The Problem

Your doctors are making decisions
without the complete picture.

Canada's healthcare system is not broken because of bad doctors. It is overwhelmed. The information gap is not just about what the EMR captures - it is about everything the EMR was never built to hold.

Built by a patient who lived it. For every patient who is living it now.

See how Sanari helps →
System Failure Modes

Seven ways fragmentation harms patients

These are not edge cases. They are structural failures that occur every day across Canada - and every one of them is preventable with a unified patient record.

01
Assumed inter-specialist communication
Prescribing decisions made on implied clearances that were never formally confirmed between providers. Documented result: a TNF inhibitor prescribed to a patient under active neurological investigation.
02
Diagnosis anchoring in acute care
Emergency physicians over-relying on prior diagnoses in a patient's partial history. Documented result: 17 hours in a hospital hallway with progressive paralysis while the team anchored to "concussion."
03
Absent medication reconciliation
Biologics and immunomodulators prescribed without visibility into concurrent diagnoses or specialist assessments. No system in Ontario currently connects these dots automatically.
04
Assessment siloing
Formal SLP, neurophysiology, and neuro-ophthalmology assessments documenting severe neurological deficits - recorded in isolation at St. Michael's, never shared with the prescribing gastroenterologist.
05
The invisible holistic layer
Naturopathic treatments, supplements, cannabis, and OTC medications with known pharmacological interactions are systematically absent from every clinical record in Ontario.
06
Patient as information carrier
Patients are functionally required to transfer clinical information between providers - a role for which they are undertrained, underinformed, and often medically compromised at the moment of need.
07
Opioid double-prescribing
Opioids and CNS depressants prescribed across multiple providers - pain management, psychiatry, emergency medicine - without any system connecting the prescriptions. Ontario sees 2,900+ opioid deaths annually; 40% involve prescription opioids. No patient-facing interoperability exists.
The Financial Cost

Fragmentation has a price tag. For patients. For Ontario.

$18K+
Confirmed out-of-pocket patient costs - 2019 to 2023
Documented receipts · includes $14,580 insurance premiums
$22K
Annual cost of Humira for an uninsured Canadian patient
TELUS Health claims data · CADTH · contraindicated in MS
$200K+
Estimated Ontario government cost - one preventable hospitalization
Ontario MOH per diem rates · $1,500-$2,000+/day · St. Michael's + Bridgepoint

This is not the cost of illness. This is the cost of a system with no shared record.

One wrong prescription. One missing connection between two specialists. $200,000+ in preventable government expenditure. Entirely avoidable with a unified patient record at the point of prescribing.

The Invisible Layer

The invisible layer every EMR misses.

Epic does not capture your naturopath. Oracle Health does not hold your supplements. OSCAR does not record your traditional healing practices. MyHealth does not know what you eat. Every EMR in Canada was built on the biomedical model - and everything outside that model is invisible. Sanari ends that invisibility.

Holistic & naturopathic care
Acupuncture, herbal medicine, TCM, Ayurveda, functional medicine protocols - none of it is captured anywhere in the clinical record.
Traditional & Indigenous healing
Elder consultations, land-based medicine, ceremonial care - practices that are clinically relevant and completely invisible to every hospital system in Canada.
Nutrition & dietary medicine
The herb that interacts with the blood thinner. The supplement that competes with the thyroid medication. The dietary change that preceded the improved lab result. These are clinical facts.
The Nutrition Gap

What you eat is a clinical variable.
Nobody records it.

The herb that interacts with the blood thinner. The supplement that competes with the thyroid medication. The dietary change that preceded the improved lab result. The food trigger that precedes every flare. These are clinical facts - invisible to every EMR in Canada. Until Sanari.

Secondary Mission

The same infrastructure that prevents misdiagnosis prevents opioid harm.

Ontario loses 2,900+ residents to opioid overdose every year. 40% involve prescription opioids - medications issued legally, by different providers, with no shared visibility.

2,900+
Ontario opioid deaths annually
Ontario Drug Policy Research Network · 2023
40%
Involve prescription opioids
ODPRN · Health Canada · CCSA
$0
Patient-facing interoperability exists today
ONS is provider-only. No patient sees it. No patient can share it.
What Sanari Health Does
1
Unifies prescriptions across all providers and pharmacies
A patient's morphine from pain management and lorazepam from psychiatry appear side-by-side in one record - for the first time.
2
Helps surface concurrent CNS depressant combinations for review
Opioid + benzodiazepine + sedative hypnotic combinations are organized in one place so any provider can review them in context.
3
Patient controls what their provider sees
This is not a surveillance system. It is a patient-controlled transparency tool. The patient decides who sees their record.
4
Designed to align with provincial and federal opioid-safety priorities
The same infrastructure that prevents misdiagnosis is designed to support opioid harm reduction efforts across Canada.
Sanari Health · Illustrative Example
Patient: Liat Shalom
FLAGGED
CNS Depressant Stack - 3 Providers
Morphine (Statex) PRN
5mg as needed - prescribed by pain clinic
Pain Management
Lorazepam 1mg SL
Up to 4× daily - prescribed by psychiatrist
Psychiatry
Trazodone 50-100mg QHS
Bedtime sedation - same prescriber
Psychiatry
Lyrica (Pregabalin) 75mg BID
Neuropathic pain - prescribed by neurologist
Neurology
⚠ Combination Alert
Opioid (morphine) + Benzodiazepine (lorazepam) + Sedative (trazodone) combination. High CNS depression risk. Prescribed by three separate providers with no shared visibility. This is exactly the combination ONS was built to flag - but ONS is not patient-facing.
This is Liat's actual medication profile. With her full consent.
A Documented Case

When every provider does their job - and the patient still falls

This is not a hypothetical. It is the documented medical history of Sanari Health's founder - provided with her full consent.

Sep 2, 2019
Sudden dizziness causes a fall. An emergency physician diagnoses post-concussion syndrome. MS begins progressing undetected.
Nov 2019 - Mar 2020
A speech-language pathologist documents severe cognitive deficits. Neuro-ophthalmology and neurophysiology specialists are both active. No shared record connects any of this to gastroenterology.
Aug 2020 - Feb 2021
A TNF inhibitor (Humira) is prescribed for Crohn's. MS clearance is assumed but never confirmed. This drug class is contraindicated in MS. It is prescribed during an active neurological investigation.
Mar 5, 2021 - 6:00 AM
Total body paralysis. Emergency ambulance. 17 hours in a hospital hallway. The clinical team anchors to the concussion history. MRI finally ordered.
Mar 7, 2021
MRI confirms RRMS with multifocal lesions. Not concussion. Treatment: Solu-Medrol IV plus Prednisone, under a neurologist at the BARLO MS Centre.
Mar 23 - May 2021
Readmission. 8 new enhancing lesions. Plasmapheresis. Bridgepoint inpatient rehab. Relearning to move. $100,000 to $200,000+ in cost to Ontario's health system.