# FossibleWorks — Complete Site Content

> FossibleWorks is a Healthcare IT and Applied AI implementation partner — self-hosted Medplum and FHIR, open-source hospital information systems, and production AI agents — plus enterprise ERPNext, DevOps for self-hosted open-source stacks, and AI-coding-agent product delivery teams. We help digital health builders and enterprises build, deploy, and scale on open source, with REST APIs for developers and MCP servers for AI agents on every layer we ship.

## Company Overview

FossibleWorks is operated by Fossible Works Inc (Albany, NY, USA) and Tacten Services LLP (Bangalore, India). We partner primarily with digital health builders and healthcare IT teams — Medplum and FHIR implementation, HL7 interoperability, hospital information systems (Health Central / Fossible HIS) — and with organisations running Applied AI projects. We also deliver ERPNext for enterprise ERP, self-hosted DevOps, and AI-coding-agent product delivery teams — with full ownership, no vendor lock-in, and zero per-user licensing on open-source products.

Hydra MCP covers operations and ERP; Medplum MCP covers clinical FHIR data. Every entity is a self-describing, queryable object with built-in access control, validation, and version history.

### What We Do

We implement and operate open-source enterprise and healthcare stacks end to end: ERPNext, HIS, Medplum FHIR, Espresso Cloud DevOps, Fossible Sprints delivery pods, and Applied AI harnesses — 100% tech ownership for clients.

### Mission

We are convinced that Open Source Software (OSS) is no longer on the fringes but is at the heart of all major tech companies, proving itself as a powerful catalyst for growth complementing strategic IT and application landscapes. Our mission is to enhance OSS adoption to drive impactful digital transformations across enterprises.

### Core Values

1. Do one thing and do it well
2. Transparency and authenticity
3. Privacy and Security
4. Unparalleled delivery quality
5. Support for OSS Sustainability

### Expertise

- Healthcare IT & Informatics
- Digital Health Products
- Full Stack Development
- Deployments & DevOps
- AI & Automation
- Integrations & Interoperability

### Locations

- USA & North America: Fossible Works Inc., Albany, NY
- India: Bhive AKR Tech Park, Bangalore

## Service: Healthcare IT

**URL:** https://www.fossibleworks.com/services/healthcare-it/

FossibleWorks is a Healthcare IT implementation partner for digital health builders and hospitals: one team across FHIR and Medplum clinical data platforms, HL7 interoperability, open-source HIS on ERPNext, AI agents, analytics and compliance — to build, deploy and scale.

### What we deliver

- FHIR R4 clinical data platforms on self-hosted Medplum
- HL7v2, CSV and legacy-system migration into conformant FHIR R4 resources, with provenance tracking
- Interoperability with EHR, LIS/RIS, pharmacy, imaging and HIE systems over HL7 v2, FHIR R4, CCDA, DICOM and ADT
- SMART on FHIR apps and patient or clinician portals
- Open-source hospital information systems (Health Central / Fossible HIS) on ERPNext / Frappe Healthcare
- Compliance configuration for HIPAA (US), ABDM and NABH (India) on infrastructure the client controls
- Self-hosted DevOps (Espresso Cloud) and AI agents on top of clinical and operational data

## Product: Medplum Health Data Platform

**URL:** https://www.fossibleworks.com/products/medplum/

### What is Medplum?

Medplum is an open-source FHIR R4 server that serves as a Standardized Clinical Data Repository. FossibleWorks provides implementation, customization, data migration, compliance, and interoperability services for teams building on Medplum. Also agent-accessible via Medplum MCP.

### Key Facts

- 100% Open Source (Apache 2.0)
- FHIR R4 Specification Compliant
- HIPAA Compliant Architecture
- ONC Certification Ready
- TypeScript-native SDK with React components
- PostgreSQL-backed FHIR storage using JSONB
- Agent-accessible via Medplum MCP

### Why Medplum?

- **Truly Open Source** — No dual-licensing traps, no enterprise-only features behind a paywall. Apache 2.0 licensed.
- **TypeScript-Native SDK** — First-class TypeScript SDK and React component library with FHIR resource types baked into the type system.
- **Compliance by Default** — SOC 2, HIPAA, and ONC-aligned out of the box.
- **Interop-Ready Architecture** — SMART on FHIR app launch, SCIM, OAuth 2.0, and a Bots framework for automation.
- **PostgreSQL-Backed FHIR Storage** — Uses PostgreSQL's JSONB columnar storage to index and query FHIR resources natively.

