# FHIR Scorecard (pypi · fhir-scorecard)

Read-only grades for publicly observable FHIR endpoints, served from the published dataset.

- Trust score: 77/100 (medium)
- Change this week: +3
- Registry status: active
- Liveness: live
- Owner verified: no
- Last scored: 2026-11-05

## Components

- pypi · `fhir-scorecard`: 77/100 (this document), [markdown](https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard.md), [page](https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard)

## Channel facts

- Registry: `pypi`
- Package: `fhir-scorecard`
- Version: `0.3.0`
- Transport: `stdio`

## Trust breakdown

How this component scores in each security and reliability category. Every signal is checked automatically from public evidence about the published package, including repeated runs of it in an isolated sandbox, and we only credit what we can confirm. Scores are 0–100 per category. Scoring method: https://verifymcp.io/docs/scoring (what has changed: https://verifymcp.io/docs/scoring/changelog)

Scored 2026-11-05.

- **Supply Chain Security**: 100/100
  - No malware found by supply-chain analysis.
  - No known CVEs affecting this package version or its production dependencies.
  - Runs hatchling.build at install time, a recognised build step with no custom scripting around it.
  - No production dependencies, so there is no dependency health to assess.
- **Provenance & Transparency**: 71/100
  - Repository check failed: the declared repository URL returned HTTP 404.
  - Cryptographically verified build provenance (signed, bound to ChelseaKR/fhir-scorecard).
  - Clear OSI-approved license (Apache-2.0).
  - Actively maintained (last published 16 days ago).
  - Security-disclosure policy not yet verified: we couldn't inspect the source repository.
- **Schema Quality & AI Usability**: 67/100
  - AI-judged instruction clarity (good).
  - Tool/resource definitions use about 293 tokens (~58/item across 5 items; 5 tools + 0 resources), lean.
  - Usage-examples check failed: none of the tools include examples.
- **Stability & Change Management**: 53/100
  - Stability observed for 16 of 30 days with no destabilising changes; credit accrues until the full window elapses.
- **Tool Coverage**: 80/100
  - 100% of tools have a non-trivial description (not blank, and not just the tool's name).
  - 40% of tool parameters carry a description.
- **Tool Safety**: 100/100
  - No prompt-injection markers were found in the server instructions, tool names or descriptions we captured.
  - We read all 5 captured tool definition(s), and no name or description among them implies an irreversible operation.
  - An AI judge read all 5 captured unit(s) of tool text and found none that tries to manipulate the model reading it.
- **Capabilities**: 20/100
  - Spec-recency check failed: implements MCP spec 2024-11-05; the latest is 2026-07-28.

## Install

### How do I install the FHIR Scorecard MCP server?

FHIR Scorecard runs locally as a PyPI package, launched with uvx fhir-scorecard mcp --site site. Ready-made configuration for Claude, Cursor, VS Code, Codex and 3 more is on this page, copied from each client's own documentation.

### Claude

```bash
claude mcp add chelseakr-fhir-scorecard -- uvx fhir-scorecard mcp --site site
```

### Cursor

```json
{
  "mcpServers": {
    "chelseakr-fhir-scorecard": {
      "command": "uvx",
      "args": [
        "fhir-scorecard",
        "mcp",
        "--site",
        "site"
      ]
    }
  }
}
```

### VS Code

```json
{
  "servers": {
    "chelseakr-fhir-scorecard": {
      "command": "uvx",
      "args": [
        "fhir-scorecard",
        "mcp",
        "--site",
        "site"
      ]
    }
  }
}
```

### Codex

```bash
codex mcp add chelseakr-fhir-scorecard -- uvx fhir-scorecard mcp --site site
```

### opencode

```json
{
  "$schema": "https://opencode.ai/config.json",
  "mcp": {
    "chelseakr-fhir-scorecard": {
      "type": "local",
      "command": [
        "uvx",
        "fhir-scorecard",
        "mcp",
        "--site",
        "site"
      ],
      "enabled": true
    }
  }
}
```

### Hermes

```yaml
mcp_servers:
  chelseakr-fhir-scorecard:
    command: "uvx"
    args: ["fhir-scorecard", "mcp", "--site", "site"]
```

### Netclaw

```json
{
  "McpServers": {
    "chelseakr-fhir-scorecard": {
      "Transport": "stdio",
      "Command": "uvx",
      "Arguments": [
        "fhir-scorecard",
        "mcp",
        "--site",
        "site"
      ]
    }
  }
}
```

### Other

```json
{
  "mcpServers": {
    "chelseakr-fhir-scorecard": {
      "command": "uvx",
      "args": [
        "fhir-scorecard",
        "mcp",
        "--site",
        "site"
      ]
    }
  }
}
```

## Changelog

Every change recorded for this component, newest first. Days that predate change tracking, or that we cannot explain, say so: "we were watching and nothing happened" and "we were not watching" are different claims.

### 2026-11-05 (score 77, +1)

No change was recorded against any check on this day. Stability & Change Management went from 50 to 53. That category is still filling its 30-day observation window: 15 days of observed history at the previous scan, 16 at this one. The score rises as the window fills, whether or not the server changes.

