Healthclaw MCP Server

Guardrailed FHIR access for AI agents: PHI redaction, audit trail, step-up auth, tenant isolation

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What is the Healthclaw MCP Server?

Guardrailed FHIR access for AI agents: PHI redaction, audit trail, step-up auth, tenant isolation

The short version

The hosted demo runs synthetic data behind the full guardrail stack:

  • PHI redaction — — Names truncated to initials, identifiers masked, addresses stripped, birth dates truncated to year
  • Immutable audit trail — — Every read/write logged with tenant, agent, timestamp
  • Step-up authorization — — HMAC-SHA256 tokens required for writes
  • Tenant isolation — — Every query scoped to tenant, cross-tenant access blocked
  • Medical disclaimers — — Injected on all clinical resource reads
  • Compiled Truth — — Current state + append-only evidence trail for every resource

More MCP options

Compare MCP servers by category, or browse hosted MCP servers if you prefer an endpoint over a local process.

Maintainer setup documentation.

Recorded tools

Check the linked publisher documentation and your connected client's tool list. Names and availability can vary with the server version and account permissions.

ToolWhat it does
context_getRetrieve pre-built context envelopes
fhir_readRead a FHIR resource (redacted)
fhir_searchSearch with patient, code, status, date filters
fhir_validateStructural validation
fhir_statsObservation statistics (count/min/max/mean)
fhir_lastnMost recent N observations per code
fhir_interpret_labsLab reference-range interpretation ($interpret) — decision support, not diagnosis
care_gapsPreventive-care gaps ($care-gaps) — screenings/immunizations that may be due, from the patient's own records
guardrail_conformanceRun the guardrail conformance self-test — graded A–F scorecard across all seven properties
fhir_permission_evaluateR6 Permission access control evaluation
fhir_subscription_topicsList available SubscriptionTopics
questionnaire_populateSDC $populate — pre-fill a Questionnaire for a subject
curatr_evaluateEvaluate a FHIR resource for data quality issues
action_statusPoll a real-world action (call/SMS)

How to install the Healthclaw MCP Server

{
  "mcpServers": {
    "healthclaw-guardrails": {
      "command": "npx",
      "args": ["-y", "playwright"],
      "env": {
        "MCP_AUTH_TOKEN": "your-value",
        "STEP_UP_SECRET": "your-value",
        "FHIR_UPSTREAM_URL": "your-value"
      }
    }
  }
}

Add to claude_desktop_config.json, then restart Claude Desktop.

Configuration

VariableDescriptionRequired
MCP_AUTH_TOKENCredential the server authenticates with.Yes
STEP_UP_SECRETCredential the server authenticates with.Yes
FHIR_UPSTREAM_URLEndpoint or connection string the server talks to.Yes

Example prompts to try

  • “Use Healthclaw to context get.”
  • “Use Healthclaw to fhir read.”
  • “Use Healthclaw to fhir search.”

Frequently asked questions

Guardrailed FHIR access for AI agents: PHI redaction, audit trail, step-up auth, tenant isolation Confirm the tools offered by your installed version in the connected client. Tool availability and permissions depend on the server and account configuration.