medplum-server

medplum-server is the server-side component of Medplum, an open-source healthcare platform. It provides a backend service for managing FHIR (and related) data and exposing APIs for clinical/healthcare workflows.

Evaluated Apr 04, 2026 (25d ago)

Homepage ↗ Repo ↗ Infrastructure healthcare fhir backend api medplum self-hosted

⚙ Agent Friendliness

/ 100

Can an agent use this?

🔒 Security

/ 100

Is it safe for agents?

⚡ Reliability

/ 100

Does it work consistently?

Score Breakdown

⚙ Agent Friendliness

MCP Quality

Documentation

Error Messages

Auth Simplicity

Rate Limits

🔒 Security

TLS Enforcement

Auth Strength

Scope Granularity

Dep. Hygiene

Secret Handling

Concrete security controls (TLS enforcement details, auth scheme, scopes, secret handling, dependency posture) are not provided in the prompt content. Scores are therefore conservative and based on typical expectations for backend healthcare platforms rather than verified implementation details.

⚡ Reliability

Uptime/SLA

Version Stability

Breaking Changes

Error Recovery

Best When

You want to self-host Medplum and provide an API backend for healthcare/FHIR workflows under your own operational and security controls.

Avoid When

You cannot provide the operational requirements of running a healthcare backend (deployment, database, authentication/authorization configuration, monitoring).

Use Cases

• Self-host a Medplum backend for FHIR-based health data operations
• Build healthcare applications that need a FHIR-compatible API layer
• Set up a clinical data platform for experiments and production deployments

Not For

• Use as a turnkey hosted SaaS without self-hosting/DevOps effort
• Projects that require only client-side SDK functionality with no server deployment
• Teams seeking a simple static API wrapper without infrastructure

Interface

REST API

Yes

GraphQL

gRPC

MCP Server

SDK

Webhooks

Authentication

Methods: Likely OAuth/OIDC or session-based auth depending on Medplum configuration

OAuth: No Scopes: No

Auth configuration is not provided in the prompt content. For scoring, authentication complexity and strength are treated as unknown; many healthcare platforms use OAuth/OIDC, but no concrete details were observed here.

Pricing

Free tier: No

Requires CC: No

Self-hosted open-source component; direct vendor pricing not applicable based on provided information.

Agent Metadata

Pagination

none

Idempotent

False

Retry Guidance

Not documented

Known Gotchas

⚠ No MCP server indicated; integration for autonomous agents depends on direct API usage.
⚠ Healthcare/FHIR APIs may have domain-specific validation errors and payload requirements.

Alternatives

Other self-hosted FHIR server implementations (e.g., HAPI FHIR) Managed FHIR platforms (varies by vendor/region) Open-source healthcare integration platforms that provide FHIR APIs

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Scores are editorial opinions as of 2026-04-04.