Challenge
OCT, fundus, and visual-field devices produce siloed imaging data.
Agnotic approach
We integrate ophthalmic DICOM devices with the EHR into one longitudinal record.
We build ophthalmology software — OCT and fundus imaging, IOL planning, and specialty EHR workflows — engineered for eye care and handled to HIPAA standards.
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Ophthalmology is imaging-heavy: OCT, fundus photography, and visual-field data feeding diagnosis and surgical planning, with ophthalmic DICOM and specialty documentation.
We build the ophthalmic imaging pipelines, IOL and surgical-planning support, and specialty workflow ophthalmology needs, with EHR integration engineered in.
A ophthalmology platform — clinical workflow, ophthalmic dicom (oct, fundus, vf), and connected integrations — with PHI handled to HIPAA standards at every layer.

The problem
Off-the-shelf products rarely fit ophthalmology — here is where they fall short, and how we build around it.
Challenge
OCT, fundus, and visual-field devices produce siloed imaging data.
Agnotic approach
We integrate ophthalmic DICOM devices with the EHR into one longitudinal record.
Challenge
IOL and surgical planning require precise, structured measurements.
Agnotic approach
We build structured biometry capture and IOL-calculation support.
Challenge
Screening (DR, glaucoma) is scaling with AI that needs oversight.
Agnotic approach
We integrate screening models as decision support with clinician review.
A ophthalmology capability set engineered for its real workflows, codes, and devices.
OCT, fundus, and visual-field integration via ophthalmic DICOM.
Structured biometry and IOL-calculation support.
Diabetic-retinopathy and glaucoma screening as decision support.
Human review and audit around any model output.
Specialty documentation, exams, and procedure coding.
Referral routing and recall for chronic eye conditions.
Where it fits
Ophthalmology practices, eye hospitals, and vision-AI startups.
Ophthalmology groups modernizing clinical and administrative workflows.
Ophthalmology-focused products going to market.
Ophthalmology device companions, data pipelines, and companion apps.
Ophthalmology programs, care management, and value-based initiatives.
Ophthalmology practices, eye hospitals, and vision-AI startups choose us because we build ophthalmology 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 ophthalmology 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 ophthalmology 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 Ophthalmology software across the solutions that matter most.
A specialty-configured clinical data model, tuned to ophthalmology.
Device and wearable data ingestion, tuned to ophthalmology.
Secure video and async visits, tuned to ophthalmology.
FHIR R4 and HL7 v2 interfaces, tuned to ophthalmology.
Patient portal and secure messaging, tuned to ophthalmology.
Scheduling and registration, tuned to ophthalmology.
Guideline and rule engine, tuned to ophthalmology.
Ambient capture and transcription, tuned to ophthalmology.
Specialty data warehouse, tuned to ophthalmology.
Coding and charge capture, tuned to ophthalmology.
Tell us your ophthalmology workflow and goals. We'll return a plan that's clinically credible, interoperable, and built to ship.
contact@agnotic.com
Partnerships
contact@agnotic.com