practice-fusion-mcp

Server Quality Checklist

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Latest release: v0.3.0
Disambiguation5/5
Each tool retrieves a distinct clinical data type (appointments, conditions, medications, lab results, vitals, allergies, immunizations) with no overlap in purpose.
Naming Consistency5/5
All tools follow the exact pattern 'practicefusion_get_<resource>' using consistent snake_case and verb-noun structure.
Tool Count5/5
7 tools is well-scoped for a read-only EHR data retrieval server, covering the most common clinical data categories without unnecessary bloat.
Completeness3/5
While the covered resources are appropriate, the server lacks a patient search or listing tool, creating a dependency on external patient IDs that may hinder agent workflows.
Average 4/5 across 7 of 7 tools scored.
See the Tool Scores section below for per-tool breakdowns.
- No community issues in the last 6 months
- 69 commits in the last 12 weeks
- Last stable release on July 30, 2026
- No critical vulnerability alerts
- No high-severity vulnerability alerts
- No code scanning findings
- CI is passing
This repository is licensed under MIT License.
This repository includes a README.md file.
No tool usage detected in the last 30 days. Usage tracking helps demonstrate server value.
Tip: use the "Try in Browser" feature on the server page to seed initial usage.
This repository includes a glama.json configuration file.
This server has been verified by its author.
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How is the quality score calculated?

The overall quality score combines two components: Tool Definition Quality (70%) and Server Coherence (30%).

Tool Definition Quality measures how well each tool describes itself to AI agents. Every tool is scored 1–5 across six dimensions: Purpose Clarity (25%), Usage Guidelines (20%), Behavioral Transparency (20%), Parameter Semantics (15%), Conciseness & Structure (10%), and Contextual Completeness (10%). The server-level definition quality score is calculated as 60% mean TDQS + 40% minimum TDQS, so a single poorly described tool pulls the score down.

Server Coherence evaluates how well the tools work together as a set, scoring four dimensions equally: Disambiguation (can agents tell tools apart?), Naming Consistency, Tool Count Appropriateness, and Completeness (are there gaps in the tool surface?).

Tiers are derived from the overall score: A (≥3.5), B (≥3.0), C (≥2.0), D (≥1.0), F (<1.0). B and above is considered passing.

