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Zio vs VisualDx

By the vendor's count, VisualDx holds more than 50,000 clinical images across skin tones and body sites behind a differential builder. Its history page lists HL7 infobutton and SMART on FHIR as 2012 milestones, and the homepage mentions EHR integration, single sign-on and API access, but no EHR is named. VisualDx states no FDA clearance, and a 2020 DermExpert FAQ says it is exempt from FDA regulation.

iRhythm holds 18 FDA 510(k) clearances dating from 2008, the latest for the ZEUS Platform on May 29, 2026. The vendor calls its deep-learned algorithm the first FDA-cleared one verified by qualified cardiac technicians and reports 99% physician agreement on end-of-wear reports. A clinician who wants an image-led differential buys VisualDx, and a health system ordering ambulatory ECG monitoring buys Zio. VisualDx cannot supply the second, and Zio supplies no differential.

Decision support · Reviewed November 2, 2026

ZI

Zio

by iRhythm Technologies · founded 2006

Zio ECG patch service: a deep-learning algorithm flags arrhythmias, cardiac technicians validate them, and a physician report follows.

VisualDx logo

VisualDx

by VisualDx · founded 1999

Differential diagnosis builder with 50,000+ clinical images across skin tones and body sites.

When to pick each one

Zio

  • 18 FDA 510(k) clearances, latest in May 2026
  • Vendor reports 99% physician agreement on reports
Read the full Zio review

VisualDx

  • Vendor says 50,000+ clinical images across skin tones
  • Elite $299.99 per year, billed annually
Read the full VisualDx review

Score

Each row shows points earned of points available under the published rubric.

Zio

69of 100

Top-ranked

VisualDx

48of 100

Solid choice
Score by dimension for Zio and VisualDx
DimensionZioVisualDxDifference
FDA clearance12 / 120 / 12+12
HIPAA / SOC2 / BAA0 / 100 / 100
EHR integrations (count)0 / 5.60 / 5.60
Top-3 EHR coverage (Epic / Oracle / Athena)0 / 4.80 / 4.80
Bidirectional write-back0 / 1.20 / 1.20
Peer-reviewed papers21 / 2114.7 / 21+6.3
RCT / meta-analysis / systematic review9 / 99 / 90
Funding & adoption signal8.4 / 128.4 / 120
Pricing transparency1.3 / 2.52.5 / 2.5-1.2
Years in market6 / 66 / 60

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How scores are computed

Pricing

Zio

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

VisualDx

TierMonthlyAnnualNotes
Core (education)n/a$249.99Shown as $39.99 or $20.83 per month, billed annually. Free trial length is not stated. Annual plans that auto-renew have a 30-day grace period for a full refund of the renewed fee.
Elite (clinicians)n/a$299.99Shown as $49.99 or $24.99 per month, billed annually.
Groups and Enterprisen/an/aContact for pricing, including small groups of 2 to 5 users.

Evidence

Zio

FDA decisions

Show 13 more

Peer-reviewed

5 PubMed records name Zio.

Compliance and integrations

Documented from each vendor’s own pages.

SpecZioVisualDx
Free tierNo / unverifiedYes
HIPAANo / unverifiedNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsNot specifiedNot specified
Founded20061999
HQUSUS

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Common questions

Open the full decision support comparison

Differential diagnosis, treatment guidance, drug interactions, evidence-grounded Q&A. The CDS landscape ranges from the UpToDate gold standard to physician-only OpenEvidence. We compared what clinicians actually use.