Primary & urgent care
On-demand and scheduled visits with waiting rooms.
Video Visit / WebRTC
WebRTC video visits engineered for clinical-grade telehealth
We build and integrate low-latency WebRTC video visits — HIPAA-ready encrypted media, secure recording, waiting rooms, and session data that connects to your EHR — so telehealth feels reliable, not like a consumer call.
HIPAA-ReadyWebRTCEncrypted MediaRecording
Trusted by global innovators
What a clinical video visit really requires
A telehealth visit isn't a casual video call. It has to connect reliably across bad networks and cheap devices, protect a live PHI stream end to end, handle a clinician running late with a waiting room, and often record the session for documentation or compliance — all while keeping latency low enough that a real conversation is possible. Dropped calls and frozen video don't just annoy; they erode trust in the whole care model.
WebRTC is the right foundation — peer or SFU-based real-time media with built-in encryption (DTLS-SRTP) — but the clinical layer around it is where builds succeed or fail. We engineer low-latency media with TURN/STUN for connectivity through firewalls, HIPAA-ready recording and storage, waiting rooms and multi-party sessions, and the session metadata that ties a visit back to the patient's record. Whether you build on raw WebRTC or a BAA-covered platform like Twilio or Vonage, we make it clinical-grade.
What it is
Real-time video built for the clinic
WebRTC video visit integration adds real-time, encrypted audio and video to a telehealth product — with waiting rooms, recording, and the session data that connects a visit to the patient's record.
WebRTC provides the encrypted media foundation; the clinical layer — reliability, consent, recording, and EHR linkage — is where we do the engineering. We build it to production, not to demo.
A clinical-grade real-time video architecture
Encrypted WebRTC media, SFU scaling, TURN connectivity, secure recording, and EHR-linked session data — composed into a telehealth experience that holds up in the real world.
What we build into a video visit platform
Each capability pairs a real-time feature with the media or security mechanism behind it.
Low-Latency WebRTC Media
Peer and SFU-based real-time audio/video with DTLS-SRTP encryption, adaptive bitrate, and TURN/STUN so calls connect and stay stable across firewalls, mobile networks, and low-end devices.
HIPAA-Ready Recording & Storage
Optional session recording with consent capture, encrypted storage, retention policies, and audit logging — so recordings support documentation and compliance without becoming a liability.
Waiting Rooms & Session Flow
Virtual waiting rooms, provider-controlled admission, in-visit chat, screen and image sharing, and graceful reconnection when a network drops mid-call.
EHR-Connected Sessions
Visit metadata — participants, timestamps, duration, consent — captured and written back via FHIR R4 (Encounter, Communication) so the video visit is part of the record, not a detached event.
Platform or Custom, BAA-Covered
Build on raw WebRTC for full control, or integrate a BAA-covered platform such as Twilio Video or Vonage — we implement either under a signed BAA with PHI-safe configuration.
Scale & Reliability Engineering
SFU media servers, load handling, connection-quality telemetry, and fallbacks, so concurrent visits stay reliable as your volume grows.
Where it runs
Video visit use cases
Behavioral health
Recurring therapy sessions with privacy and consent controls.
Specialist consults
Multi-party visits with interpreters or referring providers.
Remote monitoring reviews
Video check-ins tied to RPM data and trends.
Post-discharge follow-up
Structured video follow-ups linked to the encounter.
Second opinions
Secure, recorded consults across organizations.
Why clinical video is harder than it looks
Reliability, encryption, and EHR linkage are what separate a telehealth platform from a consumer video call.
DTLS-SRTP
end-to-end encrypted media by default
Sub-second
target latency for natural conversation
EHR-linked
visit metadata via FHIR Encounter
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
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.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards we build against
Video and compliance standards
WebRTCDTLS-SRTPHIPAAFHIRSOC 2
Our Process
From prototype call to production telehealth
We engineer for the messy real world — bad networks, cheap devices, and clinicians who need it to just work.
1.
Requirements & Media Design
We define visit types, concurrency, recording needs, and connectivity constraints, then choose raw WebRTC or a BAA-covered platform and design the media topology.
Reliability-first
2.
Core Video Build
Low-latency media, waiting rooms, session flow, and DTLS-SRTP encryption, with TURN/STUN configured for real-world connectivity.
Encrypted media
3.
Recording & EHR Linkage
HIPAA-ready recording with consent, and session metadata written back to the EHR via FHIR so visits are documented in the record.
Audit-ready
4.
Scale & Launch
Load testing, connection-quality telemetry, and phased rollout, with monitoring to keep concurrent visits reliable as volume grows.
Production-ready
Featured case study
Read Case StudyLera Health: compliant women's health platform
Lera Health shows our ability to deliver patient-facing healthcare experiences on a compliant, privacy-first foundation — the same rigor we bring to building reliable, HIPAA-ready telehealth video.
Why Partner With Us
15-Minute Scoping CallTelehealth video that clinicians can rely on
We build real-time media as a clinical system — reliable, encrypted, and connected to the record.
HIPAA-Ready Media
Encrypted streams, consented recording, and BAA-covered infrastructure engineered in from the start.
Reliability Under Real Conditions
TURN/STUN, adaptive bitrate, and reconnection so visits hold up on bad networks and cheap devices.
EHR-Connected, Not Detached
Visit data flows back to the record via FHIR, so video is part of the clinical workflow.
Telehealth Depth
We understand visit flow, waiting rooms, and the compliance nuances of recording a clinical encounter.
Our relevant experience
Clinical-grade video, engineered to hold up
Frequently Asked Questions
Raw WebRTC gives you full control and lower per-minute cost at scale, but you own the SFU, TURN, and reliability engineering. A BAA-covered platform like Twilio Video or Vonage gets you to production faster with proven media infrastructure. We help you weigh volume, control, and cost, and we build either under a signed BAA.
Ready to add clinical-grade video to your platform?
Tell us your visit flow and volume. We'll return a plan covering the media approach, HIPAA-ready recording, and EHR-connected session data.
contact@agnotic.com
Partnerships
contact@agnotic.com