### What is Medplum MCP?

Medplum MCP is the agent surface for the clinical layer. It exposes the full FHIR R4 resource tree — Patient, Encounter, Observation, Condition, MedicationRequest, DiagnosticReport, and more — as semantic, agent-aware tools. SMART on FHIR scopes, terminology validation (ICD-10, SNOMED-CT, LOINC), and FHIR AuditEvent generation are enforced at the tool boundary.

### Services We Provide for Medplum

1. Medplum Implementation & Customization
2. SMART on FHIR App Development
3. Clinical Data Migration
4. Healthcare Compliance (HIPAA, ABDM, NABH)
5. Interoperability Services (HL7v2, FHIR, CDA)
6. Health Data Stack Integration

### Medplum Use Cases

- Digital health startups building on FHIR
- Care delivery platforms needing standardized clinical data
- Patient-facing health apps (portals, lab results, messaging)
- Clinical data pipelines and analytics

## Service: Applied AI

**URL:** https://www.fossibleworks.com/services/applied-ai/

FossibleWorks is an Applied AI development partner. Foundation models are a commodity; differentiation is in how AI is applied — LLM agent harnesses, context engineering, retrieval (RAG) and fine-tuned open-weight models, in production on infrastructure clients own, with native permissions, version history, audit trails and a human review surface.

### Engagements

1. AI Readiness Audit — 2 weeks, fixed fee: substrate assessment, agent-readiness score, ranked use-case shortlist, token-cost and unit-economics model.
2. Agent Build Pod — 6–12 weeks: one production workflow shipped end to end (harness, MCP tools, evals, review surface, runbook).
3. Model Lab — 4–8 weeks: dataset curation, LoRA fine-tuning, evals and self-hosted serving, measured against a frontier baseline.
4. Work-as-a-Service — ongoing: FossibleWorks runs the agents and is paid per unit of work completed, with SLAs and human approval gates where regulation requires.

### Healthcare AI

Agents connect to FHIR data in Medplum and to hospital operations in ERPNext through permissioned MCP servers, so they read and write through the same access controls and audit trails as staff.

## Product: Health Central (unified stack)

**URL:** https://www.fossibleworks.com/health-central-ai

**Also:** Fossible HIS product page — https://www.fossibleworks.com/products/fossible-his/

### What is Health Central / the Fossible stack?

Health Central unifies hospital operations (ERPNext), FHIR-native clinical record (Medplum), and AI agents under one login — the most comprehensive agent-native healthcare IT surface we ship. The open-source HIS codebase is also documented and marketed as Fossible HIS. Every layer is open-source, API-first, REST-addressable for developers and MCP-addressable for AI agents.

### Five Layers

1. **Omni-Channel Customer Engagement** — Frappe CRM for lead capture, support, and patient communication via WhatsApp Business, Messenger, chatbots, APIs, Calendly, and Typeform.

2. **Practice Management & CareOps** — Fossible HIS: a Frappe-based single platform for PMS, LIS, RIS, Inventory, and ERP. Includes CareOps Analytics powered by Superset and Frappe Insights.

3. **Frappe Platform Features** — The low-code engine: auth/SSO, workflow engine, REST API, notifications/webhooks, reports/PDFs, low-code rapid dev, cron/batch processing, and module-wise dashboards.

4. **Health Data Platform** — Medplum FHIR R4 server as the Standardized Clinical Data Repository. Real-time ETL via Amazon Kinesis and Redis. Patient portals, SMART on FHIR apps, HL7v2/FHIR/CDA interoperability, terminology server (ICD-10, SNOMED-CT, LOINC).

5. **Clinical Data Warehouse & Analytics** — Tuva Project on Redshift for AI-ready analytics, clinical decision support, population health dashboards, risk stratification, and predictive analytics.

