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Terminology Version Diff

terminology_diff
Read-onlyIdempotent

Report what diff data is available between two versions of a terminology.

For most terminologies this is guidance only — the server doesn't ship historical snapshots, so the tool points at the publisher's official changelog and explains the cadence. bundled_versions lists the version(s) this server actually has on hand.

For ICD-10 vs ICD-11 specifically, the tool surfaces a real cross-revision summary from the bundled WHO transition tables (the ICD-10 → ICD-11 case is a structural diff between two WHO revisions). Use terminology: "icd10" with no to_version to get the cross-revision summary: total mapped ICD-10 categories, how many are 1:1 vs split into multiple ICD-11 codes, and the average number of alternatives when split.

Inputs:

  • terminology (required): which terminology to report on.

  • from_version (optional): the version you have data from. If omitted, the tool reports against the currently-bundled version.

  • to_version (optional): the version you want to compare to. If omitted, the tool reports against the publisher's latest known release.

This tool is intentionally a metadata + guidance layer, not a diff engine — for terminologies that change frequently (SNOMED, LOINC, RxNorm, MeSH), the publisher's official changelog is the authoritative source.

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
to_versionNoVersion you want to compare to. Optional.
terminologyYesWhich terminology to report on.
from_versionNoVersion you have data from. Optional; behavior depends on terminology.

Output Schema

TableJSON Schema
NameRequiredDescriptionDefault
messageYes
provenanceYesProvenance block (contract v1.0): source, URL, data vintage, extraction instant, citation, license
to_versionYes
attributionYesCanonical source URLs of this response (attribution list)
terminologyYes
from_versionYes
changelog_urlYes
diff_availableYesTrue when this server has the data to compute a real diff for the requested terminology. False = guidance-only response.
bundled_versionsYes
cross_revision_summaryYesPopulated only for terminology="icd10" today — the bundled WHO ICD-10 → ICD-11 transition tables let us surface a real structural diff between the two WHO revisions.

Schema Changelog

Changes observed during successful MCP inspections.

  1. First observed

TDQS

A4.6/5.0
Behavior4/5

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

Annotations already declare readOnlyHint, idempotentHint, and openWorldHint, so the safety profile is covered. The description adds meaningful behavioral context beyond annotations: the server often does not ship historical snapshots, bundled_versions is the source of what is actually available, and this tool intentionally returns guidance rather than computed diffs. That goes beyond what annotations alone convey.

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?

The description is longer than average but each section earns its place: the general guidance rule, the ICD-10/11 special case, the parameter behavior, and the closing caveat all contribute distinct information. It is well structured and front-loaded with the core purpose; minor redundancy exists between the early 'guidance only' statement and the closing changelog-authoritative caution.

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?

For a metadata/guidance tool with an output schema present, the description is complete: it covers the general behavior, the notable exception, exactly how to invoke the special case, and what information will be returned. No critical operational detail 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%, so the schema already documents each parameter at a basic level. The description adds real value above that by explaining the consequence of omitting from_version and to_version and by specifying the special icd10/no-to_version invocation for the cross-revision summary. This is more than the schema alone provides.

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?

The description opens with a precise verb and resource: 'Report what diff data is available between two versions of a terminology.' It then distinguishes itself from actual diff or mapping tools by calling itself 'a metadata + guidance layer, not a diff engine,' and it names the special ICD-10 vs ICD-11 behavior, making it easy to separate from siblings like map_icd10_to_icd11.

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?

Explicit guidance is given for when this tool is appropriate: most terminologies get guidance-only changelog info, while ICD-10 vs ICD-11 gets a real cross-revision summary. The description also tells the agent exactly how to trigger that case ('Use terminology: "icd10" with no to_version') and warns that for frequently changing terminologies the publisher changelog is authoritative.

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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