Who should use Last EHR?

Last EHR is an open-source project built for health IT developers.

Does Last EHR have a free plan?

Yes — Last EHR is open source under the Apache-2.0 license and free to use.

What platforms does Last EHR run on?

Last EHR runs on the web and API. It can also be self-hosted.

Is Last EHR still active?

The GitHub repository shows 88 commits in the last 90 days.

What are alternatives to Last EHR?

Similar projects tracked by PulseGate include chitta-bridge, Bosun, and falcon-limitless-agent.

Who develops Last EHR?

Last EHR is developed by Last EHR contributors.

When did Last EHR launch?

Last EHR first shipped in 2024.

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Last EHR

Name: Last EHR
Author: Last EHR contributors

lastehr.comInfrastructure

Last EHR is an open-source AI agent layer that integrates with FHIR backends such as Medplum. It reads patient charts, proposes changes, and requires human approval before writing data, ensuring compliance and safety for healthcare IT developers.

Open SourceApache-2.0WebSelf-hostedAPI

Visit lastehr.com

1star

5features

2024since

Overview

5 features

In the Autonomous agents & workflows space, Last EHR takes a focused approach. It focuses on automating and streamlining EHR data entry and management with AI while ensuring human oversight. It is built as an open-source project for health IT developers. Last EHR is open source under the Apache-2.0 license. It runs on the web and API, and it can be self-hosted.

Last EHR contributors builds and maintains Last EHR, and it first shipped in 2024. The project is developed in the open on GitHub with 88 commits in the last 90 days. Among its 5 catalogued features are AI agent layer, FHIR integration, and human approval workflow. It exposes integrations via a public API.

Summary written by a language model from the project’s public pages.

AI agent layer
FHIR integration
Human approval workflow
Open source
Medplum support

Built with & integrations

Framework

Next.jsnext

Hosting

Vercel

Database

neon

AI providers

openaianthropic

Connectors

API

Runs on

BrowserSelf-hostedAPI-only

Detected from

Next.js: x-nextjs-prerender header · /_next/static/ in the HTML · __next_f in the HTML
Vercel: x-vercel-id header · x-vercel-cache header

Trust & compliance

License

Apache-2.0

Verified signals

HTTPSOpen SourceFree tierGitHub · ★ 1Active maintenance

Indexing history

What PulseGate has recorded for this listing

Indexed7 Jul · 19:33 UTC
Show HN: Last EHR – AI agent over a FHIR back end with human approval on writes verified against its public source
Source: PulseGate · Open

Frequently asked questions about Last EHR

What is Last EHR?: Last EHR focuses on automating and streamlining EHR data entry and management with AI while ensuring human oversight. It is catalogued under Autonomous agents & workflows on PulseGate.
Who should use Last EHR?: Last EHR is an open-source project built for health IT developers.
Does Last EHR have a free plan?: Yes — Last EHR is open source under the Apache-2.0 license and free to use.
What platforms does Last EHR run on?: Last EHR runs on the web and API. It can also be self-hosted.
Is Last EHR still active?: The GitHub repository shows 88 commits in the last 90 days.
What are alternatives to Last EHR?: Similar projects tracked by PulseGate include chitta-bridge, Bosun, and falcon-limitless-agent.chitta-bridge Bosun falcon-limitless-agent
Who develops Last EHR?: Last EHR is developed by Last EHR contributors.
When did Last EHR launch?: Last EHR first shipped in 2024.

At a glance

Pricing: Open Source
Platforms: Web
Languages: English
Open source: Yes · ★ 1
License: Apache-2.0
Built for: health IT developers
Model: Open source
Solves: Automating and streamlining EHR data entry and management with AI while ensuring human oversight.

Registered as

GitHub: cbetz/last-ehr

Developer

Last EHR contributors

Solo developer

GitHub

Open source

View on GitHub

Stars: 1
Forks: 0
Open issues: 6
Last commit: 7 Jul 2026
Commits 90d: 88
Contributors: 1
Authorship: Solo
Default branch: main
Latest release: v0.1.0 · 30 Jun 2026

Live coverage

Identity confidence: Medium · 72.8
Indexed: 7 Jul 2026
Lifecycle: Unverified
Last seen: 7 Jul 2026

Identity audit (12)

Slug: show-hn-last-ehr-ai-agent-over-a-fhir-back-end-with-human--lastehr-com
Verification state: Indexed for public listing
Listing state: Listed: yes
Index status: Included in index
Latest evidence snapshot: 7 Jul 2026
Timeline basis: Indexed-at chronology. This listing's first-seen date was written by the catalog backfill, not observed here, so it is not treated as a sighting.
Name from: Derived from the project's own page and URL.
Category from: Assigned by a language model.
Summary from: Written by a language model from public pages.
Languages from: Detected by a language model, checked against the page's own declaration.
Last updated: 7 Jul 2026
Canonical URL: https://lastehr.com/

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