How do you pass vendor security reviews?

We prepare what reviewers ask for before the review starts: data flow diagrams, where PHI is stored, access control and audit logging design, encryption details and answers to your security questionnaire. Your security team makes the decision; our job is to make the review fast and complete.

Can you staff alongside our team?

Yes. We can work as an embedded team inside your sprints and tools, or own a defined scope end to end. Either way the work is documented and handed over so your team can run it.

Will the software replace our EHR?

No. We build applications and integrations that work with your EHR. The EHR stays the system of record, and our apps read from it and write back to it through interfaces your EHR team approves.

Hospital care team reviewing patient data on a large dashboard, with an Epic SMART on FHIR app status and a vendor security review checklist

Healthcare / Hospitals and Health Systems

Software and AI for hospitals and health systems

Hospital IT teams carry long project backlogs, AI pilots that never reach the floor and tools that sit outside the EHR. Agnotic Technologies builds Epic and Oracle Health integrated applications, takes AI pilots into production and modernizes the systems clinicians rely on every shift.

15-Minute Scoping Call

SMART on FHIR

Apps that launch inside Epic and Oracle Health

HL7 v2 · FHIR R4

Interfaces to the systems you already run

HIPAA

Safeguards designed in from the first sprint

Trusted by global innovators

Industry Overview

What is software development for hospitals and health systems?

Software development for hospitals and health systems is building and integrating the applications that clinicians, operations and revenue teams use every day, connected to the EHR rather than beside it. Agnotic Technologies does this as a services partner for hospital IT: EHR-integrated apps, AI that reaches production, interfaces and modernization of legacy systems.

Who it is for

Which hospital teams do we build for?

Each team inside a hospital feels the gaps in its software differently. These are the groups we usually work with.

CIO, CTO and IT leadership

Teams that own the EHR, the integration engine and a long project backlog.

More requests than in-house developers can deliver
Point solutions that do not connect to the EHR
Legacy applications nobody wants to touch

Clinical and nursing informatics

Teams that turn clinical needs into EHR builds and new tools.

Documentation burden on nurses and physicians
Alerts that fire too often to be useful
Workflows that need a screen the EHR does not offer

Operations and patient flow

Teams that manage beds, staffing, discharge and transfers.

Capacity data spread across several systems
Discharge steps tracked on whiteboards and calls
Transfer requests handled by phone

Revenue cycle

Teams that turn encounters into paid claims.

Charges missed between clinical and billing systems
Prior authorization delays for imaging and surgery
Denials worked by hand

Industry Challenges

Why do hospital AI pilots stall before production?

Most stalled pilots fail on integration, ownership and review, not on the model itself. These are the patterns we plan around from the start.

No path into the EHR: the pilot runs in a separate screen that clinicians do not open during a busy shift.
No clear owner: nobody is named to monitor the model, review its errors or decide when to switch it off.
Late security review: the vendor review starts after the pilot ends, and the project waits while it runs.
Clean test data: the model was tested on a tidy extract, not on the live feeds it has to handle in production.

Security and procurement

What do hospital security and procurement reviews ask for?

Security review is often the longest step between a working pilot and production. We prepare the evidence while we build, not after.

Common hospital vendor review items and what we prepare for each
Review item	What reviewers want to know	What we prepare
Data flow	Where patient data goes and which systems store it	Data flow diagram and an inventory of every place PHI is stored
Access control	Who can see what, and how users sign in	Role-based access design and single sign-on with your identity provider (SAML or OpenID Connect)
Audit logging	Whether every view and change of PHI is recorded	Audit log design covering reads and writes, exportable to your security tools
Encryption	How data is protected in transit and at rest	TLS for all traffic and encryption at rest with managed keys
Agreements	Which contracts cover PHI	Business associate agreement terms agreed before any PHI is shared
Vulnerabilities	How security issues are found and fixed	Dependency scanning, patching process and support for your penetration testing

Our Approach

How do we take an AI pilot into production?

We plan the production path before the pilot starts, so a successful pilot does not need a second project to go live.

Workflow first

The output appears where the clinician already works, inside the EHR through SMART on FHIR or CDS Hooks, not in another portal.

Governance built in

A named owner, monitoring of model performance, human review of recommendations and a documented way to roll back.

Review in parallel

Architecture, data flow and security documents are prepared during the build, so review runs alongside the pilot.

Capabilities

What do we build for hospitals?

Applications and integrations that work with your EHR and integration engine, not around them.

EHR-integrated clinician apps

SMART on FHIR apps that open from the patient chart with the right patient and user context.

Clinical documentation support

AI documentation tools integrated into the note workflow, with clinician review before anything is filed.

Patient flow and capacity

Bed, discharge and transfer views built from ADT feeds and your scheduling systems.

Care coordination and referrals

Referral tracking and handoffs between departments, sites and outside partners.

