Building healthcare software usually means assembling a FHIR data store, an identity provider, audit logging, and clinical interfaces before any product code gets written, and Medplum ships all of it as one open-source platform. Every clinical record, from patients and encounters to observations, medications, and appointments, lives in a standards-based repository you can query through REST and GraphQL APIs with full search parameters. Sign-in and permissions come built in through OAuth, OpenID Connect, and SMART-on-FHIR, with access policies that control read and write rights down to the resource, compartment, and field level. The included web app lets your team browse and edit any resource, manage project users, clients, bots, and secrets, and review a complete audit trail where every read, write, and login is recorded. Bots run your TypeScript logic inside the platform when resources change, on schedules, or over HTTP, handling jobs like HL7 transforms, eligibility checks, and notifications without another server to operate. Subscriptions push real-time events to your services through webhooks or WebSockets with retries and signing, and projects partition data so each clinic or customer stays isolated on one deployment. Clinicians get ready-made interfaces for charting, scheduling, eligibility, and billing that you can fork and rebrand, while patients reach their records through portals and SMART health links. 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.

Open Compute is a self-hosted Cloudflare Workers-compatible platform that runs your Workers, storage, and AI services on hardware you own, from one binary and one daemon. Deploy the Worker code you already wrote with its config file and framework adapters, then roll back to an earlier immutable deployment when a release misbehaves. Serve traffic locally or over HTTPS through the shared Gateway, with routes you control instead of a vendor account. Each instance stays isolated with its own data directory and credentials, while you switch between registered instances from the same operator view. Bindings cover the platform pieces applications actually need: key-value data, SQL databases, object storage, stateful objects, queues, durable multi-step workflows, scheduled cron, cache, vector search, and AI search. Logs and a live tail show what running Workers are doing right now, and health, backup, and recovery workflows keep a single machine manageable without a cluster. Verified upgrades roll back automatically when something fails, and object bytes can move to S3-compatible storage when local disk is no longer enough. 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.