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.
We read the source, 2 d ago · rules ccca72095570
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.
этот файл ставится пользователю, но в репозитории его нет
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.
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.
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.
claude mcp add fhirhydrant -- npx -y fhirhydrant
{
"mcpServers": {
"fhirhydrant": {
"args": [
"-y",
"fhirhydrant"
],
"command": "npx"
}
}
}
[mcp_servers.fhirhydrant]
command = "npx"
args = ["-y", "fhirhydrant"]
{
"mcpServers": {
"fhirhydrant": {
"args": [
"-y",
"fhirhydrant"
],
"command": "npx"
}
}
}
{
"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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Answers built from our own checks of this server.