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Browse ICD-11 Hierarchy

icd11_hierarchy
Read-onlyIdempotent

Find parent or child entities in the ICD-11 hierarchy by code or URI to understand classification structure, identify broader categories, or locate specific subtypes.

Instructions

Navigate the ICD-11 hierarchy to find parent or child entities.

Use this tool to:

  • Find broader categories (parents) of a condition

  • Find specific subtypes (children) of a condition

  • Understand the classification structure

Name the entity by code (a leaf code like "5A11", or a block range like "5A10-5A2Y" — blocks come back from 'parents' with an empty code and a code_range) or by uri (the URI any previous answer returned). Direction 'parents' returns ancestor categories, 'children' returns subcategories. ICD-10 codes (like "E11") are not ICD-11 codes: convert them first with map_icd10_to_icd11.

Input Schema

NameRequiredDescriptionDefault
uriNoEntity URI as returned by icd11_lookup, icd11_search or a previous icd11_hierarchy call
codeNoICD-11 code (e.g., "BA00", "5A11") or block range (e.g., "5A10-5A2Y")
languageNoLanguage code (default: en). Returns the source's OFFICIAL translation when it exists (e.g. 'pt' for official Portuguese); content is never machine-translated.en
directionYesDirection: "parents" for ancestors, "children" for subtypes

Output Schema

NameRequiredDescriptionDefault
codeYesThe code, block range or URI the walk started from, as submitted.
entitiesYesDirect parents or children of the entity; empty when it has none. Entries the WHO failed to return are left out.
directionYesDirection walked: parents (ancestors) or children (subtypes).
provenanceYesProvenance block: source, URL, data vintage, extraction instant, origin diagnostics, citation, license
attributionYesCanonical source URLs of this response (attribution list)

Schema Changelog

Changes observed during successful MCP inspections.

