Fossible HIS — CareOps Platform
End-to-end open-source HIS built on Frappe & ERPNext covering OPD, IPD, diagnostics, billing, insurance, and pharmacy — all in one unified system.
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Purpose-built for
Explore Fossible HIS See the Stack Built for teams that need
How we host it and
Healthcare IT · Enterprise
We help you ship High Quality Healthcare IT.
From FHIR clinical data platforms and hospital operations to AI agents, analytics, and compliance — one partner across the full healthcare IT stack.
Purpose-built for
digital health teams
Health Central
A composable architecture combining Fossible HIS CareOps + Medplum CDR + AI services — designed for hospitals that need both operational ERP and clinical interoperability.
Healthcare IT ServicesEverything healthcare teams need,
Everything healthcare teams need,
end-to-end
From FHIR clinical data platforms and hospital operations to AI agents, analytics, and compliance — one partner across the full healthcare IT stack.
FHIR & Clinical Data Platform
Medplum implementation, FHIR resource modeling, SMART on FHIR apps, custom Bots, and access policies — a production-grade clinical data repository from day one.
Interoperability & Integration
Connect EHR, LIS/RIS, pharmacy, imaging, and HIE systems using HL7 v2, FHIR R4, CCDA, DICOM, and ADT — modern integration patterns, not brittle point-to-point glue.
Hospital Information System (HIS/HIMS)
End-to-end hospital operations — registration, ADT, OPD/IPD, bed and ward management, billing, insurance, pharmacy, and practice management on an open-source ERP backbone.
Clinical Data Migration
ETL pipelines from legacy systems, CSV dumps, or HL7v2 feeds mapped to conformant FHIR R4 resources — clean, validated, and complete with provenance tracking.
Healthcare AI Agents & Workers
Documentation copilots, RCM automation, prior authorization, denial management, eligibility checks, and care coordination — operating inside the same permissions and audit trail as your staff.
Clinical & Financial Analytics
Dedicated clinical and financial data warehouse for population health, EHR outcomes analytics, and revenue insight — without loading your live clinical systems.
Compliance & Security
HIPAA, ABDM, NABH, SOC 2, and ONC readiness — access policies, audit trails, RBAC, encryption, and consent scoping built into the platform, not bolted on.
Managed Hosting & DevOps
Self-hosted Medplum and HIS deployments on AWS, GCP, Azure, or on-prem — with CI/CD, monitoring, SLAs, disaster recovery, and pen-testing via Espresso Cloud.
Who We ServeBuilt for every kind of
Built for every kind of
healthcare builder
Eight kinds of teams we walk into — and what each walks away with.
Your situation
Hover any row to see how it reads with us
Multi-Site Hospitals & Clinic Groups
Today
With us
Clinical and ops spread across vendors — held together with integrations instead of one coherent platform.
Unified clinical and operational workflows in one platform — not five integrated products held together with pipelines.
Diagnostic & Imaging Chains
Today
With us
High-volume LIS/RIS silos, brittle device hooks, and reports that still don't travel on open standards.
High-volume LIS/RIS with device integration, FHIR-standard reporting, and real-time operational visibility.
Specialty & Multi-Specialty Providers
Today
With us
Generic EMR modules that fight how each department actually runs — customization becomes a multi-year project.
Configurable, FHIR-native clinical workflows tailored per department — start with one specialty, expand as you grow.
Digital Health Startups
Today
With us
Runway going into FHIR plumbing, hosting, and compliance scaffolding before the product investors can see.
FHIR-native architecture from day one — skip months of plumbing and build features that matter to users and investors.
Care Delivery Platforms
Today
With us
Telehealth and RPM stacks that can't share clinical context cleanly with hospitals, payers, or downstream apps.
Telehealth, chronic care management, and remote patient monitoring on interoperable data that flows between providers, payers, and patients.
Patient-Facing App Builders
Today
With us
Patient experiences locked to proprietary APIs — no portable clinical data, no credible SMART on FHIR path.
Patient portals, medication trackers, and care plan dashboards powered by SMART on FHIR and portable clinical data.
AI-Native Healthtech Companies
Today
With us
Models and agents on partial or synthetic data — no auditable system of record across clinical and ops.
Agents and workers on a real, auditable system of record across both clinical and operational domains underneath your models.
Compliance-Driven Organizations
Today
With us
ABDM, HIPAA, or NABH requirements retrofitted onto legacy architecture — audit gaps at every handoff.
Pursuing ABDM, HIPAA, or NABH compliance with FHIR-native architecture and an audit trail spanning the whole action.
Enterprise Ready
Built for teams that need
production-grade guarantees
Delivery & Infrastructure
How we host it and
how we ship it
Espresso Cloud
Enterprise-grade cloud infrastructure management. Fully automated CI/CD pipelines, stateless deployments with S3-native storage, and environment-based migrations. Enterprise SLAs, infrastructure scaling support, proactive monitoring, and disaster recovery included. Spin up dev, QA, and production sites in minutes — not days.
Fossible Sprints
A dedicated dev pod — BAs, PMs, and engineers — delivering product development with an AI-augmented workflow and enterprise-grade guardrails. From spec writing and test-driven implementation to automated static analysis, AI code review, and auto-deployed PRs. Flat monthly fee, no surprises.
Need healthcare AI agents on this stack?
Documentation copilots, RCM automation, prior auth, and care coordination — built on the same permissions, version history, and audit trail as your staff. Medplum MCP is the clinical brain.
Applied AI
Ready to ship healthcare IT that you actually own?
Talk to our team about FHIR platforms, hospital operations, interoperability, or the full stack. We'll scope the engagement and get you a proposal within 48 hours.