Medical MCP Server

# Medical MCP Server - TODO List This document outlines planned improvements, enhancements, and fixes for the Medical MCP Server. ## 🔧 Technical Improvements ### MCP Protocol & Transport - [ ] **Add stdio transport support** - Implement stdio transport alongside Streamable HTTP for broader client compatibility - [ ] **Improve error responses** - Standardize error messages across all tools with proper MCP error codes - [ ] **Add tool descriptions metadata** - Enhance tool schemas with better descriptions and examples - [ ] **Session persistence** - Add optional session storage for long-running queries - [ ] **Health check endpoint improvements** - Add more detailed health status (API connectivity, rate limits, etc.) ### Performance & Reliability - [ ] **Request caching layer** - Implement intelligent caching for frequently requested data (beyond current PBS cache) - [ ] **Connection pooling** - Add HTTP connection pooling for external API calls - [ ] **Request timeout configuration** - Make API timeouts configurable per data source - [ ] **Retry logic** - Add exponential backoff retry for failed API calls - [ ] **Circuit breaker pattern** - Implement circuit breakers for external API failures ### Configuration & Environment - [ ] **Configuration validation** - Add startup validation for required environment variables - [ ] **Config file support** - Support JSON/YAML config files in addition to environment variables - [ ] **Dynamic configuration** - Allow runtime configuration updates without restart - [ ] **Environment-specific configs** - Add dev/staging/prod configuration profiles ## 📊 Data Sources & APIs ### New Data Sources - [ ] **DrugBank integration** - Add DrugBank API for comprehensive drug information - [ ] **UMLS integration** - Unified Medical Language System for medical terminology - [ ] **ClinicalTrials.gov** - Add clinical trial search capabilities - [ ] **SNOMED CT** - Add SNOMED Clinical Terms integration - [ ] **ICD-10/11 codes** - Add disease classification and coding tools - [ ] **OpenFDA Device API** - Medical device information from FDA - [ ] **NIH RePORTER** - Research project and funding information ### Existing API Enhancements - [ ] **Enhanced FDA queries** - Add more FDA endpoints (adverse events, recalls, etc.) - [ ] **WHO indicator categories** - Add support for browsing WHO indicators by category - [ ] **PubMed advanced search** - Support complex PubMed query syntax and filters - [ ] **Google Scholar rate limiting** - Improve rate limiting and add proxy rotation - [ ] **RxNorm relationships** - Add drug relationship and interaction queries - [ ] **PBS historical data** - Add support for querying historical PBS schedules ### International Extensions - [ ] **Health Canada integration** - Canadian drug and health data - [ ] **EMA (European Medicines Agency)** - European drug approval and safety data - [ ] **UK NHS data** - NHS drug formulary and treatment guidelines - [ ] **TGA (Australia)** - Therapeutic Goods Administration data - [ ] **Multi-country health statistics** - Enhanced WHO country comparison tools ## 🛠️ Tool Enhancements ### New Tools - [ ] **Drug interaction checker** - Cross-reference multiple drugs for interactions - [ ] **Dosage calculator** - Calculate appropriate dosages based on patient parameters - [ ] **Disease symptom lookup** - Search diseases by symptoms and vice versa - [ ] **Medical abbreviation decoder** - Decode common medical abbreviations - [ ] **Unit converter** - Medical unit conversions (mg/mL, etc.) - [ ] **Drug comparison tool** - Side-by-side comparison of similar medications - [ ] **Clinical guidelines search** - Find treatment guidelines by condition - [ ] **Medical calculator collection** - BMI, GFR, APGAR, etc. ### Enhanced Existing Tools - [ ] **Advanced search filters** - Add date ranges, study types, etc. to literature search - [ ] **Result ranking** - Implement relevance scoring for search results - [ ] **Bulk operations** - Support batch queries for multiple items - [ ] **Export functionality** - Export results in CSV, PDF, or other formats - [ ] **Search history** - Track and replay previous searches - [ ] **Personalized results** - Remember user preferences and specialties ## 🔒 Security & Compliance ### Security Enhancements - [ ] **API key rotation** - Support automatic API key rotation for external services - [ ] **Rate limiting per client** - Implement per-client rate limiting - [ ] **Input sanitization** - Enhanced validation and sanitization of all inputs - [ ] **Audit logging** - Log all API calls and user actions for compliance - [ ] **HTTPS enforcement** - Ensure all external API calls use HTTPS - [ ] **Security headers** - Add appropriate security headers to all responses ### Compliance & Privacy - [ ] **HIPAA compliance review** - Ensure no PHI is logged or cached inappropriately - [ ] **GDPR compliance** - Add data processing transparency and user controls - [ ] **Medical disclaimer updates** - Regular review and updates of medical disclaimers - [ ] **Terms of service** - Add clear terms of service for API usage - [ ] **Privacy policy** - Comprehensive privacy policy for data handling ## 📈 Monitoring & Analytics ### Observability - [ ] **Structured logging** - Implement structured JSON logging throughout - [ ] **Metrics collection** - Add Prometheus/OpenTelemetry metrics - [ ] **Distributed tracing** - Trace requests across external API calls - [ ] **Performance monitoring** - Monitor response times and error rates - [ ] **Usage analytics** - Track which tools and data sources are most popular - [ ] **Alerting system** - Alert on API failures, high error