As a dedicated Medplum implementation partner, we take you from concept to production on Medplum's open-source FHIR platform — implementation, migration, compliance, interoperability, and managed self-hosted deployment. Native MCP, spec-compliant FHIR R4 REST, and TypeScript Bots give AI agents read and write surfaces on clinical data, today.
Platform proof points
Why Medplum
Most FHIR servers bolt compliance on as an afterthought. Medplum was architected as an open-source, developer-first clinical data repository.
No dual-licensing traps. Medplum ships under Apache 2.0 — you own your infrastructure, data, and deployment topology.
First-class SDK and React components. FHIR resource types in the type system — catch errors at compile time, not in production.
SOC 2, HIPAA, and ONC-aligned out of the box. Access policies, audit logging, and fine-grained RBAC in the platform core.
SMART on FHIR launch, SCIM, OAuth 2.0, and Bots for event-driven automation — interoperability as a first-class feature.
Medplum uses PostgreSQL JSONB to index, query, and filter FHIR resources at the database level — document flexibility with relational query performance. No Elasticsearch cluster to babysit.
-- FHIR resources as JSONB with indexed compartments
SELECT id, content
FROM patient
WHERE content->>'birthDate' < '1990-01-01'
AND compartments @>
ARRAY['Organization/acme'];We've done this enough times to know where the edge cases hide. Our team covers the full surface area of building on Medplum.
Fresh deployments, FHIR resource modeling, custom Bots, access policies, and project configuration tailored to your clinical workflows.
Build SMART-compliant apps that plug into any EHR ecosystem — launch flows, scopes, token management, and data access patterns.
ETL from legacy systems, CSV dumps, or HL7v2 feeds mapped to conformant FHIR R4 resources — clean, validated, complete.
HIPAA security controls, ONC certification readiness, audit trails, and policy configuration as engineering discipline.
HL7 FHIR, HL7v2, CCDA, DICOM, and ADT — connect Medplum to EHRs, labs, pharmacy, imaging, and HIEs.
Connect Medplum to analytics, clinical data warehouse, AI pipelines, and operational ERP — a complete digital health backbone.
Fossible stack
We integrate Medplum with Frappe for hospital operations and Tuva for clinical analytics. One partner, one coherent architecture.
Hover any row to see how it connects with Medplum
Siloed Stack
With Medplum Core
Proprietary CRM and siloed portal disconnected from real-time clinical events — patient data remains trapped behind vendor walls.
Frappe CRM and omni-channel messaging wired to Medplum FHIR events, with SMART on FHIR apps granting patients portable clinical data.
Siloed Stack
With Medplum Core
Operational billing, inventory, pharmacy, and LIS/RIS glued together with brittle point-to-point HL7 interfaces that break on updates.
Unified Fossible HIS covering OPD, IPD, ADT, billing, and lab — fully bi-directionally synchronized with Medplum via FHIR resources.
Siloed Stack
With Medplum Core
JSON documents stored as opaque blobs or legacy SQL schemas without FHIR conformance, requiring heavy middleware to expose APIs.
Native Medplum FHIR R4 repository backed by PostgreSQL JSONB columnar indexing, RBAC access policies, and audit logging out of the box.
Siloed Stack
With Medplum Core
LLM prompts querying vector embeddings with read-only hacks — no auditable system of record, no authorization scopes, no write safety.
Model Context Protocol (MCP) server + TypeScript Bots — agents query and write FHIR Bundles governed by the exact same policies as human staff.
Siloed Stack
With Medplum Core
Fragile nightly batch ETLs querying production transactional databases, causing schema drifts and query degradation.
Automated pipeline transforming FHIR events into standardized Tuva clinical data models for population health, quality metrics, and analytics.
Agent-native FHIR
MCP server, FHIR REST API, and Bots — clinical data with read and write surfaces designed for machines and humans alike.
A standardized Model Context Protocol surface over the FHIR CDR. MCP-aware agents query, write, and subscribe without bespoke integration code.
Every resource type is a versioned REST endpoint — search params, _include, bundles — the full spec as an agent-ready data plane.
TypeScript event-driven automation. Agents hand off long-running clinical workflows to Bots with audit trails, retries, and policy-checked side-effects.
Access policies, OAuth scopes, and audit logging at the API surface — agent calls governed by the same RBAC as humans.
Digital health startups
FHIR-native architecture from day one. Skip months of plumbing and build features that matter to users and investors.
Care delivery platforms
Telehealth, chronic care, and RPM on interoperable data that flows between providers, payers, and patients.
Patient-facing apps
Portals, medication trackers, and care plan dashboards on SMART on FHIR — data patients can port between providers.
Clinical data pipelines
Normalize messy clinical data into FHIR R4 for analytics, quality measures, research cohorts, and AI/ML — with provenance and consent.
Go deeper
Composable architecture combining Fossible HIS CareOps, Medplum CDR, and AI services — for hospitals that need ERP and clinical interoperability together.
Health Central
Documentation copilots, RCM automation, and care coordination — built on Medplum MCP with SMART scopes and AuditEvent logging.
Applied AIStarting fresh or migrating an existing system — we'll wire up MCP, FHIR R4 REST, and Bots, architect the solution, and ship it with you.
