Medplum
Open-source, API-first electronic health record (EHR) platform with FHIR-native storage, HIPAA compliance and SOC2 tooling for developers.
Our Verdict
The most developer-friendly FHIR platform today, a strong pick for healthcare startups.
Pros
- Open-source FHIR-native EHR platform
- HIPAA and SOC2 tooling built in
- Solid developer experience and docs
- Self-host or managed cloud options
Cons
- Narrow to healthcare developers
- FHIR learning curve is real
- Smaller ecosystem than HAPI
- Still maturing commercial offerings
Best for: Healthcare startups building EHR or patient-facing apps on FHIR with modern tooling
Not for: Non-healthcare projects or teams that can't invest in learning FHIR
When to Use Medplum
Good fit if you need
- Open-source FHIR-native EHR backend for digital health teams
- HIPAA-compliant health record API with Postgres storage
- SOC2-certified FHIR server for US health data applications
- Building custom EHR workflows on open-source infrastructure
- Alternative to Aidbox for teams preferring open-source FHIR
Lock-in Assessment
Low 4/5
Lock-in Score 4/5
Pricing
Price wrong?Medplum Pricing
- Pricing Model
- freemium
- Free Tier
- Yes
- Entry Price
- —
- Enterprise Available
- No
- Transparency Score
- —
Beta — estimates may differ from actual pricing
1,000
1001K10K100K1M
Estimated Monthly Cost
$25
Estimated Annual Cost
$300
Estimates are approximate and may not reflect current pricing. Always check the official pricing page.
Project Health
A
Health Score
2.3k 752
Bus Factor
10
Last Commit
today
Release Freq
6d
Open Issues
600
Issue Response
N/A
License
Apache-2.0
Last checked: 2026-04-21
Community Discussion
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