rates, etc. ### Dashboard & Reporting - [ ] **Admin dashboard** - Web interface for monitoring server health and usage - [ ] **Usage reports** - Generate periodic usage and performance reports - [ ] **API status page** - Public status page showing API availability - [ ] **Cost tracking** - Track usage costs for paid APIs (SerpAPI, etc.) ## 🧪 Testing & Quality ### Test Coverage - [ ] **Unit tests** - Comprehensive unit test coverage for all utilities - [ ] **Integration tests** - Test integration with external APIs - [ ] **End-to-end tests** - Full MCP client-server integration tests - [ ] **Performance tests** - Load testing and performance benchmarks - [ ] **Error handling tests** - Test error scenarios and edge cases - [ ] **Mock API tests** - Tests that don't require external API access ### Code Quality - [ ] **ESLint configuration** - Strict linting rules and code style enforcement - [ ] **TypeScript strict mode** - Enable strict TypeScript compilation - [ ] **Code documentation** - Comprehensive JSDoc comments throughout - [ ] **API documentation** - OpenAPI/Swagger documentation for REST endpoints - [ ] **Dependency updates** - Regular dependency updates and security patches - [ ] **Code coverage reporting** - Track and report test coverage metrics ## 🚀 Deployment & Operations ### Container & Deployment - [ ] **Docker containerization** - Create production-ready Docker images - [ ] **Kubernetes manifests** - K8s deployment, service, and ingress configs - [ ] **Helm charts** - Parameterized Helm charts for easy deployment - [ ] **CI/CD pipeline** - Automated testing, building, and deployment - [ ] **Environment promotion** - Automated promotion from dev → staging → prod - [ ] **Blue-green deployment** - Zero-downtime deployment strategy ### Infrastructure - [ ] **Load balancing** - Support for running multiple server instances - [ ] **Database integration** - Optional database for caching and session storage - [ ] **Redis caching** - Distributed caching with Redis - [ ] **Message queue** - Async processing for long-running operations - [ ] **CDN integration** - Cache static responses at edge locations - [ ] **Backup and recovery** - Automated backup of configuration and cache data ## 📚 Documentation & Examples ### User Documentation - [ ] **API reference** - Complete API reference with examples - [ ] **Tool usage guides** - Detailed guides for each tool category - [ ] **Integration examples** - Example integrations with popular MCP clients - [ ] **Troubleshooting guide** - Common issues and solutions - [ ] **FAQ section** - Frequently asked questions and answers - [ ] **Video tutorials** - Screen recordings demonstrating key features ### Developer Documentation - [ ] **Contributing guide** - Guidelines for contributing to the project - [ ] **Architecture documentation** - Detailed system architecture diagrams - [ ] **API design patterns** - Documented patterns for adding new data sources - [ ] **Extension points** - Guide for extending the server with custom tools - [ ] **Development setup** - Comprehensive local development setup guide - [ ] **Release process** - Documented release and versioning process ## 🌟 User Experience ### CLI Tools - [ ] **Command-line client** - Standalone CLI for interacting with the server - [ ] **Interactive mode** - REPL-style interactive medical data exploration - [ ] **Batch processing** - CLI support for batch operations and scripting - [ ] **Output formatting** - Multiple output formats (JSON, table, markdown, etc.) ### Web Interface - [ ] **Web UI** - Optional web interface for non-MCP access - [ ] **Search interface** - User-friendly search interface for all data sources - [ ] **Result visualization** - Charts and graphs for health statistics - [ ] **Bookmark system** - Save and organize frequently used queries - [ ] **Sharing functionality** - Share search results and configurations ## 🔍 Advanced Features ### AI & Machine Learning - [ ] **Query understanding** - Natural language query processing - [ ] **Result ranking ML** - Machine learning-based result ranking - [ ] **Anomaly detection** - Detect unusual patterns in health data - [ ] **Recommendation engine** - Suggest related searches and data - [ ] **Automated insights** - Generate insights from health statistics ### Specialized Medical Features - [ ] **Clinical decision support** - Basic clinical decision support tools - [ ] **Drug formulary management** - Hospital/clinic formulary integration - [ ] **Patient education materials** - Consumer-friendly medical information - [ ] **Medical coding assistance** - Help with ICD-10, CPT, and other coding - [ ] **Pharmacovigilance** - Advanced adverse event monitoring and reporting ## 🎯 Priority Levels ### High Priority (Next Sprint) - [ ] Add stdio transport support - [ ] Implement request caching layer - [ ] Add comprehensive unit tests - [ ] Docker containerization - [ ] Enhanced error handling ### Medium Priority (Next Month) - [ ] DrugBank integration - [ ] Admin dashboard - [ ] Performance monitoring - [ ] CLI client - [ ] Integration tests ### Low Priority (Future Releases) - [ ] AI/ML features - [ ] Web interface - [ ] International data sources - [ ] Advanced analytics - [ ] Mobile app integration --- ## 📝 Notes - This TODO list should be reviewed and updated quarterly - Priority levels may change based on user feedback and usage patterns - New data source integrations should prioritize those with public APIs - All new features should include appropriate tests and documentation - Security and compliance items should be reviewed by legal/compliance teams --- **Last Updated**: Aug 2025 **Next Review**: Nov 2025