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Find Equivalents Across Terminologies

find_equivalent
Read-onlyIdempotent

Search medical terminologies to find equivalent concepts across ICD-11, LOINC, RxNorm, and MeSH; compare coding systems and support mapping or data integration.

Instructions

Ranked unified search for equivalent terms across multiple medical terminologies.

Use this tool to:

  • Find the same concept in different coding systems

  • Compare how terminologies represent a concept

  • Support terminology mapping and data integration

Searches across: ICD-11, LOINC, RxNorm, and MeSH. Set target_terminologies to limit which are searched, or set source_terminology to exclude one (e.g. when you already have a code from that terminology and want equivalents elsewhere). The two combine: source is subtracted from targets. limit caps candidates per terminology (default 5, max 10).

Every candidate carries match_score (lexical similarity to the search term, 0-1) and rank (global position across all searched terminologies) — both computed by this server, since upstreams don't expose comparable relevance scores. Candidates from different terminologies whose titles are lexically identical are clustered in groups — a strong same-concept signal (absence of a group is NOT evidence of non-equivalence).

Searches upstreams in English. For official pt-BR content, use the dedicated tools: icd11_search/mesh_search accept language: "pt", and cid10_search is natively Portuguese.

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
termYesMedical term to search (e.g., "diabetes", "aspirin")
limitNoMaximum candidates returned PER terminology (1-10, default 5). This is a cap, not a page: the live fan-out has no stable cursor across five upstreams, so raise the limit instead of paging.
source_terminologyNoIf set, this terminology is excluded from the search. Use this when the term came from this terminology and you want equivalents in the others. Combines with target_terminologies by subtraction (source is removed from the target list).
target_terminologiesNoLimit the search to these terminologies. If omitted, all five are searched.

Output Schema

TableJSON Schema
NameRequiredDescriptionDefault
termYes
groupsYes
rankingYes
resultsYes
provenanceYesOne provenance block per upstream source that contributed to this response (contract v1.1; licenses are never merged; each block carries the origin diagnostics of ITS source)
attributionYesCanonical source URLs of this response (attribution list)
source_terminologyYes
searched_terminologiesYes

Schema Changelog

Changes observed during successful MCP inspections.

