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ICU monitor integration
Continuous vitals into the flowsheet so nurses validate instead of transcribe.
Healthcare / Device Connectivity
Medical device connectivity for hospitals and clinics
Bedside monitors, infusion pumps, ventilators and point-of-care analyzers produce data that nurses still copy into the chart by hand. Agnotic Technologies builds the device connectivity software that moves readings, settings and alarms into the EHR and clinical systems, with the cybersecurity controls connected devices need.
IEEE 11073
Device data model and nomenclature
HL7 v2
ORU results feeds into the EHR
FHIR R4
Observation, Device and DeviceMetric
Trusted by global innovators
Industry Overview
What is medical device connectivity?
Medical device connectivity is the software that moves readings, settings and alarms from bedside monitors, infusion pumps, ventilators and point-of-care analyzers into the EHR and other clinical systems. Agnotic Technologies builds this device connectivity for hospitals and clinics: protocol adapters, integration middleware, HL7 v2 and FHIR interfaces, alarm routing and the cybersecurity controls connected devices need.
Industry Challenges
Where does device data get lost today?
Most hospitals already own connected devices. The gaps are in the path between the device and the chart, and they show up in the same places.
Manual transcription: vitals and pump settings typed into flowsheets minutes or hours after the reading, with transcription errors nobody can trace.
Vendor silos: each device family ships its own gateway, so the hospital runs several middleware products with different patient association rules.
Patient and bed association: a reading filed to the wrong patient because the device was moved and nobody confirmed the new association.
Alarm overload: every device alarm forwarded to every nurse, so the important ones are ignored along with the noise.
Unmanaged devices: devices on the clinical network with unknown software versions, default credentials and no patching plan.
Our Approach
Which decisions shape a device connectivity build?
Three decisions made on the scoping call decide most of the architecture. We make them with your clinical engineering, nursing informatics and IT security teams together.
Where association happens
Whether the device, the gateway or the nurse confirms which patient a stream belongs to, and what happens when the device moves.
What is filed and what is routed
Which measurements go to the chart as validated results, which feed dashboards only, and which alarms reach a person and how fast.
Which interface the EHR accepts
HL7 v2 ORU results feeds are still the most common path into Epic and Oracle Health (Cerner); FHIR Observation write-back is used where the EHR supports it.
Capabilities
What do we build for device connectivity?
The building blocks of a hospital device connectivity program, built for your device fleet and your EHR.
Protocol adapters
Drivers for IEEE 11073, serial, vendor APIs and gateway exports, normalised into one internal data model.
Integration middleware
Patient and bed association, validation, buffering during network outages and replay once the EHR is back.
EHR interfaces
HL7 v2 ORU results feeds and FHIR Observation, Device and DeviceMetric resources, mapped to your flowsheets and MAR.
Alarm and data routing
Rules that decide which alarms reach nurse call, mobile devices or a central monitoring dashboard, with escalation when nobody acknowledges.
Device cybersecurity
Device inventory, network segmentation, encrypted transport, credential management and vulnerability monitoring for the connected fleet.
Monitoring and audit
Interface dashboards, message tracing and an audit log of what was sent where, kept apart from application logs.
How It Works
How does a reading travel from the device to the chart?
A reading passes through five stages before it is trusted in the patient record. This is the data-flow map we design, build and monitor; each stage has a failure mode that the next stage must handle.
Capture at the device
The monitor, pump, ventilator or analyzer emits a measurement, setting or alarm over its native interface: IEEE 11073, serial, a vendor gateway or an API.
01
1
Protocol adapter
The adapter parses the native format, attaches device identity and timestamps, and converts units into one internal model. Unknown message types are quarantined, not dropped.
02
2
Patient and bed association
The middleware matches the device to a patient using the ADT feed, the bed board or a nurse confirmation. Nothing is filed until the association is confirmed.
03
3
Validation, buffering and routing
Values are checked against ranges and duplicates, buffered if the EHR is unreachable, and routed: validated results to the chart, alarms to nurse call and dashboards.
04
4
Filing in the EHR
Results are sent as HL7 v2 ORU messages or FHIR Observation resources that reference the FHIR Device, and the acknowledgement is recorded in the audit log.
