14 posts tagged with "self-host"

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.

Medplum v4.0.0 is coming soon! Many of the new features in this release have already been rolled out incrementally, making the v4.0.0 designation more symbolic of the semantic versioning. We prioritize stability and backwards compatibility and work hard to minimize unnecessary changes. However, sometimes changes are necessary to keep the platform up-to-date and secure. This document outlines the key updates in v4.0.0, including important information for self-hosting deployments and TypeScript SDK users.

Medplum is built on Postgres. Until recently, our hosted Medplum service was using an Amazon Web Services (AWS) RDS Aurora Postgres cluster running version 12.16. Since v12 is rather outdated and nearing the end of its standard support window on RDS, it was time to plan our upgrade to the newest version available on RDS, v16.4. Various methods to upgrade to a new major version on various places across the downtime vs level-of-effort continuum; we decided to upgrade our database with no downtime. This is how we did it.

Chamber Cardio, a technology-enabled cardiology solution, helps enable and empower cardiologists and practices in their transition to value-based care. With our cloud-based technology platform, we offer a suite of tools designed specifically for cardiovascular care. These tools provide real-time insights, analytics and care coordination tools focused on improving outcomes for patients with chronic cardiovascular conditions.

Claims data is a uniquely rich source of financial and clinical data important to many healthcare workflows. The EDI 837 Health Care Claim transaction is one of the oldest forms of electronic data exchange, stemming from being defined as a required data transmission specification by HIPAA.

Develo has built a full-featured EHR and customer relationship management (CRM) for pediatrics, encompassing core scheduling, clinical, and billing workflows along with family engagement capabilities.