Your EMR ends at the visit. Healthspan medicine doesn't.
Pathmarker is the layer that runs between appointments — the patient surface, the longitudinal record, the coach handoff, the AI that drafts but never decides. Built so members feel tracked all year, and renew because of it.
Longevity medicine is won between visits.
Your software was built for the visit itself.
Concierge longevity runs on quarterly visits with months in between — and those months are where adherence drifts, wearables go unread, education stalls, and the patient quietly stops feeling tracked. The EMR you bought was designed to capture the appointment, not the year around it.
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i.Wearable data lives in apps the member owns and the clinic never sees.Oura, Whoop, Garmin — three trends a clinician should be reviewing, none on the chart.
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ii.Lab review consumes hours of clinician time per week.Manual chart synthesis, copy-pasted between PDF, EHR notes, and the patient email.
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iii.Coaches, ops staff, and physicians all see the same chart — or fight over consent.Either you're over-sharing PHI or under-empowering the team.
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iv.PHIPA / PIPEDA / PIPA compliance debt grows with every tool you bolt on.Data Processing Agreements (DPAs), audit trails, and consent live in five places — or none. Your privacy review gets harder every quarter.
A clinic members feel tracked by
is a clinic members renew with.
in retained ARR — what a 25-point renewal lift (60% → 85%) earns a 200-member clinic at a $10K average annual fee. Every year. Compounding.
of clinical and operational overhead reclaimed across a comparable 200-member longevity clinic — more than a day of weekly team capacity — as Pathmarker unifies the member's longitudinal data and program — labs, wearables, intake, daily logs, education and care plan — into one record alongside the EMR and scheduling tools the clinic already runs. Industry-benchmark estimate5,6 against the same reference clinic as the renewal math above; rises as ambient AI scribe and AI-drafted lab interpretation ship.7
Continuity is the mechanism. Renewal is the proof.
One platform for the patient, the clinical team,
and the science behind both.
Pathmarker is the continuous-care layer for longevity clinics.
Continuity members feel.
A portal members actually open — labs trended, wearables synced, daily log alive, education tracks evolving with their program. The clinic that shows up between visits is the clinic they renew with.
A record the EMR can't keep.
One longitudinal spine fusing labs, wearables, adherence, symptoms, and visits. AI-drafted lab interpretations and SOAP notes hang off it. Critical values bypass the queue. Your clinicians stop synthesizing by hand.
AI and consent you can defend.
AI drafts. Clinicians decide. Consent is enforced at the data layer via Postgres row-level security, not in the UI. Audit log on every PHI access. PIA-ready, Canadian-domiciled.
How continuity actually ships.
The renewal claim above is built on four first-class member-facing surfaces — not a content tab buried under the chart. Each one runs continuously between visits and feeds the longitudinal record.
Education tracks, articles & a knowledge base that compounds
Production-grade video lessons in curated tracks — Metabolic optimization, Sleep architecture, Cardiovascular healthspan — auto-assigned at enrollment and evolving as the program does. Block-based articles your clinic authors and versions. Members pin notes, save AI chats, build a personal reference over months. Progress is visible to the care team — coaching gets sharper.
Dynamic meal planner with infinite AI-generated recipes
The meal planner reads the member's program (metabolic, autoimmune, longevity-cardio) and the practitioner's dietary guidelines — then plans the week with portion sizes and a shopping list. AI generates infinite new recipes within strict program guardrails: every recipe carries detailed nutritional info — macros, micros, glycemic load — that flows back into the chart as adherence signal.
Daily log + habit tracker, beautifully visualized
A day-scrubber view of habits, symptoms, medications, sleep, mood, and activity. Push reminders, gentle streaks, no shame mechanics. The visualizations are the point: trend charts compare habit adherence against measured outcomes — HRV, sleep quality, biomarker movement — so members can see what's actually moving the needle for them, not just track for the sake of tracking.
Community portal, opt-in by design
Member-to-member conversation when the member chooses it — never on by default, never required. Useful for cohort programs (everyone starting metabolic optimization in Q2 joins the same circle) and for the long tail of "I tried this, here's what happened" peer support. Same clinic-branded shell. Practitioners can moderate but are never required to be present.
All four surfaces are bounded by the same consent model as the rest of the platform — the coach sees habit + wearable + shared notes, the clinician sees everything, the member sees their own data. Consent is enforced at the data layer, not in the UI.
Care that shows up between visits is the care members renew on.
One lab PDF.
Four steps.
No copy-paste.
What used to take a clinician's evening now happens between visits, before the next one.
Patient uploads
Drag-and-drop PDF from any major lab provider — LabCorp, Quest, LifeLabs, Dynacare. Stored in your dedicated tenant. Audit log starts here.
Auto-parse + trend
Biomarker names, values, reference ranges extracted to your database. Trended automatically against the patient's prior panels. Optimal / watch / attention bands.
AI drafts an interpretation
De-identified context to Vertex AI in Canada. Structured JSON back: trend commentary, watch flags, suggested follow-ups. Critical values bypass the queue.
Clinician signs off
You review, edit, publish. The patient sees the AI summary and your final interpretation. Nothing reaches the patient until you decide.
The same shape applies to wearable streams, member messages, and visit transcripts. One pattern, four surfaces, one source of clinical truth.
Use the video tool your clinic already pays for.
We handle the chart, the consent, the AI scribe.
Visits are the punctuation between months of continuous care. Pathmarker handles the chart, the consent, the AI scribe — without locking you into another video vendor. Zoom for Healthcare, Microsoft Teams, Google Meet — bring the one you already pay for. The recording flows in via OAuth webhook, transcribed in Canada, drafted, and landed on your sign-off queue.
Booked, confirmed, prepared.