05
5
Engineering Stack
Standards and technologies for device integration
Chosen to match your device fleet, your EHR and your network team's tooling.
Device data
IEEE 11073Vendor gateway APIsSerial and network protocolsDICOM (imaging devices)
Clinical interfaces
HL7 v2 ORU and ADTFHIR R4 ObservationFHIR Device and DeviceMetricSMART on FHIR
Platform
Interface enginesMessage queuesPostgreSQL and time-series storesContainers on premises or cloud
Security
Network segmentationTLS and certificate managementSSO and role-based accessSBOM and vulnerability feeds
Device data map
Which interface does each device type use?
Device types differ in how they expose data and where that data belongs. This table shows the usual path for each; your fleet decides the final mapping.
| Device type | Typical interface | Message or resource | Where it lands |
|---|---|---|---|
| Bedside and central monitors | Vendor gateway or IEEE 11073 stream | HL7 v2 ORU or FHIR Observation | Vitals flowsheet, alarm routing |
| Infusion pumps | Pump server API or gateway export | HL7 v2 ORU, pump programming messages | MAR documentation, infusion dashboards |
| Ventilators and anesthesia machines | Serial or network protocol via gateway | FHIR Observation with DeviceMetric | Respiratory flowsheet, alarm routing |
| Point-of-care analyzers | Device manager or middleware export | HL7 v2 ORU results | Lab results, order reconciliation |
| Imaging devices | DICOM | FHIR ImagingStudy reference | PACS and the imaging record |
Measured Impact
What should a connectivity program measure?
Measures we build interface dashboards around and review with your clinical engineering team.
Latency
Device to chart
Time from a reading at the device to its appearance in the EHR.
Association
Confirmed matches
Share of readings filed only after a confirmed patient and bed association.
Delivery
Messages acknowledged
Messages the EHR acknowledged, with every rejection traced to a cause.
Alarms
Routed and acknowledged
Alarms that reached a person and how long acknowledgement took.
My Lauren Maternal Health Platform | Built by Agnotic
A HIPAA-ready maternal health platform enabling remote patient monitoring, care coordination, and personalized engagement from pre-pregnancy through postpartum.
Case Study
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A women’s health product experience focused on guided care journeys, education, and compliance-aware workflows to support long-term engagement.
Case Study
Use Cases
Where does device connectivity pay off first?
Common first releases, each scoped to one unit or one device family before it spreads.
02
Infusion pump documentation
Pump settings and status filed to the MAR, with programming checks against the order.
03
Ventilator data to the chart
Settings and measured values recorded at the interval respiratory therapy needs.
04
Point-of-care results
Blood gas and glucose results reconciled with orders and filed as lab results.
05
Central alarm routing
One rule set for which alarms reach nurse call, mobile devices or a central station.
06
Startups selling into hospitals
Device connectivity for startups whose product must file data into a hospital EHR before the first site goes live.
Integrations
Which systems do we connect devices to?
The systems a hospital device connectivity program depends on.
Clinical record
EHR (Epic, Oracle Health, others)
Patient association
ADT and bed management
Alarms
Nurse call and mobile alerting
Surveillance
Central monitoring stations
Results
Laboratory information systems
Device management
Biomedical asset inventory
Compliance-First Development Services Backed by Global Standards
We build secure, scalable products designed for privacy, interoperability, and regulatory readiness from day one across every sector we serve.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.
Fast Healthcare Interoperability Resources
Enabling standardized health data exchange through standards-based API mappings.
Health Level Seven International
Supporting enterprise-grade interoperability for clinical messaging and record workflows.
Our Edge
Why Global Leaders Choose Us
We combine deep technical expertise with industry-specific knowledge to deliver solutions that aren't just functional, but transformational.
Enterprise-Grade Security
We implement rigorous security protocols and compliance standards (HIPAA, GDPR, SOC2) across all industrial solutions to protect sensitive data.
High-Performance Scaling
Our architectures are built to handle massive data loads and user bases, keeping performance steady whether you're serving ten or ten million.
Accelerated Time-to-Market
Using our suite of internal tools and proven frameworks, we reduce development cycles and get your product to market 40% faster.
Embedded AI Integration
Beyond simple wrappers, we build deep-learning integrations and predictive analytics directly into the core of your industry-specific workflows.
