FHIRfly-io

@fhirfly-io/mcp-server

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MCP server for AI assistants - Access FHIRfly healthcare reference data (NDC, NPI, RxNorm, LOINC, ICD-10, CVX, FDA Labels) via Model Context Protocol

@fhirfly-io/mcp-server

MCP (Model Context Protocol) server for connecting Claude Desktop to FHIRfly healthcare reference data APIs.

What is this?

This package lets Claude Desktop look up real healthcare reference data including:

  • NDC - Drug products and packages (FDA)
  • NPI - Healthcare provider identifiers (CMS)
  • RxNorm - Drug terminology (NLM)
  • LOINC - Laboratory codes (Regenstrief Institute)
  • ICD-10 - Diagnosis and procedure codes (CMS)
  • CVX/MVX - Vaccine codes (CDC)
  • FDA Drug Labels - Prescribing information
  • SNOMED CT - Clinical concepts (IPS free set)
  • Connectivity - Provider FHIR endpoints and Direct addresses
  • Claims Intelligence - NCCI edits, MUE limits, PFS/RVU data, coverage determinations

When you ask Claude about medications, providers, or clinical codes, it can look up accurate, current information instead of relying on training data.

Prerequisites

  1. Claude Desktop - Download from claude.ai/download
  2. Node.js 18+ - Download from nodejs.org
  3. FHIRfly API Key - Get one at fhirfly.io (free tier available)

Quick Setup

Step 1: Get a FHIRfly API Key

  1. Go to fhirfly.io and sign up
  2. Navigate to Dashboard > Credentials
  3. Click Create Credential and select MCP (Claude Desktop)
  4. Copy your API key (starts with ffly_)

Step 2: Configure Claude Desktop

Find your Claude Desktop config file:

  • macOS: ~/Library/Application Support/Claude/claude_desktop_config.json
  • Windows: %APPDATA%\Claude\claude_desktop_config.json

Add the FHIRfly server configuration:

{
  "mcpServers": {
    "fhirfly": {
      "command": "npx",
      "args": ["-y", "@fhirfly-io/mcp-server"],
      "env": {
        "FHIRFLY_API_KEY": "ffly_live_your_key_here"
      }
    }
  }
}

Replace ffly_live_your_key_here with your actual API key.

Step 3: Restart Claude Desktop

Completely quit Claude Desktop and reopen it. The FHIRfly tools should now be available.

Verify It Works

Try asking Claude:

  • "What is NDC 0069-0151-01?"
  • "Look up NPI 1234567893"
  • "Search for COVID vaccines in the CVX database"
  • "What are the drug interactions for Lipitor?"

Claude should use the FHIRfly tools to look up real data.

Available Tools

Tool Description
ndc_get Look up drug by NDC code
ndc_search Search drugs by name, ingredient, etc.
npi_get Look up provider by NPI number
npi_search Search providers by name, specialty, location
rxnorm_get Look up drug by RxCUI
rxnorm_search Search drug terminology
loinc_get Look up lab test by LOINC code
loinc_search Search lab codes
icd10_get Look up diagnosis/procedure code
icd10_search Search ICD-10 codes
cvx_get Look up vaccine by CVX code
cvx_search Search vaccine codes
mvx_get Look up vaccine manufacturer
mvx_search Search manufacturers
fda_label_lookup Look up FDA drug label
fda_label_search Search drug labels
fda_label_safety Get safety info (boxed warnings, contraindications)
fda_label_interactions Get drug interaction info
fda_label_dosing Get dosing information
fda_label_sections Get specific label sections
snomed_get Look up clinical concept by SNOMED CT ID
snomed_search Search SNOMED CT IPS concepts
snomed_mappings Find cross-terminology mappings for a SNOMED concept
npi_connectivity Look up provider connectivity (FHIR endpoints)
ncci_validate Check if two codes can be billed together (NCCI)
mue_lookup Look up max units of service (MUE limits)
pfs_lookup Look up Medicare fee schedule / RVU data
coverage_check Check LCD/NCD coverage determinations

Configuration Options

Environment Variable Description Default
FHIRFLY_API_KEY Your FHIRfly API key (required) -
FHIRFLY_API_URL API base URL https://api.fhirfly.io
FHIRFLY_DEBUG Enable debug logging (1 or true) false
FHIRFLY_TIMEOUT Fetch timeout in milliseconds 30000

Troubleshooting

"FHIRFLY_API_KEY environment variable is required"

Your API key isn't configured. Make sure:

  1. You have a valid API key from fhirfly.io
  2. It's set in the env section of your Claude Desktop config
  3. The key starts with ffly_

"Invalid API key format"

FHIRfly API keys start with ffly_. Check that you copied the full key.

"Authentication failed"

Your API key may be invalid or expired. Generate a new one at fhirfly.io/dashboard/credentials.

Claude doesn't show FHIRfly tools

  1. Make sure you completely quit and restarted Claude Desktop
  2. Check your config file syntax (must be valid JSON)
  3. Enable debug mode to see what's happening:
{
  "mcpServers": {
    "fhirfly": {
      "command": "npx",
      "args": ["-y", "@fhirfly-io/mcp-server"],
      "env": {
        "FHIRFLY_API_KEY": "your_key",
        "FHIRFLY_DEBUG": "1"
      }
    }
  }
}

"Rate limit exceeded"

You've hit your plan's rate limit. Wait a moment and try again, or upgrade your plan at fhirfly.io.

How It Works

┌─────────────────┐     ┌─────────────────┐     ┌─────────────────┐
│  Claude Desktop │────▶│  This Package   │────▶│  FHIRfly API    │
│                 │     │  (runs locally) │     │  (cloud)        │
│  "What is       │◀────│                 │◀────│                 │
│   NDC 123..."   │     │  Translates MCP │     │  Returns drug   │
│                 │     │  ↔ HTTPS        │     │  data           │
└─────────────────┘     └─────────────────┘     └─────────────────┘

This package runs on your computer as a bridge between Claude Desktop and the FHIRfly API. It:

  1. Receives requests from Claude Desktop via stdin
  2. Translates them to HTTPS requests to FHIRfly
  3. Returns the results to Claude via stdout

Your API key is sent to FHIRfly over HTTPS. No healthcare data is stored locally.

Links

Data Sources & Licensing

Data Source Provider License
NDC Directory FDA Public domain
NPPES (NPI) CMS Public domain
RxNorm NLM (NIH) UMLS license (free)
LOINC Regenstrief Institute Free with attribution
ICD-10-CM/PCS CMS Public domain
CVX/MVX CDC Public domain
FDA Drug Labels FDA/openFDA Public domain
SNOMED CT IPS SNOMED International CC BY 4.0
NCCI/MUE/PFS CMS Public domain

FHIRfly aggregates and indexes these data sources. See fhirfly.io/docs for details.

Changelog

See CHANGELOG.md for release history.

License

MIT - see LICENSE

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