npx mcp-ratchet-clinical-charting

git clone https://github.com/m2ai-mcp-servers/mcp-ratchet-clinical-charting.git
cd mcp-ratchet-clinical-charting
npm install
npm run build
npm run dev  # Development mode
npm test     # Run tests

"Search for patient Eleanor Thompson"
→ Returns patient PT-10001 with demographics and status

"Create a visit note for PT-10001 with blood pressure 120/80"
→ Creates and stores visit note with vitals

"Get visit history for PT-10001"
→ Returns list of previous visits

{
  "mcpServers": {
    "ratchet": {
      "command": "npx",
      "args": ["-y", "mcp-ratchet-clinical-charting"]
    }
  }
}

{
  "mcpServers": {
    "ratchet": {
      "command": "npx",
      "args": ["-y", "mcp-ratchet-clinical-charting"],
      "env": {
        "POINTCARE_API_URL": "https://api.pointcare.com",
        "POINTCARE_API_KEY": "your-api-key"
      }
    }
  }
}

Current Flow (M2AI NurseCall):
┌─────────┐    ┌─────────┐    ┌─────────┐    ┌─────────┐
│ Twilio  │───>│  n8n    │───>│  VAPI   │───>│  Email  │
│  SMS    │    │ Workflow│    │  Call   │    │ Summary │
└─────────┘    └─────────┘    └─────────┘    └─────────┘

Future Flow (with Ratchet):
┌─────────┐    ┌─────────┐    ┌──────────┐    ┌───────────┐
│ Twilio  │───>│  n8n    │───>│ Ratchet  │───>│ PointCare │
│  SMS    │    │ Workflow│    │   MCP    │    │    EMR    │
└─────────┘    └─────────┘    └──────────┘    └───────────┘

ratchet/
├── src/
│   ├── index.ts              # MCP server entry point
│   ├── config.ts             # Configuration management
│   ├── tools/                # Tool implementations
│   │   ├── search-patient.ts
│   │   ├── create-visit-note.ts
│   │   └── get-patient-history.ts
│   ├── services/             # Business logic
│   │   ├── patient-service.ts
│   │   └── mock-data.ts
│   ├── types/                # TypeScript types
│   └── utils/                # Logger, errors
├── tests/
│   └── patient-service.test.ts
├── dist/                     # Compiled output
├── prds/
│   └── RATCHET-PRD.yaml
├── docs/
│   └── API_REQUIREMENTS.md
├── package.json
├── tsconfig.json
└── jest.config.js

# Run in watch mode
npm run dev

# Run tests
npm test

# Run tests with coverage
npm test -- --coverage

# Lint
npm run lint