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.
Cardiology Software Solutions
Cardiology software development
Cardiac data arrives from ECG carts, echo machines, cath labs and implanted devices, each in its own format. Agnotic builds cardiology software that brings it into one workflow tied to your EHR.
HIPAA-ReadyFHIR R4Audit LoggedInteroperable
Trusted by global innovators
What is cardiology software development?
Cardiology software development is building the tools a heart practice runs on: ECG and echo reporting, cath lab records, cardiac device follow-up and remote monitoring. Agnotic Technologies builds this software for cardiology groups, heart hospitals and cardiac device makers, connected to the EHR through HL7 FHIR R4 or HL7 v2, with HIPAA safeguards designed in.
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.
Cardiology platform architecture
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
Why do generic tools fail cardiology teams?
Off-the-shelf products rarely fit cardiology. Here is where they fall short, and how we build around it.
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.
Which cardiology practice software do we build?
A cardiology capability set engineered for its real workflows, codes, and devices.
Cardiac RPM & device data
Ingestion from ECG, BP cuffs, Holter, and implantable/wearable monitors with real-time streaming.
Signal trend detection & alerts
Baseline-aware detection so escalations reflect real cardiac change, not device noise.
DICOM/PACS & echo imaging
Echo and angiography imaging integrated with the EHR through DICOMweb.
Structured cardiac data
Structured capture of cardiac measures, procedures, and follow-ups tied to the EHR.
RPM CPT billing workflow
99453/99454/99457/99458 remote-monitoring billing built into the workflow.
Care coordination
Referral and follow-up orchestration across cardiology and primary care.
Where it fits
Who needs cardiology software development?
Cardiology practices, heart hospitals, and cardiac-device makers.
Practices & health systems
Cardiology groups modernizing clinical and administrative workflows.
Digital health startups
Cardiology-focused products going to market.
MedTech & device makers
Cardiology device companions, data pipelines, and companion apps.
Payers & programs
Cardiology programs, care management, and value-based initiatives.
Engineered for cardiology
Cardiology practices, heart hospitals, and cardiac-device makers choose us because we build cardiology software that fits the workflow, not the other way round.
Signal-first
Cardiac alerts that mean something, not alert fatigue
Interoperable
FHIR R4, HL7 v2, and SMART on FHIR by default
MVP-ready
Core cardiology workflow shipped first, then scaled
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 standards-based FHIR 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.
Codes, standards & devices
Cardiology codes and device standards
CPT 93000RPM 99454DICOMFHIR
Our Process
How does Agnotic build cardiology software?
We prove the core workflow with real users before scaling: clinical fit and adoption decide the outcome.
1.
Discovery & Clinical Design
We map the cardiology workflow, the codes and devices involved, and the core job to be done.
Workflow-shaped
2.
Architecture & Core Build
We build the core workflow with interoperability and PHI handling engineered in from the start.
Safeguards built in
3.
Integrations
EHR, device, and standards integration so the product connects to the systems already in use.
Connected
4.
Launch & Iterate
A measured launch tracking adoption and outcomes, then iteration.
Adoption-tuned
CVIS integration
Which systems does a cardiovascular information system connect?
A cardiovascular information system (CVIS) connects ECG management, echocardiography, the cath lab, implantable device remote monitoring and the EHR. Each source uses its own standard, so we map every feed to the cardiology record separately and reconcile it against the EHR order.
| Source system | Standard used | What lands in the cardiology record |
|---|---|---|
| ECG management | DICOM 12-lead and ambulatory ECG waveform objects, or the ECG system's XML export | Tracings, measured intervals and the signed interpretation, trended against prior ECGs |
| Echocardiography | DICOM ultrasound images and Simplified Adult Echo structured reports | Chamber, valve and function measurements as discrete values, plus the final echo report |
| Cath lab hemodynamics | DICOM hemodynamic waveform objects and procedure logs | Pressure waveforms, procedure events and the structured cath report |
| Implantable device remote monitoring | IHE IDCO profile: HL7 v2 messages using the ISO/IEEE 11073-10103 nomenclature | Device identification, settings, battery and lead measurements and arrhythmia episodes on the device clinic worklist |
| EHR | HL7 v2 orders and results, and HL7 FHIR R4 Observation and DiagnosticReport | Orders arrive from the EHR, and signed reports and key results go back to the chart |
Vendor export formats differ between ECG, echo and device systems; we confirm what each one supports during scoping.
