hl7-v2-fhir-mcp-server (coffeemilktea/hl7-v2-fhir-mcp-server) is an MCP server listed on the M8ven Trust Index. It scores 62 out of 100, grade C. It declares 9 tools. No publisher has claimed this listing.

C
Caution
62/100

hl7-v2-fhir-mcp-server

MCP server for the HL7 v2.5.1 → FHIR R4 crossing — field, datatype and code-value mappings, plus whole-message conversion of ORM, ADT and ORU into a transaction Bundle, with a warning for every value it cannot map faithfully.

Caution. Specific findings reduced this grade. They are listed on the page. Grades reflect the full trust pyramid: code, verification depth, and reputation. New projects cap at C until adoption is earned.

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Who stands behind it

coffeemilktea

Source: github_repo_search

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Install from

The grade above is for the source repository. Registries can serve a different version, so we mark the ones we were not able to read.

// key findings
⚠️
Known vulnerabilities in dependencies: 3 high
Affects packages this MCP installs at runtime. Upgrade or remove the affected dependency.
No credential exfiltration, no sensitive file access, no obfuscation
Static analysis found nothing flowing your secrets to unexpected places.
Open source with a license and README
Anyone can audit the code, the license is declared, and the publisher documents what it does.
// tools this server exposes9 tools

These names and descriptions are the publisher's own, read from the source code. We print them as written. Our assessment is the findings above, not this list.

list_message_mappings

List the HL7 v2.5.1 message types this server converts and the FHIR R4 resources each one produces.

get_message_mapping

Get the full segment-to-resource plan for one HL7 v2.5.1 message type, including the known conversion pitfalls.

get_segment_mapping

Get the field-by-field FHIR mapping for one HL7 v2.5.1 segment.

get_field_mapping

Get the FHIR target for one HL7 v2.5.1 field, e.g. PID-5 or OBR-25, with the datatype mapping that applies to it.

get_datatype_mapping

Get the component-by-component FHIR datatype mapping for an HL7 v2.5.1 datatype.

lookup_concept_map

Translate an HL7 v2.5.1 table value into its FHIR code, or list a whole table's ConceptMap.

which_v2_fields_feed

Reverse lookup: given a FHIR resource type, list every HL7 v2.5.1 field this server maps into it.

convert_datetime

Convert an HL7 v2.5.1 TS/DTM value to a FHIR date or dateTime, preserving the source precision.

convert_message

Convert a full HL7 v2.5.1 ORM, ADT or ORU message into a FHIR R4 transaction Bundle, with warnings for everything that could not be mapped faithfully.

// known CVEs in dependencies3 high

Disclosed vulnerabilities in this server's declared npm dependencies (via OSV). Whether each is reachable depends on the installed versions.

high@modelcontextprotocol/sdk@1.12.0GHSA-345p-7cg4-v4c7

@modelcontextprotocol/sdk has cross-client data leak via shared server/transport instance reuse

high@modelcontextprotocol/sdk@1.12.0GHSA-8r9q-7v3j-jr4g

Anthropic's MCP TypeScript SDK has a ReDoS vulnerability

high@modelcontextprotocol/sdk@1.12.0GHSA-w48q-cv73-mx4w

Model Context Protocol (MCP) TypeScript SDK does not enable DNS rebinding protection by default

Depend on this server? Get alerted when its CVEs change.Watch this server free →
// environment variables
Deployment configuration, supplied by whoever hosts the server. Users are not asked for these.
deployPORT
// quality suggestions

Tool annotations

No tools have read-only/destructive annotations

Add readOnlyHint or destructiveHint annotations to every tool so hosts can warn users before invoking.

All four hints declared on every tool

9/9 tools missing one or more hints — list_message_mappings (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint); get_message_mapping (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint); get_segment_mapping (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint), +6 more. OpenAI's directory rejects tools where any of the four hints are missing or non-boolean.

For every tool, set all four hints (readOnlyHint, destructiveHint, idempotentHint, openWorldHint) to explicit true/false values that match the handler’s actual behaviour.

Tests exist

No test files found

Add tests that exercise each declared tool.

Production dependencies are patched

0 critical, 3 high severity in production deps — @modelcontextprotocol/sdk@1.12.0 (high), @modelcontextprotocol/sdk@1.12.0 (high)

Run npm audit fix, or upgrade the affected packages to a non-vulnerable version.

Claim the listing to review these findings one by one and send us a correction where you disagree, straight to the team. Claiming also means we tell you when the grade moves, and reach you first if we find anything urgent.

// full audit trail
The findings above are the summary. The full trail, every check we ran, each deduction, the network hosts observed and the dependency advisories, goes to verified publishers, along with an alert whenever a new one lands. Verified publishers can also review each finding and dispute it in one click. Publisher corrections have sharpened several of our checks this month, because the maintainer knows the codebase better than any scanner.
// improvement guidance — verified publishers only
We have 4 concrete improvements we can share with the publisher of this MCP. Each comes with specific guidance to raise the trust score.
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commit: 9558fc158e12e23a00384b716c96da63c908e31a
code hash: 947c96e47cb9484b6eaad99c5450eade984e46443f0f79b6fb759456201a33ec
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