### Agent-Ready Surfaces

| Layer | Developer Surface | Agent Surface |
|---|---|---|
| Omni-Channel Engagement | REST + Webhooks | Hydra MCP |
| Practice Management & CareOps | REST (every doctype) | Hydra MCP |
| Frappe Platform | REST + Webhooks | Hydra MCP |
| Health Data Platform | FHIR REST | Medplum MCP |
| Clinical Data Warehouse | SQL + REST | Analytics MCP (roadmap) |

### Open-Source Advantage

- You own everything — code, data, deployment
- No per-user licensing — Frappe, ERPNext, Medplum, Tuva, Superset all GPL or Apache licensed
- Full API surface — REST, FHIR, webhooks
- Host anywhere — cloud, on-premise, hybrid, air-gapped
- Community-backed — Frappe 50,000+ community, ERPNext 10,000+ orgs in 140+ countries

## Product: Fossible HIS

**URL:** https://www.fossibleworks.com/products/fossible-his/

### What is Fossible HIS?

Fossible HIS is an open-source Hospital Information Management System (HIMS) built on the Frappe/ERPNext platform. It is a single platform that replaces five fragmented systems — from ward to wallet. Clinical workflows, billing, accounting, inventory, HR, lab, pharmacy, insurance — unified on a single database, with a single API, and zero per-user licensing fees.

### Key Facts

- License: GPL-3.0, fully open source
- Standards: FHIR R4, HL7, DICOM, LOINC, ICD-10, SNOMED-CT compliant
- Compliance: HIPAA, ABDM, NABH ready
- Pricing: $0 per-user licensing
- Platform: 10,000+ organizations on the Frappe/ERPNext platform worldwide
- Agent-Ready: also accessible via Hydra MCP for AI agent integration

### Core Modules

- **PMS (Practice Management System)** — Patient registration, scheduling, encounter documentation, clinical workflows, billing, and revenue cycle management
- **LIS (Lab Information System)** — LOINC-coded lab workflows, sample tracking, device integration, diagnostic reporting, and result publishing
- **RIS (Radiology Information System)** — DICOM and PACS integration, imaging order management, radiology reporting
- **Inventory & ERP** — Full ERPNext-powered inventory, procurement, accounting, HR, payroll, and asset management
- **CareOps Analytics** — Powered by Superset and Frappe Insights for real-time operational dashboards

### Is Fossible HIS AI-Agent-Ready?

Yes. Fossible HIS is agent-ready out of the box because it runs on the Frappe framework, where every doctype auto-exposes a REST endpoint and every workflow is scriptable in Python. Through Hydra MCP, AI agents can also read and act on the entire operational layer — patient operations, clinical orders, billing, inventory, and ERP transactions — flowing through the same RBAC, workflows, and audit trail as human users.

### Who Is Fossible HIS For?

- Multi-site hospital groups needing a unified platform across locations
- Diagnostic lab chains running high-volume LIS workflows
- Specialty and multi-specialty clinics needing configurable clinical workflows
- Health-tech startups building care delivery platforms
- Government and public health programs requiring open-source, locally hostable infrastructure
- Organizations pursuing ABDM, HIPAA, or NABH compliance

### Source Code

GitHub: https://github.com/Tacten/biograph

## Service: Hydra AI

**URL:** https://www.fossibleworks.com/guide/hydra-ai

### What is Hydra AI?

Hydra AI is a purpose-built dev agent for ERPNext and Frappe with MCP tool calling, deeply optimized for the Frappe/ERPNext ecosystem. It understands the architecture, the doctype system, the business logic, the API surface, and the ERP domain knowledge. It also serves as Hydra MCP — the agent surface for the operational stack.

### Core Capabilities

- **MCP Tool Calling** — Queries live doctypes, reads app structure, executes bench commands, runs tests, inspects logs
- **Deep ERP Domain Knowledge** — Accounting, inventory, supply chain, HR, manufacturing, healthcare, CRM
- **Token Optimization** — Tiered context loading, Context7 integration, session memory, prompt compression
- **Code Quality Guardrails** — Automated Frappe best practices review, OWASP validation, security-first patterns, test generation
- **Rapid Prototyping** — Doctype scaffolding, custom script generation, report builder, workflow automation, print formats, API endpoints

### What is Hydra MCP?

Hydra MCP is the agent surface for the operational stack. It exposes every Frappe doctype, workflow, and report as a structured, permissioned, auditable tool surface for AI agents. This includes patient operations, clinical orders, billing and RCM, inventory, ERP transactions, workflow execution, and reporting. Agents operate through the same access controls and audit trail as human users.

