Medplum MCP
Securely access and manage FHIR healthcare data stored in Medplum.
Description from the maker (original English)
Health doctor for a home AI stack: Ollama nodes, GPUs and tailnet, with graded confidence.
We have not written a plain-language summary for this one yet. Below are the facts we read from the registry.
Pick the AI app you use, then copy the settings.
Passed 2/2 checks · Runs on your computer
First: which AI do you use?
Pick your app and the steps appear below.
Works with Claude, with some setup first
You need a Stack Guardian key (sign up on the maker’s site, may cost money) · Install Python (uv) on your computer first (one time) · Only the Claude desktop app (Windows or Mac), not the web or phone
One time only; it works for every server that needs Python (uv)
Open the maker’s site, sign up and create an API key for the next step. It may cost money.
How to get a key is in the maker’s README below
SettingsDeveloperEdit Config
{
"mcpServers": {
"stack-guardian": {
"command": "uvx",
"args": [
"stack-guardian",
"mcp"
],
"env": {
"STACK_GUARDIAN_NODES": "your-value"
}
}
}
}Paste the key only into the app’s field, never into a chat or to anyone
Use Stack Guardian and tell me what you can do for me, then show me one thing✓ If Claude says it is using Stack Guardian or shows a Stack Guardian tool in the answer, you are connected
Menu names checked against Anthropic’s help page on Nov 11, 2026 · your screen may differ slightly by app version
ChatGPT cannot connect Stack Guardian yet
Stack Guardian runs on your computer, but ChatGPT can only connect servers that run on the web
A · Use an app that can connect Stack Guardian
B · Others in Clinics & health that work with ChatGPT
Picked from the most used in the same category, only ones that connect by address with no key
Works with Claude Code, with some setup first
You need a Stack Guardian key (sign up on the maker’s site, may cost money) · Install Python (uv) on your computer first (one time)
One time only; it works for every server that needs Python (uv)
Open the maker’s site, sign up and create an API key for the next step. It may cost money.
How to get a key is in the maker’s README below
Mac: press Command+Space and type Terminal · Windows: open PowerShell
claude mcp add stack-guardian --env STACK_GUARDIAN_NODES=your-value -- uvx stack-guardian mcpReplace “your-value” with your key before pressing Enter
Paste the key only into the app’s field, never into a chat or to anyone
You should see Stack Guardian listed as connected
Use Stack Guardian and tell me what you can do for me, then show me one thing✓ If Claude Code says it is using Stack Guardian or shows a Stack Guardian tool in the answer, you are connected
Menu names checked against Anthropic’s help page on Nov 11, 2026 · your screen may differ slightly by app version
Works with Cursor, with some setup first
You need a Stack Guardian key (sign up on the maker’s site, may cost money) · Install Python (uv) on your computer first (one time)
One time only; it works for every server that needs Python (uv)
Open the maker’s site, sign up and create an API key for the next step. It may cost money.
How to get a key is in the maker’s README below
In the Stack Guardian settings, STACK_GUARDIAN_NODES is empty; add your key and save
Paste the key only into the app’s field, never into a chat or to anyone
Use Stack Guardian and tell me what you can do for me, then show me one thing✓ If Cursor says it is using Stack Guardian or shows a Stack Guardian tool in the answer, you are connected
Menu names checked against Cursor’s help page on Nov 11, 2026 · your screen may differ slightly by app version
Works with VS Code, with some setup first
You need a Stack Guardian key (sign up on the maker’s site, may cost money) · Install Python (uv) on your computer first (one time)
One time only; it works for every server that needs Python (uv)
Open the maker’s site, sign up and create an API key for the next step. It may cost money.
