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Open-source healthcare integration engine — route, transform, and validate messages across many formats and connection types

Project description

MessageFoundry

CI Security License: AGPL v3 Python 3.14+

MessageFoundry is an open-source healthcare integration engine — a modern, Python-native HL7 interface engine. It connects clinical and business systems by routing, transforming, and validating messages across many formats (HL7 v2, JSON, XML/SOAP, X12, database records) and connection types (MLLP, MLLP-over-TLS, TCP, HTTP/REST, SOAP, FHIR, DICOM, database, files, SFTP/FTP). Configure it with guided tooling or extend it in Python; it runs on SQLite, PostgreSQL, or SQL Server with authentication, RBAC, audit logging, and encryption-at-rest built in.

Python import package: messagefoundry. Built with hl7apy + python-hl7 (HL7 parsing/ validation), FastAPI (engine API), and PySide6 (admin console).

What it is

A modern alternative to engines like Mirth and Corepoint. Messages flow through a graph you wire by name: an inbound Connection hands off to a Router, which forwards to one or more Handlers (filter → transform), which deliver to outbound Connections — all backed by durable queuing, automatic retries, and replay. Build that graph with guided wizards, or in Python for full control; either way the configuration is version-controlled and yours.

Architecture

Engine-as-library + localhost API. The engine is an importable Python package. The PySide6 console talks to it over a localhost HTTP + WebSocket API — the same way whether the engine runs in-process, as a local daemon, or (later) on a remote host. No hand-rolled IPC; the deployment split is a config choice, not an architectural fork.

See docs/architecture-diagram.md for the rendered diagrams — system topology, runtime message flow through the staged queue, and the config wiring graph (Mermaid, renders on GitHub and in the VS Code preview). The prose source of truth is docs/ARCHITECTURE.md.

Key decisions

  • Reliable by default. A durable, transactional pipeline gives at-least-once delivery, automatic retries, replay, and dead-lettering — no separate message broker to run.
  • Async core. asyncio with per-connection workers for listeners, pollers, retries.
  • Tolerant parsing first. python-hl7 for fast routing/peek; hl7apy for deep, version-aware validation and profiles on demand (real-world HL7 is often non-conformant).
  • Configure visually or in code. Author connections and routes with guided wizards, or in Python (inbound/outbound/@router/@handler) for full control — always version-controlled. The database holds runtime state and messages only, never configuration.
  • PHI is first-class. Authentication, RBAC, a user-attributed audit log of message views/replays, encryption-at-rest for message bodies (AES-256-GCM), global PHI log redaction, and transport TLS (HTTPS/WSS for the API plus MLLP-over-TLS) are built; MFA and off-box log shipping remain on the roadmap. See docs/PHI.md for the full data-protection map.

Features

MessageFoundry ships a reliable, PHI-aware engine today: the Connection/Router/Handler graph over a durable staged pipeline (at-least-once delivery, retries, dead-letter, replay), backed by SQLite, PostgreSQL, or SQL Server. It speaks MLLP (plain and over TLS), file/SFTP, REST, SOAP, FHIR, database, and DICOM (C-STORE SCP), parses HL7 v2 tolerantly (with opt-in strict validation) and carries other formats payload-agnostically (JSON, XML/SOAP, X12, binary). Security is first-class — authentication, RBAC, a user-attributed audit log, at-rest body encryption, and transport TLS — and it runs single-node or in active-passive high availability.

See the full, up-to-date feature breakdown — built vs. planned — at messagefoundry.org/features-table.html.

Documentation

Full documentation lives on messagefoundry.org:

  • Mental map — a one-page picture of how the pieces fit: Connections → Router → Handlers → Connections, with the headless engine and the console/IDE that drive it.
  • Install Guide — install, configure, secure, and roll out to production.
  • User Guide — author and operate interfaces day to day.

