Last EHR — Medplum

What you can do with it

We have not written a plain-language summary for this one yet. Below are the facts we read from the registry.

• Connection: Runs on your computer
• Transport: stdio
• Category: Clinics & health
• You need to fill in: MEDPLUM_ACCESS_TOKEN, MEDPLUM_CLIENT_SECRET, LASTEHR_PRIVATE_KEY

Install

Pick the AI app you use, then copy the settings.

You need

• npmNode.js installed (for the npx command)

Which app do you use?

{
  "mcpServers": {
    "last-ehr": {
      "command": "npx",
      "args": [
        "-y",
        "@lastehr/mcp"
      ],
      "env": {
        "MEDPLUM_ACCESS_TOKEN": "your-value",
        "MEDPLUM_CLIENT_ID": "your-value",
        "MEDPLUM_CLIENT_SECRET": "your-value",
        "MEDPLUM_BASE_URL": "your-value",
        "LASTEHR_BACKEND": "your-value",
        "LASTEHR_EXPERIMENTAL_FHIR_ADAPTERS": "your-value",
        "LASTEHR_CLIENT_ID": "your-value",
        "LASTEHR_PRIVATE_KEY": "your-value",
        "LASTEHR_PRIVATE_KEY_PATH": "your-value",
        "LASTEHR_KEY_ID": "your-value",
        "LASTEHR_JWKS_URL": "your-value",
        "LASTEHR_SCOPES": "your-value",
        "LASTEHR_FHIR_BASE_URL": "your-value",
        "LASTEHR_TOKEN_URL": "your-value",
        "LASTEHR_ENCOUNTER": "your-value",
        "LASTEHR_PERFORMER": "your-value"
      }
    }
  }
}

claude mcp add last-ehr --env MEDPLUM_ACCESS_TOKEN=your-value --env MEDPLUM_CLIENT_ID=your-value --env MEDPLUM_CLIENT_SECRET=your-value --env MEDPLUM_BASE_URL=your-value --env LASTEHR_BACKEND=your-value --env LASTEHR_EXPERIMENTAL_FHIR_ADAPTERS=your-value --env LASTEHR_CLIENT_ID=your-value --env LASTEHR_PRIVATE_KEY=your-value --env LASTEHR_PRIVATE_KEY_PATH=your-value --env LASTEHR_KEY_ID=your-value --env LASTEHR_JWKS_URL=your-value --env LASTEHR_SCOPES=your-value --env LASTEHR_FHIR_BASE_URL=your-value --env LASTEHR_TOKEN_URL=your-value --env LASTEHR_ENCOUNTER=your-value --env LASTEHR_PERFORMER=your-value -- npx -y @lastehr/mcp

{
  "mcpServers": {
    "last-ehr": {
      "command": "npx",
      "args": [
        "-y",
        "@lastehr/mcp"
      ],
      "env": {
        "MEDPLUM_ACCESS_TOKEN": "your-value",
        "MEDPLUM_CLIENT_ID": "your-value",
        "MEDPLUM_CLIENT_SECRET": "your-value",
        "MEDPLUM_BASE_URL": "your-value",
        "LASTEHR_BACKEND": "your-value",
        "LASTEHR_EXPERIMENTAL_FHIR_ADAPTERS": "your-value",
        "LASTEHR_CLIENT_ID": "your-value",
        "LASTEHR_PRIVATE_KEY": "your-value",
        "LASTEHR_PRIVATE_KEY_PATH": "your-value",
        "LASTEHR_KEY_ID": "your-value",
        "LASTEHR_JWKS_URL": "your-value",
        "LASTEHR_SCOPES": "your-value",
        "LASTEHR_FHIR_BASE_URL": "your-value",
        "LASTEHR_TOKEN_URL": "your-value",
        "LASTEHR_ENCOUNTER": "your-value",
        "LASTEHR_PERFORMER": "your-value"
      }
    }
  }
}

{
  "servers": {
    "last-ehr": {
      "type": "stdio",
      "command": "npx",
      "args": [
        "-y",
        "@lastehr/mcp"
      ],
      "env": {
        "MEDPLUM_ACCESS_TOKEN": "your-value",
        "MEDPLUM_CLIENT_ID": "your-value",
        "MEDPLUM_CLIENT_SECRET": "your-value",
        "MEDPLUM_BASE_URL": "your-value",
        "LASTEHR_BACKEND": "your-value",
        "LASTEHR_EXPERIMENTAL_FHIR_ADAPTERS": "your-value",
        "LASTEHR_CLIENT_ID": "your-value",
        "LASTEHR_PRIVATE_KEY": "your-value",
        "LASTEHR_PRIVATE_KEY_PATH": "your-value",
        "LASTEHR_KEY_ID": "your-value",
        "LASTEHR_JWKS_URL": "your-value",
        "LASTEHR_SCOPES": "your-value",
        "LASTEHR_FHIR_BASE_URL": "your-value",
        "LASTEHR_TOKEN_URL": "your-value",
        "LASTEHR_ENCOUNTER": "your-value",
        "LASTEHR_PERFORMER": "your-value"
      }
    }
  }
}

Your choice stays on this device in a cookie; no account needed.

