, payers, and value-based care organizations to reduce cardiovascular risk at population scale.

The Care Model

Virtual-first cardiovascular disease prevention and management delivered nationwide. The care team includes cardiologists, nurse practitioners, and a specialized care coordination staff who collect patient information, manage referrals, co-pays, and scheduling. Core services span same-day diagnostic reads, HIPAA-compliant televisits, e-consults for referring providers, and chronic care management programs for AFib, vascular disease, and heart failure. Connected health devices stream wireless ECG and vital sign data directly into Canvas through cloud-based monitoring engines. The patient population skews senior - many over 70 - with all interactions delivered remotely and synchronously.

Funding & Growth

Venture-backed across multiple rounds by leading healthcare investors, including a major health system venture arm and a top healthcare growth equity firm. Strategic investors reflect deep integration with the cardiology device ecosystem. The company has earned recognition on multiple national health technology lists and partners with leading cardiac professional organizations and diagnostic companies to extend reach into early cardiac evaluation and field-based care delivery.

Platform at Scale

40x Note Growth. 57% API-Generated. Canvas Powers Every Beat.

This virtual cardiology practice went live on Canvas and has since built one of the highest-volume production instances on the platform. Over 57% of notes are generated programmatically through Canvas's API - automated diagnostic reads, remote monitoring assessments, and system-driven encounter documentation - while human cardiologists review, sign, and prescribe. The result is a care model that operates at 40x its original volume without adding proportional clinical headcount.

40xNote GrowthPeak volume hit in late 2025 - a 40x increase from launch levels.
63%Encounter Rate63% of patients have documented encounters across a nationwide virtual cardiology network.
~5.5Vitals per PatientConnected health devices stream ECG and vital sign data directly into Canvas.
0.07Rx per PatienteRx volume doubled over the past year - real clinical action at scale.
4.8Conditions per PatientCardiologists, nurse practitioners, and care coordinators across a nationwide network.
57%API-Generated NotesAutomated workflows handle diagnostic reads and remote monitoring - clinicians focus on care.
Clinical Profile

Arrhythmia Detection, Hypertension Management, and Heart Failure Care

This practice's clinical profile is pure cardiology - arrhythmia detection and monitoring, hypertension management, dyslipidemia treatment, and heart failure care. These are among the highest-cost cardiovascular conditions in the US healthcare system. By catching and managing them virtually, this platform reduces emergency visits, hospitalizations, and downstream cardiac events for their health plan and health system partners.

Top Conditions

4.8 conditions documented per patient on average. Supraventricular tachycardia leads (36.5% of patients with encounters), followed by atrial premature depolarization (35.3%), ventricular premature depolarization (34.6%), essential hypertension (13.0%), and palpitations (10.5%). Dyslipidemia, ventricular tachycardia, and heart failure round out the profile. The arrhythmia-heavy distribution reflects the connected health model - wireless devices detect rhythm abnormalities that drive diagnostic encounters in Canvas.

Prescribing Depth

0.07 prescriptions per patient overall, reflecting a care model where most encounters are diagnostic reads and monitoring assessments rather than medication visits. Among patients with active prescriptions, the rate is higher - cardiologists manage antihypertensives, antiarrhythmics, statins, and anticoagulants for patients who need ongoing medication management. eRx volume grew 5x over the past year, tracking the expansion of chronic care management programs alongside the diagnostic monitoring core.

Plugin Architecture

15 Plugins Powering a Customized Cardiology Platform

The plugin architecture is built around two themes: case management workflows that coordinate care across a large distributed team, and API-driven integrations that extend Canvas into the broader technology stack. Custom plugins handle everything from case manager notifications to patient metadata enrichment, while reference plugins provide coding assistance, encounter management, and provider enrollment tracking.

API & Integration
Workflow
Clinical
Care Management
Case Manager NotificationsAlert case managers on encounter events for care coordination
Note ValidatorEnforce questionnaire-only commands on case manager notes
Longitudinal Care BannerManage care program banners across patient records
Patient Metadata APIExtend Canvas patient data with a custom metadata layer
Coding LookupQuery command-specific codings for accurate billing and documentation
Add Commands to NoteProgrammatically add clinical commands to notes via API
Encounter ListComprehensive worklist view of open encounters for clinician triage
Portal MessagingCustomized patient portal messaging for remote communication
Order TrackingTrack diagnostic orders and lab results across the care team
Provider EnrollmentDashboard for eRx and EPCS enrollment status across all staff
Condition Coding FixInteractive ICD-10 coding assistant for imported condition records

Case Management System

Three custom plugins form the care coordination backbone: case manager encounter notifications, note validation rules that restrict case manager documentation to questionnaire commands, and longitudinal care banners that track program enrollment across patient records. This plugin trio reflects the dedicated care coordination model - a specialized team managing referrals, scheduling, and follow-up for a senior patient population that needs high-touch support alongside clinical care.

API-Driven Integration

The Patient Metadata API plugin extends Canvas with a custom data layer, enabling external systems to enrich patient records beyond what Canvas stores natively. Combined with programmatic note creation (57% of all notes are API-generated), coding lookup for billing accuracy, and a customized encounter worklist, this practice treats Canvas as programmable infrastructure - the clinical backbone of a larger technology platform that includes remote monitoring devices, cloud-based diagnostic engines, and external data ingestion pipelines.

From Connected Devices to Clinical Decisions.
Canvas Scales with Every Beat.

Canvas Medical's programmable EMR powers API-first care delivery at scale - so your devices, your workflows, and your clinical model can reach every patient, everywhere.

Learn More About Canvas Medical