Interfaces and data feeds

HL7 v2 and FHIR interfaces through your integration engine, with monitoring and error handling.

Legacy modernization

Replacing or wrapping aging applications without disrupting the people who depend on them.

Engineering Stack

Which systems and standards do hospital projects use?

The standards, EHRs and platforms we work with on hospital engagements.

Standards

FHIR R4HL7 v2SMART on FHIRCDS Hooks

EHRs

EpicOracle Health (Cerner)MEDITECH

Integration

Your integration engineHL7 v2 interfacesFHIR APIs

Identity

SAML 2.0OpenID Connect

Backend

Node.jsPythonPostgreSQL

Infra

AWSAzure

Shared ownership

What does your team own and what do we own?

Clear ownership keeps hospital projects moving. This is how responsibilities usually split.

Responsibilities between the hospital and Agnotic on a typical engagement
Area	Your team owns	Agnotic owns
Clinical direction	Workflow decisions, clinical sign-off and the go-live decision	Turning agreed workflows into working software
EHR build	Configuration inside Epic or Oracle Health and app activation	The external app, its APIs and integration testing
Security	The security review decision and access approvals	Security design, evidence and fixes found in review
Interfaces	Integration engine routing and production access	Interface specifications, mapping and testing
Support	First-line support for staff	Fixes, releases and monitoring under the agreed support terms

Measured Impact

How should a hospital measure a new clinical app?

We agree these measures at kickoff and track them against your own baseline, not an industry average.

Adoption

Active clinical users

Clinicians who use the app in a normal week, divided by those it was built for.

Steps

Steps per task

Clicks and screens needed to finish the task before and after the app.

Uptime

Availability

Share of time the app and its interfaces are working during clinical hours.

Time

Pilot to production

Time from an approved pilot to everyday use on the unit.

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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My Lauren Maternal Health Platform | Built by Agnotic

LERA Health: Compliant 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

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Use Cases

Which hospital problems do we solve?

Examples of the workflow gaps hospitals bring to us.

Discharge coordination

Shared discharge checklists across nursing, case management and pharmacy, driven by ADT events.

Bed and capacity visibility

One view of beds, pending admissions and transfers across units.

Documentation burden

AI-assisted notes that clinicians review and sign inside the EHR.

Referral tracking

Referrals followed from order to completed visit, inside and outside the network.

Prior authorization status

Authorization status for imaging and surgery visible to schedulers and clinicians.

Digital front door

Patient intake, scheduling and messaging connected to the EHR.

Integrations

Which systems do we integrate for hospitals?

Connections we build between hospital systems and the applications we deliver.

EHR

EpicOracle Health (Cerner)MEDITECH

Interfaces

Your integration engine

Single sign-on

Your identity provider

Communication

Secure messaging systems

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 an engagement with a hospital work?

We start small, prove the workflow on one unit and scale from there. Timing depends on your systems and review process, and we agree it on the scoping call.

Scoping call

We agree the workflow, the users, the systems involved and what success looks like.

Discovery

We meet your EHR, integration and security teams to confirm interfaces and review steps.

Fixed-scope first release

We build the agreed scope and prepare the security evidence as we go.

Go-live on one unit

The app goes live where its owner can watch it closely and report problems.

Scale and support

We roll out to more units and sites and keep improving under agreed support terms.

Facts and sources

Which rules shape hospital software?

Short facts on the regulations and standards behind hospital software, each linked to its official source.

The HIPAA Security Rule requires administrative, physical and technical safeguards for electronic protected health information.
Source: 45 CFR Part 164 Subpart C (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)
SMART App Launch is an HL7 FHIR implementation guide that lets an app launch from inside an EHR with the current user and patient context.
Source: HL7 International

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 services

Where can hospitals start with us?

Detailed pages for the services hospitals and health systems ask us about.

EHR software development

Custom EHR modules and platforms built around clinical workflows.

Telemedicine platform development

Virtual visit platforms with scheduling, video and EHR integration.

Remote patient monitoring software development

Device data, care team workflows and billing support for RPM programs.

AI medical scribe

Clinical documentation agents that draft notes for clinician review.

Epic integration

SMART on FHIR apps, FHIR APIs and HL7 v2 interfaces for Epic.

HIPAA requirements for software teams

The safeguards we build into every healthcare product.

The Same Engineering Patterns, Across Other Industries

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

AI

Apply private LLM and RAG architectures to clinical knowledge bases.

Education

Extend secure platform engineering to medical education and CME workflows.

Gov & Research

Power national health datasets and population health initiatives.

Frequently Asked Questions

An app used only inside your hospital does not need a Showroom listing; your Epic team activates it in your own environment. If you plan to offer the app to other Epic customers, the product owner applies to Epic's program. In both cases we build to Epic's published FHIR and SMART on FHIR APIs.