ICRC · LEBANON · 2024–
Offline-first care and field infrastructure
Full clinical data captured offline, with solar power and connectivity reaching remote sites.
+40%patient documentation
Your technical partner for digital health
Continuity of data
Continuity of care
Modular, reusable digital health systems, built in days, not months. Owned by you, ready to run offline, and open for others to build on.
Up to 80% less effort neededAI-assisted, human-validated
- 6
- countries
- 12
- projects
- 18
- medical programs
- 80+
- clinical forms
- 9
- national workflows live
NGOs & humanitarian
ministries of health
donors & research
WHAT DIGITAL HEALTH TEAMS FACE TODAY
Every new programme pays again for systems that already exist.
In months, money and lost knowledge. And the systems still don’t connect.
See how we fix it ↓Time
Every new program means a new build. Months pass before clinicians can use anything.
Redundancy
Every project rebuilds patient identification, lab, stock and reporting.
Fragmentation
Clinic data rarely reaches national systems in a form anyone can use.
No practical path
National strategies set a vision at scale, but rarely a practical first step.
Offline realities
Many sites lose power or connectivity every week.
Lost knowledge
When a consultant leaves, their knowledge goes with them, and every project relearns the same lessons.
OUR APPROACH
Build once. Reuse everywhere.
Everything we deliver follows three principles. Each one fixes a specific problem.
01
Reuse, don’t rebuild
A shared library of medical programs, forms and services. We standardize each one once, then assemble what each new program needs.
SOLVES
RedundancyTime
02
Human-validated AI
AI does the heavy lifting and our specialists check every output. You get systems in days, not months.
SOLVES
TimeNo practical path
03
Open and owned
Digital public goods, offline-first and connected to national systems, then handed over to your team.
SOLVES
FragmentationOffline realitiesLost knowledge
THE LIBRARY
18+ medical programs, ready to reuse.
Standardized once, then set up for each new program. You start with what we've already built.
Primary care
Everyday consultations and follow-up
OutpatientMental health
Hospital services
Acute care and supporting units
Emergency & traumaWound careBlood bank
Disease programs
Longitudinal cohorts and reporting
HIVTuberculosisHepatitis CNCDs
Women & children
From pregnancy through childhood
Maternal & newbornSRHCervical screeningFamily planningPaediatricsNutrition
Rehabilitation
Physical and functional recovery
Physiotherapy
Outbreak response
Digital response within days
EbolaMpox
Planetary health
NEWNew use cases in climate-sensitive care: disease forecasting in DHIS2 dashboards, plus model definition and training workshops.
SHARED SERVICES IN EVERY PROGRAM
Patient identificationLaboratoryPharmacyStockBillingReportingRadiology
PROJECT HIGHLIGHTS
Use cases.
POINT OF CARE · MSF · 2023 TO PRESENT
A modular, reusable EMR model across all countries
LIME EMR runs on OpenMRS 3 and is built from MSF protocols. It reports straight into DHIS2, and each new country reuses the same core.
“Madiro Labs builds a bridge between the complex world of open source technologies and the concrete reality of frontline MSF health workers in the field.”
Ludovic Rossel · LIME EMR Project Lead, MSF
MSF protocolsOpenMRS 3DHIS2
- faster deployment
- 75%
- less paper handling
- 50%
- lower cost of ownership
- 30%
MINISTRY OF HEALTH · BURUNDI · 2026
National HIV data interoperability
Lab orders and results flow automatically into DHIS2, on government-owned infrastructure.
20+ministry officials trained
CIEL · GLOBAL · 2025
OCL AI Mapper
AI-first terminology mapping across 55K+ concepts. Experts validate instead of mapping by hand.
weeks → daysper program
HEALTHY ENTREPRENEURS · UGANDA
M&E framework and evidence
Activity, GPS and sales data combined to map how community health entrepreneurs perform.
1,000+households surveyed
What partners say.
“Madiro is positioned to be a catalyst, fostering efficiency, reducing costs, and enabling harmonious integration with national health systems.”
Grace PotmaDirector of Product, OpenMRS
“OCL has become more valuable to health and humanitarian teams, with AI-assisted mapping that reflects the realities of resource-constrained systems.”
Jonathan PayneCEO, OpenConceptLab
WHO WE WORK WITH
You stay out in front. We work behind the scenes.
- Out in front. You, the local teams and the people you serve. The system carries your name.
- Behind the scenes. Madiro Labs assembles, connects and hands over, then steps back to support.
- The ecosystem. Public goods, standards, national systems and funders. Every link goes both ways.
NGO health programs
New programs need forms live across many sites, on grant timelines, with clinicians who can’t wait months.
Standardized programs (HIV, TB, maternal care, mental health and more), assembled in days and working offline.
Humanitarian organizations
Rapid deployments, rotating staff, unstable power and connectivity, and knowledge that leaves with each mission.
Field-proven practices, offline-first setups, and a handover designed for staff rotation.
Ministries of Health
A national vision, fragmented facility systems, and donor pilots that never connect to the national picture.
One national dictionary, facility-to-DHIS2 exchange, and code and data owned by the country.
Donors and funders
Paying for the same build in every grant, with little evidence of adoption or of what happens after the project ends.
Fixed-price reusable packages, everything published as digital public goods, and evidence on adoption.
Digital public goods communities
Strong cores, thin implementation capacity, and clinical content that every implementer rebuilds locally.
