Medical Terminologies MCP

Validate Medical Codes

validate_codes

Read-onlyIdempotent

Validate batches of medical codes against their source terminologies to flag invalid or inactive codes and surface ICD-10 to ICD-11 replacements.

Instructions

Validate a mixed batch of medical codes against their source terminologies. Useful for retrospective analysis of legacy databases — flag codes that no longer exist, surface ICD-10 → ICD-11 replacements, and grade activity status where the terminology exposes it.

For each input { code, terminology }, returns:

valid: whether the code exists in the source terminology.
active: whether the code is currently active. Null when the source doesn't expose an explicit active/inactive distinction at category level (CID-10, ATC, ICD-11, RxNorm, MeSH all return null today; LOINC returns a real boolean).
title: the official label/name when available.
replaced_by: a successor code, populated today only for ICD-10 codes that have a primary ICD-11 mapping in the bundled WHO transition tables.
source: human-readable provenance of the validation (terminology + release/version).
error: non-null only when validation couldn't be performed (network error, upstream outage, etc.). valid: false + error: null means "code not found"; valid: false + error: set means "couldn't validate".

Terminology is required per code — auto-detection isn't supported because category codes like "A00" exist in both ICD-10 and CID-10. Accepted values: icd11, icd10, loinc, rxnorm, mesh, atc, cid10.

Hard cap of 50 codes per call; codes are validated in parallel through their respective clients, so total wall time scales with the slowest upstream + its rate limit (worst case ~10 s for a full batch hitting ICD-11).

Input Schema

Name	Required	Description	Default
`codes`	Yes	List of code+terminology pairs to validate. Hard cap of 50 per call to keep total latency under ~10 s given upstream rate limits.

Output Schema

Name	Required	Description
`total`	Yes	Number of codes submitted.
`results`	Yes	One entry per submitted code, in request order.
`provenance`	Yes	One provenance block per upstream source that contributed to this response (licenses are never merged; each block carries the origin diagnostics of ITS source)
`attribution`	Yes	Canonical source URLs of this response (attribution list)
`error_count`	Yes	How many couldn't be validated due to upstream/network errors.
`valid_count`	Yes	How many were confirmed valid.
`invalid_count`	Yes	How many were not found.

Schema Changelog

Changes observed during successful MCP inspections.

Changed1 schema field changedv2.4.0Oct 29, 2026
- addedOutput schema / properties / results / description
```
Added value: +"One entry per submitted code, in request order."
```

Changed8 schema fields changedv2.3.0Oct 16, 2026

changedOutput schema / properties / provenance / description

Previous 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)"New value: +"One provenance block per upstream source that contributed to this response (licenses are never merged; each block carries the origin diagnostics of ITS source)"

changedOutput schema / properties / provenance / items / description

Previous value: -"Bloco de proveniência (contrato v1.2): fonte, URL, competência, extração, diagnóstico de origem, citação e licença; e, só quando a resposta junta partes de origens ou momentos distintos, de onde veio cada parte"New value: +"Bloco de proveniência: fonte, URL, competência, extração, diagnóstico de origem, citação e licença; e, só quando há o que dizer, de onde veio cada parte, avisos da fonte, o que o servidor calculou e se o dado ainda pode mudar"

addedOutput schema / properties / provenance / items / properties / derivation_note

Added value: +{
+  "description": "What this server computed; present together with derived",
+  "type": "string"
+}

addedOutput schema / properties / provenance / items / 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 / items / 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 / items / 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 / items / 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 / items / 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"
+}

Changed2 schema fields changedv2.1.1Oct 7, 2026

changedOutput schema / properties / provenance / items / description

Previous value: -"Bloco de proveniência (contrato v1.1): fonte, URL, competência, extração, diagnóstico de origem, citação e licença"New value: +"Bloco de proveniência (contrato v1.2): fonte, URL, competência, extração, diagnóstico de origem, citação e licença; e, só quando a resposta junta partes de origens ou momentos distintos, de onde veio cada parte"

addedOutput schema / properties / provenance / items / 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"
+}

Changed2 schema fields changedv2.0.0Oct 4, 2026

changedInput schema / properties / codes / items / properties / terminology / enum

Previous value: -[
-  "icd11",
-  "icd10",
-  "snomed",
-  "loinc",
-  "rxnorm",
-  "mesh",
-  "atc",
-  "cid10"
-]New value: +[
+  "icd11",
+  "icd10",
+  "loinc",
+  "rxnorm",
+  "mesh",
+  "atc",
+  "cid10"
+]

changedOutput schema / properties / results / items / properties / terminology / enum

Previous value: -[
-  "icd11",
-  "icd10",
-  "snomed",
-  "loinc",
-  "rxnorm",
-  "mesh",
-  "atc",
-  "cid10"
-]New value: +[
+  "icd11",
+  "icd10",
+  "loinc",
+  "rxnorm",
+  "mesh",
+  "atc",
+  "cid10"
+]

Changed4 schema fields changedv1.15.0Sep 27, 2026

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"
+]

