Challenge
Imaging lives in DICOM/PACS silos disconnected from the EHR.
Agnotic approach
We build DICOMweb pipelines that connect PACS, RIS, and the EHR so images and reports flow.
We build radiology software — PACS/RIS workflows, teleradiology, and AI image triage — engineered for imaging interoperability and handled to HIPAA standards.
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Radiology software is an interoperability problem: DICOM imaging, RIS worklists, structured reporting, and increasingly AI triage — all of which have to move reliably without dropping images or context.
We build the DICOMweb pipelines, worklist and reporting workflow, and AI-triage integration radiology needs, with validation and PHI handling engineered in.
A radiology platform — clinical workflow, dicom / dicomweb imaging interop, and connected integrations — with PHI handled to HIPAA standards at every layer.

The problem
Off-the-shelf products rarely fit radiology — here is where they fall short, and how we build around it.
Challenge
Imaging lives in DICOM/PACS silos disconnected from the EHR.
Agnotic approach
We build DICOMweb pipelines that connect PACS, RIS, and the EHR so images and reports flow.
Challenge
AI triage tools are hard to validate and monitor in production.
Agnotic approach
We integrate AI models with validation and drift monitoring, keeping radiologists in the loop.
Challenge
Teleradiology needs reliable, secure image distribution.
Agnotic approach
We build secure, performant image distribution and worklist routing for remote reads.
A radiology capability set engineered for its real workflows, codes, and devices.
DICOMweb pipelines connecting PACS, RIS, and the EHR.
Study worklists, assignment, and structured reporting.
AI model integration for triage, with validation and drift monitoring.
Human review and audit built around any model output.
Secure image distribution and worklist routing for remote reads.
Structured, coded radiology reports that flow to the EHR.
Where it fits
Radiology groups, imaging centers, and AI-imaging startups.
Radiology groups modernizing clinical and administrative workflows.
Radiology-focused products going to market.
Radiology device companions, data pipelines, and companion apps.
Radiology programs, care management, and value-based initiatives.
Radiology groups, imaging centers, and AI-imaging startups choose us because we build radiology 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 radiology 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 radiology 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 Radiology software across the solutions that matter most.
A specialty-configured clinical data model, tuned to radiology.
Device and wearable data ingestion, tuned to radiology.
Secure video and async visits, tuned to radiology.
FHIR R4 and HL7 v2 interfaces, tuned to radiology.
Patient portal and secure messaging, tuned to radiology.
Scheduling and registration, tuned to radiology.
Guideline and rule engine, tuned to radiology.
Ambient capture and transcription, tuned to radiology.
Specialty data warehouse, tuned to radiology.
Coding and charge capture, tuned to radiology.
Tell us your radiology workflow and goals. We'll return a plan that's clinically credible, interoperable, and built to ship.
contact@agnotic.com
Partnerships
contact@agnotic.com