19 posts tagged with "self-host"

Awell builds care orchestration infrastructure, and on top of it Panels, a work surface where care teams define a patient population, configure how they work it, and trigger what happens next. Panels is population and workflow agnostic by design: intake, surgery prep, prescription refill, chronic care management and post-discharge follow-up each need to see different data and follow different steps.

At a national post-acute provider running 180+ inpatient facilities, post-discharge follow-up runs on Panels at roughly 250,000 discharges a year, with about 500 weekly users. A voice AI agent handles routine outreach; case manager assistants handle everyone the eligibility rules exclude. Both work the same panel. Panels did not exist before this project. It went from its first two hospitals to all 180 in nine months, on self-hosted Medplum. Guideway Care assembled the solution, implemented it, and ran the rollout.

One of the most common questions we hear from teams evaluating Medplum is: "Can it handle our scale?" We wanted to answer that question with real data. We recently ran a formal performance evaluation against a self-hosted Medplum deployment that mirrors one of our largest production clusters, and the results speak for themselves - peak throughput exceeding 46,000 requests per second for read-only traffic and nearly 7,000 requests per second for full read/write/search FHIR workflows, with zero HTTP failures across all scenarios.

We are pleased to announce the Release of Medplum v5, the next major version of the open source healthcare developer platform.

As outlined in our preparatory post in May, Medplum v5 represents a comprehensive and necessary modernization of our core stack. This release ensures our platform maintains the highest standards of performance, security, and developer experience by aligning with the latest stable versions of our critical runtime and tooling dependencies.

Medplum is the platform of choice for technical leaders in healthcare, and that has given us a unique perspective into the transformative power of AI in healthcare - we get asked about it every single day.

We know that technical leaders feel the pressure to define and execute on an AI strategy, and to demonstrate tangible progress to teams and stakeholders, that's expected in times of rapid technical advances.

That's why we're thrilled to announce our beta support for Anthropic's Model Context Protocol (MCP), marking a significant leap forward in how large language models (LLMs) can securely and intelligently interact with healthcare infrastructure and systems of record.

Healthcare technology relies on established systems like Electronic Health Records (EHRs) and is now incorporating concepts like Unified Digital Health Platforms (UDHPs). Understanding this evolution is key to navigating the industry's direction.

Forking can look like the fastest path to control, but it often becomes a long‑term maintenance tax. Here’s a pragmatic checklist to decide—and alternatives that usually win.

As the open source healthcare developer platform of choice for innovators worldwide, Medplum continues to evolve with the rapidly changing technology landscape. We're excited to announce our upcoming major version release, Medplum v5, scheduled for October 2025. This post outlines the significant changes coming in this release to help our users prepare accordingly.

Andrei Zudin is a healthcare interoperability expert and advisor to the Medplum community. He is the former CTO and co-founder of Health Gorilla.

A Technical Guide to TEFCA Integration for Software Developers and Health IT Professionals (Download as PDF)

Purpose​

This white paper aims to provide a technical guide for software developers and healthcare IT professionals seeking to integrate their systems with the Trusted Exchange Framework and Common Agreement (TEFCA). It delves into the technical aspects of TEFCA, including the various participation models, QHIN connectivity, data exchange methods, and security considerations. It also explores the incentives for TEFCA participation and how Medplum can help organizations achieve TEFCA compliance and leverage its benefits.

Modern Healthcare Integration in the Wake of NextGen's Announcement

This week, NextGen Healthcare announced that Mirth Connect, the healthcare integration engine that has been a cornerstone of interoperability for countless organizations, will no longer be available. As long-time healthcare integration engineers ourselves, we recognize this news creates significant uncertainty for the many organizations that rely on Mirth Connect for critical healthcare workflows.

We've heard many success stories from enthusiastic early adopters who have smoothly upgraded to v4. Thank you all for your support and your feedback in this process!

However, we've identified an issue affecting some Medplum deployments that are configured to automatically pull the :latest Docker tag. With our recent release of Medplum 4.0.0, these deployments may be caught in a failing deployment loop. This post explains why this is happening and how to resolve it.