The operating system for your clinic.
Pathmarker is the operating layer for longevity clinics — built around the way you actually practice. One platform for the patient, the clinical team, and the science behind both. Canadian-domiciled. AI-governed. Designed to give clinicians their evenings back.
Longevity medicine has outgrown the tools
it was forced to borrow from primary care.
Your patients arrive with 200 biomarkers a year, three wearables, and consumer-grade expectations. Your software was designed for a 20-biomarker annual physical and a paper portal.
Your software is taxing your clinicians
and quietly losing patients.
Concierge longevity practices live on annual renewal. The most-cited reason patients don't renew, in survey after survey, isn't price — it's "I didn't feel like they were tracking me." The portal you handed them is the proof they're right.
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i.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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ii.Wearable data lives in apps the patient owns and the clinic never sees.Oura, Whoop, Garmin — three trends a clinician should be reviewing, none on the chart.
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iii.Patients juggle a portal, a lab provider, a wearable, an intake form, and email.The "experience" they actually buy is fragmentation.
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iv.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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v.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.
Imagine a clinic where labs land parsed and trended,
with an AI draft on your desk before lunch.
Patients don't juggle apps.
Wearables sync continuously. Labs upload in one click. Education tracks auto-assign. The portal feels like the brand they paid for.
Clinicians don't synthesize charts by hand.
Every new lab arrives with a structured AI interpretation, ready for sign-off. Critical values bypass the queue. One unified chart.
Coaches see exactly what they should — and nothing else.
Habits, wearables, shared notes. No raw labs, no medications. Consent is a hard boundary in code, not a checkbox.
Care plans evolve as your protocols evolve.
Versioned, append-only, member-pinned. Change the template without changing what's in front of every patient mid-program.
Telehealth visits are AI-scribed.
Bring your own Zoom or Teams. Two-way calendar sync. Recording flows back via webhook; SOAP draft signed off by you within minutes of hang-up.
Compliance lives in code, not in a binder.
All PHI at rest and in processing in Canada. PHIPA + PIPEDA + PIPA aligned. PIA-ready. Audit log on every PHI access.
Pathmarker is the operating layer for longevity clinics. One platform for the patient, the clinical team, and the science behind both.
Patient engagement that earns renewal.
A portal patients actually use — labs, wearables, daily logs, education tracks, AI biomarker chat grounded in their own results.
Clinical workflow that buys back hours.
Triage queue with critical-finding bypass. AI-drafted lab interpretations and SOAP notes. Care-plan versioning. One unified chart.
Privacy & AI you can defend.
Canadian-domiciled compute. Hard consent gates per role. AI drafts; clinicians sign off. PIA-ready audit logs on every PHI access.
Every role in your clinic gets its own surface —
and sees only what consent allows.
Your patient, on their own terms.
Labs, wearables, daily log, education tracks, biomarker chat, telehealth visits, messages — all under one login, branded to your clinic.
Your physician's daily driver.
Triage queue with critical bypass, unified patient chart, AI-drafted lab interpretations + SOAP notes, care-plan versioning, telehealth + scribe, bulk panel handoff.
Your between-visit engagement engine.
Caseload dashboard, AI weekly brief, audio-call scribe with Wins / Friction / Commits / Flags, habit + wearable view, escalation flag to clinician.
Your governance and sign-off authority.
Program authoring + versioning, AI prompt ownership, critical-threshold list, sign-off queue, recipe-review queue, audit-log review, override authority.
What turns a paid portal into a habit.
The renewal lever in concierge longevity isn't the visit — it's whether the patient feels they're learning, tracking, and connected between visits. Pathmarker ships member engagement as four first-class surfaces, not a content tab buried under the chart.
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.
One lab PDF.
Four steps.
No copy-paste.
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.
Zoom for Healthcare, Microsoft Teams, Google Meet — whichever fits your privacy posture. Pathmarker pulls the recording via OAuth webhook, transcribes in Canada, drafts the SOAP, and lands it on your sign-off queue. No video vendor lock-in. No mandatory rip-and-replace.
Booked, confirmed, prepared.
- Patient self-books on the clinician's calendar; two-way 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 by someone who's been on the other side of a privacy review.
Pathmarker's founder spent twenty years inside the British Columbia health authorities running cybersecurity for some of Canada's most sensitive clinical infrastructure — privacy reviews, breach response, audit defence, the actual grind of keeping PHI safe inside a regulator-watched system.
The architecture choices on this page — FORCE row-level security on every PHI table, ActiveRecord encryption on sensitive columns, single-tenant per clinic, audit log on every read — aren't software-vendor talking points. They're the mistakes you don't make twice when you've sat across the table from a privacy commissioner.
Pathmarker was built by someone who knows what a clean PIA looks like, what gets flagged in one, and what a clinic actually needs to walk into a privacy review without spending three weeks preparing.
The clinic stops running a procurement stack.
A small longevity practice ends up assembling and managing a long line of separate tools — each with its own login, its own bill, its own Data Processing Agreement (DPA), its own audit surface, and its own seam where context drops and retention quietly leaks. Pathmarker collapses the lot into one platform. One contract. One DPA. One source of truth.
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.