  1. Changed7 schema fields changedv2.0.0
    • changedInput schema / properties / source_terminology / enum
      Previous value: -[
      -  "icd11",
      -  "snomed",
      -  "loinc",
      -  "rxnorm",
      -  "mesh"
      -]New value: +[
      +  "icd11",
      +  "loinc",
      +  "rxnorm",
      +  "mesh"
      +]
    • changedInput schema / properties / target_terminologies / items / enum
      Previous value: -[
      -  "icd11",
      -  "snomed",
      -  "loinc",
      -  "rxnorm",
      -  "mesh"
      -]New value: +[
      +  "icd11",
      +  "loinc",
      +  "rxnorm",
      +  "mesh"
      +]
    • changedOutput schema / properties / groups / items / properties / members / items / properties / terminology / enum
      Previous value: -[
      -  "icd11",
      -  "snomed",
      -  "loinc",
      -  "rxnorm",
      -  "mesh"
      -]New value: +[
      +  "icd11",
      +  "loinc",
      +  "rxnorm",
      +  "mesh"
      +]
    • changedOutput schema / properties / groups / items / properties / terminologies / items / enum
      Previous value: -[
      -  "icd11",
      -  "snomed",
      -  "loinc",
      -  "rxnorm",
      -  "mesh"
      -]New value: +[
      +  "icd11",
      +  "loinc",
      +  "rxnorm",
      +  "mesh"
      +]
    • removedOutput schema / properties / results / properties / snomed
      Removed value: -{
      -  "additionalProperties": false,
      -  "properties": {
      -    "error": {
      -      "type": [
      -        "string",
      -        "null"
      -      ]
      -    },
      -    "found": {
      -      "type": "boolean"
      -    },
      -    "items": {
      -      "items": {
      -        "additionalProperties": false,
      -        "properties": {
      -          "code": {
      -            "type": "string"
      -          },
      -          "match_score": {
      -            "maximum": 1,
      -            "minimum": 0,
      -            "type": "number"
      -          },
      -          "rank": {
      -            "maximum": 9007199254740991,
      -            "minimum": 1,
      -            "type": "integer"
      -          },
      -          "title": {
      -            "type": "string"
      -          },
      -          "uri": {
      -            "type": [
      -              "string",
      -              "null"
      -            ]
      -          }
      -        },
      -        "required": [
      -          "code",
      -          "title",
      -          "uri",
      -          "match_score",
      -          "rank"
      -        ],
      -        "type": "object"
      -      },
      -      "type": "array"
      -    }
      -  },
      -  "required": [
      -    "found",
      -    "error",
      -    "items"
      -  ],
      -  "type": "object"
      -}
    • changedOutput schema / properties / searched_terminologies / items / enum
      Previous value: -[
      -  "icd11",
      -  "snomed",
      -  "loinc",
      -  "rxnorm",
      -  "mesh"
      -]New value: +[
      +  "icd11",
      +  "loinc",
      +  "rxnorm",
      +  "mesh"
      +]
    • changedOutput schema / properties / source_terminology / anyOf
      Previous value: -[
      -  {
      -    "enum": [
      -      "icd11",
      -      "snomed",
      -      "loinc",
      -      "rxnorm",
      -      "mesh"
      -    ],
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]New value: +[
      +  {
      +    "enum": [
      +      "icd11",
      +      "loinc",
      +      "rxnorm",
      +      "mesh"
      +    ],
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
  2. Changed4 schema fields changedv1.15.0
    • changedOutput schema / properties / provenance / description
      Previous value: -"One provenance block per upstream source that contributed to this response (contract v1.0; licenses are never merged)"New value: +"One provenance block per upstream source that contributed to this response (contract v1.1; licenses are never merged; each block carries the origin diagnostics of ITS source)"
    • addedOutput schema / properties / provenance / items / description
      Added value: +"Bloco de proveniência (contrato v1.1): fonte, URL, competência, extração, diagnóstico de origem, citação e licença"
    • addedOutput schema / properties / provenance / items / properties / retrieval
      Added value: +{
      +  "anyOf": [
      +    {
      +      "additionalProperties": false,
      +      "properties": {
      +        "anomalies": {
      +          "description": "Anomalias superadas até o sucesso, somadas por classe, em ordem fixa; [] se nenhuma",
      +          "items": {
      +            "additionalProperties": false,
      +            "properties": {
      +              "count": {
      +                "description": "Ocorrências desta classe na chamada",
      +                "maximum": 9007199254740991,
      +                "minimum": 1,
      +                "type": "integer"
      +              },
      +              "kind": {
      +                "description": "Classe da anomalia (vocabulário fechado do contrato)",
      +                "enum": [
      +                  "timeout",
      +                  "network",
      +                  "http_4xx",
      +                  "http_5xx",
      +                  "rate_limited",
      +                  "malformed_body"
      +                ],
      +                "type": "string"
      +              }
      +            },
      +            "required": [
      +              "kind",
      +              "count"
      +            ],
      +            "type": "object"
      +          },
      +          "type": "array"
      +        },
      +        "attempts": {
      +          "description": "Tentativas somadas, incluindo as repetidas (>= requests)",
      +          "maximum": 9007199254740991,
      +          "minimum": 1,
      +          "type": "integer"
      +        },
      +        "requests": {
      +          "description": "Idas distintas à origem que compõem esta resposta (fatias, páginas)",
      +          "maximum": 9007199254740991,
      +          "minimum": 1,
      +          "type": "integer"
      +        },
      +        "unstable": {
      +          "description": "true se houve repetição (attempts > requests) ou alguma anomalia",
      +          "type": "boolean"
      +        }
      +      },
      +      "required": [
      +        "requests",
      +        "attempts",
      +        "anomalies",
      +        "unstable"
      +      ],
      +      "type": "object"
      +    },
      +    {
      +      "type": "null"
      +    }
      +  ],
      +  "description": "Origin diagnostics of THIS source in this call (contract v1.1): requests made to the upstream, attempts summed across retries, anomalies worked around (kind + count); unstable=true when any anomaly happened. null when nothing was measured (bundled dataset, or response served entirely from cache)"
      +}
    • changedOutput schema / properties / provenance / items / required
      Previous value: -[
      -  "source",
      -  "source_url",
      -  "data_vintage",
      -  "retrieved_at",
      -  "citation",
      -  "license"
      -]New value: +[
      +  "source",
      +  "source_url",
