Mere Medical pulls the records from every hospital and clinic patient portal you use into one date-ordered timeline, so lab panels, immunizations, and procedures from different systems sit side by side. Each timeline card shows its facility and, when recorded, the provider, and expands with View More; a Jump To index leaps between years. The Summary tab condenses bookmarked labs, medications, conditions, immunizations, care plans, and allergies onto one dashboard whose cards can be dragged into any order or hidden. Lab results are graphed over time wherever the units line up, and a search bar finds specific entries by keyword. Connections sync from Epic MyChart, Oracle Health (Cerner), Veradigm, DrChrono, eClinicalWorks Healow, athenahealth, and NextGen, and several sources can feed one profile at once. Everything lives on your device, so records stay searchable offline and no account sign-in is needed; an optional password encrypts them at rest. Separate user profiles hold each person's records, and JSON export and import make backups simple. Experimental AI features add semantic search that links a phrase like high blood sugar to related labs, plus a Mere Assistant that answers plain-language questions about your records using local Ollama models or an OpenAI key. Install it on a phone or desktop home screen for quick access in the waiting room. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. MIT licensed.

Three lab PDFs, a phone photo of a printed slip, and a spreadsheet become one cholesterol trend in Mirobody, a health data engine you host yourself, with the source file behind every number. Upload reports in 23 file types, import an Apple Health export, or connect Garmin, Oura, and Whoop, and every reading keeps a link to the page it was read from. Test names in English, Chinese, Japanese, and other languages resolve offline to LOINC codes and UCUM units, so HbA1c and Glycated Hemoglobin land on one series, and a name it cannot place stays unresolved instead of guessed. Ask questions in plain language and the agent shows each step as it works, charts the trend, and opens the reading and file behind every figure. A health journal turns one typed sentence into coded symptoms, blood pressure readings, and a medication entry, and a denied symptom like no fever is never logged. Genetic exports from 23andMe, AncestryDNA, and WeGene, or a VCF, can be queried by rsID, gene, or region. A care circle lets relatives share their own records on their own terms, and Claude Code, Codex, and Cursor can read your record through the built-in MCP endpoint. Choose OpenRouter, OpenAI, Gemini, Anthropic, or DeepSeek for answers, or keep every model on your own machine. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. Apache-2.0 licensed.

The OHIF Viewer reads CT, MR, PET, and slide microscopy studies straight from a DICOMweb archive and shows them in any browser tab, with no workstation software to install. The study list filters by patient name, MRN, study date, description, modality, and accession number. Each study launches into the workflow mode that fits its modalities. Basic Viewer mode tracks the measurements drawn on images and gathers them in a side panel for review. Layouts include MPR, four-up 3D, volume rendering, and PET/CT fusion with maximum intensity projection. Labelmap tools offer brush, eraser, threshold, and shape segmentation, and DICOM segmentation, RT Structure, and structured report objects display alongside the pixels. PDFs, video clips, ECG waveforms, 4D series, and whole slide microscopy open in the same interface. Hanging protocols arrange series the way each workflow expects. An iframe embed drops the viewer into a portal or research app. Pair it with Orthanc or DCM4CHEE for storage and Keycloak for sign-in. Oncology trial reads, imaging research, and web front ends for a PACS are the usual jobs. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. MIT licensed.

Garmin, Oura, Whoop, and Apple Health each speak a different data dialect, and Open Wearables translates all of them into one consistent REST API that you host yourself. Users authorize through a connection link or the connect widget, history backfills on the first sync, and heart rate, HRV, SpO2, sleep, workouts, and meals land in one normalized schema. When two devices record the same night, configurable data priorities decide which provider and device type wins. Native iOS, Android, Flutter, and React Native SDKs push Apple Health, Samsung Health, and Health Connect data from the phone, and full Apple Health XML exports can be imported too. Outgoing webhooks announce new data with signed payloads, test events, and delivery logs, while a live sync stream shows every pull as it happens. The developer portal adds a dashboard, user profiles with sleep, meals, scores, and women's health tabs, sync history, data coverage, API keys, team invitations, retention policies, and a seed data generator. Sleep and resilience scores ship with open algorithms you can audit and tune. An MCP server lets Claude Desktop or Cursor answer questions such as how a user slept last week. Use it for AI health coaches, fitness coaching apps, healthcare platforms, research cohorts, or a personal health archive with n8n automations on top. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. MIT licensed.

