Consultanist

Healthcare Technology Consulting

Healthcare
Technology.
Built Uncompromisingly.

Physician-founded. Clinically designed.

We design, build, and manage the complete technology infrastructure that modern practices need -- from patient intake to prescription fulfillment, compliance to clinical intelligence.

Licensed Coverage

50 States

HIPAA + GDPR + PIPEDA
Multi-jurisdiction compliant

Active in 12 countries

This month

2,400+

Clinical consultations
completed this month

↑ 34%vs. last month

< 24h

Avg review time

26+

Specialties

10K+

Patients served

99.9%

Uptime SLA

  Telehealth · E-Prescribing · Clinical AI · HIPAA Compliant · 26+ Specialties · Video Consultations · Patient Portal · Lab Integration · Practice Management · Multi-Clinic · Photo Review · Pharmacy Fulfillment ·  Telehealth · E-Prescribing · Clinical AI · HIPAA Compliant · 26+ Specialties · Video Consultations · Patient Portal · Lab Integration · Practice Management · Multi-Clinic · Photo Review · Pharmacy Fulfillment ·    Telehealth · E-Prescribing · Clinical AI · HIPAA Compliant · 26+ Specialties · Video Consultations · Patient Portal · Lab Integration · Practice Management · Multi-Clinic · Photo Review · Pharmacy Fulfillment ·  Telehealth · E-Prescribing · Clinical AI · HIPAA Compliant · 26+ Specialties · Video Consultations · Patient Portal · Lab Integration · Practice Management · Multi-Clinic · Photo Review · Pharmacy Fulfillment ·  

What We Deliver

Practice Solutions

Practice Platform

EMRGENIUS — Complete Practice Platform

Complete practice management platform for independent practitioners and clinics. Your own branded patient portal, clinical dashboards, AI-assisted workflows, and specialty-specific modules -- all under your domain.

┌─ Practice Dashboard ───────────────────────┐
│ Today: 12 consultations  │ Queue: 3 pending │
│ ─────────────────────────────────────────── │
│ Dr. Jane — Derm          ●●●●●●●●●● 94%     │
│ Dr. Doe  — FM            ●●●●●●○○○○ 61%     │
│ ─────────────────────────────────────────── │
│ Clinical Insights: 7 pending review         │
│ Prescriptions: 4 awaiting sign-off          │
└────────────────────────────────────────────┘
26+ SpecialtiesE-PrescribingHIPAA Compliant

Starting at $99/provider/month.

Explore EMRGENIUS →

Dedicated Services

Concierge Technical Services

Not a SaaS tier. A dedicated team embedded in your practice.

Dedicated engineer assigned to your practice
Custom intake forms per specialty
Branded patient portal at your own domain
24h SLA on critical issues
Monthly architecture reviews
Direct WhatsApp line to technical team

For practices that cannot afford downtime.

Clinical Intelligence

AI-assisted clinical decision support that surfaces evidence-based treatment precedents. Clinicians review and approve -- AI never decides autonomously.

Telehealth & Virtual Care

Live video consultations, async photo review, and secure messaging. Complete prescription lifecycle from consult to pharmacy fulfillment.

Compliance Built In

HIPAA, PIPEDA, GDPR, and regional regulatory compliance baked into every workflow. Audit trails, consent management, and data residency by design.

Global Reach

Serve patients across borders with multi-language support, localized payment gateways, regional data residency, and jurisdiction-aware prescribing.

Our Platforms

Product Suite

vitalnoor.com

VitalNoor

LIVE

Dermatology + skincare telehealth

Worldwide

+Async photo consultations
+AI photoanalysis (lesion triage)
+6 skin health lab panels with AI interpretation
+Photo-lab correlation (skin ↔ biomarkers)
+Patient upload pipeline (PDF/photo → AI extraction)
DTC subscriptions + Rx + labsVisit →

longevitage.com

LongevitAge

LIVE

Longevity + preventive health

Worldwide

+8 longevity panels (70+ biomarkers)
+AI interpretation with optimal ranges
+Biological age + vitality scoring
+Biomarker trending over time
+Multi-lab support (6 PK + 2 US labs)
DTC subscriptions + labsVisit →

emrgenius.com

EMRGENIUS

LIVE

Multi-tenant white-label EMR

Worldwide

+Diagnostics module (13 specialty order sets)
+26 medical specialties
+DB-per-tenant isolation
+AI lab interpretation + biomarker trending
+Stripe subscription billing
Solo $149 · Practice $129Visit →
Clinical ModalityIN DEV

clinicalmodality.com — Regional healthcare marketplace. Doctor directory · appointment booking · managed clinical services · provider onboarding. DB-per-region isolation.

