// the find
earthians/marley
Open Source, Enterprise and Modern Health Information System
Marley Health is a Frappe/ERPNext app that adds healthcare workflows — appointments, inpatient management, lab, clinical procedures, insurance, rehab — to ERPNext's ERP backbone. It's aimed at clinics and hospitals that already want ERPNext as their finance/HR system and need clinical modules on top. The FHIR alignment and ABDM (India's national health stack) integration make it particularly relevant for Indian healthcare deployments.
The ERPNext foundation is the real value: you get billing, inventory, HR, and accounting for free without building integrations. The doctype breadth is genuinely wide — allergy tracking, drug interactions, discharge summaries, rehab/physiotherapy, lab templates — this isn't just an appointment scheduler. HL7 FHIR modeling in the schema means interoperability is at least considered at the design level rather than bolted on later. Active CI, CodeQL scanning, dependabot, and semantic commit enforcement suggest a project that takes maintenance seriously.
The hard Frappe/ERPNext dependency is a double-edged sword: you're not adopting a healthcare module, you're adopting an entire ERP platform with its own deployment complexity, Python/MariaDB stack, and upgrade cadence. The README still links to the original `frappe/healthcare` assets (logo SVG, feature image) and references it by the old name — the fork/rebrand from Frappe Health to Marley Health is incomplete and the project identity is muddled. FHIR alignment is mentioned but there's no evidence of actual FHIR API endpoints or resource export — calling it FHIR-based when it means 'inspired by FHIR data models' is misleading. Forks significantly outnumber stars (426 vs 506), which usually means most users are running private customizations rather than contributing back, so community support for the upstream repo may be thinner than the numbers imply.