      +  "data_vintage",
      +  "retrieved_at",
      +  "retrieval",
      +  "citation",
      +  "license"
      +]
  3. Changed1 schema field changedv1.11.0
    • addedInput schema / additionalProperties
      Added value: +false
  4. Changed24 schema fields changedv1.9.1
    • removedOutput schema / properties / provenance / items / properties / data_vintage / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / provenance / items / properties / data_vintage / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / provenance / items / properties / license / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / provenance / items / properties / license / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / icd11 / properties / error / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / icd11 / properties / error / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / icd11 / properties / items / items / properties / uri / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / icd11 / properties / items / items / properties / uri / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / loinc / properties / error / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / loinc / properties / error / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / loinc / properties / items / items / properties / uri / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / loinc / properties / items / items / properties / uri / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / mesh / properties / error / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / mesh / properties / error / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / mesh / properties / items / items / properties / uri / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / mesh / properties / items / items / properties / uri / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / rxnorm / properties / error / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / rxnorm / properties / error / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / rxnorm / properties / items / items / properties / uri / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / rxnorm / properties / items / items / properties / uri / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / snomed / properties / error / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / snomed / properties / error / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / results / properties / snomed / properties / items / items / properties / uri / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / results / properties / snomed / properties / items / items / properties / uri / type
      Added value: +[
      +  "string",
      +  "null"
      +]
  5. Changed26 schema fields changedv1.8.0
    • addedInput schema / properties / limit
      Added value: +{
      +  "description": "Maximum candidates returned PER terminology (1-10, default 5). This is a cap, not a page: the live fan-out has no stable cursor across five upstreams, so raise the limit instead of paging.",
      +  "maximum": 10,
      +  "minimum": 1,
      +  "type": "integer"
      +}
    • addedOutput schema / properties / attribution
      Added value: +{
      +  "description": "Canonical source URLs of this response (attribution list)",
      +  "items": {
      +    "type": "string"
      +  },
      +  "type": "array"
      +}
    • addedOutput schema / properties / groups
      Added value: +{
      +  "items": {
      +    "additionalProperties": false,
      +    "properties": {
      +      "members": {
      +        "items": {
      +          "additionalProperties": false,
      +          "properties": {
      +            "code": {
      +              "type": "string"
      +            },
      +            "match_score": {
      +              "maximum": 1,
      +              "minimum": 0,
      +              "type": "number"
      +            },
      +            "terminology": {
      +              "enum": [
      +                "icd11",
      +                "snomed",
      +                "loinc",
      +                "rxnorm",
      +                "mesh"
      +              ],
      +              "type": "string"
      +            },
      +            "title": {
      +              "type": "string"
      +            }
      +          },
      +          "required": [
      +            "terminology",
      +            "code",
      +            "title",
      +            "match_score"
      +          ],
      +          "type": "object"
      +        },
      +        "type": "array"
      +      },
      +      "normalized_title": {
      +        "type": "string"
      +      },
      +      "terminologies": {
      +        "items": {
      +          "enum": [
      +            "icd11",
      +            "snomed",
      +            "loinc",
      +            "rxnorm",
      +            "mesh"
      +          ],
      +          "type": "string"
      +        },
      +        "type": "array"
      +      }
      +    },
      +    "required": [
      +      "normalized_title",
      +      "terminologies",
      +      "members"
      +    ],
      +    "type": "object"
      +  },
      +  "type": "array"
      +}
    • addedOutput schema / properties / provenance
      Added value: +{
      +  "description": "One provenance block per upstream source that contributed to this response (contract v1.0; licenses are never merged)",
      +  "items": {
      +    "additionalProperties": false,
      +    "properties": {
      +      "citation": {
      +        "description": "Ready-to-use citation/attribution string",
      +        "type": "string"
      +      },
      +      "data_vintage": {
      +        "anyOf": [
      +          {
      +            "type": "string"
      +          },
      +          {
      +            "type": "null"
      +          }
      +        ],
      +        "description": "Version/release of the data as exposed by the source; null when not exposed"
      +      },
      +      "license": {
      +        "anyOf": [
      +          {
      +            "type": "string"
      +          },
      +          {
      +            "type": "null"
      +          }
      +        ],
      +        "description": "License / legal regime of the data"
      +      },
      +      "retrieved_at": {
      +        "description": "Real instant of the upstream extraction (ISO-8601, UTC). Responses served from cache keep the ORIGINAL fetch instant.",
      +        "type": "string"
      +      },
      +      "source": {
      +        "description": "Official upstream source of this data",
      +        "type": "string"
      +      },
      +      "source_url": {
      +        "description": "Canonical URL of the source (API base or dataset release)",
      +        "type": "string"
      +      }
      +    },
      +    "required": [
      +      "source",
      +      "source_url",
      +      "data_vintage",
      +      "retrieved_at",
      +      "citation",
      +      "license"
      +    ],
      +    "type": "object"
      +  },
      +  "type": "array"
      +}
    • addedOutput schema / properties / ranking
      Added value: +{
      +  "additionalProperties": false,
      +  "properties": {
