🏥 NCCN Guidelines MCP Server

A Model Context Protocol (MCP) server that provides access to NCCN (National Comprehensive Cancer Network) clinical guidelines.

🔬 How It Works

This project follows a systematic approach to provide accurate medical guidance:

1. 🧠 Problem Analysis: Understands the clinical question or scenario

2. 📋 Guidelines Retrieval: Searches the NCCN index for relevant guidelines

3. 📄 Page-by-Page Reading: Downloads and extracts specific pages from guidelines

4. 🎯 Evidence-Based Response: Provides answers based on the extracted content

💡 Note: This system does not use RAG (Retrieval-Augmented Generation) to ensure accuracy. Instead, it reads guidelines directly, which may result in longer response times during index initialization and PDF downloading/reading, but provides more reliable and precise medical guidance.

Related MCP server: MarkLogic MCP Server

✨ Features

• 📚 Guidelines Index: Automatically fetches and maintains an up-to-date index of NCCN guidelines

• ⬇️ PDF Download: Downloads NCCN guideline PDFs with authentication support

• 📝 Content Extraction: Extracts specific pages from PDF documents with layout preservation

• 🚀 Smart Caching: Index is cached for 7 days to minimize server load

🛠️ Installation

1. Clone the repository:

2. Install dependencies using uv:

⚙️ Configuration

🔧 Configure Client (Note: Supports only agents, such as Cursor, Cline, Claude desktop, etc.)

⚠️ Important: Claude desktop may warn about insufficient context length when running this MCP.

Add this to your Client configuration:

Configuration with Environment Variables

⚠️ Important Notes

• 👤 NCCN Account Registration: Please note that the NCCN username and password mentioned above must be registered on the official NCCN website.

• 🚀 First-time Setup: When you first start the MCP server, it needs to generate the YAML index of NCCN guidelines. This process takes 1-2 minutes, so please wait before attempting to use the server.

• ⏱️ Response Times: Due to the non-RAG approach for accuracy, expect longer response times during guideline downloading and PDF reading processes.

💬 Prompts

To have better response, please add the prompt in the file of prompt.md to the instruction of your Agent Client before your Question.

🛠️ Available Tools

1. 📊 get_index: Get the raw contents of the NCCN guidelines index YAML file.

2. 📥 download_pdf: Download NCCN guideline PDFs

   • url: PDF URL to download

   • filename (optional): Custom filename

   • username (optional): NCCN login username (defaults to NCCN_USERNAME env var)

   • password (optional): NCCN login password (defaults to NCCN_PASSWORD env var)

3. 📖 extract_content: Extract content from PDF pages

   • pdf_path: Path to PDF file

   • pages (optional): Comma-separated page numbers (e.g., "1,3,5-7")

💡 Usage Example

Here are some example questions you can ask:

1. 🔬 What are the available first-line immunotherapy options for ES-SCLC?

2. 🎯 What is the initial chemotherapy for triple-negative breast cancer?

3. 🧬 What are the immunotherapy options for neuroendocrine tumors?