# 1upHealth vs Medplum (slim)

> Medplum scores 68.7 (B) to 1upHealth's 46.8 (D) for patient record retrieval. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/1uphealth-vs-medplum.md (~2,300 tokens) · this version ~730 tokens · JSON https://www.anchorterminal.com/compare/1uphealth-vs-medplum.json · canonical https://www.anchorterminal.com/compare/1uphealth-vs-medplum
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

Medplum scores 68.7 (B) on agent readiness against 1upHealth's 46.8 (D), and leads in 6 of 7 scored categories. Both do patient record retrieval.

- 1upHealth: D 46.8, rank #903 of 1076 · https://www.anchorterminal.com/tools/1uphealth.min.md
- Medplum: B 68.7, rank #216 of 1076 · https://www.anchorterminal.com/tools/medplum.min.md
- 1upHealth, good for Consumer and care apps that read a member's health plan claims and clinical data under the CMS rules, and payers meeting those rules.
- Medplum, good for An agent working inside a digital health company's own FHIR store, reading and writing patients, observations and appointments under a BAA. Ahead on Reliability, 75 against 52; Schema & documentation, 82 against 50; Agent ergonomics, 73 against 32; Security & auth, 74 against 63; Payments & pricing, 25 against 20; Maintenance & community, 93 against 37. Also A hosted endpoint, with nothing to install; Open source.

| Category | 1upHealth | Medplum |
| --- | --- | --- |
| Reliability (16%) | 52 | 75 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 50 | 82 |
| Agent ergonomics (13%) | 32 | 73 |
| Security & auth (14%) | 63 | 74 |
| Payments & pricing (10%) | 20 | 25 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 37 | 93 |
| Transparency & trust (7%) | 72 | 72 |

| Fact (where they differ) | 1upHealth | Medplum |
| --- | --- | --- |
| Vendor | 1upHealth, Inc. | Orangebot, Inc. (dba Medplum) |
| Hosted endpoint | no (local only) | `https://api.medplum.com/mcp/stream` |
| Transports | HTTP | HTTP, Streamable HTTP, SSE (legacy) |
| Pricing | Paid | Freemium |
| Licence | Proprietary service under 1upHealth's Terms of Service (effective 1 August 2024) | Apache 2.0 for the server, SDKs and apps in medplum/medplum. The hosted service at api.medplum.com runs under Medplum's terms of service |
| Tools exposed | none | 3 |
| Read-only variant documented | no | yes |
| MCP registry | not listed | `com.medplum/mcp` |
| Last release | none | 2026-10-08 |
| Terms last updated | no date given | 2023-04-11 |
| Privacy policy last updated | 2026-06-25 | 2022-04-05 |
| Terms restrict benchmarking | yes | not found in the text |
| Terms or service can change without notice | not found in the text | yes |
| Arbitration or class-action waiver | not found in the text | yes |
| Popularity | none | 2.7k stars, 270k npm/wk |