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.
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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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.
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_mappingsList the HL7 v2.5.1 message types this server converts and the FHIR R4 resources each one produces.
get_message_mappingGet the full segment-to-resource plan for one HL7 v2.5.1 message type, including the known conversion pitfalls.
get_segment_mappingGet the field-by-field FHIR mapping for one HL7 v2.5.1 segment.
get_field_mappingGet 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_mappingGet the component-by-component FHIR datatype mapping for an HL7 v2.5.1 datatype.
lookup_concept_mapTranslate an HL7 v2.5.1 table value into its FHIR code, or list a whole table's ConceptMap.
which_v2_fields_feedReverse lookup: given a FHIR resource type, list every HL7 v2.5.1 field this server maps into it.
convert_datetimeConvert an HL7 v2.5.1 TS/DTM value to a FHIR date or dateTime, preserving the source precision.
convert_messageConvert 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.
Disclosed vulnerabilities in this server's declared npm dependencies (via OSV). Whether each is reachable depends on the installed versions.
@modelcontextprotocol/sdk has cross-client data leak via shared server/transport instance reuse
Anthropic's MCP TypeScript SDK has a ReDoS vulnerability
Model Context Protocol (MCP) TypeScript SDK does not enable DNS rebinding protection by default
PORTTool 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.
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