# Medblocks vs ROOK (slim)

> ROOK scores 54.9 (C) to Medblocks's 52.7 (D) for patient consent. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/medblocks-vs-rook.md (~2,300 tokens) · this version ~680 tokens · JSON https://www.anchorterminal.com/compare/medblocks-vs-rook.json · canonical https://www.anchorterminal.com/compare/medblocks-vs-rook
- Index: https://www.anchorterminal.com/llms.txt · API: https://www.anchorterminal.com/api/v1/index.json · Updated: 2026-10-14

ROOK scores 54.9 (C) on agent readiness against Medblocks's 52.7 (D), and leads in 4 of 7 scored categories. Medblocks leads on agent ergonomics and security & auth. Both do patient consent.

- Medblocks: D 52.7, rank #773 of 1076 · https://www.anchorterminal.com/tools/medblocks.min.md
- ROOK: C 54.9, rank #718 of 1076 · https://www.anchorterminal.com/tools/rook.min.md
- Medblocks, good for A consumer or care app, or an assistant, that needs a patient's own records from US hospitals and payers with the patient's consent, and wants an MCP route as well as REST. Ahead on Agent ergonomics, 72 against 49; Security & auth, 67 against 32. Also A hosted endpoint, with nothing to install.
- ROOK, good for A wellness, insurance, corporate wellness or remote monitoring product that wants normalised wearable data pushed to its backend, with plan prices it can see up front. Ahead on Reliability, 75 against 28; Schema & documentation, 74 against 62.

| Category | Medblocks | ROOK |
| --- | --- | --- |
| Reliability (16%) | 28 | 75 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 62 | 74 |
| Agent ergonomics (13%) | 72 | 49 |
| Security & auth (14%) | 67 | 32 |
| Payments & pricing (10%) | 25 | 25 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 69 | 73 |
| Transparency & trust (7%) | 51 | 55 |

| Fact (where they differ) | Medblocks | ROOK |
| --- | --- | --- |
| Vendor | Medblocks Inc. | Rookeries Development Corp. |
| Hosted endpoint | `https://app.medblocks.com/mcp` | no (local only) |
| Transports | HTTP, Streamable HTTP | HTTP |
| Auth | OAuth or key | API key |
| Pricing | Freemium | Paid |
| Licence | Proprietary service under Medblocks' terms. The medblocks TypeScript SDK on npm carries a proprietary licence that forbids redistribution and reverse engineering. The agent skills repository has no licence file | Proprietary service under ROOK's Terms and Conditions for ROOK services |
| Tools exposed | 10 | none |
| Last release | 2026-09-14 | 2026-10-07 |
| Terms last updated | 2026-10-05 | 2026-08-01 |
| Privacy policy last updated | 2026-10-05 | 2026-05-28 |
| Terms restrict automated access | yes | not found in the text |
| Terms or service can change without notice | yes | not found in the text |
| Arbitration or class-action waiver | not found in the text | yes |
| Popularity | 36 npm/wk | none |