Agent Care: An MCP Server for EMRs like Cerner and Epic

A Model Context Protocol (MCP) server that provides healthcare tools and prompts for interacting with FHIR data and medical resources on EMRs like Cerner and Epic using Claude Desktop and Goose Desktop.

Demo

Features

EMR integrartion using SMART on FHIR APIs
Uses OAuth2 to authenticate with EMRs
Anthropic Claude Desktop integration
Medical research integration (PubMed, Clinical Trials, FDA)
Response caching
Error handling
Null-safe data formatting
Comprehensive clinical analysis

Screenshots

Tools

FHIR Tools

find_patient - Search for a patient by name, DOB, or other identifiers
get_patient_observations - Retrieve patient observations/vital signs
get_patient_conditions - Get patient's active conditions
get_patient_medications - Get patient's current medications
get_patient_encounters - Get patient's clinical encounters
get_patient_allergies - Get patient's allergies and intolerances
get_patient_procedures - Get patient's procedures
get_patient_careteam - Get patient's care team members
get_patient_careplans - Get patient's active care plans
get_vital_signs - Get patient's vital signs
get_lab_results - Get patient's laboratory results
get_medications_history - Get patient's medication history
clinical_query - Execute custom FHIR queries

Medical Research Tools

search-pubmed - Search PubMed articles related to medical conditions
search-trials - Find relevant clinical trials
drug-interactions - Check drug-drug interactions

Usage

Each tool requires specific parameters:

Required Parameters

Most tools require patientId
Some tools have additional parameters:
- lab_trend_analysis: requires labType
- search-pubmed: requires query and optional maxResults
- search-trials: requires condition and optional location
- drug-interactions: requires drugs array

Development Configuration

To use with Cerener: Go to https://code-console.cerner.com and create a sandbox account, create a new provider app and get the clientId/secret. (note: ec2458f2-1e24-41c8-b71b-0e701af7583d below is the tenant id for cerner developer sandbox)
To use with Epic: Go to https://fhir.epic.com/Developer/Apps , sign up as developer and create a new app and get the clientId/secret.
For PubMed, Clinical Trials and FDA, you need to get the API keys from the respective websites.

For local testing Create a .env file in the root directory or use these environment variables in claude desktop launch configuration.

Cerner

OAUTH_CLIENT_ID="XXXXX",
OAUTH_CLIENT_SECRET="XXXXXXX",
OAUTH_TOKEN_HOST="https://authorization.cerner.com", 
OAUTH_AUTHORIZE_PATH="/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/protocols/oauth2/profiles/smart-v1/personas/provider/authorize",
OAUTH_AUTHORIZATION_METHOD='header',
OAUTH_TOKEN_PATH="/tenants/ec2458f2-1e24-41c8-b71b-0e701af7583d/hosts/api.cernermillennium.com/protocols/oauth2/profiles/smart-v1/token",
OAUTH_AUDIENCE="https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d",
OAUTH_CALLBACK_URL="http://localhost:3456/oauth/callback",
OAUTH_SCOPES="user/Patient.read user/Condition.read user/Observation.read user/MedicationRequest.read user/AllergyIntolerance.read user/Procedure.read user/CarePlan.read user/CareTeam.read user/Encounter.read user/Immunization.read",
OAUTH_CALLBACK_PORT="3456"
FHIR_BASE_URL:any = "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d" 
PUBMED_API_KEY=your_pubmed_api_key
CLINICAL_TRIALS_API_KEY=your_trials_api_key
FDA_API_KEY=your_fda_api_key

Epic

OAUTH_CLIENT_ID="XXXXXXX",
OAUTH_CLIENT_SECRET="",
OAUTH_TOKEN_HOST="https://fhir.epic.com",
OAUTH_AUTHORIZE_PATH="/interconnect-fhir-oauth/oauth2/authorize",
OAUTH_AUTHORIZATION_METHOD='body',
OAUTH_TOKEN_PATH="/interconnect-fhir-oauth/oauth2/token",
OAUTH_AUDIENCE="https://fhir.epic.com/interconnect-fhir-oauth/api/FHIR/R4",
OAUTH_CALLBACK_URL="http://localhost:3456/oauth/callback",
OAUTH_SCOPES="user/Patient.read user/Observation.read user/MedicationRequest.read user/Condition.read user/AllergyIntolerance.read user/Procedure.read user/CarePlan.read user/CareTeam.read user/Encounter.read user/Immunization.read",
OAUTH_CALLBACK_PORT=3456
FHIR_BASE_URL:any = "https://fhir.epic.com/interconnect-fhir-oauth/api/FHIR/R4" //EPIC  
PUBMED_API_KEY=your_pubmed_api_key
CLINICAL_TRIALS_API_KEY=your_trials_api_key
FDA_API_KEY=your_fda_api_key

Start MCP Server Locally

git clone {agentcare-mcp-github path}
cd agentcare-mcp
npm install
npm run build

Use claude desktop

for claude desktop: 
macOS: ~/Library/Application Support/Claude/claude_desktop_config.json
(use the env variables as shown above)

{
  "mcpServers": {
    "filesystem": {
      "command": "npx",
      "args": [
        "-y",
        "@modelcontextprotocol/server-filesystem",
        "/Users/your-username/Desktop"
      ]
    },
    "agent-care": {
      "command": "node",
      "args": [
        "/Users/your-username/{agentcare-download-path}/agent-care-mcp/build/index.js"
      ],
      "env": {
        "OAUTH_CLIENT_ID": XXXXXX,
        "OAUTH_CLIENT_SECRET":XXXXXXX,
        "OAUTH_TOKEN_HOST":,
        "OAUTH_TOKEN_PATH":,
        "OAUTH_AUTHORIZE_PATH",
        "OAUTH_AUTHORIZATION_METHOD": ,
        "OAUTH_AUDIENCE":,
        "OAUTH_CALLBACK_URL":,
        "OAUTH_SCOPES":,
        "OAUTH_CALLBACK_PORT":,
        "FHIR_BASE_URL":,
        "PUBMED_API_KEY":,
        "CLINICAL_TRIALS_API_KEY":,
        "FDA_API_KEY":
      }
    }
  }
}

Use MCP Inspectopr

(MCP Server using inspector. Make sure to update the .env file with the correct values.)

npm install -g @modelcontextprotocol/inspector
mcp-inspector  build/index.js
http://localhost:5173

Test User Logins

(commonly used for sandbox/dev)

Cerner: portal | portal
Epic: FHIRTWO | EpicFhir11!

Troubleshooting:

If Claude desktop is running it uses port 3456 for Auth. You need to terminate that process using the following command:

kill -9 $(lsof -t -i:3456)

Use Goose

Goose is an open Source AI Agent frameowrk from Block(Stripe) that works with MCP servers. Goose Desktop is like Claude Desktop that can work with MCP servers. But Goose can be configured to use models other than Anthropic as well. More info: https://block.xyz/inside/block-open-source-introduces-codename-goose

See below how Goose Desktop works with Agent Care: (goose extension will be configured with command: /Users/your-username/{agentcare-download-path}/agent-care-mcp/build/index.js)

AgentCare

Integrations