Engagement Model
How does a device connectivity engagement work?
How to build device connectivity without disrupting care: one device family on one unit first, then the fleet. Timing depends on the device mix and the EHR interface approvals; we agree it on the scoping call.
01
Scoping call
We list the device families, the EHR interfaces available and the unit for the first release.
02
Device and network assessment
Inventory of devices, gateways, protocols and network segments, with your clinical engineering and security teams.
03
Fixed-scope first release
One device family on one unit, running through the full device-to-chart path with monitoring and an audit log.
04
Fleet rollout
More device families and units, with alarm routing rules tuned with nursing leadership.
05
Support and change control
Interface monitoring, device firmware changes and EHR upgrades handled under agreed change control.
Facts and sources
Standards and rules behind device connectivity
Short facts we design around, each linked to its primary source.
In HL7 FHIR R4, the Observation resource carries measurements and simple assertions made about a patient, device or other subject, and it can reference the device that produced the value.
Source: HL7 FHIR R4, ObservationThe HL7 FHIR R4 Device resource represents a manufactured item used in the provision of healthcare, medical or not, and is used to record and transmit Unique Device Identifier (UDI) information.
Source: HL7 FHIR R4, DeviceThe HL7 FHIR R4 DeviceMetric resource describes a measurement, calculation or setting capability of a medical device, with an initial scope aimed at devices that implement or derive from the ISO/IEEE 11073 standard.
Source: HL7 FHIR R4, DeviceMetricSection 524B of the FD&C Act sets cybersecurity requirements for cyber devices, and FDA guidance describes the cybersecurity documentation it recommends in premarket submissions for devices with cybersecurity risk.
Source: FDA, Cybersecurity in Medical DevicesThe HIPAA Security Rule requires administrative, physical and technical safeguards for electronic protected health information.
Source: 45 CFR Part 164 Subpart C (eCFR)
Voice of success
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
Related pages
Related device and integration services
This page covers hospital and clinic devices. These pages cover the home, consumer and manufacturer side of device software.
RPM device integration
Home blood pressure cuffs, scales and glucose meters feeding a remote patient monitoring program.
BLE medical device integration
Bluetooth Low Energy devices connected to patient apps through the Bluetooth SIG health profiles.
IoMT and connected device platforms
Cloud platforms for fleets of connected medical devices, from ingestion to analytics.
Medical device and SaMD software development
Device software, companion apps and cloud platforms for MedTech manufacturers.
EHR integration services
HL7 v2 and FHIR interfaces to Epic, Oracle Health (Cerner), athenahealth and other EHRs.
HIPAA requirements for software teams
The safeguards we build into every system that handles protected health information.
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Cross-Industry Reach
The Same Engineering Patterns, Across Other Industries
The technical patterns behind this platform translate naturally into adjacent verticals.
Frequently Asked Questions
It depends on the device families, the gateways already in place and the EHR interface approvals. We agree a fixed-scope first release, usually one device family on one unit, on the scoping call and give you a timeline for it before work starts.
The number of device families and protocols, whether vendor gateways exist or adapters must be written, the EHR interfaces available, alarm routing requirements and the security work needed for the device network. We describe the drivers in the scoping call rather than quoting a fixed price.
Yes. Device data usually enters Epic, Oracle Health (Cerner) and other EHRs as HL7 v2 ORU results feeds, and as FHIR Observation resources where the EHR supports write-back. We work with your interface team on the mapping to flowsheets and the MAR.
Often both. A commercial middleware product can cover the device drivers for common fleets, while custom work covers patient association rules, alarm routing, dashboards and the devices the product does not support. We map your fleet against the options before recommending either.
Yes. Device data filed to a patient record is protected health information, so Agnotic signs a business associate agreement before any PHI is shared with our team.
We start with a device inventory and network map, then segment the clinical device network, encrypt transport, manage credentials and certificates, and monitor vulnerability feeds for the fleet. For devices you manufacture, we align the work with FDA's cybersecurity expectations for cyber devices.
Yes. The first release is usually one device family on one unit, running through the full device-to-chart path with monitoring. The fleet rollout follows once nursing and clinical engineering have validated it.
Industries