Upstream contributions to OpenMRS 3, OCL and OpenFn, plus shared clinical content libraries.
Other implementers
Strong local presence and client trust, with gaps in clinical informatics, terminology or FHIR.
Embedded specialists and co-bidding on tenders. Complementarity, not competition.
BEHIND THE SCENES
A lean core. A global roster.
Informatics, clinical, OpenMRS, FHIR and data specialists, matched to your context. Non-profit in Canada, US, Switzerland and Rwanda, and a social enterprise in Canada. Launched in 2024.
Join our roster ↗- core team
- 10
- roster talents
- 150+
- branches
- 5
Bidding on a tender, or building on the same public goods?
Partner with us →AI-ASSISTED DELIVERY
Up to 80% less effort needed.
AI does the heavy lifting and our specialists check every output. That's why we're faster, and why care teams get usable patient data sooner.
OUR OWN TOOL
Madiro Implementer AI
Each build learns from the last one, so every new build costs less. Partners can use it too, and get the same savings on their own builds.
Onboard your team →OBJECTIVEBEFOREWITH MADIRO
Your EMR and connected infrastructureMonthsDays
Your interoperability workflowsWeeksHours
Your clinical and data formsDaysMinutes
“We see AI as an opportunity for capacity building and sovereignty, not a threat.”
SOVEREIGN BY DESIGN
Runs where you are. Belongs to you.
Digital public goods, deployed offline-first on the infrastructure you choose, then handed to your team. Your data stays in your country, everything we build is shared back, and your total cost of ownership goes down.
← CLOSEST TO THE PATIENTLARGEST SCALE →
On the edge
A tablet, laptop or small box. Works offline where there’s no power or network.
Local server room
Enterprise-grade on-premises setup, per facility or district.
In-country cloud
Hosted in national data centres to meet data-residency rules.
International cloud
Managed hosting abroad, for when scale matters most.
OFFLINE AI
AI that runs on your own hardware
Open models run next to your system, with or without internet. Patient data never leaves the site, and there are no per-call AI fees.
MistralGemmaLlamaQwenWhisper
OPEN BY DEFAULT
No vendor lock-in
You own the code and the data. Our code, forms and configurations are public on GitHub for anyone to reuse.
No per-seat licenses
Add facilities and users without your bill growing with them.
Open standards
FHIR, OpenHIE, ICD and LOINC, so your data stays portable and your system outlives any vendor, including us.
Shared back
Forms, concept mappings and data pipelines go back to the community, so the next program starts ahead.
IMPLEMENTATION PARTNER OF
OPEN-SOURCE EMR
CLINICAL TERMINOLOGY
INTEROPERABILITY
OPEN-SOURCE EMRCLINICAL TERMINOLOGYINTEROPERABILITYALSO BUILDING WITH
Explore our GitHub ↗BUILT IN THE OPEN
Our repositories on GitHub →See it working.
NOW SHOWING · 1 / 10
AI & automations: form development from weeks to days
OpenMRS Conference · Uganda · Sep 2025WHAT WE OFFER · INDICATIVE PRICES
Four steps. Pre-AI pricing is over.
Each step builds on the one before. Buy a single piece or the whole path, with advisory at every step.
STEP 01
Transform
Point-of-care transformationPatient records, lab, supplies, billing and reports, all from one standardized library.
CUSTOM EMRfrom €1,999* Typical market: €20,000–50,000
STEP 02
Standardize
Terminology standardizationThe same library, mapped to international health data standards.
CLINICAL FORMfrom €499* / formTypical market: €5,000–10,000
STEP 03
Connect
Interoperability workflowsClinic systems linked to national registries and reporting, owned by the country.
WORKFLOWfrom €999* / workflowTypical market: €15,000–50,000+
STEP 04
Scale
Reusable infrastructureOffline-first, in the cloud or on-premises. Add the next site without a new build.
MANAGED HOSTINGfrom €199* / monthTypical market: €600–2,500 / mo
ADVISORY · ACROSS ALL FOUR STEPS
Talk to an advisor →Need advice before you build? We do that too.
Strategy & roadmapsDigital health strategies, architecture and a practical first step.
Assessments & scopingCurrent-state reviews, requirements and costed options.
Tenders & proposalsTechnical narratives, logframes and budgets for grants and bids.
Capacity & QATraining, mentoring and independent quality review.
* Prices are indicative starting points, exclusive of taxes, and subject to change without notice. They are lower because of human-validated AI and because we reuse what’s already built. Your price is confirmed in a written scope after the discovery call. Market figures are indicative 2026 ranges, not quotes.
GET IN TOUCH
Tell us what you’re working on.
Describe your program, country and the systems you already use. We reply within 24 hours, or book a call directly.
Book a 30-min discovery call →Then a written scope and fixed price.
OR START ANOTHER WAYStart with one pieceA form, a workflow or a scoping sprint, live in days at a fixed price.Co-bid on a tender or grantWe write the technical roadmap and costing. You lead, or we do.Embed specialistsInformatics, OpenMRS, FHIR and data experts working inside your team.
MEET US IN PERSON
Global Digital Health Forum · Bangkok, Thailand · Dec 2 – 4
Follow us on LinkedInGlobal Digital Health Forum · Bangkok, Thailand · Dec 2 – 4FAQ
Straight answers.
Yes. We connect the EMRs, registries and reporting platforms you already use, and standardize terminology across them following OpenHIE patterns. We only replace what isn’t working.