How to get a key is in the maker’s README below
In the Stack Guardian settings, STACK_GUARDIAN_NODES is empty; add your key and save
Paste the key only into the app’s field, never into a chat or to anyone
Use Stack Guardian and tell me what you can do for me, then show me one thing✓ If VS Code says it is using Stack Guardian or shows a Stack Guardian tool in the answer, you are connected
Menu names checked against VS Code’s help page on Nov 11, 2026 · your screen may differ slightly by app version
Claude Code
claude mcp add stack-guardian --env STACK_GUARDIAN_NODES=your-value -- uvx stack-guardian mcpClaude Desktop (claude_desktop_config.json)
{
"mcpServers": {
"stack-guardian": {
"command": "uvx",
"args": [
"stack-guardian",
"mcp"
],
"env": {
"STACK_GUARDIAN_NODES": "your-value"
}
}
}
}Cursor (~/.cursor/mcp.json)
{
"mcpServers": {
"stack-guardian": {
"command": "uvx",
"args": [
"stack-guardian",
"mcp"
],
"env": {
"STACK_GUARDIAN_NODES": "your-value"
}
}
}
}VS Code (mcp.json)
{
"servers": {
"stack-guardian": {
"type": "stdio",
"command": "uvx",
"args": [
"stack-guardian",
"mcp"
],
"env": {
"STACK_GUARDIAN_NODES": "your-value"
}
}
}
}STACK_GUARDIAN_NODES required envThese settings are generated from the maker’s registry entry. If the README says otherwise, follow the README.
Based on how this server connects and on each app’s own docs, checked Nov 10, 2026.
Run on your computer in
ClaudeGooseLM StudioMsty StudioCherry StudioCursorVS Code + GitHub CopilotVisual StudioWindsurf (Devin Desktop)ZedKiroClineContinueJetBrains AI AssistantClaude CodeCodex CLIGemini CLIOpenCodenodecodeWarpLibreChatRaycast
Runs on your computer; the tool list appears in your AI app after you install it.
We check information anyone can see; we have not read the code. Checks that do not apply are left out of the count. · Checked Nov 11, 2026
The registry name was verified with the GitHub account LuminariSoftwares, which owns the repo
Code last changed 3 days ago
We have not read this repo from GitHub yet
This one runs on your computer; there is no internet endpoint
Runs on your computer and uses local settings instead
Runs on your computer; we can only read tool lists from internet endpoints
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Compared with every active server in this category in the registry. Stars count only when the publisher owns the repo.
It passed 2 of 2 applicable basic checks. We have not read the code. Before adding a key or token, see what access the server asks for and use a key with only the permissions you need.
You need to fill in: STACK_GUARDIAN_NODES
It runs on your computer. Your AI app starts it when needed, and data does not pass through the maker’s servers (unless it calls an online service itself).
The GitHub repo last changed 3 days ago, and the latest version (0.4.0) reached the registry 18 days ago.
Apps that support MCP, such as Claude Desktop, Claude Code, Cursor and VS Code. You also need Python (uv) on your computer.
In the same category: Medplum MCP, Mirobody, Apple Health
Servers in the same category from other makers, sorted by stars.
Reading a card:↓ Downloads per weeki★ GitHub starsiThree pillars: reviews · checks · usageiUpdated = latest version published to the registryi
Securely access and manage FHIR healthcare data stored in Medplum.
Lab results to LOINC codes and UCUM units, symptoms and diagnoses to ICPC-3. Offline, no API key.
Local-first Apple Health MCP server for questions about your sleep, workouts and heart data.
Copied from the maker’s repo as written. PopNx MCP has not reviewed or endorsed it. HTML, images and scripts are removed. Links lead off this site.
Status: active development -- changelog
mcp-name: io.github.LuminariSoftwares/stack-guardian
14 health checks, one command: the example stack exits 2 with 4 FAIL findings, on purpose.
