{ "meta": { "attribution": "Anchor Terminal (https://www.anchorterminal.com)", "docs": "https://www.anchorterminal.com/docs/", "generatedAt": "2026-10-14", "license": "CC-BY-4.0", "method": "https://www.anchorterminal.com/benchmark/", "methodology": "0.4", "openapi": "https://www.anchorterminal.com/openapi.json", "preview": false, "run": "2026-10-01", "runLabel": "October 2026 research run" }, "tool": { "slug": "aidbox", "name": "Aidbox", "vendor": "Health Samurai, Inc.", "vendorUrl": "https://www.health-samurai.io/aidbox", "kind": "http-api", "category": "health-data", "summary": "FHIR R4 and R5 server on PostgreSQL from Health Samurai, run from Docker images under a free development licence or a paid production licence. Agents use each instance's FHIR REST API or its alpha MCP server.", "url": "https://www.anchorterminal.com/tools/aidbox", "markdownUrl": "https://www.anchorterminal.com/tools/aidbox.md", "slimMarkdownUrl": "https://www.anchorterminal.com/tools/aidbox.min.md", "jsonUrl": "https://www.anchorterminal.com/api/v1/tools/aidbox.json", "repo": "https://github.com/Aidbox", "license": "Proprietary. Aidbox runs from Health Samurai's Docker images under a free development licence (no PHI) or a paid production licence. Examples and the Python SDK on GitHub are MIT", "transports": [ "http", "streamable-http", "sse" ], "packages": [ { "registry": "oci", "name": "healthsamurai/aidboxone" } ], "auth": "oauth", "authNotes": "Each instance has its own OAuth 2.0 server. Agents use a Client resource with the client credentials grant and POST to /auth/token, and SMART on FHIR backend services with private key JWT are supported. AccessPolicy resources decide what each client, user or operation may do, and access token lifetime is set per Client. Basic auth with the client ID and secret is also documented. The MCP endpoints are closed until an AccessPolicy opens them.", "pricing": "freemium", "pricingNotes": "Aidbox Dev is $0 for development and testing with no PHI, Aidbox Base from $1,900 a month or $19,000 a year, Enterprise by contact (health-samurai.io/price, checked 2026-10-14). A production licence runs 14 days as a trial before Health Samurai extends it. A free hosted sandbox on Google Cloud comes with an aidbox.app account. Whether sign-up asks for a card was not established.", "priceSummary": "$1900 / mo", "where": "local", "x402": { "level": "no", "evidence": "No x402, MPP or L402 in the docs or pricing page (checked 2026-10-14).", "endpoints": [] }, "toolCount": 9, "popularity": { "githubStars": null, "npmWeekly": null, "pypiWeekly": null, "asOf": "2026-10-14" }, "docsUrl": "https://www.health-samurai.io/docs/aidbox", "llmsTxt": "https://www.health-samurai.io/docs/aidbox/llms.txt", "capabilities": [ "health.fhir", "health.records", "health.consent" ], "tags": [ "self-hosted", "fhir", "mcp", "oauth", "smart-on-fhir", "docker", "postgresql", "llms-txt", "iso27001" ], "lastRelease": "2026-10-08", "graded": true, "anchor": { "graded": true, "score": 64.2, "grade": "B", "agentReady": false, "rank": 385, "ranked": true, "rankOf": 1076, "categoryRank": 3, "methodology": "0.4", "run": "2026-10-01", "scores": { "ergonomics": 79, "maintenance": 80, "payments": 25, "reliability": 59, "schema": 77, "security": 74, "transparency": 45 }, "pending": [ "performance", "tasks" ], "breakdown": [ { "key": "reliability", "name": "Reliability", "weight": 16, "effectiveWeight": 20, "score": 59, "points": 11.8, "reason": "Read with the local-software lines, because production Aidbox runs on the customer's infrastructure from Health Samurai's Docker images and the hosted sandbox is for development only. Installs from the official image healthsamurai/aidboxone (7.8 million pulls on Docker Hub) with PostgreSQL requirements stated (20). Source and CI are closed, so no public test suite could be seen (0). The public Aidbox/Issues tracker has 31 open issues, most from 2023, with support handled mainly on a customer Zulip (12 of 25). YYMM.minor versions with dated release notes that mark breaking changes, though the scheme is not semver (12 of 15). Stable and LTS channels are declared, with LTS lines supported for two years (15). Aidbox has no rate limiting of its own, by its hardening page, which this checklist does not score but an agent should know." }, { "key": "performance", "name": "Performance", "weight": 10, "effectiveWeight": 0, "pending": true, "points": 