Your medical history, fragmented across a dozen patient portals, in one place on your server: MediKeep (formerly Personal Medical Records Keeper) is a self-hosted health record system. Built with a React frontend and FastAPI backend over PostgreSQL, it organizes 14 categories of medical data - medications with dosages and schedules, conditions, procedures, allergies, immunizations, symptoms, injuries, doctor visits and encounters, treatments, lab results, and even medical equipment with service dates and supplier info. Treatment management is genuinely sophisticated: an advanced mode links treatments to their medications with per-medication overrides for prescriber, pharmacy, and effective dates, and reverse lookup shows which treatments use a given medication. A dashboard summarizes records and recent activity, file uploads attach documents to records, and tagging works across categories. When a new specialist asks for your history, the report builder assembles custom reports by category and exports to PDF, JSON, or CSV - a curated, portable summary instead of a folder of photocopies. Authentication supports Google and GitHub SSO with OIDC providers like Keycloak and Authelia expected to work, and the built-in backup system protects the archive. Health data is exactly what should never live in someone else's cloud.

A PostgreSQL database becomes a production-grade GraphQL API the moment Hasura GraphQL Engine points at it: track tables and relationships - existing schemas included - and full query, mutation, and subscription types appear with where, order_by, limit, offset, and on_conflict arguments, no resolvers or boilerplate written. Its Haskell core compiles GraphQL to efficient SQL, and any query becomes a real-time live query with a single keyword, powering dashboards and collaborative UIs over standard GraphQL subscriptions. Authorization is where Hasura earns its enterprise reputation: role-based access control with row- and column-level permission policies driven by session variables from JWTs, auth webhooks, or headers - each role effectively sees its own GraphQL schema containing only what it may touch, integrating cleanly with Auth0, Firebase, or homegrown auth. Event triggers fire webhooks on inserts, updates, and deletes for asynchronous business logic; Actions extend the schema with custom REST handlers; remote schema stitching merges external GraphQL services into one endpoint; and auto-generated REST endpoints serve clients that skip GraphQL. A browser console handles data modeling and API exploration, the CLI manages migrations and metadata as code, and deployment is a single stateless Docker container beside Postgres.

Backed by over 56,000 GitHub stars and a growing ecosystem of client and server SDKs covering Flutter, React Native, Swift, Kotlin, Python, Node.js, Deno, and more, Appwrite provides a complete backend platform that replaces Firebase and Supabase with a fully self-hostable architecture. The authentication module supports email and password, phone OTP, magic links, OAuth providers including Google, GitHub, Apple, and Facebook, anonymous sessions, and JWT token management with configurable session policies. The database service provides a document-oriented store with collections, indexes, query filters, pagination, and real-time subscriptions that push changes to connected clients instantly via WebSocket. The storage service handles file uploads with built-in image manipulation including cropping, resizing, format conversion, and compression, served through a CDN-ready URL structure. Serverless functions execute custom backend logic triggered by HTTP requests, scheduled cron jobs, or database events, with runtime support for Node.js, Python, PHP, Ruby, Dart, Swift, Kotlin, and Java. The messaging service enables push notifications, SMS, and email delivery through configurable providers including APNS, FCM, Twilio, Vonage, Mailgun, and Sendgrid. Team management with role-based permissions, webhook integrations, and health monitoring APIs complete the platform. The admin console provides a web-based dashboard for managing all services, monitoring usage metrics, and configuring project settings. Deployment runs via Docker Compose with MariaDB for metadata and configurable storage adapters. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. BSD 3-Clause licensed.

Backed by 9,200 GitHub stars and venture funding led by Nauta Capital, Nhost is the open-source Firebase alternative that replaces Google's proprietary document store with a relational PostgreSQL foundation from day one. The Hasura integration auto-generates a real-time GraphQL API with subscriptions, role-based permissions, and remote schemas from your PostgreSQL tables, while event triggers and cron triggers automate backend workflows without custom infrastructure. Authentication supports email and password, magic links, phone OTP via SMS, social OAuth providers including Google and GitHub, WebAuthn for passwordless login with Face ID, fingerprints, and YubiKeys, plus two-factor authentication. Since the Q1 2026 release, Nhost Auth also functions as a full OAuth2 and OpenID Connect provider, allowing your Nhost project to issue tokens to third-party applications the same way GitHub or Google do. The S3-compatible storage service handles file uploads with automatic image optimization, virus scanning, and presigned URLs for secure direct downloads. Node.js serverless functions deploy JavaScript and TypeScript backend logic without managing servers, while the Nhost CLI spins up the complete local stack via Docker for development with automatic database migration tracking and Hasura metadata management. The MCP server integration exposes project documentation and data schemas to AI assistants for intelligent query building. SDKs cover JavaScript, TypeScript, React, Vue, Next.js, and Dart for Flutter. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. MIT licensed.

