Healthcare software development, from MVP to integrated, compliant product
Health systems and digital health teams lose months to software that cannot connect to the EHR or pass a security review. Agnotic Technologies builds healthcare products that do both from the first release.
Build
- Patient app: intake and messaging (Done)
- Clinician web console (In progress)
Integrate
- Epic FHIR R4: Patient, Encounter (Done)
- HL7 v2 ADT feed (In progress)
Automate
- Visit note drafting, clinician review (Next)
- Prior authorization packet (Next)
Comply
- Audit log on every PHI read (Done)
- BAA with every PHI vendor (Done)
Trusted by global innovators
What does a healthcare software development company do?
A healthcare software development company designs, builds and supports software for providers, payers and digital health teams. Agnotic Technologies takes a product from fixed-scope MVP to an integrated, compliant system: HIPAA safeguards and audit logging from the first sprint, EHR connections through HL7 FHIR or HL7 v2, and AI features with human review.
Which healthcare solutions do we build?
From remote monitoring to full EHR integration, the platforms modern care organizations run on.
Remote Patient Monitoring
HIPAA-ready RPM that brings wearable and in-home vitals into clinical workflows with risk-stratified alerts.
Learn More about Remote Patient MonitoringInteroperable Data Exchange
FHIR- and HL7-based interoperability layers that connect fragmented EHRs, HIEs, and QHINs.
Learn More about Interoperable Data ExchangeEHR Integration
SMART on FHIR, HL7 and CDS Hooks integration with Epic, Oracle Health (Cerner), athenahealth and other EHRs.
Learn More about EHR IntegrationTelemedicine Platforms
White-label virtual care with live RPM vitals, scheduling, and billing built in.
Learn More about Telemedicine PlatformsChronic Care Apps
Patient-facing companion apps for CHF, diabetes, and hypertension cohorts.
Learn More about Chronic Care AppsBehavioral Health Apps
Evidence-based mental health and wellbeing experiences with clinical escalation paths.
Learn More about Behavioral Health AppsEHR Software Development
Custom and specialty EHRs with charting, orders, e-prescribing and FHIR APIs.
Learn More about EHR Software DevelopmentTelemedicine Platform Development
Virtual care platforms with video, e-prescribing and EHR sync.
Learn More about Telemedicine Platform DevelopmentPrior Authorization Automation
FHIR Da Vinci workflows and AI documentation support for payers and providers.
Learn More about Prior Authorization AutomationFHIR and SMART on FHIR Development
FHIR APIs, FHIR servers and SMART on FHIR apps that launch inside the EHR.
Learn More about FHIR and SMART on FHIR DevelopmentHIPAA Compliant Software Development
PHI data flows, access control, audit logs, encryption and BAAs built in.
Learn More about HIPAA Compliant Software DevelopmentAI Medical Scribe Development
Ambient AI scribes that draft notes for clinician review and EHR write-back.
Learn More about AI Medical Scribe DevelopmentWho do we build healthcare software for?
Each buyer has different users, systems and review processes. Start with the page for your organization.
- ProvidersHospitals and health systemsEpic-integrated apps, AI that reaches production and modernization.
- Digital healthDigital health startupsFixed-scope MVPs with HIPAA safeguards from day one.
- PayersPayers and health plansCMS-0057-F APIs, prior authorization, member apps and claims.
- MedTechMedTech and devicesCompanion apps, SaMD and connected device platforms.
- Life sciencesLife sciencesClinical trial matching, eConsent and study data.
- PracticesSpecialty practices and MSOsSpecialty EHR modules, intake and multi-location reporting.
- Women's healthFemtech app developmentWomen's health products built for privacy and clinical trust.
- Custom softwareCustom software developmentCustom software for rehab, NEMT and specialty care teams that packaged tools miss.
Which healthcare topics do we build for?
Pages for the systems and programs healthcare teams ask us about most.
- OperateManaged services for health appsSupport, monitoring and release management for live health apps.
- OperateCloud managed servicesAWS, Azure and Google Cloud operations under a BAA.
- OperateSalesforce managed servicesHealth Cloud administration, integration and releases.
- PharmaPharmaceutical softwareGxP records, pharmacovigilance intake and DSCSA traceability.
- LabsLaboratory information systemsOrders and results between the EHR and the clinical lab.
- LabsLaboratory management softwareLIMS for research, QC and specialty labs.
- WellnessFitness app developmentWearable data, coaching and subscriptions with the right privacy rules.