- Booking flows from the clinic's existing scheduling tool; two-way calendar sync to Google + Outlook.
- Calendar invite includes the meeting URL from your connected video account.
- 24-hour reminder + 30-minute SMS go out automatically.
- Clinician opens the chart; AI pre-brief summarizes labs, wearables, last visit.
Your video tool, your terms.
- Visit runs on your existing video — Zoom Pro, Teams, Meet, your vendor of choice.
- Side-by-side chart access while you're on camera (browser-side, independent of video).
- Recording posture is your video vendor's — your DPA, your residency choice, your control.
- Pathmarker isn't on the call. We pick up the recording afterward.
SOAP drafted, signed, filed.
- OAuth webhook fires from Zoom or Teams → Pathmarker downloads the audio.
- Transcribed in Canada; PHI anonymized before LLM.
- Vertex AI in Canada drafts the SOAP. Clinician edits, signs, publishes.
- For coach calls, same pipeline outputs Wins / Friction / Commits / Flags.
AI that drafts. Clinicians who decide.
The hard rules are coded into the platform — not posted on the wall. The difference between AI you can defend in a clinical-board meeting and AI you have to apologize for.
No member-facing AI triage. Ever.
AI explains and educates. It does not classify, score, dose, or interpret results to the patient. Every member-facing surface refuses clinical advice and defers to the clinician.
AI drafts; clinicians sign off.
Lab interpretations, SOAP notes, message replies — every AI output is a draft. Nothing publishes, nothing sends, until a clinician reviews and signs.
Consent is a hard boundary in code.
The consent form names the three access scopes — clinical team, coach, service ops — by role. The platform enforces them at the data layer via Postgres FORCE row-level security, not in the UI.
PHI minimized at the prompt layer.
Anonymization runs before any text reaches the LLM: allowlisted fields only, no names, no DOB. Vertex AI in Canada; no training on your data.
Critical thresholds as source-of-truth.
The threshold list lives in version-controlled code, PR-reviewed by your practice lead — not buried in EHR settings. Every bypass is audit-logged.
A platform that walks into your
privacy review and walks out clean.
Built in Canada, for Canadian longevity clinics. Every layer Pathmarker touches runs in Canada (Montréal). No PHI persisted outside Canada. PIA-ready on day one.
Native Canadian video
roadmap
- ✓PHIPA, PIPEDA & PIPA aligned.Consent, collection limitation, accuracy, safeguards, openness, individual access — mapped feature-by-feature.
- ✓PIA-ready onboarding.Data-flow maps, vendor list, consent-form templates, retention schedule — handed over before go-live.
- ✓Data Processing Agreement.Standard DPA + sub-processor list. Your tenant. Your data. Cleanly portable. No training on your patients.
- ✓Audit log on every PHI access.Who, what, when — for every read of a patient record, every AI inference, every consent change. Exportable on demand.
- ✓Consent in code.Three scopes — clinical team, coach, service ops — enforced at the data layer. The consent form and the access control are the same thing.
- ✓Right-to-export, right-to-erasure.Full export in standard formats on demand. Erasure workflow respects clinical-record retention obligations.
- ✓Breach response runbook.72-hour notification SLA to your privacy officer. Incident playbook reviewed annually.
Built for the medicine the existing software can't run.
Bryan founded Pathmarker after twenty-five years in cybersecurity, including protecting the health authorities of BC, Canada — a long career spent on the architecture, network, and strategy side of protecting clinical data.
Bryan's wife — Dr. Mary Pines — has spent the past eight years building and running her own longevity practice, Better Beyond 40. Working alongside Mary's longevity practice, he watched her — and the broader Canadian longevity field — try to deliver proactive, longitudinal care using software built for something else. Tools designed for fifteen-minute acute appointments, retrofitted for the most relationship-intensive medicine in the industry. Member portals that felt like patient billing systems. Practitioner consoles stitched together from a lab vendor, a wearable dashboard, a separate scribe, a separate scheduler, and a Google Doc for the actual care plan.
The longevity members Mary serves expect a different kind of relationship with their care — high-touch, continuous, evidence-grounded — and they pay for it. The software they were being asked to use didn't match what they were being asked to invest in. Bryan built Pathmarker to close that gap.
His healthcare background shaped Pathmarker's compliance-first architecture: Canadian data residency by design, consent boundaries enforced at the code level, and the discipline to build healthcare software the way healthcare data demands.
The member's data stops living in a dozen places.
A longevity member's data ends up scattered across a lab portal, a wearable app, intake forms, a spreadsheet, and a half-dozen other places — none of them talking, each its own login and audit surface, every seam a spot where context drops. Pathmarker pulls the longitudinal data and program tracking into one record. Your EMR, scheduling and billing keep doing what they do — Pathmarker unifies the data and the program around them.
We are taking on five founding clinics this year.
One is filled. Four remain.
Ninety days. Four checkpoints.
You decide whether to renew.
Discovery + provisioning
Workflow audit with your lead clinician. Your dedicated Pathmarker tenant provisioned on your domain. DPA, consent, PIA template, and audit-log scaffolding signed off.
Core staff onboarded
Clinicians, coaches, practice lead, and ops staff onboarded by role. Lab parsing live. Wearable connections established. First member cohort invited.
AI in routine use
AI lab review running on every new panel. Triage queue and care-plan versioning in clinician muscle memory. Calendar sync stable. Telehealth + scribe in routine use.
Pilot review
Clinician hours reclaimed, patient NPS, AI-draft accept rate, support load — all measured. You decide whether to convert. We earn the renewal or step away.
Single-tenant by design. Your clinic gets its own dedicated environment — your data, your domain, your compliance posture. No shared infrastructure, no neighbour risk.