# Aidbox vs Medplum (slim)

> Medplum scores 68.7 (B) to Aidbox's 64.2 (B) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/aidbox-vs-medplum.md (~2,350 tokens) · this version ~730 tokens · JSON https://www.anchorterminal.com/compare/aidbox-vs-medplum.json · canonical https://www.anchorterminal.com/compare/aidbox-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 Aidbox's 64.2 (B), and leads in 4 of 7 scored categories. Aidbox leads on agent ergonomics. Both do fhir servers.

- Aidbox: B 64.2, rank #385 of 1076 · https://www.anchorterminal.com/tools/aidbox.min.md
- Medplum: B 68.7, rank #216 of 1076 · https://www.anchorterminal.com/tools/medplum.min.md
- Aidbox, good for An organisation building its own clinical data repository, EHR or payer platform on FHIR, where an agent works against that store. Ahead on Agent ergonomics, 79 against 73.
- 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 59; Schema & documentation, 82 against 77; Maintenance & community, 93 against 80; Transparency & trust, 72 against 45. Also A hosted endpoint, with nothing to install; Open source.

| Category | Aidbox | Medplum |
| --- | --- | --- |
| Reliability (16%) | 59 | 75 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 77 | 82 |
| Agent ergonomics (13%) | 79 | 73 |
| Security & auth (14%) | 74 | 74 |
| Payments & pricing (10%) | 25 | 25 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 80 | 93 |
| Transparency & trust (7%) | 45 | 72 |

| Fact (where they differ) | Aidbox | Medplum |
| --- | --- | --- |
| Vendor | Health Samurai, Inc. | Orangebot, Inc. (dba Medplum) |
| Hosted endpoint | no (local only) | `https://api.medplum.com/mcp/stream` |
| Licence | 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 | 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 | 9 | 3 |
| Read-only variant documented | no | yes |
| MCP registry | not listed | `com.medplum/mcp` |
| Terms last updated | no document linked | 2023-04-11 |
| Privacy policy last updated | 2021-06-10 | 2022-04-05 |
| Customer content may train models |  | not found in the text |
| Terms restrict automated access |  | not found in the text |
| Terms restrict benchmarking |  | not found in the text |
| Terms or service can change without notice |  | yes |
| Arbitration or class-action waiver |  | yes |
| Popularity | none | 2.7k stars, 270k npm/wk |