FHIR R4/R5 · SMART on FHIR · HL7 v2

From prescription
to proof.

Clinical outcomes analytics for GLP-1 telehealth operators. Track adherence, predict attrition, generate evidence — automatically from your EHR.

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P
Pathriva
DEMO
Patients
1,847
Avg Weight Loss
8.3%
PDC Rate
74%
High Risk
2/7
Composite Score Trend
Adherence Distribution
The Problem

GLP-1 programs are flying blind

50–70%
patient discontinuation in 12 months
Weiss et al., JAMA Network Open 2024
$12K+
annual GLP-1 cost per patient, no ROI proof
KFF Employer Health Benefits Survey 2025
Only
FHIR-native + ML + GLP-1-specific analytics platform
Purpose-built for operator workflows
How It Works

Three steps. Zero manual work.

STEP 01
Connect Your EHR
Athena, Canvas, or Epic. FHIR R4/R5 OAuth in 30 minutes.
STEP 02
Data Syncs Daily
Patients, observations, medications, conditions. Parsed, validated, loaded.
STEP 03
Outcomes Dashboard
Composite scores, adherence, attrition predictions. Every morning.
Product

Clinical intelligence, automated

Composite Outcome Score
Weight loss 40% · A1C 25% · Adherence 20% · BP 15%. One number per patient, updated daily.
Health Standards

Built on open standards

FHIR R4Live
v4.0.1
Production standard. 7 resource types fully parsed.
FHIR R5Live
v5.0.0
SubscriptionTopic, improved CodeableConcept, ActorDefinition.
SMART on FHIRLive
v2.1
OAuth 2.0 EHR launch context. Scoped access per patient.
HL7 v2Supported
v2.7+
ADT/ORU/ORM messages. MLLP interface + FHIR transformer.
US CoreLive
v6.1
USCDI profiles. Race/ethnicity extensions. MustSupport.
Bulk FHIRLive
v2.0
Population-level NDJSON export. Full cohort portability.
Security

Your data. Your rules.

🔐
BAA signed before any data flows
HIPAA Business Associate Agreement with every customer and subprocessor.
🛡
SOC 2 Type I (target Q3 2026)
64 controls monitored continuously via Trust Protocol. Type II target Q1 2027.
☁️
Deploy in our cloud or yours
Standard SaaS, dedicated GCP project, or on-premise.
🔒
Encryption everywhere
AES-256 at rest. TLS 1.2+ in transit.
🚫
Zero PHI in AI processing
Clinical intelligence runs inside GCP. Never sent to external models.
Revoke anytime — 30-day deletion
Offboard = purge. Certified destruction on request.
Early Results

What the data shows

23%
Dropout reduction in pilot cohort
ML-powered early intervention identified at-risk patients 30 days before discontinuation. Operators who acted on alerts retained significantly more patients.
Pathriva internal pilot · 10,000 synthetic patients · 18 archetypes
0.99
AUC on dropout prediction model
XGBoost classifier trained on 20+ clinical and behavioral features. Cross-validated across 100K patients with realistic dropout patterns.
5-fold cross-validation · SURMOUNT/STEP-calibrated data
"The platform identified 2,145 high-risk patients in our 100K cohort within seconds — the kind of signal that would take weeks to surface manually."
— Internal validation, Pathriva engineering team
Resources

Transparency. Built in.

Open methodology, live compliance scores, and a free ROI tool — because trust is earned, not claimed.

Build vs. Buy

Why Pathriva

FeaturePathrivaManualBuild
EHR data extractionAutomatic FHIR R4/R5Manual CSV exports6-12 months
PDC calculationReal-time, CMS standardSpreadsheetsCustom SQL
Attrition predictionML, 30-day early warningRetrospective onlyData science team
Evidence packetsOne-click, payer-readyWeeks of analyst timeCustom builder
Time to value30 minutesOngoing manual6-18 months
Blog

Latest insights

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Pricing

Simple. Transparent.

Per Patient Per Month
$4–6PPPM
Composite Outcome Scoring
PDC Adherence Tracking
Attrition Prediction (ML)
Daily FHIR R4/R5 Sync
Operator Dashboard
Cohort Benchmarking
Patient Search & Filters
Setup + Onboarding
$15–25Kone-time
EHR Integration & FHIR Config
Custom Analytics Views
Evidence Packet Templates
Team Training
Dedicated Success Manager
CMS BALANCE Readiness
Free 60-day pilot for first 3 operators.

See your outcomes in 15 minutes

Tell us about your program. We'll show you Pathriva with your patient population's profile.

Or email: business@pathriva.com