# Metriport Medical API vs ROOK (slim)

> ROOK scores 54.9 (C) to Metriport Medical's 50.1 (D) for fhir servers. Prices, MCP, x402, uptime and agent notes side by side.

- Full: https://www.anchorterminal.com/compare/metriport-vs-rook.md (~2,400 tokens) · this version ~630 tokens · JSON https://www.anchorterminal.com/compare/metriport-vs-rook.json · canonical https://www.anchorterminal.com/compare/metriport-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 Metriport Medical API's 50.1 (D), and leads in 3 of 7 scored categories. Metriport Medical API leads on agent ergonomics and security & auth. Both do fhir servers.

- Metriport Medical API: D 50.1, rank #833 of 1076 · https://www.anchorterminal.com/tools/metriport.min.md
- ROOK: C 54.9, rank #718 of 1076 · https://www.anchorterminal.com/tools/rook.min.md
- Metriport Medical API, good for US care providers and digital health companies that need a patient's network records as FHIR with webhooks. Ahead on Agent ergonomics, 70 against 49; Security & auth, 41 against 32. Also Open source.
- 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 45; Schema & documentation, 74 against 65; Payments & pricing, 25 against 5.

| Category | Metriport Medical API | ROOK |
| --- | --- | --- |
| Reliability (16%) | 45 | 75 |
| Performance (10%) | pending | pending |
| Schema & documentation (13%) | 65 | 74 |
| Agent ergonomics (13%) | 70 | 49 |
| Security & auth (14%) | 41 | 32 |
| Payments & pricing (10%) | 5 | 25 |
| Task success (10%) | pending | pending |
| Maintenance & community (7%) | 74 | 73 |
| Transparency & trust (7%) | 56 | 55 |

| Fact (where they differ) | Metriport Medical API | ROOK |
| --- | --- | --- |
| Vendor | Metriport Inc. | Rookeries Development Corp. |
| Licence | Proprietary hosted service under Metriport's terms of use. The source in metriport/metriport is AGPLv3, with an enterprise directory under its own licence, and the @metriport/api-sdk package on npm is MIT | Proprietary service under ROOK's Terms and Conditions for ROOK services |
| Last release | 2026-09-28 | 2026-10-07 |
| Terms last updated | 2024-01-01 | 2026-08-01 |
| Privacy policy last updated | 2023-02-21 | 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 |
| Popularity | 793 stars, 28k npm/wk | none |