Room 1.1.1 · Neurologist's consulting room
Industry analytical passport of room type Medical consulting room. Full profile of architectural TEP, medical equipment specification (CapEx), MEP engineering loads (HVAC, electrical, water supply and drainage), resort price benchmarks and unit economics financial model.
🏛 1. Architectural and planning parameters and zoning
Total area: 20.0 m²Building requirements and finishing materials (SanPiN)
Functional zone schedule (4 zones)
| Functional zone | Area | Purpose and technological equipment |
|---|---|---|
| Physician consultation area | 6.5 m² | Physician's desk, ergonomic chair, patient chair, MIS terminal with the 5P Longevity module |
| Neurofunctional diagnostics zone | 6.0 m² | Medical examination couch, mobile equipment rack of the 19-channel Neuron-Spektr-1/VEVR system (EEG, EP, EMG, olfactometry) |
| Neuromodulation, TMS and biofeedback therapy area | 5.5 m² | Electrically driven treatment chair with tilt adjustment, Neuro-MS/D transcranial magnetic stimulator, BAK stereo system |
| Asepsis and disinfection area | 2.0 m² | Sink with a surgical elbow-operated mixer tap, consumables cabinet (EEG caps, conductive gels, electrodes), OBR-30 recirculator |
⚡ 2. Engineering and technology profile (MEP)
Electrical 5.8 kW · HVAC +2.5/-2.5Electrical (power supply)
- Installed power:
- 5.8 kW
- Design power (Kd=0.72):
- 4.18 kW
- Cable lines:
- 3 beams
- Distribution board:
- 230V / 50Hz (dedicated shielded feeder with clean earthing circuit R < 2 Ω)
- Residual current protection (RCD):
- Individual 10 mA medical-grade 'A' RCDs with galvanic isolation
- Medical UPS:
- 3.0 kVA (30 min)
HVAC (ventilation & SanPiN)
- SanPiN cleanliness class:
- Class B/V (clean rooms for medical consultations and functional neurodiagnostics)
- Supply air exchange:
- +2.5 ACH
- Exhaust air exchange:
- -2.5 ACH
- Temperature:
- 21°C ± 1°C
- Humidity:
- 45-55%
- Gas destruction:
- Acoustic silencers in ventilation ducts (work area noise level < 32 dBA)
Water supply & drainage and safety
- Cold/hot water points:
- 1 stations (elbow-operated)
- Floor drains:
- 1 pcs (dry trap)
- Water treatment:
- Centralised mechanical and fine filtration of cold water supply
- Clinical and technological rationale for synergy
- Addressable smoke detection with silent visual indication (no loud alarms during biofeedback/EEG)
- Nurse call system:
- Installed at stations
🔬 3. Medical and spa equipment specification (CapEx)
3 183 500 ₽| № | Equipment name | Brand / Manufacturer | Country | Ministry of Health registration certificate | Qty | Unit price | Amount (CapEx) |
|---|---|---|---|---|---|---|---|
| 1 |
Physician's workstation
Ergonomic furniture set for a specialist physician (desk, chair with lumbar support, patient chair, document cabinet) for consultations. |
— | — | Registration certificate not stated | 1 | 80 000 ₽ | 80 000 ₽ |
| 2 |
Neuro-MS/D magnetic stimulator (Transcranial magnetic stimulation, TMS)
A transcranial magnetic stimulator for diagnostic and therapeutic neuromodulation in neurological and psychiatric indications. ★ HERO HIGH-TECH |
Neurosoft | Russia | Registration certificate not stated | 1 | 1 783 000 ₽ | 1 783 000 ₽ |
| 3 |
Electric procedure chair
Ergonomic multi-section procedure chair with electric adjustment of backrest tilt, height and footrest for maximum patient comfort during long sessions. |
— | — | Registration certificate not stated | 1 | 220 000 ₽ | 220 000 ₽ |
| 4 |
Electric massage table
Professional medical massage table with electric height adjustment, anatomical face cut-out and a hypoallergenic cover resistant to disinfectant solutions. |
— | — | RZN 2018/7621 dated 14.09.2018 | 1 | 125 000 ₽ | 125 000 ₽ |
| 5 |
Non-contact infrared medical thermometer
Medical non-contact infrared thermometer for instant body temperature measurement on the forehead or temple during patient entry screening. |
— | — | FSZ 2011/10946 dated 31.10.2011 | 1 | 4 500 ₽ | 4 500 ₽ |
| 6 |
X-ray film viewer
High-brightness LED negatoscope with uniform light distribution for expert visual review of X-rays, MRI and CT scans. |
— | — | FSZ 2012/11999 dated 09.07.2020 | 1 | 12 500 ₽ | 12 500 ₽ |
| 7 |
Tuning fork
Graduated medical tuning fork for differential assessment of bone and air hearing conduction, as well as pallesthesia (vibratory proprioceptive sensitivity). |
— | — | RZN 2022/18824 dated 18.11.2022 | 1 | 11 600 ₽ | 11 600 ₽ |
| 8 |
Neurological reflex hammer
Functional equipment of the room in line with the equipment standards of the Russian Ministry of Health and the MEDISPA.PRO medical hospitality regulations. |
— | — | RZN 2016/4529 dated 01.08.2016 | 1 | 2 000 ₽ | 2 000 ₽ |
