One partner across FHIR, HIS, and operations
Ship healthcare IT you own — from Medplum and hospital ops to compliance and scale.
Healthcare IT
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FossibleWorks
Rapid digital activations with Open Source & AI
If you are game — we can help your business transform sustainably and reliably.
Open Source
is what 60-90% of internet & big tech runs on.
Applied AI
is the force multiplier.
Full stack
we have you covered to build, deploy & scale.
Open source ERP, now agent-built
Meet Fossible's Agentic Implementation Platform
Complete tooling to describe, build, and ship open-source ERPNext — a reliable foundation for any business to scale its operations.
HydraAIEspresso
Functional consultants run the project end to end — no developer hand-offs, no implementation bottlenecks.
Healthcare IT
FHIR-native clinical workflows seamlessly integrated with ERP that is built for agents and humans alike — the most comprehensive agent-native healthcare IT surface, under one login.
Go deeper
Our deep dives and more into each of our core pillars.
Harness, RAG, and production Applied AI
Agent harnesses and fine-tuned models on infrastructure with permissions and audit trails.
Applied AISelf-hosted Medplum implementation
FHIR CDR, interoperability, and managed hosting from a Medplum-focused partner.
MedplumHydra AI and Espresso Cloud
Agentic ERPNext implementation plus private CI/CD for self-hosted open source.
ERPNext & DevOpsFossible Sprints
AI-augmented product development teams on a flat monthly engagement.
Delivery podsAI loves FHIR
Why structured clinical data and AI agents belong together.
Perspective
FAQ
Frequently asked questions
What does FossibleWorks do?
FossibleWorks is a Healthcare IT and Applied AI implementation partner. We implement self-hosted Medplum and FHIR platforms, open-source hospital information systems and production AI agents — and also deliver enterprise ERPNext, DevOps for self-hosted open-source stacks and AI-coding-agent product teams. We help digital health builders and enterprises build, deploy and scale with full tech ownership.
Who does FossibleWorks partner with?
Digital health builders and healthcare IT teams implementing FHIR and Medplum, hospitals and health programs that need an open-source HIS, and teams with Applied AI projects that need harnesses, RAG and production guardrails on infrastructure they control. We also partner with enterprises on ERPNext, organisations self-hosting open-source stacks, and product teams that want AI coding agents in the delivery loop.
Are you a Medplum implementation partner?
Yes. FossibleWorks provides self-hosted Medplum deployment, FHIR R4 interoperability, SMART on FHIR apps, clinical data migration, and managed hosting on AWS, GCP, Azure, or on-premise — with agent-native MCP and REST surfaces for developers and AI agents.
Do you take Applied AI projects?
Yes. Our Applied AI practice covers agent harnesses, context engineering, RAG, fine-tuned open-weight models, and work sold as a service — on permissions, audit trails, and infrastructure you own, not demo-only happy paths.
Do you implement ERPNext for enterprise ERP?
Yes. We implement and customize ERPNext and Frappe with Hydra AI for agentic configuration and Espresso Cloud for private CI/CD and managed self-hosting — so functional consultants can ship ERP without implementation bottlenecks.
Can you self-host and operate our open-source stack?
Yes. Espresso Cloud delivers private CI/CD and managed cloud for Frappe, ERPNext, Medplum, and Node-based stacks. Fossible HIS, Medplum, and supporting services can run on your infrastructure with optional managed operations.
Build differently.
The only open foundation you need to bring about reliable and rapid digital transformations. Talk to us — or start building on Espresso.