DrTemesgen/dr-elroi

Dr. Elroi — an AI-native, offline-first EMR/EHR with a local clinical LLM (MedGemma), for GP offices and clinics. Built by the Africa Digital Health Academy. # Dr. Elroi 🩺🤖 ### 🌐 Live showcase → **dr-elroi-demo.vercel.app** **An AI-native, offline-first EMR/EHR for primary care.** Dr. Elroi reimagines the electronic medical record around a clinical AI that is *built in* — not bolted on — and runs **entirely on local hardware**, so it works in a GP office, a rural clinic, or a busy medical plaza even with no internet, and patient data never leaves the building. Built by the **Africa Digital Health Academy** for the realities of African primary care, and designed to generalise to any small practice that wants a modern, AI-assisted record. > **Vision:** the EMR where the AI is the assistant *inside* the chart — it listens, drafts, summarises, > and surfaces what matters for *this* patient, while the clinician stays in control of every decision. --- ## Why it's different - 🧠 **A clinical LLM, on-device.** MedGemma runs locally via Ollama — no cloud, no per-token bill, no data egress. - 🎙️ **AI Scribe.** Dictate a visit; Dr. Elroi drafts structured FHIR resources for the clinician to review and approve before anything is saved. - 💬 **Ask about a patient.** Pull up a record and ask in plain language — summaries, history, medication and allergy checks — grounded only in that patient's data. - 🗣️ **Voice.** Optional local text-to-speech (Kokoro) reads answers aloud. - 🔐 **Role-based + patient portal.** Admin / developer / doctor roles, per-doctor patient scoping, and a patient login to view their own record, message their GP, and request refills. - 📴 **Offline-first by design.** PostgreSQL, cache, AI, and EMR all run on one machine. Dr. Elroi builds on the excellent open-source Medplum FHIR platform and adds the AI connector, the clinician/patient experience, and the local-first packaging. ## Architecture (all local) | Component | Port | Role | |-----------|------|------| | PostgreSQL | 5432 | EMR database | | Memurai / Redis | 6379 | Cache / job queue | | Ollama + MedGemma | 11434 | Local medical LLM | | Kokoro | 81 …