Last EHR
- Role
- Solo build
- Year
- 2026
- Type
- Healthcare AI
Highlights
- Specifies a protocol, not just an app: Proposal to Decision to Commit to Audit, RFC 2119 language, extracted from two running implementations rather than designed on paper
- Two conforming hosts from one spec: a web approval card and MCP elicitation-gated write tools, so the protocol is proven framework-neutral
- Ships an executable conformance suite (npx @lastehr/agent-write-conformance) that verifies implementations against real FHIR reads instead of self-reported claims
- A layer, not an EHR: runs on any headless FHIR backend (Medplum, HAPI, Firely, Aidbox), is never the system of record, and stores no PHI of its own
- Published to npm and the official MCP Registry, with a zero-signup synthetic-data demo where every write passes through the approval gate
Last EHR is a low code platform that allows you spend less time building and more time to focus on your patients and providers.