0, "reason": "Pending. Latency is measured per call by our probes, which haven't run yet, so this run doesn't score it. Its weight is shared across the assessed categories until the first probe window closes." }, { "key": "schema", "name": "Schema \u0026 documentation", "weight": 13, "effectiveWeight": 16.25, "score": 77, "points": 12.51, "reason": "No OpenAPI document was found. Each instance publishes a FHIR CapabilityStatement and StructureDefinitions, which are machine-readable (15 of 25). llms.txt and Markdown copies of every docs page (10). Reference pages describe each operation and setting, and the MCP page gives a one-line description per tool (14 of 20). FHIR resources are validated against profiles with required fields and value sets, while the MCP tools take whole resources as free JSON objects (12 of 15). Docs carry HTTP examples, and errors come back as FHIR OperationOutcome (11 of 15). Dated monthly release notes back to 2024 (15)." }, { "key": "ergonomics", "name": "Agent ergonomics", "weight": 13, "effectiveWeight": 16.25, "score": 79, "points": 12.84, "reason": "`_elements`, `_count`, `_total` and `_summary` size responses (22 of 25). Bundle paging links, `_page`, chained search and SQL on FHIR (20). Errors are OperationOutcome with FHIR issue codes, seen on a live 404 from aidbox.app (14 of 20). Conditional create with `If-None-Exist`, conditional update and patch give safe retries. No MCP annotations are documented (10 of 20). Few required parameters and official SDKs for TypeScript, Python and C# (13 of 15)." }, { "key": "security", "name": "Security \u0026 auth", "weight": 14, "effectiveWeight": 17.5, "score": 74, "points": 12.95, "reason": "Each instance runs its own OAuth 2.0 server with client credentials, authorisation code, token exchange and SMART backend services with private key JWT. Token lifetime is set per Client. Basic auth with a client secret is also allowed (26 of 30). AccessPolicy rules per client, user or operation, plus compartments, label-based and organisation-based access, allow read-only clients. The MCP endpoints are closed by default, though the docs show a public policy for testing. No confirmation for destructive tools (15 of 20). A Health Samurai article of 24 August 2026 discusses guardrails for agents acting on FHIR data, with no injection guidance in the MCP docs (6 of 15). AuditEvent recording and an audit event topic for delivery elsewhere (14 of 15). ISO 27001:2022 claimed, a reporting address, remediation deadlines, signed images and SBOMs. No security.txt and no bug bounty found (13 of 20)." }, { "key": "payments", "name": "Payments \u0026 pricing", "weight": 10, "effectiveWeight": 12.5, "score": 25, "points": 3.13, "reason": "Read with the hosted rubric, because Aidbox is licensed software with a price rather than free software. No x402, MPP or L402 (0). Plan prices are public, Base from $1,900 a month or $19,000 a year, with no per-call price (10). A free development licence and hosted sandbox come with an aidbox.app account, limited to data without PHI, and whether a card is asked for was not established (15 of 20). A person registers on the aidbox.app portal and creates a licence in a browser (0)." }, { "key": "tasks", "name": "Task success", "weight": 10, "effectiveWeight": 0, "pending": true, "points": 0, "reason": "Pending. Task success needs the category task suites run through each tool, which haven't run yet, so this run doesn't score it. Its weight is shared across the assessed categories until then. A data provider's data-quality score is published on its listing now and becomes half of this category when it's scored." }, { "key": "maintenance", "name": "Maintenance \u0026 community", "weight": 7, "effectiveWeight": 8.75, "score": 80, "points": 7, "reason": "Release 2609 published on 8 October 2026 (30). Monthly releases plus bugfix minors, 2607, 2608 and 2609 in the last 90 days (20). Closed product with public dated release notes and a customer Zulip and email support. The public issue tracker has few recent entries (11 of 15 on the closed-service scale). Official SDKs exist for TypeScript, Python and C#, and aidbox-python-sdk was updated on 3 October 2026 (12 of 15). Signed images and SBOMs per release, with Trivy scans before release (7 of 10)." }, { "key": "transparency", "name": "Transparency \u0026 trust", "weight": 7, "effectiveWeight": 8.75, "score": 45, "points": 