Direct-to-consumer telehealth
On-demand virtual visits for primary and urgent care with prescribing and payments.
We build end-to-end telemedicine platforms — HIPAA-ready video, intelligent scheduling, and integrated e-prescribing — so a virtual visit is a complete clinical encounter, not just a video window.
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A telemedicine platform is not a video app with a healthcare logo. A real virtual visit needs the whole encounter: a patient books a slot, joins a secure video session, the clinician documents and orders, prescriptions route to a pharmacy, and everything lands back in the record. Each of those — video, scheduling, e-prescribing — carries its own compliance and reliability demands.
Generic conferencing tools break down on exactly these edges: no charting, no e-prescribing, no eligibility checks, and often no signed BAA covering PHI. We build platforms where HIPAA-ready video, scheduling, and e-prescribing are engineered as one system on a FHIR-native record, so the visit is clinically complete and the data is interoperable.
What it is
Telemedicine platform development builds the software that lets clinicians and patients complete a full clinical visit remotely — booking, secure video, documentation, ordering, and prescribing.
We engineer HIPAA-ready video, scheduling, and e-prescribing as one system on a FHIR-native record, so a virtual visit is as complete and interoperable as an in-person one.
A telemedicine architecture that unifies WebRTC video, scheduling, clinical documentation, and e-prescribing on a compliant, FHIR-native core.

The three pillars of a virtual visit — video, scheduling, and e-prescribing — engineered as one compliant system.
Low-latency WebRTC video with DTLS-SRTP encryption, TURN/STUN infrastructure for reliable connections, waiting rooms, screen share, and optional consented recording — all under a signed BAA covering PHI.
Real-time availability, provider calendars, automated reminders, insurance eligibility checks via X12 270/271, and time-zone-aware booking that reduces no-shows and fills gaps in the schedule.
Surescripts-connected e-prescribing with controlled-substance support (EPCS), NCPDP SCRIPT messaging, and drug-drug and drug-allergy interaction checks built into the visit workflow.
Ambient documentation that drafts the encounter note during the video visit and suggests ICD-10/CPT codes, keeping the clinician focused on the patient rather than the keyboard.
FHIR R4 write-back of the encounter, orders, and prescriptions to your EHR or FHIR record, so virtual and in-person care share one chart.
Digital consent capture, integrated copay and self-pay collection, and immutable audit logging across every session for HIPAA accountability.
Where it fits
Virtual-care models that need a complete, compliant encounter rather than off-the-shelf video.
On-demand virtual visits for primary and urgent care with prescribing and payments.
Dermatology, behavioral health, and other specialties with tailored visit flows.
Practices extending in-person care with integrated video that writes back to their EHR.
Sponsored virtual-care benefits with eligibility and reporting built in.
Recurring virtual visits tied to remote monitoring and care plans.
Multi-provider platforms handling scheduling and licensure-aware routing.
The difference between a video call and telemedicine is what happens around the video. We build the whole encounter.
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
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.
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards and compliance
We deliver the full visit flow as parallel tracks — video, scheduling, and prescribing — so the platform launches as a complete encounter.
We map your visit types, specialties, and compliance needs, then design the end-to-end flow from booking through prescription and follow-up.
WebRTC video infrastructure, waiting rooms, and the scheduling engine with reminders and eligibility checks, built and load-tested for reliability.
Surescripts e-prescribing, clinical documentation, and FHIR write-back to the record, validated against test pharmacies and sandbox EHRs.
Phased go-live with session-quality monitoring, on-call support, and capacity scaling as visit volume grows.
Related proof of compliant patient-facing delivery: for Lera Health we built a privacy-first patient experience and data layer end to end. It demonstrates the consent, PHI handling, and UX rigor a telemedicine platform depends on, though it is not itself a video-visit product.

We build the full virtual encounter — not a video widget — with compliance and reliability engineered in.
Encrypted WebRTC under a signed BAA, with consent, audit, and PHI handling designed into every session.
Scheduling, video, documentation, and e-prescribing shipped as one system, so the encounter is clinically complete.
TURN/STUN infrastructure, adaptive bitrate, and session monitoring so visits connect and hold under real network conditions.
We understand clinical workflows and interoperability, so the platform fits real practice, not just a demo.
Tell us your visit types and specialties. We'll return a plan for a HIPAA-ready platform that unifies video, scheduling, and e-prescribing on a FHIR-native record.
contact@agnotic.com
Partnerships
contact@agnotic.com