Can you integrate with Epic and Cerner?

Yes. We've shipped SMART on FHIR launches and CDS Hooks integrations with both. Epic App Orchard listing support is available on request.

How do you reduce alert fatigue?

We combine patient-specific baselines, trend models, and configurable clinical rules. Most deployments reduce nuisance alerts by 60%+ within the first quarter.

Do you support white-labeled patient apps?

Yes. The patient experience is themeable end-to-end and shipped as a private SDK.

Healthcare / Patient Remote Monitoring Platform

Patient Remote Monitoring Platform

We engineer HIPAA-compliant remote patient monitoring platforms that fuse wearable, in-home, and EHR data into clinical workflows that catch deterioration early — without burying care teams in alerts.

Talk to a Solution Engineer View Case Studies

25%

Reduction in 30-day readmissions

100%

HIPAA + SOC 2 audit-ready

Real-time

Vitals streaming with EHR sync

Trusted by global innovators

Industry Overview

Patient Remote Monitoring Platform: Engineered End-to-End

Remote monitoring is no longer about pushing vitals to a dashboard nobody reads. It's about delivering the right signal to the right clinician at the right moment — and getting that data into the EHR so it counts toward billing, quality, and patient outcomes.

Industry Challenges

What Stops Most Teams From Solving This Today

Common friction points we hear from healthcare teams scoping this kind of platform.

Alert Fatigue: Generic threshold alerts fire constantly, training clinicians to ignore the platform.
Disjointed Workflow: RPM data lives in a vendor portal — not the EHR where clinical decisions happen.
Device Sprawl: Multiple wearable and home device vendors require fragile, one-off integrations.
Reimbursement Friction: Without proper documentation and time tracking, RPM CPT codes are easy to miss.

Our Approach

Our Engineering Approach

We engineer for the operational reality — not the demo.

Risk-Stratified Alerts

ML models combine vitals trends and patient context to surface only the alerts that need clinical attention.

EHR-Native Workflows

RPM data lands in Epic, Cerner, or Athena via SMART on FHIR — not a separate portal.

Device-Agnostic Ingestion

Direct integrations with the major wearable and home device ecosystems behind one consistent API.

Capabilities

Production-grade features the platform ships with from day one.

Wearable & Device Integration

Direct ingestion from Apple Health, Google Health, Withings, Omron, Dexcom, and more.

Risk-Stratified Alerting

Patient-specific baselines and trend models cut nuisance alerts by 60%+.

EHR Integration

SMART on FHIR launch context, FHIR resource writes, and CDS Hooks support.

Clinician Workspace

Triage queues, patient context, and one-click documentation for billing.

Patient & Caregiver Apps

iOS, Android, and SMS journeys for diverse patient populations.

Care Plan Templates

Configurable care pathways for CHF, diabetes, hypertension, COPD, and more.

Reimbursement Tracking

Auto-track time-on-platform and documentation for CPT 99453/99454/99457/99458.

Audit & Compliance

Immutable PHI access logs, BAA workflow, and HIPAA-aligned access controls.

How It Works

Reference Architecture

How data and decisions flow end-to-end.

Device & App Layer

Wearables, BLE devices, and patient apps push vitals via secure ingestion endpoints.

Streaming & Risk Engine

Real-time risk stratification and alerting with configurable clinical rules.

FHIR Layer

Vitals normalized into FHIR Observation resources for downstream systems.

EHR Sync

SMART on FHIR app launch and CDS Hooks for in-EHR clinician experience.

Clinical UX

Triage, charting, and patient communication tools for care teams.

Engineering Stack

Technology Stack

A pragmatic stack chosen for reliability, speed, and ease of operation.

Standards

FHIR R4HL7 v2SMART on FHIRCDS Hooks

Devices

Apple HealthKitGoogle Health ConnectBLE GATTMQTT

Backend

Node.jsPythonGraphQLTimescaleDB

Apps

React NativeNext.jsTailwind

Infra

AWS HIPAAAzure HIPAAVaultKubernetes

EHR

EpicCernerAthenaAllscripts

Measured Impact

Quantified outcomes from production deployments.

25%

30-day readmission reduction

60%+

Nuisance alert reduction

5×

More patients per care manager

100%

HIPAA-compliant data flow

Health System Chronic Care RPM

A regional health system needed to scale RPM across CHF, diabetes, and hypertension cohorts without overwhelming nurse care managers. We built a platform that integrates with Epic via SMART on FHIR and uses risk-stratified alerts to filter the noise.

Within a year, the platform managed 14,000 enrolled patients, reduced 30-day readmissions in CHF cohort by 25%, and added $4.8M in annual RPM CPT reimbursement that was previously slipping through the cracks.

Case Study

Use Cases

Where This Earns Its Keep

Common deployment patterns we see across customers.

CHF Remote Monitoring

Weight, BP, and symptom trending for heart failure cohorts.

Diabetes Management

CGM and patient-reported data integrated into clinical workflows.

Hypertension Programs

Home BP monitoring with risk-stratified clinician escalation.

Post-Surgical Recovery

Wearable and patient-reported recovery tracking.

Behavioral Health Check-Ins

Mood, sleep, and engagement monitoring for at-risk populations.

Maternal Health

BP, glucose, and fetal movement tracking for high-risk pregnancies.

Integrations

Integrates With Your Existing Stack

We connect to the systems your teams already know.

EHR

EpicCernerAthenahealth

Devices

WithingsOmronDexcom

Comms

Twilio

CRM

Salesforce Health 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.

Health Insurance Portability and Accountability Act

Protect PHI with privacy-first architecture, encrypted storage and transmission, and strict access controls.

General Data Protection Regulation

Implement lawful consent flows, data minimization, and secure processing for global data privacy.

Service Organization Control 2

Verified controls for security, availability, and confidentiality of enterprise data systems.

Health Information Trust Alliance

Healthcare-specific security controls and risk management practices trusted by global partners.

Fast Healthcare Interoperability Resources

Enabling standardized health data exchange through robust, modern 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, ensuring seamless performance whether you're serving ten or ten million.

Accelerated Time-to-Market

Leveraging 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

Predictable, structured delivery from kickoff through long-term ownership.

Discovery & Scoping

We map the existing systems, constraints, and stakeholders to scope a focused 8–12 week first delivery.

Architecture & Pilot

A working slice on a representative environment — proving the data flow end-to-end before scaling.

Production Engineering

Hardened services, observability, access controls, and audit logging go live behind your IAM.

Operate & Iterate

We stay on as the embedded engineering team — closing tickets, tuning models, and shipping new value.

Voices 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 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

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