      +    "method": {
      +      "const": "lexical",
      +      "type": "string"
      +    },
      +    "note": {
      +      "type": "string"
      +    }
      +  },
      +  "required": [
      +    "method",
      +    "note"
      +  ],
      +  "type": "object"
      +}
    • addedOutput schema / properties / results / properties / icd11 / properties / items / items / properties / match_score
      Added value: +{
      +  "maximum": 1,
      +  "minimum": 0,
      +  "type": "number"
      +}
    • addedOutput schema / properties / results / properties / icd11 / properties / items / items / properties / rank
      Added value: +{
      +  "maximum": 9007199254740991,
      +  "minimum": 1,
      +  "type": "integer"
      +}
    • addedOutput schema / properties / results / properties / icd11 / properties / items / items / properties / uri
      Added value: +{
      +  "anyOf": [
      +    {
      +      "type": "string"
      +    },
      +    {
      +      "type": "null"
      +    }
      +  ]
      +}
    • changedOutput schema / properties / results / properties / icd11 / properties / items / items / required
      Previous value: -[
      -  "code",
      -  "title"
      -]New value: +[
      +  "code",
      +  "title",
      +  "uri",
      +  "match_score",
      +  "rank"
      +]
    • addedOutput schema / properties / results / properties / loinc / properties / items / items / properties / match_score
      Added value: +{
      +  "maximum": 1,
      +  "minimum": 0,
      +  "type": "number"
      +}
    • addedOutput schema / properties / results / properties / loinc / properties / items / items / properties / rank
      Added value: +{
      +  "maximum": 9007199254740991,
      +  "minimum": 1,
      +  "type": "integer"
      +}
    • addedOutput schema / properties / results / properties / loinc / properties / items / items / properties / uri
      Added value: +{
      +  "anyOf": [
      +    {
      +      "type": "string"
      +    },
      +    {
      +      "type": "null"
      +    }
      +  ]
      +}
    • changedOutput schema / properties / results / properties / loinc / properties / items / items / required
      Previous value: -[
      -  "code",
      -  "title"
      -]New value: +[
      +  "code",
      +  "title",
      +  "uri",
      +  "match_score",
      +  "rank"
      +]
    • addedOutput schema / properties / results / properties / mesh / properties / items / items / properties / match_score
      Added value: +{
      +  "maximum": 1,
      +  "minimum": 0,
      +  "type": "number"
      +}
    • addedOutput schema / properties / results / properties / mesh / properties / items / items / properties / rank
      Added value: +{
      +  "maximum": 9007199254740991,
      +  "minimum": 1,
      +  "type": "integer"
      +}
    • addedOutput schema / properties / results / properties / mesh / properties / items / items / properties / uri
      Added value: +{
      +  "anyOf": [
      +    {
      +      "type": "string"
      +    },
      +    {
      +      "type": "null"
      +    }
      +  ]
      +}
    • changedOutput schema / properties / results / properties / mesh / properties / items / items / required
      Previous value: -[
      -  "code",
      -  "title"
      -]New value: +[
      +  "code",
      +  "title",
      +  "uri",
      +  "match_score",
      +  "rank"
      +]
    • addedOutput schema / properties / results / properties / rxnorm / properties / items / items / properties / match_score
      Added value: +{
      +  "maximum": 1,
      +  "minimum": 0,
      +  "type": "number"
      +}
    • addedOutput schema / properties / results / properties / rxnorm / properties / items / items / properties / rank
      Added value: +{
      +  "maximum": 9007199254740991,
      +  "minimum": 1,
      +  "type": "integer"
      +}
    • addedOutput schema / properties / results / properties / rxnorm / properties / items / items / properties / uri
      Added value: +{
      +  "anyOf": [
      +    {
      +      "type": "string"
      +    },
      +    {
      +      "type": "null"
      +    }
      +  ]
      +}
    • changedOutput schema / properties / results / properties / rxnorm / properties / items / items / required
      Previous value: -[
      -  "code",
      -  "title"
      -]New value: +[
      +  "code",
      +  "title",
      +  "uri",
      +  "match_score",
      +  "rank"
      +]
    • addedOutput schema / properties / results / properties / snomed / properties / items / items / properties / match_score
      Added value: +{
      +  "maximum": 1,
      +  "minimum": 0,
      +  "type": "number"
      +}
    • addedOutput schema / properties / results / properties / snomed / properties / items / items / properties / rank
      Added value: +{
      +  "maximum": 9007199254740991,
      +  "minimum": 1,
      +  "type": "integer"
      +}
    • addedOutput schema / properties / results / properties / snomed / properties / items / items / properties / uri
      Added value: +{
      +  "anyOf": [
      +    {
      +      "type": "string"
      +    },
      +    {
      +      "type": "null"
      +    }
      +  ]
      +}
    • changedOutput schema / properties / results / properties / snomed / properties / items / items / required
      Previous value: -[
      -  "code",
      -  "title"
      -]New value: +[
      +  "code",
      +  "title",
      +  "uri",
      +  "match_score",
      +  "rank"
      +]
    • changedOutput schema / required
      Previous value: -[
      -  "term",
      -  "source_terminology",
      -  "searched_terminologies",
      -  "results"
      -]New value: +[
      +  "term",
      +  "source_terminology",
      +  "searched_terminologies",
      +  "results",
      +  "groups",
      +  "ranking",
      +  "provenance",
      +  "attribution"
      +]
  6. Changed11 schema fields changedv1.5.7
    • removedInput schema / additionalProperties
      Removed value: -false
    • addedOutput schema / properties / results / properties / icd11 / properties / error / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / results / properties / icd11 / properties / error / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
    • addedOutput schema / properties / results / properties / loinc / properties / error / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / results / properties / loinc / properties / error / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
    • addedOutput schema / properties / results / properties / mesh / properties / error / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / results / properties / mesh / properties / error / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
    • addedOutput schema / properties / results / properties / rxnorm / properties / error / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / results / properties / rxnorm / properties / error / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
    • addedOutput schema / properties / results / properties / snomed / properties / error / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / results / properties / snomed / properties / error / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
  7. First observedv1.2.1