Facts and sources
Which standards and rules shape cardiology software?
Short facts behind the CVIS integration table and our security design, each linked to its primary source.
DICOM is the international standard for medical images and related information, maintained by NEMA and also published as ISO 12052.
Source: DICOM Standard (NEMA)DICOM PS3.3 defines information objects for 12-lead, general and ambulatory ECG, hemodynamic and basic cardiac electrophysiology waveforms, and a Simplified Adult Echo structured report.
Source: DICOM PS3.3 Information Object Definitions, Annex A (NEMA)The IHE Implantable Device Cardiac Observation (IDCO) profile transfers summary interrogation data from pacemakers, implantable defibrillators and cardiac monitors to an EHR or device clinic system, using HL7 v2.6 messages and the ISO/IEEE 11073-10103 implantable cardiac device nomenclature.
Source: IHE PCD Implantable Device Cardiac Observation profile (IHE)The HIPAA Security Rule requires administrative, physical and technical safeguards for electronic protected health information.
Source: 45 CFR Part 164 Subpart C (eCFR)
Why Partner With Us
15-Minute Scoping CallWhy do cardiology teams build with Agnotic?
Healthcare-only focus, standards-based engineering, and delivery you can hold to account.
Cardiology workflow depth
We understand the cardiology workflow, the codes and devices, and the clinical realities that decide adoption.
Compliance by default
HIPAA safeguards and role-based access designed in from the first commit, not retrofitted before launch.
Interoperable engineering
FHIR R4, HL7 v2, DICOM, and SMART on FHIR so what we build connects to your existing systems.
Delivery you can verify
Clear scope, working software early, and accountability throughout the engagement.
Frequently Asked Questions
Yes. We connect CVIS platforms like Xcelera or Syngo Dynamics to structured echo reporting, hemodynamic cath lab logs, and DICOM waveform storage, so measurements flow from the modality into the report without manual re-entry and reconcile against the EHR order.
We parse 12-lead ECG XML (MUSE, Philips), Holter and event-monitor exports, and bedside telemetry feeds, normalizing them to a common waveform model. Serial ECGs are trended so QT, PR, and QRS changes surface alongside troponin and prior tracings for comparison.
Yes. We integrate remote monitoring feeds from Medtronic CareLink, Boston Scientific Latitude, and Abbott Merlin, parsing IEEE 11073 device reports for lead impedance, battery, and arrhythmia episodes, then route red alerts to device-clinic worklists for triage.
We build templated reports aligned to ACC-NCDR CathPCI and TVT registry fields, capturing SYNTAX scoring, stent details, and TIMI flow. Discrete data auto-populates registry submissions and supports downstream quality dashboards without duplicate charting by the interventionalist.
Usually, yes. When your EHR offers HL7 FHIR R4 APIs, SMART on FHIR launch or HL7 v2 interfaces, we build the cardiology pieces beside it, such as a device clinic worklist or a remote monitoring dashboard, and send signed results back to the chart.
Buy when a packaged cardiology system already covers your ECG, echo and device clinic workflows. Build, or build a layer on top of your EHR, when your remote monitoring program, device data or registry reporting needs something packaged tools do not do.
The number of device and imaging sources (ECG carts, echo machines, cath lab systems and implant monitoring feeds), the EHR interfaces, whether patients get an iOS or Android app, and how much historical data you migrate. We size these on the scoping call before giving an estimate.
It depends on the first workflow, such as cardiac remote monitoring or a device clinic worklist, how many device vendors send data, and which EHR it connects to. We give you a timeline after the scoping call.
Yes. The first release is scoped to one workflow, such as a cardiology app for home blood pressure readings at one clinic, before more devices, imaging feeds and sites are added.
No. The CVIS holds cardiology data such as waveforms, echo measurements and device interrogations, and the EHR stays the main patient record. We connect the two so orders flow into the CVIS and signed reports flow back to the chart.
Ready to build your cardiology software?
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