  1. Changed3 schema fields changedv2.4.0
    • addedOutput schema / properties / code / description
      Added value: +"The code, block range or URI the walk started from, as submitted."
    • addedOutput schema / properties / direction / description
      Added value: +"Direction walked: parents (ancestors) or children (subtypes)."
    • addedOutput schema / properties / entities / description
      Added value: +"Direct parents or children of the entity; empty when it has none. Entries the WHO failed to return are left out."
  2. Changed7 schema fields changedv2.3.0
    • changedOutput schema / properties / provenance / description
      Previous value: -"Provenance block (contract v1.1): source, URL, data vintage, extraction instant, origin diagnostics, citation, license"New value: +"Provenance block: source, URL, data vintage, extraction instant, origin diagnostics, citation, license"
    • addedOutput schema / properties / provenance / properties / derivation_note
      Added value: +{
      +  "description": "What this server computed; present together with derived",
      +  "type": "string"
      +}
    • addedOutput schema / properties / provenance / properties / derived
      Added value: +{
      +  "description": "Present (true) only when this server computed the value (e.g. a ranking or summary statistics) instead of passing on what the source returned",
      +  "type": "boolean"
      +}
    • changedOutput schema / properties / provenance / properties / field_sources / description
      Previous value: -"Present only when the response joins parts from different origins or extraction instants (contract v1.2): for each group of fields, its URL, extraction instant and whether it came from cache. Absent in single-origin responses"New value: +"Present only when the response joins parts from different origins or extraction instants: for each group of fields, its URL, extraction instant and whether it came from cache. Absent in single-origin responses"
    • addedOutput schema / properties / provenance / properties / notices
      Added value: +{
      +  "description": "Caveats the source publishes about the data, verbatim (license statements are not repeated here; see the info://licenses resource). Absent when there is none",
      +  "items": {
      +    "type": "string"
      +  },
      +  "minItems": 1,
      +  "type": "array"
      +}
    • changedOutput schema / properties / provenance / properties / retrieval / description
      Previous value: -"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)"New value: +"Origin diagnostics of THIS source in this call: 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)"
    • addedOutput schema / properties / provenance / properties / revision
      Added value: +{
      +  "additionalProperties": false,
      +  "description": "Whether the data can still change at the source: current = the version in force, the source may revise it; provisional = preliminary; final = will not change. Absent when unknown",
      +  "properties": {
      +    "note": {
      +      "description": "O específico da fonte: o que revisa, quando, por quê",
      +      "type": [
      +        "string",
      +        "null"
      +      ]
      +    },
      +    "status": {
      +      "description": "current = versão vigente, a fonte pode revisá-la; provisional = preliminar, incompleta ou sujeita a mudança (não compare como se fosse fechada); final = não muda mais, declarado pela fonte",
      +      "enum": [
      +        "current",
      +        "provisional",
      +        "final"
      +      ],
      +      "type": "string"
      +    }
      +  },
      +  "required": [
      +    "status",
      +    "note"
      +  ],
      +  "type": "object"
      +}
  3. Changed1 schema field changedv2.1.1
    • addedOutput schema / properties / provenance / properties / field_sources
      Added value: +{
      +  "description": "Present only when the response joins parts from different origins or extraction instants (contract v1.2): for each group of fields, its URL, extraction instant and whether it came from cache. Absent in single-origin responses",
      +  "items": {
      +    "additionalProperties": false,
      +    "description": "Proveniência de um grupo de campos da resposta: de onde veio e quando foi extraído",
      +    "properties": {
      +      "data_vintage": {
      +        "description": "Vintage/competência da sub-fonte",
      +        "type": [
      +          "string",
      +          "null"
      +        ]
      +      },
      +      "dataset_id": {
      +        "description": "Identificador do conjunto da sub-fonte",
      +        "type": [
      +          "string",
      +          "null"
      +        ]
      +      },
      +      "fields": {
      +        "description": "Campos do payload atribuídos a esta sub-fonte",
      +        "items": {
      +          "type": "string"
      +        },
      +        "minItems": 1,
      +        "type": "array"
      +      },
      +      "retrieved_at": {
      +        "description": "ISO-8601 da extração desta sub-fonte na origem",
      +        "type": [
      +          "string",
      +          "null"
      +        ]
      +      },
      +      "served_from_cache": {
      +        "description": "true se esta sub-fonte veio do cache do servidor (retrieved_at é o da extração original); false se foi buscada nesta chamada; null se o servidor não distingue",
      +        "type": [
      +          "boolean",
      +          "null"
      +        ]
      +      },
      +      "source_url": {
      +        "description": "URL canônica da sub-fonte que originou estes campos",
      +        "type": "string"
      +      }
      +    },
      +    "required": [
      +      "fields",
      +      "source_url",
      +      "dataset_id",
      +      "data_vintage",
      +      "retrieved_at"
      +    ],
      +    "type": "object"
      +  },
      +  "minItems": 1,
      +  "type": "array"
      +}
  4. Changed3 schema fields changedv1.15.0
    • changedOutput schema / properties / provenance / description
      Previous value: -"Provenance block (contract v1.0): source, URL, data vintage, extraction instant, citation, license"New value: +"Provenance block (contract v1.1): source, URL, data vintage, extraction instant, origin diagnostics, citation, license"
    • addedOutput schema / properties / provenance / 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 / required
      Previous value: -[
      -  "source",
      -  "source_url",
      -  "data_vintage",
      -  "retrieved_at",
      -  "citation",
      -  "license"
      -]New value: +[
      +  "source",
      +  "source_url",
      +  "data_vintage",
      +  "retrieved_at",
      +  "retrieval",
      +  "citation",
      +  "license"
      +]
  5. Changed5 schema fields changedv1.11.0
    • addedInput schema / additionalProperties
      Added value: +false
    • changedInput schema / properties / code / description
      Previous value: -"ICD-11 code to get hierarchy for"New value: +"ICD-11 code (e.g., \"BA00\", \"5A11\") or block range (e.g., \"5A10-5A2Y\")"
    • addedInput schema / properties / language
      Added value: +{
      +  "default": "en",
      +  "description": "Language code (default: en). Returns the source's OFFICIAL translation when it exists (e.g. 'pt' for official Portuguese); content is never machine-translated.",
      +  "enum": [
      +    "en",
      +    "es",
      +    "pt",
      +    "fr",
      +    "de",
      +    "it",
      +    "zh",
      +    "ja",
      +    "ar",
      +    "ru"
      +  ],
      +  "type": "string"
      +}
    • addedInput schema / properties / uri
      Added value: +{
      +  "description": "Entity URI as returned by icd11_lookup, icd11_search or a previous icd11_hierarchy call",
      +  "format": "uri",
      +  "type": "string"
      +}
    • changedInput schema / required
      Previous value: -[
      -  "code",
      -  "direction"
      -]New value: +[
      +  "direction"
      +]
  6. Changed8 schema fields changedv1.9.1
    • removedOutput schema / properties / entities / items / properties / code / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / entities / items / properties / code / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / entities / items / properties / code_range / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / entities / items / properties / code_range / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / provenance / properties / data_vintage / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / provenance / properties / data_vintage / type
      Added value: +[
      +  "string",
      +  "null"
      +]
    • removedOutput schema / properties / provenance / properties / license / anyOf
      Removed value: -[
      -  {
      -    "type": "string"
      -  },
      -  {
      -    "type": "null"
      -  }
      -]
    • addedOutput schema / properties / provenance / properties / license / type
      Added value: +[
      +  "string",
      +  "null"
      +]
  7. Changed3 schema fields changedv1.8.0
    • addedOutput schema / properties / attribution
      Added value: +{
      +  "description": "Canonical source URLs of this response (attribution list)",
      +  "items": {
      +    "type": "string"
      +  },
      +  "type": "array"
      +}
    • addedOutput schema / properties / provenance
      Added value: +{
      +  "additionalProperties": false,
      +  "description": "Provenance block (contract v1.0): source, URL, data vintage, extraction instant, citation, license",
      +  "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"
      +}
    • changedOutput schema / required
      Previous value: -[
      -  "code",
      -  "direction",
      -  "entities"
      -]New value: +[
      +  "code",
      +  "direction",
      +  "entities",
      +  "provenance",
      +  "attribution"
      +]
  8. Changed5 schema fields changedv1.5.7
    • removedInput schema / additionalProperties
      Removed value: -false
    • addedOutput schema / properties / entities / items / properties / code / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / entities / items / properties / code / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
    • addedOutput schema / properties / entities / items / properties / code_range / anyOf
      Added value: +[
      +  {
      +    "type": "string"
      +  },
      +  {
      +    "type": "null"
      +  }
      +]
    • removedOutput schema / properties / entities / items / properties / code_range / type
      Removed value: -[
      -  "string",
      -  "null"
      -]
  9. First observedv1.2.1

