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The ecosystem

Three pillars. Many building blocks.

Projects are independently maintained, openly governed by a steering committee, and designed to be composed into next-gen digital health solutions.

Pillar 01 · FHIR Foundations · Active

FHIR-native core libraries

The foundational Kotlin Multiplatform libraries for working with FHIR, plus battle-tested components for Android, access control and analytics.

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Core Library

kotlin-fhir

A lean, fast KMP implementation of the HL7® FHIR® data model — the foundational library for all OHS components.

ActiveKotlin Multiplatform
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Core Library

kotlin-fhirpath

KMP implementation of FHIRPath for querying and evaluating FHIR resources across platforms.

ActiveKotlin Multiplatform
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SDK

Kotlin Multiplatform FHIR SDK

The next-generation, multiplatform SDK for building FHIR-native apps across Android, iOS and web from a single Kotlin codebase — the successor to the Android FHIR SDK.

ActiveKotlin Multiplatform
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SDK

Android FHIR SDK

FHIR-native libraries to build Android apps that are secure, offline-capable, and provide on-device decision support for patient-centered care.

MaintenanceKotlin · Android
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Gateway

FHIR Info Gateway

A privacy-preserving access layer that ensures only relevant healthcare workers can reach the patient data they need.

ActiveJava · Proxy
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Analytics

FHIR Analytics

Transform FHIR data into analytics-ready formats so programs can generate trusted insights faster and make better decisions.

ActivePython · Pipelines
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Pillar 02 · Reference Toolkit · Active

Multiplatform AI-ready Reference Toolkit

The fastest way to develop and deploy a next-gen digital health solution — a complete, composable reference implementation built on the FHIR Foundations libraries.

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Runtime

OHS Player

The reference runtime for OHS — orchestrates the building blocks into a deployable, AI-ready digital health solution.

ActiveKotlin Multiplatform
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Mobile

Reference Client App

A KMP-based configurable reference application built on OHS components for Android and iOS.

ActiveKotlin Multiplatform
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Web

Reference Web Portal

A web-based management tool for healthcare organisations to manage workforce hierarchies and configuration.

ActiveTypeScript
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Backend

Reference Backend

Custom endpoints and access checker plugins powering all OHS Player clients.

ActiveKotlin
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Pillar 03 · AI Commons · Launching soon

AI Commons

A neutral, model-agnostic space for collaboration on safe, effective and verifiable AI — developed with the WHO and ecosystem partners.

WHO

Verifiable AI · WHO

Supporting "verifiable AI" efforts with the WHO and ecosystem partners to ensure safe development and adoption of health AI.

FormingPartnership
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Evals

Evals & Benchmarks

Open tooling and shared datasets to measure the safety, quality and effectiveness of AI applied to global health workflows.

IncubatingModel-agnostic
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MCP

Health MCPs

Model-agnostic context tooling and connectors that let AI systems work safely with standards-based health data and workflows.

ProposedProtocol · Tooling
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Open call

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Have a project to donate or an idea to support? As a Linux Foundation project, there's room to collaborate with related foundations and contribute new building blocks.

Always open
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Every project is open and openly governed. Developers, ministries, funders and partners are welcome — contributing never requires membership.