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Medical Terminologies MCP

by io.github.SidneyBissoli
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LOINC Answer Lists

loinc_answers
Read-onlyIdempotent

Get the list of valid answers for a LOINC questionnaire item.

Use this tool to:

  • Find valid response options for survey questions

  • Get answer codes (LA…) for data entry validation

  • Get the item scores of scored instruments (e.g. PHQ-9: "Not at all" = 0 … "Nearly every day" = 3)

Returns each answer with its LOINC answer code (LA…), text, display order and score (null when the list has none). A valid LOINC code without a defined answer list (e.g. a numeric lab such as 2339-0) returns an empty list; a code LOINC does not know returns a "not found" error.

Only applicable to LOINC codes that represent questions with defined answer sets. For the questions of a whole questionnaire, use loinc_panels; to find a code by name, use loinc_search.

Input Schema

NameRequiredDescriptionDefault
loinc_numYesLOINC number (e.g., "2339-0")

Output Schema

NameRequiredDescriptionDefault
answersYesAnswer list of the question in display order; empty when the code exists but has no answer list.
loinc_numYesThe LOINC number as submitted.
provenanceYesProvenance block: source, URL, data vintage, extraction instant, origin diagnostics, citation, license
attributionYesCanonical source URLs of this response (attribution list)

Schema Changelog

Changes observed during successful MCP inspections.