TDQS

A4.9/5.0
Behavior5/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

Annotations already cover the safety profile (readOnly, idempotent, openWorld, non-destructive), yet the description adds substantial context: limit is a cap not a page, match_score/rank are server-computed, groups clustering is a same-concept signal and its absence is NOT proof of non-equivalence, and searches are English-only.

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?

Front-loaded with purpose, then a bulleted use-case list, then scope/parameter behavior, then language guidance. Dense but every sentence carries actionable information and it is easy to skim.

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?

An output schema exists so return formats needn't be spelled out, yet the description still explains the key output fields (match_score, rank, groups). For a 4-param cross-terminology fan-out tool, nothing an agent needs to call it correctly is missing.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters4/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema coverage is 100%, so the baseline is 3, but the description consolidates the interaction rule ('source is subtracted from targets') and the limit cap semantics in prose, aiding correct invocation. It largely mirrors the schema wording rather than adding syntax beyond it, so it stays below 5.

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?

States a specific verb (find/rank) and resource (equivalent terms across medical terminologies) with explicit scope (ICD-11, LOINC, RxNorm, MeSH). It implicitly separates itself from single-terminology siblings like icd11_search, loinc_search and rxnorm_search, and explicitly routes pt-BR needs to icd11_search/mesh_search/cid10_search.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines5/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

Provides a 'Use this tool to' list of concrete scenarios (find same concept in other systems, compare representations, support mapping/integration). It also gives explicit exclusions and alternatives: set target_terminologies to narrow, source_terminology to exclude, and use dedicated tools for pt-BR.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.