Inquire about licensing →

Clinical Impact

Results That Matter

10,000+

Patients Served

Across dermatology, longevity, and primary care

< 24h

Avg Review Time

From submission to clinician review

26+

Specialties Supported

Dermatology · Cardiology Endocrinology · more

99.9%

Platform Uptime

Enterprise-grade reliability for clinical operations

Platform Capabilities

Patient Intake & Onboarding100%
Clinical Consultation Workflow100%
E-Prescribing & Pharmacy100%
AI Clinical Decision Support100%
Multi-Specialty Configuration100%
Video & Async Telehealth100%
Compliance & Audit Trail100%
Security Hardening100%
Status:FULLY OPERATIONAL

Security Posture

Compliance Audit: PASSED

Independent security review
Zero open compliance gaps

Coverage

HIPAA § 164.312
PIPEDA s.7
GDPR Art. 25
OWASP Top 10
PHI at rest
PHI in transit

About

The Physician-Led Difference

Our Founding Physician

Physician  ·  Researcher  ·  Builder

Family medicine physician licensed in all 50 US states. Computer scientist before he was a doctor. Co-founder of a longevity telehealth platform that reached the national recognition and placed in the Top 40 globally in a major global health innovation competition.

Senior author of landmark clinical research — the world’s first randomized controlled trial in longevity medicine. Published in Aging journal, 2025. Advisor to multiple leading digital health companies.

Started as a network support engineer. Then became a physician. Then built a telehealth company that helped 10,000+ patients. Now he brings that full stack — clinical depth, research credibility, and technology execution — to Consultanist.

“The physician who builds the tools understands what the tools are actually for.”

— Our Founding Physician  ·  Founder, Consultanist

What physician leadership means in practice

Longevity protocol design and clinical research — published clinical research in longevity medicine

Prescription safety from firsthand prescribing experience across all 50 states — not inferred from product specs

Telehealth compliance from having built and operated a longevity telehealth platform at scale — Built platforms serving 10,000+ patients

AI integration from advising multiple leading digital health companies

Credential Stack

·Board-certified physician, 15+ years in telehealth
·B.S. Computer Science
·ABFM Board Certified
·Licensed: All 50 US states + DC

Recognition

·Recognized in global health innovation competitions
·Built platforms serving 10,000+ patients
·Top employer in digital health
·Featured in national media

The Partnership

Clinical authority meets engineering execution.

Our founding physician brings the research depth, prescribing experience, and clinical authority. Isam Waqar builds the platforms and runs the engineering team.

Partners from the start. One builds the vision. One builds the infrastructure.

The Team

The Team

Fifteen years of telehealth practice across all 50 US states teaches you what breaks. Our founding physician assembled a team that has been in every part of the system — clinical, technical, regulatory, and operational.

Not a consulting firm that hires generalists and learns healthcare. A healthcare team that also builds the technology.

Role

Clinical Architects

Physicians and clinicians who design system workflows.

They map the path from “patient submits symptoms” to “prescription dispatched” — every decision point, every safety gate, every edge case.

Built by people who have done consultations, not people who imagined them.

Experience

·Family medicine
·Dermatology protocols
·Longevity + preventive care
·Telehealth across 50 states

Role

Technical Engineers

Full-stack engineers specializing in healthcare systems.

Building on Next.js 15, PostgreSQL + pgvector, tRPC, Drizzle ORM — a stack chosen for clinical data requirements, not developer convenience.

Specialists in

·HIPAA-compliant data architecture
·Multi-tenant EMR systems
·AI clinical agent development
·PHI pseudonymization pipelines
·DB-per-tenant isolation

Role

Compliance Officers

Regulatory specialists with direct telehealth experience.

Not lawyers who learned healthcare. Practitioners who learned compliance — because they had to operate under it.

Coverage

·HIPAA §164.312 (technical)
·PIPEDA (Canada)
·GDPR (EU)
·Regional pharmaceutical compliance
·Interstate telehealth law
·50-state prescribing rules

Role

Healthcare Project Managers

Experienced in clinical go-lives — the most unforgiving project launches in any industry.

Patient safety depends on systems going live correctly. Our PMs have managed EMR migrations, telehealth platform launches, and regulatory submissions under real clinical deadlines.

