Challenge
Continuous ECG/BP and device data overwhelms clinicians with noise and false alerts.
Agnotic approach
We tune trend detection and thresholds to individual baselines so escalations flag genuine cardiac change.
We build cardiology software — ECG and echo workflows, cardiac RPM, and device-data pipelines — engineered for real cardiac care and handled to HIPAA standards.
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Cardiology software has to handle continuous signal data — ECG, blood pressure, Holter, and implantable or wearable monitors — and turn it into something a cardiologist can act on without drowning in false alerts. Generic tools rarely fit that.
We build the device ingestion, trend detection, and clinician dashboards cardiology needs, with imaging integration and PHI handling engineered in from the first commit.
A cardiology platform — clinical workflow, ecg (93000/93010) & echo (93306) procedures, and connected integrations — with PHI handled to HIPAA standards at every layer.

The problem
Off-the-shelf products rarely fit cardiology — here is where they fall short, and how we build around it.
Challenge
Continuous ECG/BP and device data overwhelms clinicians with noise and false alerts.
Agnotic approach
We tune trend detection and thresholds to individual baselines so escalations flag genuine cardiac change.
Challenge
Cardiac RPM programs stall on device integration and CPT billing complexity.
Agnotic approach
We build device ingestion plus the 99453/99454/99457 remote-monitoring billing workflow so programs actually bill.
Challenge
Echo and angiography imaging sits in siloed PACS, disconnected from the EHR.
Agnotic approach
We integrate DICOM/PACS with the EHR so images and structured measures flow into the cardiology workflow.
A cardiology capability set engineered for its real workflows, codes, and devices.
Ingestion from ECG, BP cuffs, Holter, and implantable/wearable monitors with real-time streaming.
Baseline-aware detection so escalations reflect real cardiac change, not device noise.
Echo and angiography imaging integrated with the EHR through DICOMweb.
Structured capture of cardiac measures, procedures, and follow-ups tied to the EHR.
99453/99454/99457/99458 remote-monitoring billing built into the workflow.
Referral and follow-up orchestration across cardiology and primary care.
Where it fits
Cardiology practices, heart hospitals, and cardiac-device makers.
Cardiology groups modernizing clinical and administrative workflows.
Cardiology-focused products going to market.
Cardiology device companions, data pipelines, and companion apps.
Cardiology programs, care management, and value-based initiatives.
Cardiology practices, heart hospitals, and cardiac-device makers choose us because we build cardiology software that fits the workflow, not the other way round.
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.
Codes, standards & devices
We prove the core workflow with real users before scaling — clinical fit and adoption decide the outcome.
We map the cardiology workflow, the codes and devices involved, and the core job to be done.
We build the core workflow with interoperability and PHI handling engineered in from the start.
EHR, device, and standards integration so the product connects to the systems already in use.
A measured launch tracking adoption and outcomes, then iteration.
Healthcare-only focus, standards-based engineering, and delivery you can hold to account.
We understand the cardiology workflow, the codes and devices, and the clinical realities that decide adoption.
HIPAA, SOC 2, and role-based access designed in from the first commit — not retrofitted before launch.
FHIR R4, HL7 v2, DICOM, and SMART on FHIR so what we build connects to your existing systems.
Clear scope, working software early, and accountability throughout the engagement.
Solutions for this specialty
Purpose-built Cardiology software across the solutions that matter most.
A specialty-configured clinical data model, tuned to cardiology.
Device and wearable data ingestion, tuned to cardiology.
Secure video and async visits, tuned to cardiology.
FHIR R4 and HL7 v2 interfaces, tuned to cardiology.
Patient portal and secure messaging, tuned to cardiology.
Scheduling and registration, tuned to cardiology.
Guideline and rule engine, tuned to cardiology.
Ambient capture and transcription, tuned to cardiology.
Specialty data warehouse, tuned to cardiology.
Coding and charge capture, tuned to cardiology.
Tell us your cardiology workflow and goals. We'll return a plan that's clinically credible, interoperable, and built to ship.
contact@agnotic.com
Partnerships
contact@agnotic.com