// SCAN REPORT

Openemr

17 tools. 3 can modify or destroy data without limits.

1 destructive tool with no built-in limits. Policy required.

Last updated: 3 Jul 2026

3 can modify or destroy data

14 read-only

17 tools total

Community server · catalogue entry verified 03/07/2026

How to control Openemr ↓

TOOL MAP

What Openemr exposes to your agents

Read (14) Write / Execute (2) Destructive / Financial (1)

Running more than one server? Check your whole stack →

MOST DANGEROUS TOOLS

Critical Risk

The most dangerous Openemr tools

Destructive · High openemr_drug_safety_flag_delete This tool permanently removes drug safety flags from the medical record system. Write · High openemr_drug_safety_flag_create This tool creates new data (drug safety flags) in a patient's medical record, which is reversible via the sibling tool openemr_drug_safety_flag_delete. Write · High openemr_drug_safety_flag_update This tool creates or modifies data reversibly by updating drug safety flags in OpenEMR.

3 of Openemr's 17 tools can modify, destroy, or commit something on every call — and an agent calls them with no built-in limits.

POLICY

How to control Openemr

PolicyLayer is an MCP gateway — it sits between your AI agents and Openemr, and nothing reaches the server without passing your rules. These are the rules we recommend:

Deny destructive operations

{
  "openemr_drug_safety_flag_delete": {
    "deny_if": [
      {
        "conditions": [],
        "on_deny": "Blocked by default. Requires approval."
      }
    ]
  }
}

Destructive tools should never be available to autonomous agents without human approval.

Rate limit write operations

{
  "openemr_drug_safety_flag_create": {
    "limits": [
      {
        "counter": "openemr_drug_safety_flag_create_per_hour",
        "window": "hour",
        "max": 30,
        "scope": "grant"
      }
    ]
  }
}

Prevents bulk unintended modifications from agents caught in loops.

Cap read operations

{
  "openemr_appointment_list": {
    "limits": [
      {
        "counter": "openemr_appointment_list_per_minute",
        "window": "minute",
        "max": 60,
        "scope": "grant"
      }
    ]
  }
}

Controls API costs and prevents retry loops from exhausting upstream rate limits.

Create a free account and register Openemr — nothing to install.
Add these rules — paste them, or build them visually. Tune the limits to your setup.
Point your MCP client (Claude, Cursor, anything) at your gateway URL.

ENFORCE POLICY ON OPENEMR →

Instant setup, no code required.

FULL CATALOGUE

All 17 Openemr tools

DESTRUCTIVE 1 tools

Destructive openemr_drug_safety_flag_delete Delete a drug safety flag by ID.

WRITE 2 tools

Write openemr_drug_safety_flag_create Create a drug safety flag for a patient (adverse event, recall, warning, contraindication, or custom note). Write openemr_drug_safety_flag_update Update a drug safety flag

READ 14 tools

Read openemr_appointment_list List upcoming appointments for a patient. Read openemr_drug_interaction_check Check a list of medications for known drug-drug interactions. Returns severity-classified interactions. Read openemr_drug_safety_flag_list List all drug safety flags for a patient, optionally filtered by status. Read openemr_fda_adverse_events Query FDA FAERS database for adverse event reports on a drug. Read openemr_fda_drug_label Retrieve official FDA drug label including boxed warnings, contraindications, and indications. Read openemr_health_trajectory Aggregate all metric trajectories (labs, vitals, questionnaires) and compute clinical drift alerts for a patie Read openemr_lab_trends Return longitudinal lab trajectories for a patient (A1c, LDL, eGFR). Read openemr_medication_list Return the current medication list for a patient. Read openemr_patient_search Search OpenEMR patients by name. Returns matching patient records with ID, DOB, sex, and city. Read openemr_provider_search Search for healthcare providers by specialty and/or location. Read openemr_questionnaire_trends Return longitudinal questionnaire score trajectories for a patient (PHQ-9 depression screening). Read openemr_symptom_lookup Look up possible conditions for a list of symptoms. Returns ranked conditions with urgency level and medical d Read openemr_visit_prep Generate a pre-visit clinical brief for a patient: top risks, medication safety, care gaps, and suggested agen Read openemr_vital_trends Return longitudinal vital sign trajectories for a patient (weight, BP systolic/diastolic).

EXPLORE

Related servers

Other MCP servers with similar tools — same risk classification, starter policies for each.

FAQ

Questions about Openemr

Can an AI agent delete data through the Openemr MCP server? +

Yes. The Openemr server exposes 1 destructive tools including openemr_drug_safety_flag_delete. These permanently remove resources with no undo. PolicyLayer blocks destructive tools by default so they never reach the upstream server.

How do I prevent bulk modifications through Openemr? +

The Openemr server has 2 write tools including openemr_drug_safety_flag_create, openemr_drug_safety_flag_update. Set a rate limit in your policy -- for example, 10 calls per hour prevents an agent from making more than 10 modifications per hour. PolicyLayer enforces this at the gateway, before calls reach Openemr.

How many tools does the Openemr MCP server expose? +

17 tools across 3 categories: Destructive, Read, Write. 14 are read-only. 3 can modify, create, or delete data.

How do I enforce a policy on Openemr? +

Register the Openemr MCP server in PolicyLayer, apply the suggested rules above (adjust the limits to your use case), and point your AI client at the PolicyLayer proxy URL instead of the server directly. Your agents keep the same tools; PolicyLayer evaluates every call against policy before it executes. Nothing to install, live in minutes.

Enforce policy on every Openemr tool call.

Deterministic rules across all 17 Openemr tools. Per-identity grants. Full audit log. Live in minutes. Nothing to install.

ENFORCE POLICY ON OPENEMR →

Instant setup, no code required.

17 Openemr tools catalogued and risk-classified — across an index of 43,000+ MCP servers.