Performs a generic FHIR search operation on any resource type with custom query parameters.
AI agents call generalFhirSearch to retrieve information from Medplum MCP Server without modifying anything — typically the context-gathering step in research, monitoring, and reporting workflows, before the agent takes action elsewhere.
This tool retrieves and queries healthcare data from a FHIR server but does not create, modify, delete, or execute code. Search operations are inherently read-only with no side effects. Even though the tool can search across any resource type (giving it broad scope), the actual operation is a safe, non-destructive query. Severity is low because misuse would only expose existing data, not corrupt or delete it.
From the tool's definition Tool performs a 'generic FHIR search operation' with 'custom query parameters' on 'any resource type'. The description explicitly uses the verb 'search', which is a read-only operation that retrieves data without modifying it.
Documented attack patterns abuse exactly the kind of access generalFhirSearch gives an agent:
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 generalFhirSearch:
{
"version": "1",
"default": "deny",
"tools": {
"generalFhirSearch": {}
}
} generalFhirSearch is read-only, so it stays allowed — but everything else on the server is denied unless you say otherwise.
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Performs a generic FHIR search operation on any resource type with custom query parameters. It is categorised as a Read tool in the Medplum MCP Server MCP Server, which means it retrieves data without modifying state.
Register the Medplum MCP Server MCP server in PolicyLayer and add a rule for generalFhirSearch: 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.
generalFhirSearch is a Read tool with low risk. Read-only tools are generally safe to allow by default.
Yes. Add a rate_limit block to the generalFhirSearch 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.
Set action: deny in the PolicyLayer policy for generalFhirSearch. 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.
generalFhirSearch 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.
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.
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37 Medplum MCP Server tools catalogued and risk-classified — across an index of 43,000+ MCP servers.