Values you fill in

• MEDPLUM_ACCESS_TOKEN secret env
  FHIR chart tools over Medplum or a local HAPI stack: read-only by default, with an opt-in elicitation-gated write profile (human-approved per action).
• MEDPLUM_CLIENT_ID env
  FHIR chart tools over Medplum or a local HAPI stack: read-only by default, with an opt-in elicitation-gated write profile (human-approved per action).
• MEDPLUM_CLIENT_SECRET secret env
  FHIR chart tools over Medplum or a local HAPI stack: read-only by default, with an opt-in elicitation-gated write profile (human-approved per action).
• MEDPLUM_BASE_URL env
  FHIR chart tools over Medplum or a local HAPI stack: read-only by default, with an opt-in elicitation-gated write profile (human-approved per action).
• LASTEHR_BACKEND env
  epic, oracle, or smart. Requires LASTEHR_EXPERIMENTAL_FHIR_ADAPTERS=1. Sandbox writes are approval-gated and persist because those sandboxes do not support delete.
• LASTEHR_EXPERIMENTAL_FHIR_ADAPTERS env
  Set to 1 to enable LASTEHR_BACKEND epic, oracle, or smart.
• LASTEHR_CLIENT_ID env
  SMART Backend Services client id. Not a secret.
• LASTEHR_PRIVATE_KEY secret env
  PKCS#8 PEM for SMART private_key_jwt. Never log it.
• LASTEHR_PRIVATE_KEY_PATH env
  Path to the PKCS#8 PEM. Alternative to LASTEHR_PRIVATE_KEY.
• LASTEHR_KEY_ID env
  JWT kid. Must match the public JWKS.
• LASTEHR_JWKS_URL env
  https URL of the public JWKS. doctor checks that LASTEHR_KEY_ID is present. Optional.
• LASTEHR_SCOPES env
  Space-delimited SMART scopes. Required for Oracle. Omit for Epic unless overriding the app registration.
• LASTEHR_FHIR_BASE_URL env
  FHIR base URL. Epic and Oracle default to their public sandboxes when unset.
• LASTEHR_TOKEN_URL env
  SMART token URL. Epic and Oracle default to their public sandboxes when unset.
• LASTEHR_ENCOUNTER env
  Encounter/{id} added to Epic observations when the tool call omits encounter.
• LASTEHR_PERFORMER env
  Practitioner/{id} filed as legal authenticator on Oracle observations.

These settings are generated from the maker’s registry entry. If the README says otherwise, follow the README.

What it can do

Runs on your computer; the tool list appears in your AI app after you install it.

Basic checksi

We check information anyone can see; we have not read the code. Checks that do not apply are left out of the count. · Checked Nov 7, 2026

• ✓ Pass

  Maker matches the repo

  The registry name was verified with the GitHub account cbetz, which owns the repo

• … Not checked yet

  Still maintained

  We have not read this repo from GitHub yet

• … Not checked yet

  Has a licence

  We have not read this repo from GitHub yet

• – Not applicable

  Endpoint responds

  This one runs on your computer; there is no internet endpoint

• – Not applicable

  Sign-in with OAuth

  Runs on your computer and uses local settings instead

• … Not checked yet

  No hidden instructions in tool descriptions

  Runs on your computer; we can only read tool lists from internet endpoints

Compared with others in Clinics & healthi

• More stars than 0% of the other 870 servers in this category
• Published to the registry more recently than 93% of the other 870 servers in this category
• Basic checks equal to or better than 100% of the other 870 servers in this category

Compared with every active server in this category in the registry. Stars count only when the publisher owns the repo.

Alternatives

Servers in the same category from other makers, sorted by stars.

Reading a card:★ GitHub starsiThree pillars: reviews · checks · usageiUpdated = latest version published to the registryi

README from the maker

npx -y @lastehr/mcp init

npx -y @lastehr/mcp init --client claude-code

npx -y @lastehr/mcp

npx -y @lastehr/mcp --version

MEDPLUM_ACCESS_TOKEN=...

MEDPLUM_CLIENT_ID=...