# Distribution options

**Portal version:** 0.1.0  
**Updated:** 2026-08-28  
**Source menu item:** Distribution options  
**Availability:** Documented and testable

> The source contract and local workflow exist. Access still depends on the target hospital deployment and its policy gates.

Choose a private hospital pilot, an approved multi-hospital private release, or a future public marketplace listing.

## What you can use now

- Start with one read-only private pilot and one exact immutable release.
- Keep publisher, certifier, hospital admin, and runtime readiness roles separate.

## Current limits

- Public marketplace submission and billing are not open.

## Next step

Start with the [medOS Developer overview](/developers/platform/overview) and confirm the target hospital’s enabled contracts before production work.

## Canonical references

- [FHIR R4 integration](/integrations/fhir)
- [Public API](/backend/public-api)
- [Security and compliance](/architecture/security-and-compliance)
- [Developer portal status and coverage](/developers/platform/changelog)