Changed1 schema field changedv1.11.0Sep 15, 2026
- addedInput schema / additionalProperties
```
Added value: +false
```
Changed12 schema fields changedv1.9.1Sep 1, 2026
- 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 / items / properties / active / anyOf
```
Removed value: -[
-  {
-    "type": "boolean"
-  },
-  {
-    "type": "null"
-  }
-]
```
- addedOutput schema / properties / results / items / properties / active / type
```
Added value: +[
+  "boolean",
+  "null"
+]
```
- removedOutput schema / properties / results / items / properties / error / anyOf
```
Removed value: -[
-  {
-    "type": "string"
-  },
-  {
-    "type": "null"
-  }
-]
```
- addedOutput schema / properties / results / items / properties / error / type
```
Added value: +[
+  "string",
+  "null"
+]
```
- removedOutput schema / properties / results / items / properties / replaced_by / anyOf
```
Removed value: -[
-  {
-    "type": "string"
-  },
-  {
-    "type": "null"
-  }
-]
```
- addedOutput schema / properties / results / items / properties / replaced_by / type
```
Added value: +[
+  "string",
+  "null"
+]
```
- removedOutput schema / properties / results / items / properties / title / anyOf
```
Removed value: -[
-  {
-    "type": "string"
-  },
-  {
-    "type": "null"
-  }
-]
```
- addedOutput schema / properties / results / items / properties / title / type
```
Added value: +[
+  "string",
+  "null"
+]
```

Changed3 schema fields changedv1.8.0Aug 10, 2026

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: +{
+  "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"
+}

changedOutput schema / required

Previous value: -[
-  "total",
-  "valid_count",
-  "invalid_count",
-  "error_count",
-  "results"
-]New value: +[
+  "total",
+  "valid_count",
+  "invalid_count",
+  "error_count",
+  "results",
+  "provenance",
+  "attribution"
+]

Changed18 schema fields changedv1.5.7Jun 21, 2026
- removedInput schema / additionalProperties
```
Removed value: -false
```
- removedInput schema / properties / codes / items / additionalProperties
```
Removed value: -false
```
- addedOutput schema / properties / error_count / maximum
```
Added value: +9007199254740991
```
- addedOutput schema / properties / error_count / minimum
```
Added value: +-9007199254740991
```
- addedOutput schema / properties / invalid_count / maximum
```
Added value: +9007199254740991
```
- addedOutput schema / properties / invalid_count / minimum
```
Added value: +-9007199254740991
```
- addedOutput schema / properties / results / items / properties / active / anyOf
```
Added value: +[
+  {
+    "type": "boolean"
+  },
+  {
+    "type": "null"
+  }
+]
```
- removedOutput schema / properties / results / items / properties / active / type
```
Removed value: -[
-  "boolean",
-  "null"
-]
```
- addedOutput schema / properties / results / items / properties / error / anyOf
```
Added value: +[
+  {
+    "type": "string"
+  },
+  {
+    "type": "null"
+  }
+]
```
- removedOutput schema / properties / results / items / properties / error / type
```
Removed value: -[
-  "string",
-  "null"
-]
```
- addedOutput schema / properties / results / items / properties / replaced_by / anyOf
```
Added value: +[
+  {
+    "type": "string"
+  },
+  {
+    "type": "null"
+  }
+]
```
- removedOutput schema / properties / results / items / properties / replaced_by / type
```
Removed value: -[
-  "string",
-  "null"
-]
```
- addedOutput schema / properties / results / items / properties / title / anyOf
```
Added value: +[
+  {
+    "type": "string"
+  },
+  {
+    "type": "null"
+  }
+]
```
- removedOutput schema / properties / results / items / properties / title / type
```
Removed value: -[
-  "string",
-  "null"
-]
```
- addedOutput schema / properties / total / maximum
```
Added value: +9007199254740991
```
- addedOutput schema / properties / total / minimum
```
Added value: +-9007199254740991
```
- addedOutput schema / properties / valid_count / maximum
```
Added value: +9007199254740991
```
- addedOutput schema / properties / valid_count / minimum
```
Added value: +-9007199254740991
```
Addedv1.4.0May 12, 2026

TDQS

A4.6/5.0

Behavior5/5

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

Annotations already cover the safety profile, yet the description adds substantial beyond structured fields: 50-code cap with latency rationale, parallel execution, rate-limit dependency, and precise null/error semantics distinguishing 'not found' from 'couldn't validate'.

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?

Front-loaded with purpose then a clean bullet enumeration of return fields, with the terminology-requirement and cap explained last. Dense but each section is justified; the return-field bullets edge toward restating the output schema.

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?

A complex batch tool with an output schema, yet the description still clarifies the non-obvious null semantics of active/replaced_by and the valid+error truth table that the schema alone wouldn't convey. 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; the description adds the rationale for why terminology is mandatory per code (A00 ambiguity) and enumerates the accepted values, plus the cap's performance justification. Minor redundancy with the schema, hence 4 not 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 (validate) and resource (mixed batch of medical codes against source terminologies). The 'mixed batch' framing plus per-code terminology requirement distinguishes it from the single-code lookup siblings like icd10_lookup and rxnorm_concept.

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?

Frames the use case clearly ('retrospective analysis of legacy databases') with the three outcomes it produces. It doesn't explicitly route away from sibling lookup tools for single-code cases, but the batch/fleet context is clear enough to imply the distinction.

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