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Biograph · CareOps & HIMS
One platform replaces five fragmented systems — from ward to wallet
Biograph is an open-source Hospital Information Management System built on Frappe/ERPNext. Clinical workflows, billing, accounting, inventory, HR, lab, pharmacy, insurance — unified on a single database, with a single API, and zero per-user licensing fees. Built for multi-site healthcare enterprises that refuse to be locked in.
GPL-3.0
Fully Open Source
FHIR R4
HL7 Compliant
$0
Per-User Licensing
10K+
Orgs on the Platform
The ProblemHealthcare IT is expensive,
Healthcare IT is expensive,
fragmented, and unsustainable
Most hospitals run 5–8 disconnected systems. Each has its own vendor, its own license model, its own training curve — and none of them talk to each other without expensive middleware.
✕ Traditional Healthcare IT
- ✕ EMR, billing, inventory, HR, lab — all separate systems
- ✕ Clinical data disconnected from financial operations
- ✕ Per-user licensing fees across every system
- ✕ Staff trained on 5+ different interfaces
- ✕ Reporting requires pulling from multiple sources manually
- ✕ Vendor lock-in — proprietary code, cloud-only hosting
- ✕ Updates in one system break integrations in another
- ✕ $200K–$500K+ annual TCO for mid-size hospital groups
✓ The Biograph Approach
- ✓ Single integrated platform — one database, one truth
- ✓ Clinical events trigger business processes automatically
- ✓ Zero per-user fees — GPL-3.0, forever
- ✓ One consistent UX across every module
- ✓ Cross-functional analytics and reporting out of the box
- ✓ Host anywhere — cloud, on-premise, or hybrid
- ✓ Atomic updates — everything stays in sync
- ✓ 60–80% lower TCO with faster time to value
PlatformFull-spectrum coverage across
Full-spectrum coverage across
clinical, operations, and business
Biograph covers four operational domains in a single platform. Each module is production-ready, deeply integrated, and customizable through Frappe's low-code framework.
🏥
Clinical Workflows
FHIR-compliant patient management, encounter documentation, vitals capture, clinical procedures, medication management, and medical coding — designed for multi-specialty practices and hospital groups.
🔬
Lab, Radiology & Pharmacy
Complete LIS with LOINC coding, device integration, and sample tracking. Full RIS with DICOM and PACS integration. Integrated pharmacy with inventory, prescription management, and drug interaction checks.
💰
Business Operations & ERP
Full accounting with general ledger and multi-currency support. Revenue cycle management, procurement, multi-warehouse inventory, HR with payroll and attendance, asset management — all natively integrated through ERPNext.
⚡
Platform & Digital Health
Low-code customization through Frappe's doctype system. Patient and provider portals, visual workflow designer, RESTful APIs for every entity, role-based access control, audit trails, SSO, and real-time WebSocket updates.
EcosystemBuilt on a platform trusted by
Built on a platform trusted by
10,000+ organizations worldwide
Biograph isn't a standalone app — it's built on Frappe/ERPNext, one of the world's most mature open-source business platforms. You inherit a battle-tested ecosystem on day one.
10K+
Organizations
Companies worldwide run their entire operations on Frappe/ERPNext — from clinics to hospital chains. 15+ years of active development.
50K+
Community Members
Active developers, implementers, and users across forums, conferences (Frappeverse), and chat channels. Never build alone.
300+
ERPNext Modules
Access the full ERPNext module catalog — manufacturing, education, e-commerce, projects, plus a marketplace of community apps and integrations.
$0
Per-User Licensing
GPL-3.0 licensed. No dual-licensing traps, no enterprise tier, no per-seat fees. Full source code access. Host it yourself or use managed cloud.
140+
Countries
Multi-currency, multi-language, multi-company architecture. Regional tax, compliance, and regulatory modules available for major markets.
Low-Code
Frappe Framework
Custom doctypes, workflow designer, report builder, print format editor — your IT team ships features in days, not months. No expensive vendor change orders.
Comparison
Biograph vs. traditional HIMS
Most HIMS products solve clinical workflows. Biograph solves clinical workflows AND everything else your hospital runs on — without additional vendors or licenses.
| Capability | Traditional HIMS | Biograph + ERPNext |
|---|---|---|
| Clinical Workflows (OPD, IPD, Encounters) | ✓ Included | ✓ FHIR R4 compliant |
| Lab, Radiology, Pharmacy | ⚠ Basic modules | ✓ Full LIS (LOINC), RIS (DICOM), pharmacy |
| Accounting & General Ledger | ✕ Separate system required | ✓ Multi-currency GL, financial reporting |
| Billing & Revenue Cycle | ⚠ Basic invoicing only | ✓ Full RCM, insurance, auto-invoicing |
| Inventory & Supply Chain | ✕ Medical supplies only or missing | ✓ Multi-warehouse, batch, serial, reorder |
| HR, Payroll & Attendance | ✕ Separate HR system | ✓ Full HRMS — payroll, leave, appraisals |
| Insurance Claims Management | ⚠ Basic or add-on | ✓ Payor contracts, eligibility, claims |
| Asset & Equipment Tracking | ✕ Usually separate | ✓ Equipment lifecycle, maintenance |
| Customization | ⚠ Vendor-dependent, expensive | ✓ Low-code framework — build in days |
| API Access | ⚠ Limited endpoints | ✓ RESTful API for every entity |
| Hosting Flexibility | ⚠ Cloud-only or vendor-locked | ✓ Cloud, on-prem, hybrid |
| Source Code Access | ✕ Proprietary | ✓ Full access — GPL-3.0 |
| Per-User License Fees | 💰 $50–$200/user/mo | ✓ $0 — free forever |
| Community & Ecosystem | ✕ Vendor-only support | ✓ 50K+ members, forums, marketplace |
Compliance & StandardsBuilt on healthcare standards,
Built on healthcare standards,
not bolted on
FHIR R4Interoperability
HL7Messaging
DICOMImaging
LOINCLab Coding
ICD-10Diagnosis
SNOMED-CTClinical Terms
HIPAAUS Privacy
ABDMIndia Digital Health
NABHIN Accreditation
Built ForMulti-site healthcare enterprises
Multi-site healthcare enterprises
that need operational control
🏢
Multi-Site Hospital Groups
Centralized administration across locations with unified financials, shared formularies, consolidated reporting, and per-site access control. One installation, many branches.
🔬
Diagnostic Lab Chains
High-volume LIS with LOINC coding, sample labeling, device integration, multi-warehouse reagent tracking, and cross-location analytics. Purpose-built for throughput.
🩺
Specialty & Multi-Specialty Clinics
Configurable clinical workflows per specialty — ophthalmology, orthopedics, oncology, rehab. Each department gets its own encounter templates, procedure sets, and billing rules.
🏗️
Greenfield Health-Tech Ventures
Launch a care delivery platform without building infrastructure from scratch. Biograph gives you clinical + operational backbone on day one — customize on top with Frappe's low-code tools.
Get StartedReady to consolidate your
Ready to consolidate your
healthcare operations?
See Biograph in action with your own use cases. We'll walk you through the platform, discuss your multi-site requirements, and scope an implementation plan.