# Medplum vs Particle Health (slim) > Medplum scores 68.7 (B) to Particle Health's 48.6 (D) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side. - Full: https://www.anchorterminal.com/compare/medplum-vs-particle-health.md (~2,350 tokens) · this version ~680 tokens · JSON https://www.anchorterminal.com/compare/medplum-vs-particle-health.json · canonical https://www.anchorterminal.com/compare/medplum-vs-particle-health - 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 Particle Health's 48.6 (D), and leads in every scored category. Both do fhir servers. - Medplum: B 68.7, rank #216 of 1076 · https://www.anchorterminal.com/tools/medplum.min.md - Particle Health: D 48.6, rank #867 of 1076 · https://www.anchorterminal.com/tools/particle-health.min.md - 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 58; Schema & documentation, 82 against 69; Agent ergonomics, 73 against 53; Security & auth, 74 against 57; Payments & pricing, 25 against 5; Maintenance & community, 93 against 27; Transparency & trust, 72 against 48. Also A hosted endpoint, with nothing to install; Open source. - Particle Health, good for US providers, payers and digital health companies that need a patient's network records as FHIR or flat data, and care-event alerts. | Category | Medplum | Particle Health | | --- | --- | --- | | Reliability (16%) | 75 | 58 | | Performance (10%) | pending | pending | | Schema & documentation (13%) | 82 | 69 | | Agent ergonomics (13%) | 73 | 53 | | Security & auth (14%) | 74 | 57 | | Payments & pricing (10%) | 25 | 5 | | Task success (10%) | pending | pending | | Maintenance & community (7%) | 93 | 27 | | Transparency & trust (7%) | 72 | 48 | | Fact (where they differ) | Medplum | Particle Health | | --- | --- | --- | | Vendor | Orangebot, Inc. (dba Medplum) | Particle Health, Inc. | | Hosted endpoint | `https://api.medplum.com/mcp/stream` | no (local only) | | Transports | HTTP, Streamable HTTP, SSE (legacy) | HTTP | | Pricing | Freemium | Paid | | Licence | 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 | Proprietary service under customer agreements. The public terms of use (effective 15 October 2020) cover the website only | | Tools exposed | 3 | none | | Read-only variant documented | yes | no | | MCP registry | `com.medplum/mcp` | not listed | | Last release | 2026-10-08 | none | | Terms last updated | 2023-04-11 | 2020-10-15 | | Privacy policy last updated | 2022-04-05 | 2026-07-29 | | Terms restrict automated access | not found in the text | yes | | Popularity | 2.7k stars, 270k npm/wk | none |