TDQS

A4.4/5.0
Behavior4/5

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

Annotations already declare readOnlyHint, idempotentHint, and openWorldHint, so the safety profile is covered. The description adds non-obvious behavioral context, especially that blocks may come back from 'parents' with an empty code and a code_range. It does not discuss authentication, rate limits, or failure behavior, but those are less critical for a read-only hierarchy browse.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness4/5

Is the description appropriately sized, front-loaded, and free of redundancy?

The description is front-loaded with a clear purpose and bulleted use cases, then gives the key invocation details. It is somewhat longer than necessary and repeats the parents/children distinction in both the bullets and the direction sentence, but the redundancy is mild and the content remains useful.

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?

Given the output schema and annotations, the description covers what an agent needs to invoke the tool correctly: when to use hierarchy navigation, how to specify the entity by code or URI, what direction means, and the special block-range caveat. Return-value details are appropriately left to the output schema.

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 description coverage is 100%, so the baseline is 3. The description adds meaningful semantics beyond the schema by clarifying that 'code' can be a leaf code or block range, that block ranges are returned by 'parents' with an empty code and code_range, and that 'uri' is any URI from a previous answer.

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 states a specific verb and resource: navigate the ICD-11 hierarchy to find parent or child entities. It immediately distinguishes the tool's two core operations (parents vs. children) and frames the classification structure use case, so an agent can tell this apart from lookup/search siblings.

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?

It provides explicit use cases for finding broader categories, subtypes, and understanding classification structure. It also gives an important alternative: ICD-10 codes must be converted first with map_icd10_to_icd11. However, it does not explicitly state when to prefer icd11_lookup or icd11_search over hierarchy navigation.

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