Ripple-Long-Logo-Colour cropped whitespaceBusiness to Business Support Services


How we can help

Ripple Foundation is a clinically led not for profit organisation (Community Interest Company) working towards and supporting the move to an open platform fit for 21st century health and care. If you have arrived here, the chances are you understand the need for this change.

We know the challenge that 21st Century healthcare presents and are keen to support you and work together towards improved digital health services on an open platform.

As part of our mission, we support 3 leading open source components, aimed at great usability, ease of integration and vendor & technology neutral data in healthcare. We are here to support you in leveraging these tools to provide transformative digital services in healthcare.



The PulseTile framework is leading open source UX/UI framework. The framework has been designed with the user in mind, to be easy to use and modular in design, making it easy to configure and customise. Designed with the web and mobile in mind, it has many powerful features built in already. 

For more information about PulseTile, please see 

Recognising the existing health landscape will require integration the technical stack involved will build upon the powerful open source QEWD.js framework (+ QEWD-Courier components), a leading edge middleware/ integration component.



QewdJS offers great flexibility in terms of connecting systems. The QEWD-Courier and now QEWD-HIT components have already been engineered to integrate the PulseTile UI framework and the EtherCIS data repository while being very capable with integrating with other systems.

For more information on QEWDjs please see


EtherCIS logo

EtherCIS is an internationally leading open source implementation of a clinical data repository which can handle both structured (compliant with the openEHR standard) and unstructured data as needed, in a secure environment. With over four years of development already being put into 

EtherCIS, the solution is already enterprise grade. 

For more information on the EtherCIS solution please see


Our expertise

Our team have a broad and extensive history in healthcare and healthcare IT

  • We understand the complexity of healthcare
  • We understand the dysfunction and complexity of the healthIT market
  • We have been working towards an open platform in healthcare over the last 10 years
  • We have crafted and refactored 3 key open source components over the last 5 years
  • We can help you build an open platform based solution ideally suited to the healthcare setting


Our skills

We are able to support your business needs as your business grows and offer the following services to help you on your open platform journey

  • Clinical Leadership & Expertise
  • Business Analysis and Intelligence in the sector
  • User Experience/User Centred Design
  • Integration
  • Data Modelling
  • Open Standards
  • Agile Development
  • Developing in the Open


Our tools

As well as advisory services, we are able to support your business and leverage the open source components we have developed through knowledge transfer to develop your own healthcare applications. Our tools include:

  • PulseTile- UX/UI framework for healthcare applications
  • QewdJS – Integration Framework for systems integration (FHIR API integration etc)
  • EtherCIS – Clinical Data Repository; structured (openEHR compliant) +unstructured data


Our B2B Service Offering

We offer the following services to help businesses get started on an open platform approach for healthcare: 

Basics Starter set  Accelerate
Open Platform education Yes Yes Yes
2 days on site training and knowledge transfer on tooling Yes Yes Yes
Access to and tour of source code repositories Yes Yes Yes
SME Development oversight and support on DITO No Yes Yes
Clinical Modelling to support development No Yes Yes
Peer review & quality assurance on solution development No No Yes
Business Case / Investment case review and input No No Yes
Cost (ex VAT) £5k Contact us Contact us

Costs are based on small teams (max 5ppl) and exclude travel/accommodation expenses.

Please contact us if you’d like to engage us with some support or if you have any questions on this.