Specialties: Epic migrations, telehealth rollouts, regulatory submissions, practice transformations

Role

AI + Clinical Data Scientists

Building clinical AI that actually performs in practice — not just in demos.

Our AI team works with anonymized clinical datasets, pgvector semantic search, multi-provider orchestration (GPT-4o, Gemini, local OSS), and PHI-safe pipelines.

Specialty focus: Clinical NLP, prescription safety validation, patient outcome prediction, dermatology image analysis

Track Record

15 Years of Telehealth Infrastructure Experience

2009

First telehealth consultations (pre-platform era, phone + fax)

2012

Interstate prescribing across multiple states

2019

Co-founded a longevity telehealth platform, built telehealth infrastructure at scale

2021

10,000+ patients on longevity protocols

2023

global health innovation competition (Top 40 globally)

2024

Consultanist formed: clinical expertise + engineering execution

2025

VitalNoor, LongevitAge, EMRGENIUS live in production

2026

Serving practitioners worldwide through EMRGENIUS SaaS

Client Work

Selected Engagements

01

VitalNoor + LongevitAge

Dual-brand Telehealth Platform

TelehealthMulti-brandAI/MLGlobal

Challenge

Build a single codebase serving two clinically distinct brands (dermatology + longevity) on separate domains with isolated patient data, separate clinical protocols, and distinct design languages.

Approach

Unified clinical infrastructure with brand-specific patient experiences. Shared clinical safety system. Per-brand formularies, intake forms, and treatment protocols tailored to each specialty.

Outcome

Single deployment. Two live platforms. Consistent clinical safety across both brands. Patients get a seamless, branded experience.

Stack

Multi-Brand Platform · Clinical Safety · E-Prescribing · Photo Analysis · AI Decision Support

Timeline

6 months to production

02

EMRGENIUS SaaS

Multi-Tenant EMR for Independent Practitioners

EMR SaaSMulti-tenantAutomationWorldwide

Challenge

Build a white-label EMR that any practitioner worldwide can spin up in under 5 minutes, with full data isolation, custom branding, and specialty-specific clinical workflows — without touching code.

Approach

Complete data isolation per practice. Automated onboarding: custom domain, SSL, billing, and specialty configuration in minutes. 26 specialty modules with configurable intake forms and clinical protocols.

Outcome

Production-ready. Practitioners onboard and receive their own branded portal, clinical workflows, and AI-assisted tools -- fully automated. Zero manual setup required.

Stack

Practice Isolation · Stripe Billing · Video Consults · Clinical AI · Content Management

Timeline

SaaS tiers: $99–$149/provider/month

Product Deep Dive

EMRGENIUS — The Complete EMR Suite

Clinical Core

Async photo consultations
AI-powered clinical intake
Prescription management
Safety validation (drug interactions, cumulative dosing)
Consultation lifecycle (submitted → reviewed → prescribed → fulfilled)
Photo analysis (AI lesion triage)
Video consultations (LiveKit)
Diagnostics & lab integration (70+ biomarkers, AI interpretation)
Patient upload pipeline (PDF/photo → AI extraction)
Biomarker trending with optimal range flagging
Photo-lab correlation (skin condition ↔ lab results)
13 specialty order set templates

Practice Operations

Staff portal (clinicians, pharmacists, CS, admin)
Role-based access control
Internal ticketing + escalation
Audit trail (HIPAA § 164.312)
Patient messaging

Business

Stripe subscription billing
OTC commerce (pharmacy shop)
AI cross-sell recommendations
Multi-currency (USD, PKR, SAR, COP)
Discount + coupon system

26 Supported Specialties

DermatologyCardiologyPsychiatryLongevity/Anti-agingOncologyNeurologyGeneral PracticePediatricsGynecologyEndocrinologyOrthopedicsOphthalmologyENTGastroenterologyPulmonologyUrologyRheumatologyNephrologyHematologyImmunologyInfectious DiseaseSports MedicinePain ManagementPalliative CareAllergyNutrition/Dietetics

Practitioner Tiers

Solo

$149/mo

1 provider, full platform

Practice

$129/mo

per provider, 2–10 providers

Clinic

$99/mo

per provider, 11+ providers

Concierge Add-on

Dedicated engineer · Custom specialty modules · Priority SLA · Monthly architecture review · Direct technical line

“We don't just license you software. We become your technical department.”

