io.github.faulkj/fhirhydrant

io.github.faulkj/fhirhydrantv0.17.2Other

FHIR MCP server with SMART Backend Services, response compaction, FHIRPath, and guarded writes.

The current version, v0.17.2, was published to the official MCP registry on 2026-08-26. It is distributed as fhirhydrant on npm, filed under Other by this index, and declares 8 environment variables. Removals and unreachable sources are measured across every server this index tracks, contract drift across the servers that answer in consecutive snapshots; the index's current counts put this record in context.

In-path gate · all MCP tools

Using io.github.faulkj/fhirhydrant in Claude, Cursor, Gemini CLI, Cline, or Zed?

MCP tool contracts can change remotely with no version bump. The mcpindex gate pins each contract and HOLDs the call when it drifts-before your agent acts. Zero credentials. This is not the package install for this server itself (use Install this server for that).

Install the mcpindex gate (one command)

Rewrites your MCP host config so each server launches behind the gate. Inspect first: curl -fsSL https://mcpindex.ai/install.sh | less

uv tool install mcpindex-gate && mcpindex-config-wire

Auditable install path →Watch it hold a drift →

Trust verdict · v1 advisory · method

NOT YET SCREENEDno verdict on file

Verdict not yet evaluated for this tool. The semantic screen takes adversarial cases first; coverage rolls out as the corpus expands (15/150 labels to graduation). The deterministic conformance probe is built but has not yet run on the public corpus, so a recorded verdict here is REVIEW or UNVERIFIED, never a clearing ALLOW. Until a verdict is recorded, an agent should treat this tool as not-yet-cleared and fall back to its own checks. Method: the eval, four-state verdict, honest limits.

Own this server? Screen its description →

That verdict was true at screening time (snapshot 2026-08-26).

Contracts can change after screening, with no version bump. The gate pins io.github.faulkj/fhirhydrant’s tool contracts on first sight and holds any silent change before your agent acts - the check that keeps being true on Tuesday.

See your first HOLD in 2 minutes →

Environment variables

MCP_TRANSPORT

required

Run the installed package over MCP stdio.

FHIR_AUTH

required

FHIR authentication mode. Use none only for an unauthenticated FHIR endpoint.

FHIR_SERVER_URL

required

Full base URL of the FHIR API, such as https://fhir.example.org/fhir/R4.

FHIR_TOKEN_URL

SMART Backend Services token endpoint. Required when FHIR_AUTH=smart unless it can be derived from FHIR_BASE_URL.

FHIR_CLIENT_ID

SMART Backend Services client ID. Required when FHIR_AUTH=smart.

FHIR_ACTIVE_KEY

secret

Base64-encoded PKCS#8 private signing key. Required when FHIR_AUTH=smart.

FHIR_JWKS_URL

Externally reachable JWKS URL for the signing key. Recommended for SMART authentication over stdio.

FHIR_VERSION

FHIR release used for FHIRPath and response shaping.

MCP quality score · maturity, not trust · methodology

freshness

completeness

installability

documentation

stability

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Install this server

Claude Desktop (claude_desktop_config.json)

{
  "mcpServers": {
    "fhirhydrant": {
      "command": "npx",
      "args": [
        "-y",
        "--",
        "fhirhydrant"
      ],
      "env": {
        "MCP_TRANSPORT": "<mcp_transport>",
        "FHIR_AUTH": "smart",
        "FHIR_SERVER_URL": "<fhir_server_url>",
        "FHIR_TOKEN_URL": "<fhir_token_url>",
        "FHIR_CLIENT_ID": "<fhir_client_id>",
        "FHIR_ACTIVE_KEY": "<your-fhir_active_key>",
        "FHIR_JWKS_URL": "<fhir_jwks_url>",
        "FHIR_VERSION": "R4"
      }
    }
  }
}

Cursor (.cursor/mcp.json)

{
  "mcpServers": {
    "fhirhydrant": {
      "command": "npx",
      "args": [
        "-y",
        "--",
        "fhirhydrant"
      ],
      "env": {
        "MCP_TRANSPORT": "<mcp_transport>",
        "FHIR_AUTH": "smart",
        "FHIR_SERVER_URL": "<fhir_server_url>",
        "FHIR_TOKEN_URL": "<fhir_token_url>",
        "FHIR_CLIENT_ID": "<fhir_client_id>",
        "FHIR_ACTIVE_KEY": "<your-fhir_active_key>",
        "FHIR_JWKS_URL": "<fhir_jwks_url>",
        "FHIR_VERSION": "R4"
      }
    }
  }
}

Cline (cline_mcp_settings.json)

npx -y -- fhirhydrant

Claude Code (claude mcp add)

claude mcp add --scope user fhirhydrant -- npx -y -- fhirhydrant

Gemini CLI (gemini mcp add)

gemini mcp add -s user fhirhydrant npx -y -- fhirhydrant

Verdict API

curl -s mcpindex.ai/api/v1/trust/server/io-github-faulkj-fhirhydrant

Free-tier verdict as JSON: decision + dimensions + severity. Call it from your agent before it invokes a tool it just discovered.

Details

version: v0.17.2
category: Other
quality: 80 / 100
operator: faulkj

Listing

Listed from the official MCP registry. Unclaimed by its maintainer. Maintainer? Email us →

Provenance

Each verdict is bound to a hash of the exact description it judged, so a re-crawl that changes the text produces a new record rather than silently inheriting this one. Verdict history is hash-chained and anchored to Bitcoin via OpenTimestamps (latest confirmed at block 963,952). Verify it yourself.

Links

Repository →