A side-by-side look at the Last EHR — Medplum and Fhir MCP Server MCP servers: transport, auth, tools, quality signals, and the config to install either one in Claude, Cursor, Windsurf or VS Code.
Verdict: choose Last EHR — Medplum for biology, medicine and bioinformatics work as a local process; choose Fhir MCP Server for biology, medicine and bioinformatics over a hosted endpoint. You can also run both side by side in one mcpServers block.
Security.Rows where the two servers differ are marked.
| Spec | ||
|---|---|---|
| Category | Biology, Medicine and Bioinformatics | Biology, Medicine and Bioinformatics |
| Quality signal | 41/100 · Fair | 53/100 · Good |
| Install command | Confirmed | Confirmed |
| Transport | Local subprocess (stdio) | Remote HTTP/SSE |
| Auth | Not declared | OAuth 2.0 |
| Pricing | Not declared | BYOK (pay the provider) |
| Required env vars | None listed | None listed |
| Verified owner | Community listing | Community listing |
| GitHub stars | 4 | 102 |
| Directory activity | 3 views 0 installs 0 upvotes | 2 views 0 installs 0 upvotes |
| Tools | Not listed | 1 |
| Full listing | View Last EHR — Medplum | View Fhir MCP Server |
No tool names declared yet. Check the project README from the listing page.
SecurityOAuth2 authentication and proper access control for all operationsPaste either block (or both) into your client config, e.g. claude_desktop_config.json or ~/.cursor/mcp.json. We only show a config when the install command is confirmed.
{
"mcpServers": {
"last-ehr-medplum": {
"command": "npx",
"args": [
"-y",
"@lastehr/agent-write-conformance"
]
}
}
}
{
"mcpServers": {
"the-momentum-fhir-mcp-server": {
"url": "https://api.medplum.com"
}
}
}