Medical Terminologies MCP

Map ICD-10 to ICD-11

map_icd10_to_icd11

Read-onlyIdempotent

Authoritative ICD-10 → ICD-11 mapping using WHO transition tables (release 2025-01, bundled with the server).

Returns the primary 1:1 ICD-11 category for the ICD-10 code plus any alternative ICD-11 candidates that WHO documents (some ICD-10 concepts split into multiple ICD-11 entities). For each mapping, includes the ICD-11 code, title, chapter, and the Foundation URI / Linearization URI for navigating to the full entity definition.

Use this for clinical coding, billing migration, retrospective analysis, and any workflow that needs authoritative mapping rather than text-search candidates. Coverage: 11,243 ICD-10 categories (excludes chapters and blocks like "A00-A09" which aren't used in clinical coding).

Provide a code like "E11" (Type 2 diabetes), "I21" (Acute MI), or "A07.8" (4 alternatives in WHO's table). Both dotted ("A07.8") and undotted ("A078") forms are accepted.

Returns "no mapping" when the code isn't in the WHO category-level table — that's the honest answer rather than a fuzzy search fallback.

Input Schema

TableJSON Schema

Name	Required	Description	Default
`icd10_code`	Yes	ICD-10 code to query in the ICD-11 search index (e.g., E11, I21.0, J18.9)

Output Schema

TableJSON Schema

Name	Required	Description
`found`	Yes	Whether the code is in the WHO ICD-10 → ICD-11 transition table.
`icd10`	Yes	Source ICD-10 entry from the WHO table. Null when found=false.
`query`	Yes	The ICD-10 code as submitted (raw, before normalization).
`source`	Yes
`primary`	Yes	Primary 1:1 ICD-11 mapping. Null when found=false.
`provenance`	Yes	Provenance block: source, URL, data vintage, extraction instant, origin diagnostics, citation, license
`attribution`	Yes	Canonical source URLs of this response (attribution list)
`alternatives`	Yes	Additional ICD-11 candidates WHO documents for this ICD-10 code. Empty when the primary is the only documented mapping (or when found=false). 1,461 of the 11,243 indexed codes have non-empty alternatives.

Schema Changelog

Changes observed during successful MCP inspections.

Changed1 schema field changedOct 16, 2026

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"

Changed7 schema fields changedOct 8, 2026

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"
+}

Changed1 schema field changedOct 6, 2026

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"
+}

Changed3 schema fields changedSep 27, 2026

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"
+]

Changed1 schema field changedSep 11, 2026
- addedInput schema / additionalProperties
```
Added value: +false
```
First observedSep 6, 2026

TDQS

A4.4/5.0

Behavior4/5

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

Annotations already establish the safe read-only, idempotent profile, so the description's job is to add beyond that — and it does: dedicated release/version of the table, 11,243-category coverage with exclusions, alternative-candidate behavior for split concepts, and a deliberate 'no mapping' response instead of fuzzy fallback. Return shape is described but partly duplicated by the output schema.

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

Conciseness4/5

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

Front-loaded with the highest-value sentence, and the coverage limit and no-mapping behavior are placed after the core capability where they belong. Mild redundancy in repeating the 'authoritative rather than text-search' framing, and five paragraphs is slightly more than needed.

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?

With an output schema present, the description need not explain returns, yet it still covers coverage limits, input formats, edge-case alternatives, and the no-mapping outcome. Nothing an agent needs to invoke and interpret this tool is missing.

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

Parameters4/5

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

Schema coverage is 100% and the schema carries the baseline examples, but the description adds real input semantics not present there: both dotted ('A07.8') and undotted ('A078') forms are accepted, and chapter/block codes such as 'A00-A09' are explicitly out of scope for input.

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 precise verb+resource pair ('ICD-10 → ICD-11 mapping') and immediately qualifies it as 'authoritative ... using WHO transition tables', which separates it from the search-based siblings like icd11_search and find_equivalent. An agent can identify its role without opening the schema.

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

Usage Guidelines4/5

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

Gives explicit use contexts (clinical coding, billing migration, retrospective analysis) and states the selection rule 'authoritative mapping rather than text-search candidates', which effectively routes away from icd11_search. It stops short of naming the alternative tool or stating when-not to use it.

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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