3.94, "note": "editorial 51, provenance 39", "reason": "Closed source, and no terms of service or licence agreement was found on the website or in the docs. Licence types and their limits are described in the docs (5 of 30). The privacy policy was last updated on 10 June 2021 and covers website visitors. The FAQ says licence checks send only the JWT token. No DPA, retention periods or sub-processor list were found (10 of 30). LTS lines carry published end-of-life dates, and a deprecated section lists retired functions (16 of 20). The FAQ discloses usage statistics with a setting to turn them off (20 of 20)." } ], "assessment": { "date": "2026-10-14", "basis": "public evidence", "confidence": "medium", "notes": { "ergonomics": "`_elements`, `_count`, `_total` and `_summary` size responses (22 of 25). Bundle paging links, `_page`, chained search and SQL on FHIR (20). Errors are OperationOutcome with FHIR issue codes, seen on a live 404 from aidbox.app (14 of 20). Conditional create with `If-None-Exist`, conditional update and patch give safe retries. No MCP annotations are documented (10 of 20). Few required parameters and official SDKs for TypeScript, Python and C# (13 of 15).", "maintenance": "Release 2609 published on 8 October 2026 (30). Monthly releases plus bugfix minors, 2607, 2608 and 2609 in the last 90 days (20). Closed product with public dated release notes and a customer Zulip and email support. The public issue tracker has few recent entries (11 of 15 on the closed-service scale). Official SDKs exist for TypeScript, Python and C#, and aidbox-python-sdk was updated on 3 October 2026 (12 of 15). Signed images and SBOMs per release, with Trivy scans before release (7 of 10).", "payments": "Read with the hosted rubric, because Aidbox is licensed software with a price rather than free software. No x402, MPP or L402 (0). Plan prices are public, Base from $1,900 a month or $19,000 a year, with no per-call price (10). A free development licence and hosted sandbox come with an aidbox.app account, limited to data without PHI, and whether a card is asked for was not established (15 of 20). A person registers on the aidbox.app portal and creates a licence in a browser (0).", "reliability": "Read with the local-software lines, because production Aidbox runs on the customer's infrastructure from Health Samurai's Docker images and the hosted sandbox is for development only. Installs from the official image healthsamurai/aidboxone (7.8 million pulls on Docker Hub) with PostgreSQL requirements stated (20). Source and CI are closed, so no public test suite could be seen (0). The public Aidbox/Issues tracker has 31 open issues, most from 2023, with support handled mainly on a customer Zulip (12 of 25). YYMM.minor versions with dated release notes that mark breaking changes, though the scheme is not semver (12 of 15). Stable and LTS channels are declared, with LTS lines supported for two years (15). Aidbox has no rate limiting of its own, by its hardening page, which this checklist does not score but an agent should know.", "schema": "No OpenAPI document was found. Each instance publishes a FHIR CapabilityStatement and StructureDefinitions, which are machine-readable (15 of 25). llms.txt and Markdown copies of every docs page (10). Reference pages describe each operation and setting, and the MCP page gives a one-line description per tool (14 of 20). FHIR resources are validated against profiles with required fields and value sets, while the MCP tools take whole resources as free JSON objects (12 of 15). Docs carry HTTP examples, and errors come back as FHIR OperationOutcome (11 of 15). Dated monthly release notes back to 2024 (15).", "security": "Each instance runs its own OAuth 2.0 server with client credentials, authorisation code, token exchange and SMART backend services with private key JWT. Token lifetime is set per Client. Basic auth with a client secret is also allowed (26 of 30). AccessPolicy rules per client, user or operation, plus compartments, label-based and organisation-based access, allow read-only clients. The MCP endpoints are closed by default, though the docs show a public policy for testing. No confirmation for destructive tools (15 of 20). A Health Samurai article of 24 August 2026 discusses guardrails for agents acting on FHIR data, with no injection guidance in the MCP docs (6 of 15). AuditEvent recording and an audit event topic