Your Digital Health Partner

Continuity of care.Continuity of data.

We help humanitarian and global health organizations get their health data working — from deploying clinical systems to training local teams to own them.

Health data systems in action - tablet displaying LIME EMR at WHO facility

Trusted by global health organizations

Médecins Sans FrontièresICRCUbuntu Village of LifeData.FiCIEL
Where systems come up short

The tools are deployed. The data still isn't flowing.

Every week, your teams work around systems that should work for them. The data exists — but it can't be found, compared, or trusted.

A patient is seen. The report is still done by hand.

Your clinical system and your reporting platform don't talk. Someone reconciles them manually — every week, every facility, every program.

New program. Weeks of waiting for a form.

Every new clinical protocol triggers the same backlog: concept mapping, form development, sign-off — before a single patient is seen.

Three teams. Three counts. Three different answers.

Without shared terminology, data can't be compared across sites or systems. Every export needs manual reconciliation before it can be used — or trusted.

Care happens offline. Data stays there.

Community health workers reach patients no system ever captures. Paper forms, days of lag, data entered late — or never. The patient has already moved on.

The system works. Until the vendor leaves.

Tools get deployed. Donors move on. Local teams inherit systems they weren't trained to own, can't troubleshoot, and can't adapt. The paper forms come back.

How We Work

Six ways we go further.
Grounded in our values & vision

Each of these took years to get right — and they're what we bring to every engagement.

Frontline health worker entering patient data on a tablet in a humanitarian field setting
OpenMRSOpenFNOpen Concept LabOzoneHISOpen Health StackApache SupersetKeycloakOpenMRSOpenFNOpen Concept LabOzoneHISOpen Health StackApache SupersetKeycloak

Encouraging open standards. Enabling reusability.

Every tool we use—OpenMRS, DHIS2, OpenFN, FHIR—is open-source and community-maintained. We contribute back 70+ clinical forms across 12+ health programs. Your investment doesn't stay locked in a proprietary system. Your success becomes infrastructure everyone benefits from.

Paper formsTerminologyPatient flowsHealth programsAIagenticForms GeneratedConcepts mappedConfiguration filesFaster Testing

Days to deploy. Not months.

Clinical forms, configurations, and testing—all accelerated by AI-assisted workflows designed by domain experts. A library of 70+ reusable forms from 12+ health programs. New protocols go live in days instead of months. Your team owns the entire system—no black-box AI making clinical decisions.

ORGANIZATIONAL / NATIONAL SERVICESINTEROPERABILITY LAYERPOINT OF SERVICEInteroperability LayerREST APIs · FHIRHMISDHIS2ICDTerminologyOpenConceptLabShared Health RecordFHIR StoreClient RegistryOpenCRClinicEMR/HISCHW AppOutreach

Any system. Any language. All connected.

We build data pipelines that connect the systems you already have—whatever EMR, whatever national reporting system. Clinical terminology gets standardized across them using OCL and FHIR, following OpenHIE patterns. No more manual exports. No more spreadsheets. All data flows automatically and compares cleanly.

offline apppower + connectivityauto-sync

Offline Outreach. Syncs when back.

Full clinical workflows run offline—no internet required. We also deploy the infrastructure that makes field operations sustainable: solar power for reliable energy and cellular or satellite connectivity for eventual sync. When a signal is available, data flows automatically with no manual re-entry.

Global expertise. Local ownership.

We match digital health specialists from our global network to your specific context and health system. Every engagement is designed for knowledge transfer. We measure success not by our ongoing involvement, but by your independence.

We measure what we build.

We have in-house research capacity to measure impact from day one. We track whether the system improves outcomes, how health workers use it, where bottlenecks emerge. If something isn't working, we adapt. For humanitarian programs, guessing isn't good enough—we measure.

Use Cases

Real problems.
Collaborative solutions.

How we've solved health data challenges for organizations like yours.

Modular Health Records for Humanitarian Settings — Médecins Sans Frontières (MSF) case study
Médecins Sans Frontières (MSF)
Médecins Sans Frontières (MSF)Iraq · Eswatini · DRC ·

Modular Health Records for Humanitarian Settings

Deployed to 3 countries in 75% less time. New clinical forms go live in under 5 days. Local teams now manage the platform independently—no ongoing external support needed.

