createOrganization

THE RISK

Medium Risk

Why createOrganization needs a policy

This tool creates new healthcare organization records in a FHIR server. It is a Write operation because it adds new data that can be subsequently updated or removed. The severity is medium because: (1) unauthorized creation of fake organizations could enable fraud or data integrity issues in a healthcare system, (2) the blast radius is bounded to a single new record rather than affecting existing data or triggering…

From the tool's definition Tool name is 'createOrganization' and description states it 'Creates a new organization'. The verb 'creates' indicates reversible data modification without deletion or destruction.

Documented attack patterns abuse exactly the kind of access createOrganization gives an agent:

POLICY

How to control createOrganization

PolicyLayer is an MCP gateway — it sits between your AI agents and Medplum MCP Server, and nothing reaches the server without passing your rules. This is the rule we recommend for createOrganization:

policy.json

{
  "version": "1",
  "default": "deny",
  "tools": {
    "createOrganization": {
      "limits": [
        {
          "counter": "createorganization_rate",
          "window": "minute",
          "max": 30,
          "scope": "grant"
        }
      ]
    }
  }
}

createOrganization stays usable, but capped — an agent stuck in a loop can't make hundreds of changes a minute. Everything else on the server is denied unless you say otherwise.

Create a free account and register Medplum MCP Server — nothing to install.
Add this policy — paste it, or build it visually.
Point your MCP client (Claude, Cursor, anything) at your gateway URL.

LIMIT THIS TOOL →

Free to start. No card required.

EXPLORE

Related tools and policies

More Medplum MCP Server tools

Write createCondition Creates a new condition or diagnosis for a patient. Requires a patient ID and a condition Write createEncounter Creates a new encounter (patient visit). Requires patient ID and status. Write createEpisodeOfCare Creates a new episode of care for a patient. Requires patient ID and status. Write createMedication Creates a new medication resource. Requires medication code or identifier. Write createMedicationRequest Creates a new medication request (prescription). Requires patient ID, medication reference Write createObservation Creates a new observation (lab result, vital sign, etc.). Requires patient ID and code. Write createPatient Creates a new patient resource. Requires first name, last name, and birth date. Write createPractitioner Creates a new medical practitioner. Requires given name and family name.

All 37 Medplum MCP Server tools →

Write tools on other servers

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Go deeper

The MCP Attack Database → Documented attack patterns against MCP deployments — and the policies that stop them.
Argument validation → Checking tool call arguments against schema and policy before they run.
Scoped token → Per-person credentials that grant a defined subset of servers and tools.
Rate Limiting MCP Tool Calls: A Practical Guide →
MCP Security: Why Prompt Guardrails Aren't Enough →

FAQ

Questions about createOrganization

What does the createOrganization tool do? +

Creates a new organization (e.g., hospital, clinic). Requires organization name. It is categorised as a Write tool in the Medplum MCP Server MCP Server, which means it can create or modify data. Consider rate limits to prevent runaway writes.

How do I enforce a policy on createOrganization? +

Register the Medplum MCP Server MCP server in PolicyLayer and add a rule for createOrganization: allow, deny, rate-limit, or require approval. Point your MCP client at the PolicyLayer proxy URL and the rule is enforced on every call, before it reaches Medplum MCP Server. Nothing to install.

What risk level is createOrganization? +

createOrganization is a Write tool with medium risk. Write tools should be rate-limited to prevent accidental bulk modifications.

Can I rate-limit createOrganization? +

Yes. Add a rate_limit block to the createOrganization rule in your PolicyLayer policy. For example, setting max: 10 and window: 60 limits the tool to 10 calls per minute. Rate limits are tracked per agent session and reset automatically.

How do I block createOrganization completely? +

Set action: deny in the PolicyLayer policy for createOrganization. The AI agent will receive a policy violation error and cannot call the tool. You can also include a reason field to explain why the tool is blocked.

What MCP server provides createOrganization? +

createOrganization is provided by the Medplum MCP Server MCP server (rkirkendall/medplum-mcp). PolicyLayer sits as a proxy in front of this server to enforce policies before tool calls reach the server.

Enforce policy on every Medplum MCP Server tool call.

Start from Medplum MCP Server, add the rest of your stack, and see everything your agents can call. Then put policy on all of it.

CHECK YOUR STACK →