With 37,000 GitHub stars and over 45 million downloads powering 500,000+ deployed projects, Directus is the most widely adopted open-source backend platform that connects to your existing SQL database without requiring schema migrations or data duplication. Point it at PostgreSQL, MySQL, MariaDB, MS SQL, SQLite, OracleDB, or CockroachDB and it instantly generates production-ready REST and GraphQL APIs complete with filtering, sorting, pagination, field selection, and relational queries — all derived from your actual schema with zero configuration. The visual Studio provides a full no-code management interface where non-technical teammates create content, manage assets, build dashboards, and configure access policies without engineering involvement. Field-level granular permissions govern every API request and Studio action through composable policies applied to roles, users, and AI agents identically. A built-in AI Assistant writes copy, translates content across languages, creates records, and routes items for review directly within the Studio interface. The native Model Context Protocol server connects Claude Desktop, Cursor, ChatGPT, or any MCP-compatible tool to your live data governed by the same access policies. Real-time WebSocket subscriptions push collection changes instantly for collaborative editing and live dashboards. Extensibility covers custom endpoints, hooks, interfaces, displays, layouts, modules, and operations. Deploy via Docker with environment-variable configuration or use Directus Cloud for managed hosting. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. BSL-1.1 licensed with free self-hosting.

An entire backend in a single Go executable: PocketBase embeds SQLite with realtime subscriptions, authentication and user management, file storage, and an admin dashboard, all behind a REST-ish API. SQLite runs in WAL mode, which outperforms client-server databases for the read-heavy workloads typical of small and mid-sized apps. Authentication supports email/password, one-time passwords, and 15+ OAuth2 providers including Google, Apple, and GitHub, with stateless tokens. Clients subscribe to record changes over server-sent events, and official JavaScript and Dart SDKs cover web, mobile, and Flutter frontends. Collections, rules, and API access permissions are managed visually in the admin UI. When you need custom logic, extend it with JavaScript hooks running in the embedded JS VM of the prebuilt binary, or import PocketBase as a Go library and compile custom business logic into your own single-file backend. File storage attaches uploads to records with thumbnail generation for images and optional S3-compatible external storage. All state lives in one pb_data directory, so backup is a directory copy and upgrade is replacing a binary - one of the lowest-maintenance backends you can run. The contrast with Firebase is the point: where usage-based pricing scales with reads, writes, and bandwidth, PocketBase runs the entire backend at flat hosting cost, and the data is a plain SQLite file you can copy anywhere. MIT-licensed.

Consistently ranked the most loved and most wanted database in developer surveys, PostgreSQL powers mission-critical workloads at Apple, Instagram, Spotify, and the U.S. Federal Aviation Administration with an architecture refined over nearly four decades since its origins at UC Berkeley. Its native JSONB type stores JSON in an indexed binary format with GIN and GiST index support, enabling document-store capabilities that eliminate the need for a separate NoSQL database in many architectures. The extension ecosystem exceeds 1,000 add-ons: PostGIS provides ISO-compliant geospatial queries, pgvector enables AI embedding similarity search, TimescaleDB adds time-series hypertable compression, and Citus distributes tables across nodes for horizontal scaling. PostgreSQL supports declarative partitioning by range, list, or hash, parallel query execution across multiple CPU cores, and four transaction isolation levels including full Serializable. Streaming replication provides physical standby servers with synchronous or asynchronous modes, while logical replication enables selective table-level change data capture through the Write-Ahead Log. Stored procedures run in PL/pgSQL, PL/Python, PL/Perl, and PL/V8 JavaScript, and advanced indexing includes B-tree, GIN, GiST, SP-GiST, BRIN, and hash types. Full-text search is built in with tsvector and tsquery, and row-level security policies enforce fine-grained access control. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. PostgreSQL License (MIT-like permissive) licensed.

With over 24,000 GitHub stars and a rapidly growing community of self-hosters, authentik delivers enterprise-grade identity management that replaces commercial solutions like Okta and Auth0 with a fully self-hosted platform requiring no per-user licensing fees. The platform serves as a unified identity provider supporting SAML 2.0, OAuth 2.0 and OpenID Connect, LDAP for legacy application compatibility, SCIM 2.0 for automated user provisioning, and RADIUS for network device authentication. The visual flow designer enables administrators to create custom authentication workflows combining password verification, multi-factor authentication with TOTP, WebAuthn, and SMS codes, email verification, captcha challenges, and conditional logic based on user attributes or device context. The forward-auth and reverse proxy integration works seamlessly with Traefik, Nginx, Caddy, and Envoy to protect applications that lack built-in authentication. User enrollment flows support self-registration with configurable approval workflows, invitation links, and automatic group assignment. The LDAP outpost exposes user and group data to legacy applications requiring LDAP bind authentication, while the SCIM provider automates user lifecycle management with downstream applications. Multi-tenancy support through brands allows a single authentik instance to serve multiple organizations with independent domains, branding, and authentication policies. The admin interface provides comprehensive user management, group hierarchy, application catalog, event logging with GeoIP enrichment, and system health monitoring. Running on a dedicated VPS on RepoCloud with guaranteed CPU, RAM, and SSD, full root SSH access, and a browser serial console. Licensed under a source-available license with an open-source community edition.