### How Hydra Differs from Generic AI

| Aspect | Generic AI | Hydra AI |
|---|---|---|
| Framework awareness | All frameworks equally | Frappe/ERPNext deeply |
| ERP domain knowledge | None | Accounting, inventory, HR, manufacturing, healthcare |
| Token efficiency | Bloated context | Tiered loading, prompt compression |
| Code validation | Syntax only | Frappe best practices + OWASP |
| Session memory | Stateless | Project-level context retention |
| Tool calling | Generic file/terminal | MCP with live Frappe instance |

## Service: Espresso Cloud

**URL:** https://www.fossibleworks.com/guide/espresso-cloud

### What is Espresso Cloud?

Espresso Cloud is a private CI/CD control plane deployed on your infrastructure — AWS, GCP, Azure, or any public cloud — that gives you full automation without giving up ownership. It is purpose-built for Frappe/ERPNext and also supports any Node-based frontend framework (React, Next.js, Vue, Nuxt, Svelte, Angular, Astro, Remix, Gatsby).

### Key Capabilities

- Fully automated CI/CD pipelines triggered by GitHub workflows
- Environment-based deployments (dev, QA, staging, production) with one-click migrations
- Branch-based preview deployments for every PR
- Zero-downtime deployments with automated rollback
- Stateless architecture with S3-native storage
- Enterprise security (key vaults, tenant isolation, pen testing, OWASP)
- 99.9% uptime SLA, multi-AZ high availability
- Centralized monitoring, log aggregation, and proactive alerting

### Managed Services

- Full DevOps management
- Database and query optimization
- Infrastructure and application migrations
- Ongoing performance tuning
- Security audits and penetration testing

## Service: Fossible Sprints

**URL:** https://www.fossibleworks.com/guide/fossible-sprints

### What are Fossible Sprints?

Fossible Sprints is AI-augmented product development delivered as a flat monthly subscription. A dedicated dev pod — business analysts, a project manager, and engineers — delivering product development with a fully AI-augmented workflow and enterprise-grade quality guardrails.

### How It Works

**Your Dedicated Dev Pod:**
- 1 Project Manager
- 1-2 Business Analysts
- 2-3 Engineers (full-stack, Frappe/ERPNext specialists)
- Part-time specialists (DevOps, security, UI/UX, AI engineering)

**AI-Augmented Engineering Workflow:**
Every feature ships through an enterprise-grade pipeline with human oversight at every gate. Humans own the why and the what. AI owns the how.

**Model-Optimized AI Execution:**
- Opus for planning, architecture, complex reasoning
- Sonnet for implementation and code generation
- Haiku for exploration and quick tasks
- Hydra AI for ERPNext-specific development

**Enterprise Guardrails:**
- Test-driven development
- Static analysis on every PR
- AI-assisted architecture review
- AI code review + human code review
- OWASP security validation
- Auto-deployed preview PRs
- Living documentation

### Pricing

Flat monthly fee. No hourly billing. No milestone negotiations. No surprises. Cancel anytime.

### Who Is This For?

- Enterprise software teams needing continuous development
- Startups wanting a senior engineering team from day one
- Healthcare organizations deploying digital health solutions
- CTOs augmenting team capacity
- Non-technical founders needing a technical partner
- Organizations without a CTO needing fractional CTO services

## Enterprise Differentiators

1. Cloud Agnostic — AWS, GCP, Azure
2. Enterprise SLAs — 99.9% Uptime
3. Security-First — Pen-Testing, VPAT
4. AI-Augmented — Opus, Sonnet, Haiku
5. Flat Pricing — No Surprises
6. 24x7 Monitoring — Proactive Alerts
7. DR & Backups — Automated Recovery
8. OWASP — Security Validation
9. Agent-Ready — REST + MCP surfaces on every layer

## Frequently Asked Questions

**URL:** https://www.fossibleworks.com/faq/

### General

**What is FossibleWorks?**
FossibleWorks is an implementation partner for enterprise ERPNext, hospital information systems, self-hosted Medplum and FHIR, DevOps for open-source stacks, AI-agent product delivery, and Applied AI. We help digital health builders and enterprises build, deploy, and scale with 100% tech ownership and no vendor lock-in.