  1. Changed2 schema fields changed
    • addedOutput schema / properties / answers / description
      Added value: +"Answer list of the question in display order; empty when the code exists but has no answer list."
    • addedOutput schema / properties / loinc_num / description
      Added value: +"The LOINC number as submitted."
  2. Changed1 schema field changed
    • changedOutput schema / properties / provenance / properties / notices / description
      Previous value: -"Notices the source publishes alongside the data (license statements, caveats), verbatim. Absent when there is none"New value: +"Caveats the source publishes about the data, verbatim (license statements are not repeated here; see the info://licenses resource). Absent when there is none"
  3. Changed7 schema fields changed
    • changedOutput schema / properties / provenance / description
      Previous value: -"Provenance block (contract v1.1): source, URL, data vintage, extraction instant, origin diagnostics, citation, license"New value: +"Provenance block: source, URL, data vintage, extraction instant, origin diagnostics, citation, license"
    • addedOutput schema / properties / provenance / properties / derivation_note
      Added value: +{
+  "description": "What this server computed; present together with derived",
+  "type": "string"
+}
    • addedOutput schema / properties / provenance / properties / derived
      Added value: +{
+  "description": "Present (true) only when this server computed the value (e.g. a ranking or summary statistics) instead of passing on what the source returned",
+  "type": "boolean"
+}
    • changedOutput schema / properties / provenance / properties / field_sources / description
      Previous value: -"Present only when the response joins parts from different origins or extraction instants (contract v1.2): for each group of fields, its URL, extraction instant and whether it came from cache. Absent in single-origin responses"New value: +"Present only when the response joins parts from different origins or extraction instants: for each group of fields, its URL, extraction instant and whether it came from cache. Absent in single-origin responses"
    • addedOutput schema / properties / provenance / properties / notices
      Added value: +{
+  "description": "Notices the source publishes alongside the data (license statements, caveats), verbatim. Absent when there is none",
+  "items": {
+    "type": "string"
+  },
+  "minItems": 1,
+  "type": "array"
+}
    • changedOutput schema / properties / provenance / properties / retrieval / description
      Previous value: -"Origin diagnostics of THIS source in this call (contract v1.1): requests made to the upstream, attempts summed across retries, anomalies worked around (kind + count); unstable=true when any anomaly happened. null when nothing was measured (bundled dataset, or response served entirely from cache)"New value: +"Origin diagnostics of THIS source in this call: requests made to the upstream, attempts summed across retries, anomalies worked around (kind + count); unstable=true when any anomaly happened. null when nothing was measured (bundled dataset, or response served entirely from cache)"
    • addedOutput schema / properties / provenance / properties / revision
      Added value: +{
+  "additionalProperties": false,
+  "description": "Whether the data can still change at the source: current = the version in force, the source may revise it; provisional = preliminary; final = will not change. Absent when unknown",
+  "properties": {
+    "note": {
+      "description": "O específico da fonte: o que revisa, quando, por quê",
+      "type": [
+        "string",
+        "null"
+      ]
+    },
+    "status": {
+      "description": "current = versão vigente, a fonte pode revisá-la; provisional = preliminar, incompleta ou sujeita a mudança (não compare como se fosse fechada); final = não muda mais, declarado pela fonte",
+      "enum": [
+        "current",
+        "provisional",
+        "final"
+      ],
+      "type": "string"
+    }
+  },
+  "required": [
+    "status",
+    "note"
+  ],
+  "type": "object"
+}
  4. Changed1 schema field changed
    • addedOutput schema / properties / provenance / properties / field_sources
      Added value: +{
+  "description": "Present only when the response joins parts from different origins or extraction instants (contract v1.2): for each group of fields, its URL, extraction instant and whether it came from cache. Absent in single-origin responses",
+  "items": {
+    "additionalProperties": false,
+    "description": "Proveniência de um grupo de campos da resposta: de onde veio e quando foi extraído",
+    "properties": {
+      "data_vintage": {
+        "description": "Vintage/competência da sub-fonte",
+        "type": [
+          "string",
+          "null"
+        ]
+      },
+      "dataset_id": {
+        "description": "Identificador do conjunto da sub-fonte",
+        "type": [
+          "string",
+          "null"
+        ]
+      },
+      "fields": {
+        "description": "Campos do payload atribuídos a esta sub-fonte",
+        "items": {
+          "type": "string"
+        },
+        "minItems": 1,
+        "type": "array"
+      },
+      "retrieved_at": {
+        "description": "ISO-8601 da extração desta sub-fonte na origem",
+        "type": [
+          "string",
+          "null"
+        ]
+      },
+      "served_from_cache": {
+        "description": "true se esta sub-fonte veio do cache do servidor (retrieved_at é o da extração original); false se foi buscada nesta chamada; null se o servidor não distingue",
+        "type": [
+          "boolean",
+          "null"
+        ]
+      },
+      "source_url": {
+        "description": "URL canônica da sub-fonte que originou estes campos",
+        "type": "string"
+      }
+    },
+    "required": [
+      "fields",
+      "source_url",
+      "dataset_id",
+      "data_vintage",
+      "retrieved_at"
+    ],
+    "type": "object"
+  },
+  "minItems": 1,
+  "type": "array"
+}
  5. Changed4 schema fields changed
    • addedOutput schema / properties / answers / items / properties / answer_code / description
      Added value: +"LOINC answer code (LA…), e.g. \"LA18976-3\"."
    • addedOutput schema / properties / answers / items / properties / score
      Added value: +{
+  "description": "Numeric score for scored instruments (PHQ-9 items: 0-3); null when the answer list carries none.",
+  "type": [
+    "number",
+    "null"
+  ]
+}
    • addedOutput schema / properties / answers / items / properties / sequence / description
      Added value: +"Display order in the answer list (1-based)."
    • changedOutput schema / properties / answers / items / required
      Previous value: -[
-  "sequence",
-  "answer_code",
-  "answer_string"
-]New value: +[
+  "sequence",
+  "answer_code",
+  "answer_string",
+  "score"
+]
  6. Changed3 schema fields changed
    • changedOutput schema / properties / provenance / description
      Previous value: -"Provenance block (contract v1.0): source, URL, data vintage, extraction instant, citation, license"New value: +"Provenance block (contract v1.1): source, URL, data vintage, extraction instant, origin diagnostics, citation, license"
    • addedOutput schema / properties / provenance / properties / retrieval
      Added value: +{
+  "anyOf": [
+    {
+      "additionalProperties": false,
+      "properties": {
+        "anomalies": {
+          "description": "Anomalias superadas até o sucesso, somadas por classe, em ordem fixa; [] se nenhuma",
+          "items": {
+            "additionalProperties": false,
+            "properties": {
+              "count": {
+                "description": "Ocorrências desta classe na chamada",
+                "maximum": 9007199254740991,
+                "minimum": 1,
+                "type": "integer"
+              },
+              "kind": {
+                "description": "Classe da anomalia (vocabulário fechado do contrato)",
+                "enum": [
+                  "timeout",
+                  "network",
+                  "http_4xx",
+                  "http_5xx",
+                  "rate_limited",
+                  "malformed_body"
+                ],
+                "type": "string"
+              }
+            },
+            "required": [
+              "kind",
+              "count"
+            ],
+            "type": "object"
+          },
+          "type": "array"
+        },
+        "attempts": {
+          "description": "Tentativas somadas, incluindo as repetidas (>= requests)",
+          "maximum": 9007199254740991,
+          "minimum": 1,
+          "type": "integer"
+        },
+        "requests": {
+          "description": "Idas distintas à origem que compõem esta resposta (fatias, páginas)",
+          "maximum": 9007199254740991,
+          "minimum": 1,
+          "type": "integer"
+        },
+        "unstable": {
+          "description": "true se houve repetição (attempts > requests) ou alguma anomalia",
+          "type": "boolean"
+        }
+      },
+      "required": [
+        "requests",
+        "attempts",
+        "anomalies",
+        "unstable"
+      ],
+      "type": "object"
+    },
+    {
+      "type": "null"
+    }
+  ],
+  "description": "Origin diagnostics of THIS source in this call (contract v1.1): requests made to the upstream, attempts summed across retries, anomalies worked around (kind + count); unstable=true when any anomaly happened. null when nothing was measured (bundled dataset, or response served entirely from cache)"
+}
    • changedOutput schema / properties / provenance / required
      Previous value: -[
-  "source",
-  "source_url",
-  "data_vintage",
-  "retrieved_at",
-  "citation",
-  "license"
-]New value: +[
+  "source",
+  "source_url",
+  "data_vintage",
+  "retrieved_at",
+  "retrieval",
+  "citation",
+  "license"
+]
  7. Changed1 schema field changed
    • addedInput schema / additionalProperties
      Added value: +false
  8. First observed

TDQS

A4.7/5.0
Behavior5/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Goes well beyond the annotations by describing the return fields, including LA answer codes, text, display order, and score. It also discloses edge-case behavior: a valid LOINC code without an answer list returns an empty list, while an unknown code returns a not-found error.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness5/5

Is the description appropriately sized, front-loaded, and free of redundancy?

Front-loads the core purpose, then uses a tight bullet list for use cases and a compact paragraph for return/error behavior. No sentence feels redundant or misplaced.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness5/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

Complete for a one-parameter read-only lookup tool: purpose, applicability, alternatives, return shape, and error cases are all covered. The output schema exists, and the description still adds useful behavioral context without over-explaining.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

The single parameter is fully documented in the schema with a pattern and example, so the baseline is 3. The description reinforces that the input is a LOINC code and gives contextual examples, but does not add syntax or format details beyond the schema.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

States a specific verb and resource: getting valid LOINC answers for a questionnaire item. It clearly distinguishes itself from loinc_panels and loinc_search by naming what each sibling is for.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines5/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

Provides explicit use cases and applicability constraints, including that it only applies to LOINC codes representing questions with defined answer sets. It names alternatives for whole questionnaires (loinc_panels) and code lookup by name (loinc_search).

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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