- DevicesMedical device connectivityBedside devices connected to the chart over HL7 v2 and FHIR.
- InnovationClinical innovation softwarePilots and prototypes that can move to production.
- PayersClaims adjudicationAdjudication systems for payers and TPAs.
- PayersPayer core administrationEnrollment, benefits, provider data and claims platforms.
- PayersPayer operationsService, appeals and authorization workflow tools.
- OperationsRFID and RTLS in hospitalsEquipment, patient and staff tracking connected to the EHR and CMMS.
- TransportNEMT software buyer's guideWhat to check before you buy, extend or build NEMT software.
- AdvisoryHealthcare IT consultingEHR optimization, vendor selection and interoperability roadmaps.
- IntakePatient questionnaires and intakeIntake and PROMs forms on FHIR Questionnaire, answers in the EHR.
- RuralRural healthcare technologyLow-bandwidth telehealth, monitoring and HIE links for rural care.
- AIClinical copilotsAI assistants inside the EHR workflow, every suggestion signed off.
- BillingAccident and injury claimsBilling for auto, workers' comp and liability injury cases.
- ChildcareChildcare management softwareChildcare centres with immunization, allergy and medication records.
- BillingOffice Ally integrationBuilding around Office Ally's EHR and clearinghouse.
- PharmaPatient support servicesEnrollment, benefits verification and adherence tools for patient support programs.
- QualityHealthcare software quality assuranceTesting for EHR interfaces, PHI handling and clinical workflows.
- IdentityPatient identity and consentPatient matching, identity proofing and consent records.
- Long-term careLong-term care softwareResident records, MDS work and medication passes for long-term care.
- TrialseCOA for clinical trialsParticipant diaries and outcome assessments with Part 11 audit trails.
- TrialsClinical trial CDMS and EDCeCRFs, edit checks and database lock for study data.
- TrialseTMF for clinical trialsTrial master file classification, review and archive.
- TrialsIRT and RTSM for clinical trialsRandomization, blinding and drug supply for studies.
- PayersHealthEdge healthcare platforms integrationInterfaces, portals and upgrade testing around the core your plan runs.
- OperateSplunk managed servicesPHI-safe logging, detections and audit reviews on your Splunk deployment.
Which systems and standards does healthcare software connect to?
The standard depends on what you exchange and with whom. Most products use more than one.
HL7 FHIR R4 and US Core
- Used for
- Reading and writing clinical data through modern APIs
- Typical build work
- Resource mapping, US Core profiles, FHIR server or client
SMART on FHIR
- Used for
- Apps that launch inside the EHR with the user's context
- Typical build work
- OAuth 2.0 launch, scopes, patient and user context
HL7 v2
- Used for
- Real-time hospital feeds such as admissions, orders and results
- Typical build work
- Interface engine routes, message mapping, acknowledgements
ASC X12 (837, 835, 270/271, 278)
- Used for
- Claims, remittance, eligibility and prior authorization
- Typical build work
- Clearinghouse connections and claim status workflows
Epic, Oracle Health (Cerner), athenahealth
- Used for
- EHRs used by hospitals and practices
- Typical build work
- Vendor app registration, sandbox testing and go-live with the client
Devices and wearables
- Used for
- Vitals and readings from the home
- Typical build work
- Bluetooth or vendor cloud APIs, data normalization, alert rules
Healthcare Solutions
How is our healthcare practice organized?
Browse by category, from clinical products to interoperability, compliance and ways to start.
AI in Healthcare
Clinical AI, RAG over medical knowledge, and decision support.
ExploreMental Health App Development
Therapy and behavioral health platforms with privacy-first design.
ExploreTelemedicine Platform Development
End-to-end virtual care with HIPAA safeguards built in.
ExploreRemote Patient Monitoring
Wearable and device data flowing into clinical workflows.
ExplorePatient Engagement Platform
Outreach, education, and longitudinal patient relationships.
ExploreProvider Workflow Automation
Reduce clinician burnout with smart documentation and routing.
ExploreHealthcare Interoperability
Architecture and platform engineering for connected systems.
ExploreEHR/EMR Integration
Epic, Oracle Health (Cerner), athenahealth and other EHR integrations.
ExploreFHIR Integration
FHIR R4 resource modeling, APIs and bulk-data flows.
ExploreHL7 Integration
v2 message routing and modern bidirectional pipelines.
ExploreSMART on FHIR
EHR-launched apps with OAuth2 launch context.