### 2026-11-03 (score 76, +16)

- [security improvement] Malware scan: unverified → pass

### 2026-11-02 (score 60, −15)

- [security regression] Malware scan: pass → unverified

### 2026-11-01 (score 75, +15)

- [security improvement] Malware scan: unverified → pass

### 2026-10-31 (score 60, −14)

- [security regression] Malware scan: pass → unverified

### 2026-10-29 (score 74, +16)

- [security improvement] Malware scan: unverified → pass

### 2026-10-27 (score 58, +4)

- [functional improvement] Stability: unverified → 0.23

### 2026-10-24 (score 54, −6)

- [security regression] Source repository: pass → fail
- [functional regression] Security disclosure: pass → unverified

## MCP tools (5)

### `list_endpoints` (~60 tokens)

List graded FHIR endpoints, optionally filtered by kind (payer, payer_provider_directory, provider, ehr, reference) or by grade.

Input parameters:

- `grade` (string): Filter by letter grade A-F
- `kind` (string): Filter by endpoint category

### `get_endpoint` (~39 tokens)

Full scorecard for one endpoint: every dimension, every finding with its spec citation, availability, and drift history.

Input parameters:

- `endpoint_id` (string, required)

### `cited_passages` (~73 tokens)

For one endpoint, each finding together with the passages of the FHIR, SMART App Launch, or US Core specification page it cites, quoted verbatim from the copies retained under corpus/. No model is called; use these passages to explain a finding in the specification's own words.

Input parameters:

- `endpoint_id` (string, required)

### `declared_capabilities` (~86 tokens)

What one endpoint's CapabilityStatement declared: every resource, interaction, search parameter, operation and profile as flat rows, with the retrieval date and the document's SHA-256. An observation of a declaration, never a test of it. The state field says when there was no readable declaration, and rows is null then, never an empty list.

Input parameters:

- `endpoint_id` (string, required)

### `grading_method` (~35 tokens)

How grades are computed, what each finding code checks, and the documented limits of the dataset. Read this before characterizing any grade.

## Diagnostics

Captured diagnostic sections: Provenance, Install scripts, Dependencies. The full working is on the page: https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard#diagnostics

## Score history

- 2026-11-05: 77
- 2026-11-04: 76
- 2026-11-03: 76
- 2026-11-02: 60
- 2026-11-01: 75
- 2026-10-31: 60
- 2026-10-30: 74
- 2026-10-29: 74
- 2026-10-28: 58
- 2026-10-27: 58
- 2026-10-26: 54
- 2026-10-25: 54
- 2026-10-24: 54
- 2026-10-23: 60
- 2026-10-22: 60
- 2026-10-21: 60
- 2026-10-20: 60

## Common questions

### What is the FHIR Scorecard MCP server?

FHIR Scorecard is an MCP server listed in the public MCP registry as io.github.ChelseaKR/fhir-scorecard. Read-only grades for publicly observable FHIR endpoints, served from the published dataset. This page covers its PyPI package (fhir-scorecard).

### Is the FHIR Scorecard MCP server safe to use?

FHIR Scorecard scores 77 out of 100 on VerifyMCP. We found no known CVEs affecting it as of 5 November 2026. Its build provenance is signed and verified. That is a record of what we were able to check automatically, not an endorsement. The category breakdown on this page shows every signal behind the number, including the ones we could not confirm.

### What tools does the FHIR Scorecard MCP server expose?

FHIR Scorecard exposes 5 tools: list_endpoints, get_endpoint, cited_passages, declared_capabilities, grading_method. Their descriptions and schemas cost roughly 293 tokens of context every time the server is loaded.

### Is the FHIR Scorecard MCP server still maintained?

FHIR Scorecard is still listed as active in the MCP registry. We last reached this channel on 5 November 2026. Those dates come from our own scans of the registry and the channel itself, not from anything the publisher announced.

### What licence is the FHIR Scorecard MCP server under?

FHIR Scorecard declares the Apache-2.0 licence, which is OSI-approved. That covers the source only, and says nothing about the cost of any service it calls.

### What did VerifyMCP test on the FHIR Scorecard MCP server?

VerifyMCP ran 15 checks on FHIR Scorecard, covering Malware scan, Known CVEs, Install scripts, Dependency health and 11 more. One item could not be completed, a gap on our side rather than a finding about FHIR Scorecard: Security disclosure. Endpoint Security and Transport & Reachability do not apply to a PyPI package, so they were not tested. The score does not measure everything, and the scoring documentation lists what it leaves out.

## Links

- PyPI project: https://pypi.org/project/fhir-scorecard/
- Socket report: https://socket.dev/pypi/package/fhir-scorecard
- Changelog RSS feed: https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard.xml
- Changelog JSON feed: https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard/changelog.json
- Trust report (JSON): https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard.json
- HTML version of this page: https://verifymcp.io/servers/chelseakr-fhir-scorecard/fhir-scorecard