Healthcare / IVD Software

    In vitro diagnostics software development

    An IVD test is only as good as the software that runs the instrument, calculates the result and gets it into the customer lab's system. Agnotic Technologies builds that software for IVD manufacturers, with the design records, mapping files and connectivity kits that ship with every release.

    Device software
    Instrument and assay code built under IEC 62304
    LIVD
    Test codes mapped to LOINC for customer labs
    Connectivity kit
    Interfaces a customer LIS team can install

    Trusted by global innovators

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    Fundency
    Lantimer
    Lauren
    Lera
    One Minute
    Pento Pix
    TAP
    Xtrium
    Healthevolve
    Benchmark
    Chibasco
    Fundency
    Lantimer
    Lauren
    Lera
    One Minute
    Pento Pix
    TAP
    Xtrium
    Healthevolve
    Benchmark
    Chibasco
    Fundency
    Lantimer
    Lauren
    Lera
    One Minute
    Pento Pix
    TAP
    Xtrium
    Healthevolve
    Industry Overview

    What is IVD software development?

    IVD software development is building the software an in vitro diagnostics manufacturer ships with its tests and instruments: instrument control and result software, assay analysis algorithms, LIVD files that map test codes to LOINC, and the connectivity kit customer labs install. Agnotic Technologies builds this software for IVD makers, with the design records their regulatory teams need.

    Industry Challenges

    Where does IVD software slow a launch or a field release?

    The failure points we plan around, because each one either delays a submission or reaches a customer lab.

    • An assay algorithm changes after verification, and the whole instrument has to be tested again because the code is not separated.

    • Every customer lab maps result codes by hand, so the same test arrives in different LIS systems under different codes.

    • The connectivity specification is a PDF that does not match the shipped software version.

    • Nobody can say which instruments in the field run which software and assay versions when a fix is ready.

    • The operator manual describes screens from the previous release.

    • Field error logs and complaints are not linked to the software version that produced them.

    Decision table

    Which kind of IVD software are you building?

    The software type decides how it is regulated, how much of IEC 62304 applies and what the customer lab receives. The regulatory position in each row is the usual starting point; your regulatory team confirms it for your device.

    IVD software types, their usual regulatory position, IEC 62304 involvement and what the customer lab receives
    Software typeUsual regulatory positionIEC 62304 involvementWhat the customer lab receives
    Embedded instrument control (motion, fluidics, temperature, detection)Part of the IVD instrument, reviewed with the deviceYes, as device software, with the class set by the risk analysisThe instrument, its software and the operator manual
    Result calculation and interpretation (curve fitting, cut-offs, flags)Part of the test's intended use; every change goes through design controlYes, and often the highest safety class in the systemResults, flags and interpretations on screen and in the export
    Standalone IVD analysis softwareCan be a device in its own right, outside the instrumentYesInstallable software or a hosted service with its own labeling
    Connectivity kit (ASTM or LIS2-A2, HL7 v2, POCT1-A)Decided by the manufacturer's regulatory team, often device documentation or an accessoryWhere it can change or drop a resultInterface specification, LIVD file and test messages
    Field service and installation toolsOften outside the device, unless they change calibration or resultsOnly where they touch device behaviourNothing directly; your service engineers use them
    Our Approach

    How should an IVD maker approach software for a new test or instrument?

    Three decisions that make later assay updates and field releases cheaper.

    Separate the assay from the instrument

    Assay parameters and analysis modules sit behind a defined interface, so a new assay or a corrected cut-off does not force a full instrument regression.

    Publish mappings as data

    Each software and assay version ships with its LIVD file, generated from the same source as the instrument's test menu, so labs receive codes that match what the instrument sends.

    Treat the installed base as a record

    Serial number, software version and assay versions for every instrument in the field, updated by the update package itself.

    Capabilities

    What do we build for IVD manufacturers?

    Software we build alongside your engineering, assay and regulatory teams.

    Instrument software and operator UI

    Run control, sample tracking, quality control screens and result review on the instrument.

    Assay analysis modules

    Curve fitting, cut-offs and flags as versioned modules with their own verification.

    LIVD file generation

    Vendor test codes mapped to suggested LOINC codes, produced per software version.

    Connectivity kit

    Host interface drivers, the specification and a set of test messages for customer LIS teams.

    Software update packages

    Signed packages for field updates, with version checks and rollback.

    Installed base registry

    Which instrument runs which software and assay versions, at which site.

    Field data feeds

    Instrument error logs and events routed into complaint handling with the version attached.

    Design history support

    Requirements, risk controls, tests and releases traced in the records your QMS keeps.

    Engineering Stack

    Which standards does IVD software work with?

    The standards we build to, and the platforms we build on.