| 9 |
Mechanical sphygmomanometer without stethoscope
Precision device for non-invasive blood pressure measurement by the Korotkoff method with a high-accuracy anatomical cuff for cardiovascular screening. |
— | — | FSZ 2009/04071 dated 30.09.2019 | 1 | 3 500 ₽ | 3 500 ₽ |
| 10 |
Set of odorants for testing olfactory analyser function
A set of odorants and test samples for olfactometric screening of olfactory sensitivity as an early biomarker of neurodegenerative processes (parkinsonism, dementia). |
— | — | Certificate of conformity ROSS PL.HX37.H06502 dated 06.10.2021 | 2 | 35 000 ₽ | 70 000 ₽ |
| 11 |
OBR-30 recirculating irradiator
Closed-type ozone-free bactericidal ultraviolet recirculator for continuous air disinfection in the presence of people in accordance with SanPiN 2.1.3678-20. |
— | — | FSR 2012/13558 dated 28.06.2012 | 1 | 7 000 ₽ | 7 000 ₽ |
| 12 |
Elbow-operated medical dispenser
Wall-mounted elbow-operated contactless dispenser for hygienic and surgical antiseptic hand treatment of medical staff with liquid disinfectant. |
— | — | FSR2011/12142 dated 30.04.2019 | 2 | 3 200 ₽ | 6 400 ₽ |
| 13 |
Medical examination couch
Medical examination couch with adjustable headrest and seamless washable upholstery for positioning the patient during initial examination and physical procedures. |
— | — | FSR 2010/09508 dated 30.04.2023 | 1 | 8 000 ₽ | 8 000 ₽ |
| 14 |
Personal computer with cognitive rehabilitation software
Workstation connected to the MIS, the secure EGISZ network and peripherals for maintaining electronic records and generating reports and prescriptions. ★ HERO HIGH-TECH |
— | — | FSR 2009/04073 dated 13.02.2018 | 1 | 850 000 ₽ | 850 000 ₽ |
| Equipment specification total: | 3 183 500 ₽ | ||||||
Key flagship systems of the treatment room (Hero High-Tech)
Neuro-MS/D — therapeutic magnetic stimulator (TMS)
Neurosoft LLC (Ivanovo) (Russia) · 1.8 kW
Flagship repetitive transcranial magnetic stimulation (rTMS) unit for modulating cortical excitability. Approved therapy protocol for treatment-resistant depression (FDA), insomnia, chronic pain and migraine. Supports high-frequency theta-burst protocols (iTBS / cTBS) for accelerated neuroplasticity.
PC + Neuron-Spectrum-1/VEP (EEG / evoked potentials / EMG / biofeedback)
Neurosoft LLC (Ivanovo) (Russia) · 0.4 kW
19-channel expert electroencephalograph and neurophysiological workstation. Provides brain rhythm mapping, recording of cognitive, visual and somatosensory evoked potentials (P300, MMN), stimulation ENMG and multiparametric biofeedback training (BFB/neurofeedback).
📋 4. Medical services nomenclature and clinical protocols
21 services📊 5. Comparative price benchmarking of leading resorts in Russia
Price analytics in the Knowledge BaseSummary price statistics by service category (10 resorts in Russia)
| Category | Min | P25 | Median P50 | P75 | Max | Segment leader | MEDISPA rec. |
|---|---|---|---|---|---|---|---|
| Neurologist consultation | 1 500 ₽ | 2 500 ₽ | 4 200 ₽ | 5 800 ₽ | 10 400 ₽ | Adaptation Medicine segment | 6 500 ₽ |
| EEG and neurodiagnostics (standard) | 800 ₽ | 1 150 ₽ | 1 300 ₽ | 3 300 ₽ | 11 200 ₽ | Adaptation Medicine segment | 4 000 ₽ |
| EMG / ENMG neuromyography | 1 000 ₽ | 3 000 ₽ | 4 200 ₽ | 5 500 ₽ | 7 600 ₽ | Adaptation Medicine segment | 4 800 ₽ |
| Biofeedback and neurofeedback therapy (session) | 2 500 ₽ | 4 300 ₽ | 7 000 ₽ | 10 000 ₽ | 10 500 ₽ | Market segment (anonymised) | 5 500 ₽ |
| Bioacoustic correction (BAC), session | 4 300 ₽ | 5 650 ₽ | 7 000 ₽ | 10 500 ₽ | 10 500 ₽ | Market segment (anonymised) | 6 000 ₽ |
| Transcranial magnetic stimulation TMS (session) | 2 800 ₽ | 3 500 ₽ | 4 300 ₽ | 4 700 ₽ | 5 000 ₽ | Market segment (anonymised) | 4 500 ₽ |
| Olfactometry (rapid smell screening) | 800 ₽ | 1 200 ₽ | 1 500 ₽ | 2 500 ₽ | 3 500 ₽ | Market segment (anonymised) | 2 500 ₽ |
💰 6. Unit economics financial model and payback scenario analysis
Payback 5.4 mo| Model scenario | OCC occupancy | Visits/year | Revenue per year | Gross profit (60%) | CapEx payback |
|---|---|---|---|---|---|
| Conservative | 35% | 1 482 | 12 810 408 ₽ | 7 686 245 ₽ | 9.3 mo |
| Base (MEDISPA.PRO plan) | 60% | 2 541 | 21 964 404 ₽ | 13 178 642 ₽ | 5.4 mo |
| Optimistic | 75% | 3 176 | 27 453 344 ₽ | 16 472 006 ₽ | 4.4 mo |
Calculated from the room's procedures: average ticket 8 644 ₽ is the mean of the market medians of 19 of 21 profile procedures; average slot 51 min including service time (norm 30 / 60 min, special procedures by duration); capacity 1 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 4 235 sessions per year. Session duration and margin are planning assumptions.
