Clinical systems · Open-source headless EHR platform
Medplum
Medplum is an open-source developer platform for building custom EHRs, patient apps and care tools on FHIR data, free to self-host or offered as a paid hosted service.
Strong fit
- Digital health companies with engineers who want to build a custom EHR
- Teams that want open-source code and no vendor lock-in
- Buyers who want posted prices for hosting
Weak fit
- Clinics that want a ready-made EHR without developers
- Teams without engineers to build and maintain screens
- Buyers who need a vendor to run clinical workflows for them
Bottom line
Medplum is a strong choice for digital health companies with engineers who want to build their own EHR or care app on open-source, FHIR-based tools. It suits teams that want to avoid lock-in and see prices up front. Clinics that want a ready-made EHR should look elsewhere.
Score breakdown
Weights: Outcomes 35% · Product 30% · Implementation 20% · Pricing clarity 15%.
Reshma Khilnani, Cody Ebberson and Rahul Agarwal started Medplum, and Khilnani is chief executive. The founders had earlier built MedXT, a medical imaging startup that Box bought, and held engineering roles at Box and One Medical. Medplum went through Y Combinator in 2022.
Medplum is a headless EHR, which means it stores clinical data and handles logins, permissions and connections, while each customer builds its own screens. It stores data in FHIR, the standard format for exchanging health data, and its core code is free under the Apache 2.0 license.
It includes a clinical data repository, an API, React components for building screens, and server-side automations called Bots. Its paid plans add lab, e-prescribing and HL7 interface connections. Medplum says it is SOC 2 and HIPAA compliant, and its Enterprise plan supports ONC certification.
Medplum says companies on its platform care for more than 20 million patients and have run more than 120 million workflow actions. It is built for software developers, so most buyers need engineers to build and maintain their app.
Canvas Medical fits care teams that want a ready-made EHR they can extend with code. Healthie fits virtual care and nutrition practices that want a configurable EHR, Metriport fits teams that mainly need patient records from national networks, and Zus Health fits teams that want a shared patient record service.
Competitor landscape
| Vendor | Overall | Ease of implementation |
|---|---|---|
| Healthie | 7.7 | 7.4 |
| Canvas Medical | 7.5 | 7.2 |
| Medplum | 7.5 | 6.8 |
| Metriport | 7.2 | 7.2 |
| Zus Health | 7.2 | 7.0 |
Pricing
| Item | Detail |
|---|---|
| Model | Medplum is free to self-host. Its hosted service has a free tier and monthly plans, and enterprise plans are priced by quote. |
| What usually drives cost | For Medplum, cost depends on the hosted plan, your usage tier, and enterprise needs such as dedicated hosting, audit support and ONC certification. |
| What to ask before you buy | Ask Medplum which usage tier fits your traffic, what support each plan includes, and how much your own team must build. |
| Note | Medplum's core code is free under the Apache 2.0 license, so you can host it yourself at no license cost. |
| Published pricing | Medplum's hosted plans are free for testing, $2,000 a month for Production and $6,000 a month for Premium. Enterprise pricing is by quote. |
Leadership
Methodology
| Weight | Factor | What it measures |
|---|---|---|
| 35% | Customer outcomes | Whether buyers get measurable operational or clinical-workflow results after go-live |
| 30% | Product | Capability depth, reliability, and fit for the job the category buys |
| 20% | Implementation | How hard it is to stand up, integrate, train, and stabilize |
| 15% | Pricing clarity | Whether a buyer can model total cost without a mystery quote |
| Label | Meaning |
|---|---|
| Highly recommend | Strong outcomes and product with manageable caveats |
| Recommend | Solid fit for the right buyer; know the tradeoffs |
| Conditional | Only with a specific use case or heavy caveats |
| Not recommended | Avoid for most buyers in this category |
Read our full methodology for how we weight scores and assign recommend labels.