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Fhirhydrant MCP Server

local only

Fhirhydrant runs on your own machine — the client starts it, so there is no endpoint to ping. 113 installs a week from npm. Last commit 15 Sep 2026.

FHIR MCP server with SMART Backend Services, response compaction, FHIRPath, and guarded writes.

Installs per day peak 69 · avg 14 · +12% w/w
a month agotoday
113
Installs / week
npm · fhirhydrant
18
Stars
0 open issues
15 Sep 2026
Last commit
10 releases in 90 days
Kopimi
License
TypeScript

What the code does

We read the source, 2 d ago · rules ccca72095570

Capabilities

What this server is able to do. For an MCP server this is often the job itself — a terminal server runs commands because that is what it is for. Listed so you know what you are plugging in, not as an accusation.

File ships in the package but is absent from the source [пакет] bin/server.js:1
этот файл ставится пользователю, но в репозитории его нет
Reads files and sends them to the network [пакет] bin/server.js:421
import { existsSync, readdirSync } from "fs";

Is this your server and something here is wrong? Tell us — corrections are free and do not require a plan.

This code can reach further than it looks

We found places where it runs commands, builds paths or queries from values it is given. None of that is a flaw by itself — it becomes one when the code changes, and code changes quietly between releases. We re-read it on every one.

Three servers free · no card

Connect this server

This server runs on your own machine — install it with the package manager and the client starts it for you. Package name taken from the official registry entry.

run in your terminal
claude mcp add fhirhydrant -- npx -y fhirhydrant
~/Library/Application Support/Claude/claude_desktop_config.json
{
  "mcpServers": {
    "fhirhydrant": {
      "args": [
        "-y",
        "fhirhydrant"
      ],
      "command": "npx"
    }
  }
}
~/.codex/config.toml
[mcp_servers.fhirhydrant]
command = "npx"
args = ["-y", "fhirhydrant"]
.cursor/mcp.json
{
  "mcpServers": {
    "fhirhydrant": {
      "args": [
        "-y",
        "fhirhydrant"
      ],
      "command": "npx"
    }
  }
}
.vscode/mcp.json
{
  "mcpServers": {
    "fhirhydrant": {
      "args": [
        "-y",
        "fhirhydrant"
      ],
      "command": "npx"
    }
  }
}

This one needs environment variables set before it will start: MCP_TRANSPORT (Run the installed package over MCP stdio.), FHIR_AUTH (FHIR authentication mode. Use none only for an unauthenticated FHIR endpoint.), FHIR_SERVER_URL (Full base URL of the FHIR API, such as https://fhir.example.org/fhir/R4.), FHIR_TOKEN_URL (SMART Backend Services token endpoint. Required when FHIR_AUTH=smart unless it can be derived from FHIR_BASE_URL.), FHIR_CLIENT_ID (SMART Backend Services client ID. Required when FHIR_AUTH=smart.), FHIR_ACTIVE_KEY (Base64-encoded PKCS#8 private signing key. Required when FHIR_AUTH=smart.), FHIR_JWKS_URL (Externally reachable JWKS URL for the signing key. Recommended for SMART authentication over stdio.), FHIR_VERSION (FHIR release used for FHIRPath and response shaping.). The author declared them in the registry entry; get the values from the project itself.

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Fhirhydrant — questions

Answers built from our own checks of this server.

Why is there no uptime for Fhirhydrant?
Fhirhydrant runs on your own machine over stdio — there is no network address to reach, so uptime cannot be measured for it by anyone. What can be measured is adoption: the npm package fhirhydrant was installed 113 times last week.
How do I connect Fhirhydrant?
Copy the ready config from this page — we generate it for Claude Code, Claude Desktop, Codex, Cursor and VS Code, each with the file path that client actually reads. It runs locally, so the command pulls fhirhydrant straight from npm; nothing to host, nothing to sign up for.
How many people use Fhirhydrant?
The npm package fhirhydrant was installed 113 times in the last week. Week over week that is +12%. We show installs rather than GitHub stars on purpose: a star is a bookmark, an install is someone actually running it.
Is Fhirhydrant open source?
No, and the distinction matters: its licence is declared as Kopimi. That makes it source-available — you can read the code, but the terms are the author's own, not one of the recognised open-source licences. Read them before you build on it.