for delivery elsewhere (14 of 15). ISO 27001:2022 claimed, a reporting address, remediation deadlines, signed images and SBOMs. No security.txt and no bug bounty found (13 of 20).", "transparency": "Closed source, and no terms of service or licence agreement was found on the website or in the docs. Licence types and their limits are described in the docs (5 of 30). The privacy policy was last updated on 10 June 2021 and covers website visitors. The FAQ says licence checks send only the JWT token. No DPA, retention periods or sub-processor list were found (10 of 30). LTS lines carry published end-of-life dates, and a deprecated section lists retired functions (16 of 20). The FAQ discloses usage statistics with a setting to turn them off (20 of 20)." }, "sources": [ { "what": "documentation index for agents", "url": "https://www.health-samurai.io/docs/aidbox/llms.txt", "seen": "2026-10-14" }, { "what": "MCP module", "url": "https://www.health-samurai.io/docs/aidbox/modules/other-modules/mcp.md", "seen": "2026-10-14" }, { "what": "licensing and support", "url": "https://www.health-samurai.io/docs/aidbox/overview/licensing-and-support.md", "seen": "2026-10-14" }, { "what": "hosted sandbox", "url": "https://www.health-samurai.io/docs/aidbox/getting-started/run-aidbox-in-sandbox.md", "seen": "2026-10-14" }, { "what": "versioning and LTS", "url": "https://www.health-samurai.io/docs/aidbox/overview/versioning.md", "seen": "2026-10-14" }, { "what": "release notes", "url": "https://www.health-samurai.io/docs/aidbox/overview/release-notes.md", "seen": "2026-10-14" }, { "what": "security hardening", "url": "https://www.health-samurai.io/docs/aidbox/access-control/security-hardening.md", "seen": "2026-10-14" }, { "what": "supply chain security", "url": "https://www.health-samurai.io/docs/aidbox/overview/supply-chain-security.md", "seen": "2026-10-14" }, { "what": "audit and logging", "url": "https://www.health-samurai.io/docs/aidbox/access-control/audit-and-logging.md", "seen": "2026-10-14" }, { "what": "FAQ (telemetry, licence check, SDKs, paging)", "url": "https://www.health-samurai.io/docs/aidbox/overview/faq.md", "seen": "2026-10-14" }, { "what": "pricing", "url": "https://www.health-samurai.io/price", "seen": "2026-10-14" }, { "what": "privacy policy", "url": "https://www.health-samurai.io/legal/privacy-policy", "seen": "2026-10-14" }, { "what": "release 2609 article", "url": "https://www.health-samurai.io/articles/2609-release.md", "seen": "2026-10-14" }, { "what": "public issue tracker", "url": "https://github.com/Aidbox/Issues/issues", "seen": "2026-10-14" }, { "what": "GitHub organisation", "url": "https://github.com/Aidbox", "seen": "2026-10-14" }, { "what": "Docker Hub image", "url": "https://hub.docker.com/v2/repositories/healthsamurai/aidboxone/", "seen": "2026-10-14" }, { "what": "official MCP registry search (no entry)", "url": "https://registry.modelcontextprotocol.io/v0/servers?search=aidbox", "seen": "2026-10-14" } ], "openQuestions": [ "unchecked: Aidbox's terms of service or licence agreement. None was found at /legal or in the docs, and the privacy policy refers to Terms of Use that were not located", "unchecked: whether aidbox.app sign-up asks for a card", "unchecked: GitHub organisation repository details beyond the public page, because the GitHub API refused us for its rate limit", "unchecked: the domain registration date for health-samurai.io", "The lead described Aidbox as having an open-source core. Aidbox itself is proprietary, and only examples and SDKs are on GitHub under MIT" ] }, "negative": 0, "verdict": "Graded on the FHIR REST API of an Aidbox instance the owner runs. Monthly releases, two-year LTS lines, SMART on FHIR, AccessPolicy rules and AuditEvent logging are documented, and a free development licence needs no sales call. Aidbox has no rate limiting of its own, its MCP module is alpha, and no terms of service were found on the website.", "bestFor": "An organisation building its own clinical data repository, EHR or payer platform on FHIR, where an agent works against that store.", "strengths": [ "Monthly releases with dated notes, the latest 2609 on 8 October 2026, and LTS lines supported for two years", "SMART on FHIR backend services, client credentials and AccessPolicy rules per client, user or operation", "AuditEvent recording and an audit event topic that can forward to an external repository", "Free development