📚 7. International evidence base (PubMed Evidence Base)
1 studiesCanonical 5P medicine protocols & PRISMA systematic analysis (2)
Evidence HubRepetitive transcranial magnetic stimulation (rTMS) protocol
Clinical rationale: Diagnosis and prescription of a neurostimulation protocol for asthenic and dyssomnic syndromes.
Multi-omics screening protocol for biological age and longevity biomarkers
Clinical rationale: Medical interpretation of biochemical markers (ferritin, hs-CRP, lactate/pyruvate).
🔄 8. End-to-end patient pathway and interdisciplinary synergy
6 stages| Pathway stage | Linked treatment room | Fire safety: |
|---|---|---|
| 1. Entry screening and functional prediction | 1.2.1 / 1.2.3 Functional diagnostics room / Cardiopulmonary stress test VO2max | Assessment of autonomic balance (HRV), physical work capacity and stress resilience before the neurologist appointment. |
| 2. Medical examination and neurodiagnostics | 1.1.1 Neurologist's consulting room | Precision history taking, neurological examination, topographic EEG, olfactometry and determination of the TMS motor threshold. |
| 3. Targeted device-based neuromodulation | 1.1.1 Neurologist's consulting room | Course protocol (rTMS stimulation of the prefrontal cortex, alpha-rhythm biofeedback training or a 'brain music' bioacoustic correction session). |
| 4. Metabolic and nootropic support | 1.3.1 Treatment room for IV infusions, ozone, ILBI and hydrogen | Infusion delivery of phospholipids, peptides and mitochondrial cofactors (NAD+, glutathione) for synergistic acceleration of neuroplasticity. |
| 5. Tissue oxygenation and neurogenesis | 1.3.3 Hyperbaric oxygenation room (HBO pressure chamber) | Hyperbaric oxygen at 1.7-2.0 ATA stimulates hippocampal stem cell division and enhances angiogenesis in the cerebral microvasculature. |
| 6. Sensory integration and consolidation | 2.2.4 Floatation room / Sensory deprivation | Dry or classic magnesium floating in weightlessness shifts the brain into a stable theta range and provides long-term consolidation of the therapeutic effect. |
📜 9. Regulatory and licensing status and medical staff requirements
2 staff rolesRussian Ministry of Health regulatory framework
Russian Ministry of Health licence: primary specialised healthcare in the speciality 'Neurology' (outpatient). A neurologist with current accreditation and certification in integrative preventive 5P / Anti-Age medicine.
SanPiN: SanPiN 2.1.3678-20 'Sanitary and epidemiological requirements for the operation of premises, buildings and structures in the course of medical activities' (Section IV. Requirements for buildings and premises of medical organisations).
5P medicine & integrative concept profile:
- Module M4: Neuro-stress, cognitive health and sleep optimisation (insomnia, anxiety disorders, burnout)
- Module M5: Musculoskeletal system, cardiometabolism and chronic pain management (radiculopathies, myofascial syndrome)
- Module M6: Longevity & Brain Anti-Age — predictive neuroscreening, prevention of preclinical neurodegeneration (Alzheimer's disease, Parkinson's disease)
Staffing and qualification requirements
Higher medical education, internship/residency in neurology, certificate in functional diagnostics and neuromodulation techniques (TMS, biofeedback)
Secondary vocational medical education, "Functional Diagnostics" certificate, skills in EEG/EMG electrode placement and performing tests
💡 10. Frequently Asked Questions & Engineering Specifications
2 verified answersQ1 What are the space programme and MEP requirements for room Neurologist's consulting room?
The planned net usable area for room 1.1.1 (Neurologist's consulting room) is 20.0 sqm (Class B/V). HVAC ventilation requires 2.5 air exchanges per hour inflow and 2.5 outflow, with an electrical connected load of 5.8 kW.
Q2 What is the CapEx budget and estimated payback for room Neurologist's consulting room?
Equipment CapEx is estimated at 3 183 500 ₽, fitout at 2 800 000 ₽, with an estimated payback of 5.4 mo across 1 treatment station(s).