Frequently asked questions

Fossible Works is a digital health product development company that builds enterprise-grade healthcare infrastructure on open-source foundations. We specialize in EHR systems, FHIR-compliant health data platforms, clinical data analytics, and AI-augmented development — delivering 100% tech ownership to our clients with no vendor lock-in.

Yes. Our core products — Biograph HIMS (GPL-3.0) and Medplum (Apache 2.0) — are fully open source. You get complete source code access, can self-host anywhere, and there are no per-user licensing fees. We believe open source is the right foundation for critical healthcare infrastructure.

We offer multiple engagement models: Fossible Sprints provide dedicated dev pods on a flat monthly fee with AI-augmented development. For enterprise deployments, we scope fixed-fee implementations. We also offer managed hosting through Espresso Cloud. Every engagement comes with our promise of 100% tech ownership — your data, your software, total freedom.

Fossible Works Inc. is headquartered in Albany, New York (USA) and operates development teams from Bangalore, India. We serve clients across the USA, North America, and India.

Biograph is an open-source Hospital Information Management System built on Frappe/ERPNext. It unifies EHR, practice management, LIS (Lab Information System), RIS (Radiology Information System), billing, inventory, HR, and pharmacy on a single platform — with a single database, a single API, and zero per-user licensing fees.

Biograph is fully open source under the GPL-3.0 license. There are zero per-user licensing fees — no seat-based pricing, no tiered feature gates. You pay only for implementation, customization, and optional managed hosting services. The source code is available on GitHub.

Biograph supports FHIR R4, HL7, DICOM, LOINC, ICD-10, and SNOMED-CT. It is HIPAA-compliant ready and supports ABDM (Ayushman Bharat Digital Mission) and NABH compliance requirements for the Indian healthcare market.

Biograph is built for multi-site hospital groups, diagnostic lab chains, specialty clinics, health-tech startups, and government health programs that need an open-source, standards-compliant, self-hostable healthcare platform without per-user licensing overhead.

Medplum is an open-source FHIR R4 server and health data platform licensed under Apache 2.0. It provides a standardized clinical data repository with a TypeScript-native SDK, React component library, PostgreSQL-backed FHIR storage, and built-in HIPAA and SOC 2 compliance. Fossible Works provides implementation, customization, and managed hosting services for Medplum.

Yes. Medplum can be fully self-hosted on your own infrastructure — AWS, GCP, Azure, or on-premise. Fossible Works provides end-to-end deployment, configuration, and managed hosting services for self-hosted Medplum installations, ensuring compliance and production readiness.

FHIR (Fast Healthcare Interoperability Resources) is an HL7 standard for exchanging healthcare data electronically. It matters because it provides a standardized, portable format for clinical data — enabling interoperability between systems, regulatory compliance (ONC, CMS), AI-ready analytics, and patient-facing applications that work across providers.

We provide Medplum implementation and customization, SMART on FHIR app development, clinical data migration (HL7v2, CSV, legacy systems), healthcare compliance configuration (HIPAA, ABDM, NABH), interoperability services (HL7v2, FHIR, CDA, DICOM), and full health data stack integration with analytics and AI layers.

Espresso Cloud is our private CI/CD and managed cloud infrastructure platform. It provides Frappe/ERPNext-specialized deployment pipelines, Node.js framework support, 99.9% SLA with disaster recovery, and full DevOps management — so your team can focus on building features instead of managing infrastructure.

Hydra AI is our purpose-built AI development agent for ERPNext and Frappe applications. It features MCP tool calling, deep ERP domain knowledge, token-optimized context management, and code quality guardrails — accelerating Frappe/ERPNext development while maintaining enterprise-grade code standards.

Fossible Sprints is our AI-augmented product development service. You get a dedicated dev pod (engineers + AI agents) on a flat monthly fee. We use a tiered AI strategy (Claude Opus, Sonnet, Haiku) with enterprise guardrails — delivering faster iteration cycles while maintaining code quality and security standards.

Yes. Both Biograph and Medplum are built with HIPAA compliance in mind — including access controls, audit logging, encryption at rest and in transit, and fine-grained role-based access control (RBAC). Medplum additionally provides SOC 2 compliance and ONC certification readiness out of the box.

Absolutely. Our engagement promise is 100% tech ownership. All source code, data, configurations, and infrastructure are yours. There is no vendor lock-in, no proprietary dependencies, and no data hostage situations. You can fork, modify, and deploy independently at any time.

Yes. Our entire stack — Biograph, Medplum, Espresso Cloud pipelines, and supporting services — can be self-hosted on your own infrastructure (AWS, GCP, Azure, or bare metal on-premise). We provide full deployment support, documentation, and optional managed hosting if you prefer us to handle operations.