licence and hosted sandbox, with Base pricing published from $1,900 a month", "Cosign-signed images, SBOMs per release and remediation deadlines from 7 days for critical vulnerabilities" ], "weaknesses": [ "No built-in rate limiting or brute-force protection, by the vendor's hardening page", "The MCP module is alpha, its tools take whole resources as free JSON, and no tool annotations are documented", "No terms of service or licence agreement was found on the website, and the privacy policy dates from 10 June 2021", "Closed source with no public CI and no OpenAPI document", "No public status page, security.txt or sub-processor list was found" ], "agentNotes": [ "Ask the operator for a Client with an AccessPolicy limited to the task. Don't rely on the public MCP policy, which the docs mark unsafe", "Use `If-None-Exist` on creates and conditional update on identifiers so retries don't duplicate records", "Use `_elements` and `_count` to keep responses small, and follow the Bundle's paging links", "Throttle yourself. Aidbox applies no rate limit, so a burst lands on the customer's database", "Don't load real patient data into an instance on a development licence" ], "metrics": { "kind": "local", "measured": false }, "reviewCount": 0, "avgRating": 0, "history": [ { "basis": "public evidence", "confidence": "medium", "grade": "B", "methodology": "0.4", "pending": [ "performance", "tasks" ], "run": "2026-10-01", "runLabel": "October 2026 research run", "score": 64.2 } ], "editorialScores": { "ergonomics": 79, "maintenance": 80, "payments": 25, "reliability": 59, "schema": 77, "security": 74, "transparency": 51 }, "provenanceScore": 39 }, "connect": { "install": "curl -JO https://aidbox.app/runme \u0026\u0026 docker compose up" }, "letme": { "capability": "https://letme.dev/health.fhir", "tool": "https://letme.dev/aidbox" }, "notable": [ "The MCP module, alpha since release 2505, serves nine FHIR tools (read, create, update, conditional update, patch, conditional patch, delete, search, validate) at \u003caidbox-base-url\u003e/mcp over Streamable HTTP or SSE (https://www.health-samurai.io/docs/aidbox/modules/other-modules/mcp.md)", "Rate limiting and brute-force protection are listed as not implemented, with a reverse proxy or WAF recommended (https://www.health-samurai.io/docs/aidbox/access-control/security-hardening.md)", "Monthly releases named YYMM, the latest 2609 on 8 October 2026, and LTS releases with two years of backports (https://www.health-samurai.io/docs/aidbox/overview/versioning.md)", "Signed container images, SBOMs per release and remediation deadlines from 7 days for critical vulnerabilities (https://www.health-samurai.io/docs/aidbox/overview/supply-chain-security.md)", "The FAQ says Aidbox may send basic usage statistics, which can be disabled, and that licence checks send only the JWT licence token to aidbox.app (https://www.health-samurai.io/docs/aidbox/overview/faq.md)" ], "area": "domain-data", "details": [ { "label": "API", "value": "FHIR R4 and R5 REST at \u003caidbox-base-url\u003e/fhir, plus SQL on FHIR, GraphQL, Bulk Data, Subscriptions and terminology operations. Errors as FHIR OperationOutcome" }, { "label": "MCP server", "value": "Alpha since 2505, at \u003caidbox-base-url\u003e/mcp (Streamable HTTP since 2606) and /sse. Nine tools, read, create, update, conditional update, patch, conditional patch, delete, search and validate. Enabled with `module.mcp.server-enabled`" }, { "label": "Licences", "value": "Development licence free, no PHI. Production licence per dataset, 14-day trial then extended by Health Samurai. Education licences on request" }, { "label": "Plans", "value": "Aidbox Dev $0, Aidbox Base from $1,900 a month or $19,000 a year with PHI allowed, Aidbox Enterprise by contact" }, { "label": "Releases", "value": "YYMM.minor, monthly, with edge, latest and stable channels. LTS 2605, 2512 and 2507 supported, 2410 ends October 2026" }, { "label": "Security", "value": "Cosign-signed images, SBOM per release, Trivy scans, remediation within 7 days for critical and 30 for high. Reports to security@health-samurai.io. ISO 27001:2022 claimed" }, { "label": "Not implemented", "value": "Rate limiting, brute-force protection, HSTS and some security headers, per the hardening page" } ], "unitPrices": [ { "item": "Aidbox Base licence", "unit": "month", "usd": 1900, "note": "From price, monthly billing. $19,000 a year on yearly