For Practitioners

Concierge Services — Designed by a Physician Who Needed Them

Before Consultanist existed, our founding physician was the client — experiencing every gap in independent practice infrastructure personally. That’s why the concierge offering is designed the way it is.

You see patients. We handle the technology.

For independent physicians and specialty clinics who need enterprise-grade infrastructure without an enterprise IT team. Monthly retainer. No long-term contracts. Cancel anytime.

A dedicated Consultanist engineer

Knows your stack, your workflows, your patients' journey. One point of contact who owns your technology.

Custom intake forms for your specialty

Not generic — built around your clinical protocols. Dermatology reads differently than Longevity.

Branded patient portal at your own domain

Your name, your logo, your colors. Patients never see "EMRGENIUS."

AI agents trained on your specialty

Derm AI is calibrated differently than Longevity AI. Intake, triage, and recommendation all specialty-aware.

24-hour response SLA on patient-facing issues

No ticket queues when your clinic has a production problem. Direct escalation path.

Quarterly roadmap sessions

You tell us what's slowing you down. We ship it. Your practice's evolution is a shared project.

What Our Clients Say

We went from managing 3 different tools to one platform. Consultanist built everything around how we actually work.

Dermatology clinic

The AI intake agent cuts my pre-consultation prep from 20 minutes to 3. It just works.

Longevity physician

Custom dashboards for my specialty. I didn't think that was possible for a solo practice.

Solo GP, EMRGENIUS user

Limited engagements

We take on a limited number of concierge clients per quarter to ensure quality of service.

Engineering

Technology Stack

Frontend

FrameworkNext.js 15, App Router + React 19
StylingTailwind CSS v4 (design tokens)
LanguageTypeScript strict — 0 errors
StateTanStack Query + Zustand
APItRPC v11 (internal) + REST/OpenAPI

React Compiler for automatic memoization. App Router for server components everywhere.

API & Auth

APItRPC v11 + REST/OpenAPI
AuthBetter Auth (self-hosted)
FeaturesMFA, OAuth, passkeys, sessions
EdgeNext.js middleware routing
MonorepoTurborepo + pnpm workspaces

Self-hosted Better Auth means no third-party sees auth tokens. Zero vendor lock-in.

Database

DBPostgreSQL + pgvector
ORMDrizzle (type-safe, migration-first)
MultitenancyDB-per-tenant (EMRGENIUS)
PoolingPgBouncer across tenants
Jobspgboss — no Redis needed

pgvector enables semantic search and patient record matching natively in Postgres.

AI Core

ArchitectureCustom @emr/ai-core — no Vercel AI SDK
Agents7 clinical AI agents wired
ProvidersGPT-4o · Gemini · Claude · local OSS
Embeddingspgvector semantic patient matching
PHI SafetyPseudonymized before every external call
CVDINOv2 — visual similarity (dermatology)

Custom AI layer gives full control over PHI handling, provider routing, and cost optimization.

Infrastructure

DeployDocker Compose (self-hosted)
ProxyCaddy (automatic HTTPS + custom domains)
CDNCloudflare (WAF, DDoS, edge)
SecretsDoppler centralized management
MonitoringGrafana + Prometheus + Loki
CI/CDGitHub Actions

Platform-agnostic Docker deployment. No cloud lock-in. Switch providers without code changes.

Commerce

GlobalStripe (subscriptions + payments)
RegionalLocal payment gateways
ColombiaWompi (Bancolombia)
Commerce@emr/commerce-core package

Multi-gateway architecture supports any region without platform-wide changes.

Compliance

US/CAHIPAA § 164.312 + PIPEDA
EUGDPR Art. 25
RegionalPharma regulatory compliance
RegionalJurisdiction-aware

22 security findings identified and fixed before launch. Zero open debt.

Comms

SMSTwilio
PushFirebase FCM
EmailNodemailer (SMTP)
VideoLiveKit (self-hosted)

All comms go through @emr/notification-core — swappable providers, consistent API.

Work Together

Start a Conversation

We take on a limited number of new engagements per quarter. If you're building something serious in healthcare technology, we'd like to hear from you.

Engagements we take

Greenfield EMR/telehealth builds
EMRGENIUS white-label deployments
AI integration for clinical workflows
Healthcare SaaS architecture reviews
Regulatory compliance engineering
Clinical data migration

We don't do

Generic app development
"Add AI to my existing system" without review
Short-term freelance sprints
Anything we can't build properly

[email protected] — or use the form to get in touch. We read every submission.