healthcare-fhir-mcp

Why this exists

Healthcare AI products handle Protected Health Information (PHI) under HIPAA in the US and special-category personal data under GDPR Article 9 in the EU. Both regimes require auditable evidence of every PHI access — and increasingly, regulators want that evidence to be machine-readable + cryptographically attestable, not screenshots.

FHIR R4/R5 is the de-facto interoperability standard now. Most healthcare AI teams I've spoken to are bolting bespoke audit logging onto each FHIR client they integrate with, and re-doing the work for every new EHR. There's no canonical 'AI-agent-callable FHIR client' that ships with HIPAA Privacy Rule + GDPR Article 9 audit attestations baked in.

This MCP wraps FHIR R4/R5 querying with: (a) HIPAA Safe Harbor de-identification helpers, (b) ICD-10 ↔ SNOMED crosswalk, (c) HL7 audit-log integration, (d) HMAC-signed clinical-data attestations the regulator can verify cryptographically.

Real usage example

A US-EU-dual-jurisdiction telehealth startup needed to give their AI agent safe access to patient observations across multiple FHIR-conformant EHRs (Epic, Cerner, NHS Spine). They installed this MCP:

pip install healthcare-fhir-mcp

The compliance-bound prompt:

'Query the FHIR server for patient ABC123's last 30 days of observations. Apply HIPAA Safe Harbor de-identification. Produce a clinical timeline. Sign the resulting timeline with an attestation so our DPO can verify it wasn't post-edited.'

Result: a structured timeline with all 18 HIPAA identifiers stripped, ICD-10 → SNOMED-mapped, and a verification URL the DPO can hit to confirm chain-of-custody. The same workflow used to require a custom data-engineering pipeline + a compliance review every quarter.

Healthcare FHIR MCP Server

By MEOK AI Labs — Sovereign AI tools for everyone.

FHIR R4 MCP server for healthcare AI applications. Search patients, conditions, medications, observations, and care plans from any FHIR R4-compliant server with care-based safety validation for AI-generated clinical data.

Tools

Quick Start

pip install mcp
git clone https://github.com/CSOAI-ORG/healthcare-fhir-mcp.git
cd healthcare-fhir-mcp
python server.py

Claude Desktop Config

{
  "mcpServers": {
    "healthcare-fhir": {
      "command": "python",
      "args": ["server.py"],
      "cwd": "/path/to/healthcare-fhir-mcp"
    }
  }
}

Pricing

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Pairs with MEOK Governance Suite

Build something that touches users? You need compliance. MEOK ships 38 governance MCPs that drop in alongside this tool — EU AI Act, DORA, NIS2, CRA, GDPR, ISO 42001, FDA SaMD, MDR, Basel, MiFID II, MiCA, COPPA, and more.

# One-shot install of the governance pack
npx meok-setup --pack governance

Free tier: 10 calls/day per MCP. Pro tier (£79/mo): unlimited + cryptographically signed compliance attestations your auditor verifies independently.

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