    Lab messaging

    ASTM and CLSI LIS2-A2 host interfacesHL7 v2 result messagesPOCT1-A for point of care devices

    Terminology

    LOINCHL7 LIVD mapping filesUCUM units

    Engineering process

    IEC 62304 software life cycleISO 14971 risk managementRequirements to test traceability

    Platforms

    Embedded Linux or Windows IoTC, C++ and C# instrument codeCloud services for fleet data
    Measured Impact

    What should an IVD software program track?

    Measures we report on release by release.

    Versions
    Installed base

    Instruments on each software and assay version, by region.

    Mapping
    LIVD coverage

    Tests on the menu with a published LOINC suggestion.

    Interfaces
    Connection defects

    Issues raised by customer LIS teams per release.

    Field
    Version-linked issues

    Error logs and complaints tied to the software that produced them.

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    Case Study
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    LERA Health: Women's Health App Platform

    LERA Health: Women's Health App Platform

    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

    Which IVD teams work with us?

    Manufacturers at different stages, from first instrument to a large installed base.

    01

    Assay developers

    Analysis software and LIVD files for tests that run on partner instruments.

    02

    Instrument makers

    Embedded control, operator UI and the host interface.

    03

    Point of care device makers

    Device software and POCT1-A connectivity for clinics and wards.

    04

    Molecular diagnostics startups

    A first instrument release with records ready for review.

    05

    Established IVD manufacturers

    Connectivity kits and update tooling for a large installed base.

    06

    Lab automation vendors

    Software that moves samples and results between instruments.

    Integrations

    Which systems does IVD software connect to?

    The systems on both sides: your company and your customer labs.

    Orders and results

    Customer LIS

    Rules and routing

    Laboratory middleware

    Connectivity validation

    LIS test environments

    Field issues

    Complaint handling system

    Installed base

    ERP and service systems

    Updates and logs

    Device cloud

    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.

    ISO 9001 logo

    Quality Management Systems

    Ensuring consistent quality in software delivery and operational process optimization.

    FHIR logo

    Fast Healthcare Interoperability Resources

    Enabling standardized health data exchange through standards-based API mappings.

    HL7 logo

    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 cut setup work so your first release reaches users sooner.

    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 an IVD software engagement work?

    We work inside your quality management system. Timing depends on scope; we agree a fixed first release on the scoping call.

    01

    Scoping call

    We review the instrument, the assay menu, the target markets and the software records you already hold.

    02

    Software plan

    Development plan, safety classification inputs and traceability set up in your QMS tools.

    03

    First release

    One instrument function or assay module built, verified and documented end to end.

    04

    Connectivity and mapping

    Host interface, LIVD file and test messages prepared with your field applications team.

    05

    Release and sustain

    Update packages, installed base tracking and fixes under change control.

    Facts and sources

    Which rules and standards shape IVD software?

    Short facts we design the software and its records around, each linked to its primary source.

    • FDA defines in vitro diagnostic products as reagents, instruments and systems intended for use in the diagnosis of disease or other conditions, used in the collection, preparation and examination of specimens taken from the human body, and treats them as devices.

      Source: 21 CFR 809.3(a) (eCFR)
    • IVD labeling for instruments must state the use or function, installation procedures, principles of operation, performance characteristics and specifications, operating instructions and calibration procedures, among other items.

      Source: 21 CFR 809.10(b)(6) (eCFR)
    • The HL7 LIVD implementation guide gives an industry standard way for an IVD manufacturer to publish suggested mappings from a device's proprietary test codes to LOINC codes, for the LIS analyst who connects and configures the device.

      Source: HL7, LOINC/IVD Mapping (LIVD) FHIR implementation guide
    • FDA's June 2023 guidance on premarket submissions for device software functions sets two documentation levels: Enhanced, where a software failure could present a hazardous situation with a probable risk of death or serious injury, and Basic for all other submissions.

      Source: FDA, Content of Premarket Submissions for Device Software Functions (June 2023), section V

    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.

    Benchmark

    “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

    Aaron Phelan

    Founder, Benchmark

    Latimer

    “Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”

    John Pasmore

    John Pasmore

    Founder, Latimer

    My Lauren

    “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

    Kim Smith

    Founder, My Lauren

    Related services

    Related laboratory and device software

    This page covers what the IVD maker ships. These pages cover the lab side and the device rules around it.

    Cross-Industry Reach

    The Same Engineering Patterns, Across Other Industries

    The technical patterns behind this platform translate naturally into adjacent verticals.

    Frequently Asked Questions

    That is a regulatory decision for your team, and it depends on whether the kit can change, drop or misroute a result. We document the kit to the same standard either way, with its specification, test messages and the LIVD file for each version.