cogstack-mcp-wrapper (sthio90/cogstack-mcp-wrapper) is an MCP server listed on the M8ven Trust Index. It scores 54 out of 100, grade D. It declares 4 tools. No publisher has claimed this listing.

D
Caution
54/100

cogstack-mcp-wrapper

Enables querying and analyzing medical cohorts from CogStack via the Model Context Protocol, supporting SNOMED-CT search, cohort creation, and demographic analysis.

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.

How we verified

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Who stands behind it

sthio90

Source: Glama

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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: 14 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 exposes4 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.

cogstack_search_snomed

Search for SNOMED-CT concepts by keyword

cogstack_create_cohort

Create a patient cohort based on SNOMED terms and demographic filters

cogstack_analyze_cohort

Get detailed statistics for a cohort

cogstack_get_stats

Get statistics about the loaded CogStack data

// known CVEs in dependencies14 high4 medium12 low

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

high@modelcontextprotocol/sdk@0.5.0GHSA-w48q-cv73-mx4w

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

highaxios@1.6.2GHSA-35jp-ww65-95wh

axios Vulnerable to Full Man-in-the-Middle via Prototype Pollution Gadget in `config.proxy`

highaxios@1.6.2GHSA-3g43-6gmg-66jw

axios Vulnerable to Credential Theft and Response Hijacking via Prototype Pollution Gadget in Config Merge

highaxios@1.6.2GHSA-43fc-jf86-j433

Axios is Vulnerable to Denial of Service via __proto__ Key in mergeConfig

highaxios@1.6.2GHSA-4hjh-wcwx-xvwj

Axios is vulnerable to DoS attack through lack of data size check

Depend on this server? Get alerted when its CVEs change.Watch this server free →
// environment variables
To run this server yourself, you supply these values. They go in your own MCP client configuration and stay on your machine. The secret label means the value is sensitive, not that the server mishandles it.
configCOGSTACK_DATA_PATHPath to data files (default: ../CogStackCohort/server/data)
configCOGSTACK_PATHPath to CogStackCohort directory (default: ../CogStackCohort)
// 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

4/4 tools missing one or more hints — cogstack_search_snomed (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint); cogstack_create_cohort (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint); cogstack_analyze_cohort (missing: readOnlyHint, destructiveHint, idempotentHint, openWorldHint), +1 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, 14 high severity in production deps — @modelcontextprotocol/sdk@0.5.0 (high), axios@1.6.2 (high)

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

Dependency freshness

1/3 production deps stale: node-fetch@2023-11-30 (2.7y)

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.
// embed badge in your README
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commit: df8e4f1a6cea6e28ad249b6e65cbab5d6f24b6fd
code hash: d897a21def6c3de1bc40a2678e698470e1fb6ff212e70f9504eb250a4ba1125a
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