# Medplum vs Terra API (slim)

> Medplum scores 68.7 (B) to Terra's 65.9 (B) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/medplum-vs-terra.md (~2,450 tokens) · this version ~730 tokens · JSON https://www.anchorterminal.com/compare/medplum-vs-terra.json · canonical https://www.anchorterminal.com/compare/medplum-vs-terra
- 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 Terra API's 65.9 (B), and leads in 5 of 7 scored categories. Terra API leads on schema & documentation and agent ergonomics. Both do fhir servers.

- Medplum: B 68.7, rank #216 of 1076 · https://www.anchorterminal.com/tools/medplum.min.md
- Terra API: B 65.9, rank #327 of 1076 · https://www.anchorterminal.com/tools/terra.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 67; Security & auth, 74 against 65; Payments & pricing, 25 against 20; Maintenance & community, 93 against 75; Transparency & trust, 72 against 56. Also Open source.
- Terra API, good for A fitness, wellness, insurance or research product whose users connect consumer wearables and apps, and an agent that needs to read one user's sleep, activity or body data through MCP. Ahead on Schema & documentation, 89 against 82; Agent ergonomics, 78 against 73.

| Category | Medplum | Terra API |
| --- | --- | --- |
| Reliability (16%) | 75 | 67 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 82 | 89 |
| Agent ergonomics (13%) | 73 | 78 |
| Security & auth (14%) | 74 | 65 |
| Payments & pricing (10%) | 25 | 20 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 93 | 75 |
| Transparency & trust (7%) | 72 | 56 |

| Fact (where they differ) | Medplum | Terra API |
| --- | --- | --- |
| Vendor | Orangebot, Inc. (dba Medplum) | Terra Enabling Developers Inc. |
| Hosted endpoint | `https://api.medplum.com/mcp/stream` | `https://access.tryterra.co/api/v2/mcp/<user_id>` |
| Transports | HTTP, Streamable HTTP, SSE (legacy) | HTTP, Streamable HTTP |
| Auth | OAuth | OAuth or key |
| Pricing | Freemium | Pay per use |
| 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 Terra's terms of service. The OpenAPI specs repository is Apache 2.0 |
| Tools exposed | 3 | 6 |
| Read-only variant documented | yes | no |
| MCP registry | `com.medplum/mcp` | not listed |
| Last release | 2026-10-08 | 2026-10-13 |
| Terms last updated | 2023-04-11 | 2026-05-01 |
| Privacy policy last updated | 2022-04-05 | 2023-04-20 |
| Terms restrict benchmarking | not found in the text | yes |
| Popularity | 2.7k stars, 270k npm/wk | 13k npm/wk, 11k PyPI/wk |