billing" } ], "provenance": { "legalEntity": "Health Samurai, Inc.", "domain": "health-samurai.io", "domainRegistered": "", "endpointOnVendorDomain": false, "terms": "", "privacy": "https://www.health-samurai.io/legal/privacy-policy", "statusPage": "", "changelog": "https://www.health-samurai.io/docs/aidbox/overview/release-notes", "securityTxt": "none", "checked": "2026-10-14", "notes": [ "The site footer and privacy policy name Health Samurai, Inc. The privacy policy was last updated on 10 June 2021 and refers to Terms of Use that were not found.", "No terms of service or licence agreement was found at /legal or in the docs.", "www.health-samurai.io/.well-known/security.txt returns a 404 page. The supply chain page sends reports to security@health-samurai.io.", "Aidbox runs on the customer's infrastructure, so endpoints are on the customer's domain. The free sandbox runs on aidbox.app subdomains.", "No public status page was found. The domain registration date was not established." ], "score": 39, "checks": [ { "check": "Legal entity named", "value": "Health Samurai, Inc.", "points": 20, "max": 20, "state": "ok" }, { "check": "Domain age", "value": "health-samurai.io, no registry record we could read", "points": 0, "max": 15, "state": "no" }, { "check": "Endpoint on the vendor's domain", "value": " is not on health-samurai.io", "points": 0, "max": 15, "state": "no" }, { "check": "Terms of service", "value": "not found", "points": 0, "max": 10, "state": "no" }, { "check": "Privacy policy", "value": "read, states 7 of the 8 things a reader expects", "points": 9.3, "max": 10, "state": "part" }, { "check": "Status page", "value": "not found", "points": 0, "max": 10, "state": "no" }, { "check": "Changelog", "value": "published", "points": 10, "max": 10, "state": "ok" }, { "check": "security.txt", "value": "not found", "points": 0, "max": 10, "state": "no" } ], "policies": [ { "kind": "terms", "url": "", "state": "none-found", "points": 0, "max": 10 }, { "kind": "privacy", "url": "https://www.health-samurai.io/legal/privacy-policy", "state": "read", "readAt": "2026-10-14", "statedDate": "2021-06-10", "words": 4151, "points": 9.3, "max": 10, "expected": [ { "key": "privacy.date", "label": "Gives the date it was last updated", "found": true, "quote": "Last updated June 10, 2021", "says": "Last updated 2021-06-10" }, { "key": "privacy.collected", "label": "Says what personal data is collected", "found": true, "quote": "In this privacy notice, we seek to explain to you in the clearest way possible what information we collect, how we use it and what rights you have in relation to it." }, { "key": "privacy.retention", "label": "Says how long data is kept", "found": true, "quote": "In Short: We keep your information for as long as necessary to fulfill the purposes outlined in this privacy notice unless otherwise required by law.", "says": "For as long as needed, with no period named" }, { "key": "privacy.processors", "label": "Says who else receives the data", "found": true, "quote": "From time to time, we may receive personal data from other legitimate sources and third parties such as business partners, service providers, public sources, or social networks." }, { "key": "privacy.sale", "label": "Says whether personal data is sold or shared for advertising", "found": true, "quote": "will not sell personal information in the future belonging to website visitors, users, and other consumers.", "says": "Says it does not sell personal data" }, { "key": "privacy.rights", "label": "Says what rights people have over their data", "found": true, "quote": "If you do not want us to use your personal data, which you have not provided to us yourself or want to exercise your rights, please let us know by contacting us at privacy@health-samurai.io." }, { "key": "privacy.contact", "label": "Gives a privacy contact", "found": true, "quote": "If you have any questions or concerns about this privacy notice, or our practices with regards to your personal information, please contact us at privacy@health-samurai.io.", "says": "privacy@health-samurai.io" }, { "key": "privacy.transfers", "label": "Says where data is transferred or stored", "found": false } ], "toKnow": [ { "key": "old", "label": "Has not been updated for three years or more", "found": true, "quote": "Last updated June 10, 2021" } ] } ] }, "pageJsonUrl": "https://www.anchorterminal.com/tools/aidbox.json" } }