Tool Scores

Behavior3/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already provide readOnlyHint, openWorldHint, idempotentHint, and destructiveHint=false. The description adds 'Read-only' which aligns with annotations, and mentions return format but does not disclose additional behavioral traits such as pagination or error handling. No contradictions found.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
The description is two sentences with no unnecessary words. It front-loads the action and resource, then briefly states return fields and nature. Every sentence adds value.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Given the tool has 2 parameters (1 required), an output schema (not shown but present), and comprehensive annotations, the description adequately covers what the tool does. It mentions return fields, which compensates for the lack of output schema details in the description.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Input schema has 100% coverage with descriptions for both parameters (limit, patientId). The description does not add any parameter-specific meaning beyond the schema, so a baseline score of 3 is appropriate.
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 clearly states the verb 'List' and resource 'a patient's allergies and intolerances from Practice Fusion'. It specifies the return format 'shaped allergy summaries (substance, status, criticality)' and marks it as 'Read-only', distinguishing it from sibling tools that list other clinical data.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines3/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description implies usage for retrieving allergy data but does not explicitly state when to use this tool over alternatives like practicefusion_get_conditions or practicefusion_get_medications. No guidance on prerequisites or context is provided beyond patientId requirement.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint=true, destructiveHint=false, idempotentHint=true. The description adds value by stating that it returns 'shaped immunization summaries (vaccine, status, date)', clarifying the output structure. No contradictions with annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two concise sentences, no fluff. The key information is front-loaded: action, resource, output type, and read-only nature.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Given the simple output, annotations, and presence of an output schema, the description is fairly complete. It specifies the return fields (vaccine, status, date) and notes read-only behavior, which is sufficient for a list endpoint.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema coverage is 100% with both parameters described. The description adds no extra parameter details beyond what the schema provides, so baseline 3 is appropriate.
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 clearly states 'List a patient's immunizations (vaccines) from Practice Fusion' with a specific verb ('List') and resource ('immunizations'). This distinguishes it from sibling tools like practicefusion_get_medications or practicefusion_get_conditions, which return different data types.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines2/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description provides no guidance on when to use this tool versus alternatives (e.g., other get_* tools for different FHIR resources). It does not mention which patient ID to use or any prerequisites.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior3/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint and idempotentHint. The description adds that it returns 'shaped observation summaries with values and dates,' which provides some behavioral context without contradicting annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
The description is two concise sentences, front-loaded with the main purpose, and every sentence adds value.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
For a simple read tool with full annotations and an output schema, the description is sufficient. It could be slightly more precise about the return format but is generally complete.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema coverage is 100%, with clear descriptions for both patientId and limit parameters. The tool description does not add additional parameter meaning beyond what the schema already 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 clearly states the tool lists a patient's vital sign observations, specifying the verb 'list' and resource. It also distinguishes from sibling tools like conditions or medications.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines3/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
The description indicates it is read-only and returns observations, but does not explicitly state when to use this tool versus alternatives like lab results or conditions.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already indicate readOnlyHint=true and destructiveHint=false. Description adds that it returns 'shaped observation summaries with values and dates', providing behavioral context beyond annotations. No contradictions.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two concise sentences: first states purpose, second adds return format and read-only note. No wasted words, front-loaded with key action.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Simple tool with 2 parameters and an output schema (flagged as present). Description mentions return format ('shaped observation summaries with values and dates'), but could clarify relationship to FHIR Observation resource. Otherwise complete for its complexity.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema coverage is 100% with both parameters having descriptions. The tool description does not add further parameter details beyond the schema, so baseline 3 is appropriate.
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?
Clearly states the tool lists a patient's lab results from Practice Fusion, with explicit verb 'List' and resource 'laboratory observations (lab results)'. The sibling tools are for different FHIR resources (appointments, conditions, etc.), so this description effectively distinguishes it.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines3/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
Description implies usage for retrieving lab results but provides no explicit guidance on when to use versus alternatives (sibling tools are for different resources, so context suggests appropriate use). No when-not-to-use or prerequisite information.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already indicate readOnly, idempotent, openWorld. Description adds that it returns 'shaped medication summaries', providing extra behavioral context beyond annotations. No contradiction.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two efficient sentences, front-loaded with purpose, no redundant information.
Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.
Completeness4/5
Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?
Adequate for a simple list tool with output schema and rich annotations. Could clarify what 'shaped' means, but overall sufficient.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema covers both parameters with descriptions (100% coverage). Description only adds 'patient's' context but no new semantics beyond schema. Baseline 3.
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?
Clearly states verb 'list', resource 'medication requests', and scope 'a patient's'. Differentiates from sibling tools which cover different clinical data types.
Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.
Usage Guidelines3/5
Does the description explain when to use this tool, when not to, or what alternatives exist?
Implied usage from context ('from Practice Fusion'), but no explicit guidance on when to use vs alternatives or when not to use. Lacks exclusions or alternative tool mentions.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint and idempotentHint; description adds FHIR date prefix format and return type ('shaped appointment summaries'), enhancing transparency.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two sentences, front-loaded with purpose, no wasted words.
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?
Rich annotations and output schema complement the description; complete for a read-only list tool.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema covers 100% of parameters; description adds FHIR date prefix example and 'shaped' return, but marginal beyond schema.
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 clearly states 'List Practice Fusion appointments' with optional filters, distinguishing it from sibling tools like practicefusion_get_conditions.
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?
Implies usage for listing appointments with filters; no explicit when-not or alternatives, but context signals and sibling names provide enough differentiation.
Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.
Behavior4/5
Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?
Annotations already declare readOnlyHint, idempotentHint, and destructiveHint. The description adds 'Returns shaped condition summaries', which is useful but not critical. No contradictions with annotations.
Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.
Conciseness5/5
Is the description appropriately sized, front-loaded, and free of redundancy?
Two sentences, 16 words, front-loaded with purpose. No redundant information.
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?
Output schema exists, so return values need not be described. Input schema fully covers parameters. Annotations cover safety. Description is complete for a read-only list tool.
Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.
Parameters3/5
Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?
Schema coverage is 100% with full descriptions. The description does not add parameter details, but the schema is sufficient. Baseline 3 is appropriate.
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 clearly states the verb 'List', the resource 'conditions / problems (diagnoses)', and the scope 'patient's'. It distinguishes from sibling tools by specifying the resource type.
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?
The description indicates when to use (list patient conditions) and mentions 'Read-only' for safety, but does not explicitly mention when not to use or alternative tools. Sibling context provides implicit differentiation.
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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