10 posts tagged with "self-host"

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 Since v12 is rather outdated and nearing the end of its standard support window on RDS, it was time to plan our upgrade to the newest version available on RDS, v16.4.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.

NASA's TRISH team (Translational Research Institute for Space Health) recently issued an RFP for a healthcare tech platform designed for monitoring spaceflight participant health metrics during space missions. TRISH is a virtual consortium focused on applied research to ensure astronaut health during space exploration.

Today, we received a thoughtful email from an engineering leader who installed Medplum for the first time:

This guide is for customers who are self-hosting Medplum, and this post assumes that your installation was complete and successful. We will refer to your base installation as $domainName, and this refers to the domain on which the Medplum app is running, for example on hosted Medplum the domain is app.medplum.com.

Data privacy, locality, governance and compliance are huge issues in healthcare, and that's why we at Medplum support self-hosting. For those running on AWS, we use Aurora RDS, which supports auto-scaling. A common question we get is - how big is my database going to be?