ExploreHIPAA-Ready App Development
Compliance-first builds with audit logging and access control.
ExploreHealthcare UX & UI
Patient and clinician experiences that reduce cognitive load.
ExploreHealthcare Data Analytics
Population health, ops dashboards and outcomes reporting.
ExploreHealthcare Software Modernization
Replatform legacy systems without breaking the business.
ExploreMVP Development
A fixed-scope first release, small enough to launch and learn from.
ExploreDigital Health Startups
From MVP to the first health system pilot.
ExploreFractional CTO for Healthcare
Senior technical leadership for architecture and vendor decisions.
ExploreHealthcare AI Agent Development
AI agents for clinical and administrative workflows, with human review.
ExploreHealthcare Software Scope Builder
Plan features, users, integrations and risks before you build.
ExploreWhich healthcare standards do we build to?
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through standards-based FHIR APIs.
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Which compliance work is part of every healthcare build?
Compliance shows up as engineering decisions: who can access what, what is logged, how data is encrypted and which agreements are signed.
- Access
- Unique accounts, role-based permissions and multi-factor authentication for anyone who can see PHI.
- Audit logging
- An audit event for every read, change and export of PHI, stored where users cannot edit it.
- Encryption
- Encryption at rest and in transit, including internal service calls and backups.
- Agreements
- A business associate agreement with every vendor that handles PHI, signed before data moves.
- Environments
- Development and test environments use synthetic or de-identified data, not real patient records.
Why do healthcare teams choose Agnotic as their engineering partner?
We pair senior healthcare engineers with compliance and clinical knowledge to ship products that hold up in production and in audits.
Compliance Built In
HIPAA-ready engineering from day one, with BAAs in place and audit logging built in.
Clinical Depth
Engineers who work in FHIR, HL7 and real clinical workflows every day.
Speed to Launch
A fixed-scope first release for RPM, telehealth or EHR integration, delivered with weekly demos.
Long-Term Partnership
A dedicated team that stays through scale, certification, and the next product on your roadmap.
What drives the scope and cost of a healthcare software project?
We do not publish prices. These are the drivers that move effort most, and the choices that keep a first release small.
| Driver | Adds effort when | Keeps effort down when |
|---|---|---|
| Integrations | Each extra EHR, payer or device connection, especially with write-back | The first release reads from one EHR through FHIR R4 |
| PHI and compliance | PHI is stored from day one, across several regulated regions | The MVP runs on synthetic data, or stores no PHI yet |
| Platforms | Native iOS, Android and web ship together, with offline use | One platform first, the others in a later phase |
| Data migration | Records move from a legacy system with its own codes | The product starts fresh or imports a small, clean set |
| AI features | Output affects clinical decisions and needs validation | AI drafts or summarizes and a person reviews every output |
| Users and roles | Many user types, organizations or locations | One user group and one organization in the first release |
How does a healthcare engagement work?
Scoping call
We talk through your users, systems and compliance needs, and agree what the first release has to prove.
Fixed-scope MVP
We build the agreed first release with the security controls and integration it needs, with regular demos.
Scale and support
We add integrations, users and features in phases, and support the product in production.
Which healthcare products have we shipped?
Two published case studies from our healthcare work.
What do our healthcare clients say?
We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.
“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”
Aaron Phelan
Founder, Benchmark
“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”
John Pasmore
Founder, Latimer
“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”
Kim Smith
Founder, My Lauren
Which rules shape healthcare software?
The HIPAA Security Rule requires administrative, physical and technical safeguards for electronic protected health information.
Source: 45 CFR Part 164 Subpart C (eCFR)A HIPAA covered entity may share protected health information with a business associate, such as a software vendor, only under a business associate agreement that commits the vendor to safeguard it.
Source: 45 CFR 164.502(e) and 164.504(e) (eCFR)ONC certification criterion 170.315(g)(10) requires certified EHRs to offer a standardized API for patient and population services based on HL7 FHIR.
Source: 45 CFR 170.315 (eCFR)The information blocking regulations restrict practices by health care providers, certified health IT developers and health information networks that interfere with access, exchange or use of electronic health information.
Source: 45 CFR Part 171 (eCFR)The HIPAA Security Rule requires an accurate and thorough risk analysis of the potential risks and vulnerabilities to the confidentiality, integrity and availability of ePHI.
Source: 45 CFR 164.308(a)(1)(ii)(A) (eCFR)