OpenMRS 3AI Form BuilderMulti-CountryMulti-Program
75%
faster deployment
3
countries deployed
<5
days per new form
Offline-First Care & Field Infrastructure
International Committee of the Red Cross (ICRC)
International Committee of the Red Cross (ICRC)Lebanon ·

Offline-First Care & Field Infrastructure

Field teams now capture full clinical data offline with zero data loss. Solar and connectivity infrastructure extended coverage to remote sites. Patient documentation increased 40% across previously unreachable areas.

Android FHIR SDKOffline-FirstSolar & Connectivity
100%
offline capable
40%
increased coverage
0
data loss incidents
Complete Health Information System
Ubuntu Village of Life (UVL)
Ubuntu Village of Life (UVL)Burundi ·

Complete Health Information System

Four integrated systems—EMR, pharmacy, billing, and analytics—all in the team's hands. Zero ongoing licensing costs. Zero external dependencies. Fully sustainable.

OpenMRS + OdooOpen-Source HISRural Health
4
integrated systems
100%
local ownership
$0
ongoing licensing costs
National Health Data Interoperability
Burundi Ministry of Health
Burundi Ministry of HealthBurundi ·

National Health Data Interoperability

National HIV program now has real-time visibility into facility data. Lab orders and results flow automatically. 20+ Ministry officials trained to own the system—no external consultants needed.

OpenFN + DHIS2HIV ProgramGovernment-Owned
Automated
HIV reporting
20+
officials trained
3
integrated workflows
OCL AI Mapper: Automated Terminology Mapping
Columbia International eHealth Laboratory (CIEL)
Columbia International eHealth Laboratory (CIEL)Global ·

OCL AI Mapper: Automated Terminology Mapping

Terminology mapping across 55K+ CIEL concepts now happens dramatically faster. Domain experts focus on validation and edge cases—not routine mapping. Health programs launch weeks sooner.

OCL + LLMMulti-StandardExpert Validation
55K+
concepts in scope
AI-first
mapping workflow
weeks → days
per program

Facing a similar challenge?

Let's discuss how we can solve your specific health data problem.

Get A Free Consultation →
Testimonials

From the teams
we work with.

See why organizations choose us as their partner.

"
Through its philosophy and expertise, Madiro builds a bridge between the complex and evolving world of open source technologies, and the concrete reality of frontline MSF health workers in the field.
Ludovic Rossel
Ludovic Rossel
LIME EMR Project Lead
Médecins Sans Frontières
Médecins Sans Frontières
"
Madiro is positioned to be a catalyst, propelling our shared community vision to foster efficiency, reduce costs, and enable harmonious integration with national health systems.
Grace Potma
Grace Potma
Director of Product
OpenMRS
OpenMRS
From The Field

Built openly.
Shared with the global health community

FAQ

Common questions.
Straightforward answers.

Madiro team collaborating on digital health solutions in the field

Madiro Labs helps humanitarian and public health organizations deploy and operate open-source digital health systems. We cover the full stack: EMR implementation, health data interoperability, clinical terminology standardization, offline field infrastructure, and local team capacity building.

We work globally in humanitarian and low-resource settings — including Iraq, Lebanon, the Democratic Republic of Congo, Eswatini, and Burundi. Our systems are designed for conflict zones, remote clinics, and national-scale health programs.

We work with OpenMRS 3 (EMR), DHIS2 (national health reporting), OpenFN (interoperability layer), OpenConceptLab (clinical terminology), Apache Superset (analytics), and FHIR-native Android apps for community health workers — following OpenHIE architecture.

Yes. We deploy fully offline-first clinical applications with encrypted local storage and automatic sync when connectivity is available. For field operations, we also install solar power and satellite or cellular connectivity infrastructure.

Using our AI-assisted workflow and a library of 70+ reusable forms across 12+ health programs, a new form can be built, terminology-mapped, and deployed in under 5 days. Health programs that previously took months now launch in days.

Every engagement is designed for knowledge transfer. We provide intensive on-site training, co-build with local technical staff, and measure success by your team's independence — not by our ongoing involvement.

Use the contact form on this page to describe your challenge, country context, and existing systems. We respond within 48 hours with a free assessment.

Get in Touch

Let's Connect.

Whether you're deploying a system, exploring a partnership, or just curious about what we do — we'd love to hear from you.

Booking a free consultation call
Implementing or scaling a digital health system
Exploring a research or technology partnership
Learning about open-source digital health tools

Offices

Kigali
Toronto
Montreal