Deployment

Cloud. On-premise. Or one server per hospital.

No two hospitals run their IT the same way. Some are happy on our managed cloud. Others need patient data to physically stay inside the building. We do both, plus a few hybrids in between.

Cloud

Managed cloud

We host, secure, back up and update. You sign in.

  • Up and running the same day
  • Hosted on Fly.io with geo-failover and 99.5% uptime target
  • TLS 1.3, encryption at rest, daily automated backups
  • You get a custom subdomain — yourhospital.medicarehis.com
  • Updates roll out as we ship; no upgrade projects
  • Works from any browser on the hospital LAN or staff phones

Best for hospitals that would rather spend their time on patients than on servers.

On-premise

Hosted in your data centre

For groups, networks, and ministries running their own infrastructure.

  • Deploy to your own VMware, Proxmox, OpenShift or Kubernetes
  • Helm chart and Docker Compose manifests provided
  • Postgres on your storage, your backup policy, your DR plan
  • SSO / SAML wired into your IdP (Azure AD, Okta, Google, Keycloak)
  • Internal certificate authority supported for TLS
  • Remote support over the channel of your choice

Best for hospital groups, public-sector deployments, and academic medical centres.

How a per-hospital install works

From a meeting to running the wards in 4–6 weeks

1

Site survey

We meet with your IT lead and matron. We catalogue the wards, departments, lab equipment, and existing systems. We agree on the network topology and the spec of the server we'll install.

2

Hardware & network

You provision a server (we recommend a tower or rack unit; we publish a spec sheet). We coordinate with your IT to put it on the LAN, harden it, and set up wall-power UPS protection.

3

Install & configure

We arrive on-site. The MediCare HIS stack goes onto the server in a few hours. We import your patient list, drug catalog, payer codes, and ward catalog. Your subdomain points at the box.

4

Train & go live

We train every department in the room they actually work in: reception desk, OPD, ward, lab, pharmacy, billing. You go live. We stay for the first two days of operations.

5

Ongoing support

Updates ship via a single command (we give your IT lead the credentials). Backups run nightly to local disk plus an optional encrypted off-site target. We're a phone call away.

Comparison

Which deployment fits?

Cloud Per-hospital server On-premise data centre
Time to liveSame day4–6 weeks6–10 weeks
Patient data locationOur managed cloudInside your hospitalYour data centre
Internet requiredYes (always)No (works offline)No
You manage the box?No — we doShared (we update; you have physical access)Yes
Hardware costNoneOne-off server (ask your local supplier)You provision
Upgrade cadenceContinuousMonthly remoteOn your schedule
Air-gapped optionYesYes
SSO / SAMLOptionalOptionalRecommended
Best forSingle-site, fast launchData-residency, unreliable internetGroups, public sector

Tell us about your IT setup

We'll recommend the deployment that fits, then write you a clear, itemised quote.