Get started: Quickstart · Guides · Documents

Installing & rolling out

The recommended way to deploy MessageFoundry is to install the published package from PyPI — a signed, version-pinned wheel is the supported production artifact, with no source checkout required. Install it as a pinned dependency, then scaffold your own config repo (ADR 0017):

pip install "messagefoundry==<version>"   # pin the exact engine version (core runtime, SQLite store)
messagefoundry init ./my-config-repo      # scaffold a standalone config repo
cd ./my-config-repo
messagefoundry serve --config config --env dev

MessageFoundry is in Early Access. Always pin the exact version so upgrades stay deliberate — replace <version> with the current release shown at the top of the PyPI project page. Add the extras your deployment needs (each is opt-in and lazy-imported):

pip install "messagefoundry[console]==<version>"     # admin console (PySide6 GUI) — the operator UI; most operators want this
pip install "messagefoundry[postgres]==<version>"    # PostgreSQL store backend (production server DB)
pip install "messagefoundry[sqlserver]==<version>"   # SQL Server store backend (+ OS-level ODBC Driver 18)
pip install "messagefoundry[sftp]==<version>"        # SFTP transport for the REMOTEFILE connector
pip install "messagefoundry[dicom]==<version>"       # DICOM codec + C-STORE SCP (pydicom + pynetdicom)

What's in the messagefoundry package — and what isn't. It is the engine plus the admin console: the console ships in the same wheel, with its PySide6/GUI dependencies as the opt-in [console] extra, so a headless server, container, or adopter install stays lean — the console is one flag away (messagefoundry[console]) when you want the operator UI. The VS Code extension is a separate product, not on PyPI (a VS Code extension is a different ecosystem); see VS Code extension & test harness below for where to get it.

Verify before you install (supply chain). Every release is built by a GitHub Actions workflow, Sigstore-signed, and carries SLSA build-provenance + PEP 740 attestations. Verify a downloaded wheel against its source commit with gh attestation verify <wheel> --repo wshallwshall/MessageFoundry, or pull the signed wheel + SBOM from the GitHub Release assets. For an air-gapped site, mirror the wheel to a private index.

(Engine developers install from a checkout instead — see Development.)

Piloting MessageFoundry? The Install Guide takes you from first install through a staged, go/no-go-gated path to full production (Lab → Shadow/Parallel → Limited → Full). It leads with an honest built-vs-experimental maturity map and covers prerequisites, install, security/PHI hardening, reliability configuration, validation, load testing, backup/DR, day-2 operations, and upgrade/rollback.

Development

Working on the engine itself? Install from a source checkout — editable, with the dev tools. (This is the contributor path; deployments install the pinned wheel, above.)

python -m venv .venv && . .venv/Scripts/activate   # Windows PowerShell: .venv\Scripts\Activate.ps1
pip install -e ".[dev]"
pytest

Run the engine + localhost API (loads the bundled sample config, which ships only in a checkout):

python -m messagefoundry serve --config samples/config --db messagefoundry.db --env dev
# API on http://127.0.0.1:8765 — GET /connections, /messages, /stats, WS /ws/stats

Then open the admin console (needs the console extra: pip install -e ".[console]"):

python -m messagefoundry.console --url http://127.0.0.1:8765

VS Code extension & test harness

  • VS Code extension (ide/) — author and test interfaces in your editor: a New Route Wizard, validate-on-save, a Test Bench (dry-run .hl7 files with before/after diffs), Stage → Promote to a running engine, and an HL7-aware @messagefoundry chat participant. It is not on PyPI (a VS Code extension is a different ecosystem) and not yet on the VS Code Marketplace — Marketplace
    • Open VSX publishing is planned (see the backlog). Until then, get it from this repo: open the ide/ folder in VS Code and press F5 (Extension Development Host), or build the VSIX (cd ide && npm install && npx @vscode/vsce package) and install the .vsix. See ide/README.md.
  • Test harness — synthetic-only send/receive (MLLP), load, and failover tooling for exercising a running engine. It ships as a separate distribution, messagefoundry-harness, released in lockstep with the engine (it is not in the engine wheel): pip install messagefoundry-harness, then python -m harness. From a checkout, run python -m harness directly. Synthetic, PHI-free traffic only.

License

MessageFoundry is licensed under the GNU Affero General Public License v3.0 or later (AGPL-3.0-or-later) — see LICENSE. Running a modified version as a network service triggers the AGPL's §13 source-offer obligation. A separately-licensed commercial edition is planned by MessageFoundry Organization under the standard open-core model — see COMMERCIAL-LICENSE.md (terms pending legal review). See NOTICE for copyright and attribution.

Contributing

Contributions are welcome — see CONTRIBUTING.md, our Code of Conduct, and how the project is governed in GOVERNANCE.md. A signed Contributor License Agreement is required before a pull request can be merged.

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