**Is your software really open source?**
Yes. Our core products — Fossible HIS (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.

**How does the engagement model work?**
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.

**Where is FossibleWorks located?**
FossibleWorks operates through two entities: Fossible Works Inc, headquartered in Albany, New York (USA), and Tacten Services LLP, based in Bangalore, India. We serve clients across the Americas, EU and UK, India, APAC, and EMEA — with the contracting entity determined by your jurisdiction.

### Medplum & FHIR

**What is Medplum?**
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. FossibleWorks provides implementation, customization, and managed hosting services for Medplum.

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

**What is FHIR and why does it matter?**
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.

**What services does FossibleWorks provide for Medplum?**
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.

**How does Medplum compare with HAPI FHIR and Aidbox?**
All three store and serve FHIR R4 data. HAPI FHIR is an open-source Java server library you build an application around, and Aidbox is a commercial FHIR platform. Medplum is Apache 2.0 and TypeScript-native, and ships with authentication, access policies, Bots automation and React components — so teams build apps on it rather than around it. We recommend it when you want an open-source, self-hostable FHIR backend with an app framework included.

### Healthcare IT

**Can you migrate HL7v2 and legacy health data to FHIR?**
Yes. We build pipelines from legacy systems, CSV exports and HL7v2 feeds into conformant FHIR R4 resources — validated, complete and with provenance tracking — and connect EHR, LIS/RIS, pharmacy, imaging and HIE systems using HL7 v2, FHIR R4, CCDA, DICOM and ADT.

**Do you build SMART on FHIR apps?**
Yes. We build SMART on FHIR apps and patient or clinician portals on Medplum and other FHIR R4 servers, with OAuth-based launch, FHIR-native data models and the interoperability work needed to plug them into existing EHRs.

**Can one partner cover clinical systems, hospital operations and hosting?**
Yes. We cover the full stack for digital health builders: FHIR and Medplum for clinical data, an open-source HIS on ERPNext for hospital operations, Espresso Cloud for self-hosted DevOps, and AI agents on top — so you build, deploy and scale with one team.

### Applied AI

**Does FossibleWorks take Applied AI projects?**
Yes. We scope and deliver Applied AI work — agent harnesses, context engineering, retrieval (RAG), fine-tuned open-weight models and work sold as a service — with permissions, version history and audit trails on infrastructure you control.

**How does an Applied AI engagement start, and how long does it take?**
Most clients start with a 2-week, fixed-fee AI Readiness Audit: a substrate assessment, agent-readiness score, ranked use-case shortlist and a token-cost model. From there, an Agent Build Pod ships one production workflow in 6–12 weeks, a Model Lab fine-tunes and self-hosts a model in 4–8 weeks, or we run agents ongoing under a Work-as-a-Service model.

**Do you build AI on healthcare data such as FHIR?**
Yes. Healthcare is our deepest domain: we connect AI agents to FHIR data in Medplum and to hospital operations in ERPNext through permissioned MCP servers, so agents read and write through the same access controls and audit trails as your staff.

### Fossible HIS

**What is Fossible HIS?**
Fossible HIS 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.

**Is Fossible HIS open source and what does it cost?**
Fossible HIS 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.

**What healthcare standards does Fossible HIS support?**
Fossible HIS 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.

**Who is Fossible HIS built for?**
Fossible HIS 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.

### Enterprise Services

**What is Espresso Cloud?**
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.

**What is Hydra AI?**
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.

**What are Fossible Sprints?**
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.

### Compliance & Security

**Is your platform HIPAA compliant?**
Yes. Both Fossible HIS 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.

**Do I own my data and software?**
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.

**Can everything be self-hosted on my own infrastructure?**
Yes. Our entire stack — Fossible HIS, 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.

## Contact

- Email: sales@fossibleworks.com
- Website: https://www.fossibleworks.com
- FAQ: https://www.fossibleworks.com/faq/
- Contact: https://www.fossibleworks.com/contact/
- Book a Call: https://www.fossibleworks.com/book-a-call/
- GitHub: https://github.com/Tacten
- LinkedIn: https://www.linkedin.com/company/tacten
- Twitter: https://twitter.com/tacten