A health doctor for a home AI stack -- Ollama or OpenAI-compatible nodes, NVIDIA GPUs, tailnet peers -- with graded, evidence-backed findings.
macOS / Linux (offline example run, Python 3.11+):
pip install stack-guardian
curl -LO https://raw.githubusercontent.com/LuminariSoftwares/stack-guardian/main/examples/snapshot.json curl -LO https://raw.githubusercontent.com/LuminariSoftwares/stack-guardian/main/examples/ctx.json stack-guardian doctor --snapshot snapshot.json --ctx ctx.json
Windows (PowerShell), or anywhere you would rather not touch the system Python
pipx install stack-guardian
curl.exe -LO https://raw.githubusercontent.com/LuminariSoftwares/stack-guardian/main/examples/snapshot.json curl.exe -LO https://raw.githubusercontent.com/LuminariSoftwares/stack-guardian/main/examples/ctx.json stack-guardian doctor --snapshot snapshot.json --ctx ctx.json
pipx puts it in its own virtualenv and on your PATH (pip install pipx if you do not have it). uvx stack-guardian doctor --snapshot snapshot.json runs it without installing anything at all.
The example snapshot makes every shipped rule fire once, so you see each finding type without touching a real stack. The command exits 2 because the example contains FAIL findings; that is the expected result. Each line ends with the confidence grade - one run is at most (LIKELY), the same finding on a second run is (VERIFIED).
Point it at your own machines next:
stack-guardian init # writes nodes.json for this machine; never overwrites one
stack-guardian doctor --nodes nodes.json
init probes http://127.0.0.1:11434 to see whether Ollama is answering, and lists your tailnet peers (if tailscale is on PATH) as commented-out candidates you can move up into the file. Edit it by hand from there; the shape is in examples/nodes.json and under What it does.
From a clone instead (for writing rules or running the tests):
git clone https://github.com/LuminariSoftwares/stack-guardian.git
cd stack-guardian python -m venv .venv .venv\Scripts\activate # Windows; macOS/Linux: source .venv/bin/activate pip install -e ".[test]" # drop [test] if you only want to run it, not test it stack-guardian doctor --snapshot examples/snapshot.json --ctx examples/ctx.json python -m pytest -q
stack-guardian doctor --snapshot snapshot.json --ctx ctx.json
Run 2026-11-05 on stack-guardian 0.4.0 ( ): the command exits 2, prints worst: FAIL, and ends with:
stack-guardian: 8 finding(s) are LIKELY on one run: run again to confirm them as VERIFIED
14 findings on the example snapshot: 4 FAIL, 4 WARN, 6 INFO. The 14 checks that ship are counted from the installed package: stack-guardian 0.4.0 checks loaded from installed package: 14
Tests, 2026-11-05 ( ): 171 passed in 61.00s (0:01:00)
Standard library only, Python 3.11+, no runtime dependencies. GPUs: NVIDIA only, and only on the machine running stack-guardian.
A health doctor for a home AI stack. It collects a snapshot of your nodes (Ollama or OpenAI-compatible endpoints, loaded models, NVIDIA GPUs, tailnet peers), runs small Python rules against it, remembers the last runs, and reports findings with a confidence grade: one sample is at most LIKELY, the same finding twice in a row is VERIFIED. It exists because "the model is slow" on a multi-machine local stack has a dozen possible causes, and an agent or a person should get a graded, evidence-backed answer instead of a guess. A finding can carry a typed fix that you run on purpose, never automatically. It ships as a CLI, an MCP server for coding agents, a tiny HTTP endpoint with Prometheus metrics, and a DeepSeek Harness (DSH) plugin.
Two runs against examples/nodes.json with one state file:
# run 1
FAIL ollama.unreachable [gpu-box-2]: 1 Ollama endpoint(s) do not answer: http://100.64.0.2:11434 (LIKELY) FAIL ollama.unreachable [home-server]: 1 Ollama endpoint(s) do not answer: http://100.64.0.3:11434 (LIKELY) FAIL tailnet.peer_offline [home-server]: tailnet peer offline: home-server (LIKELY) WARN model.expiring [gpu-box]: 1 loaded model(s) unload within 60s: qwen3:8b (LIKELY) OK ollama.answering [gpu-box]: 1 endpoint(s) answer: http://127.0.0.1:11434 worst: FAIL
FAIL ollama.unreachable [gpu-box-2]: 1 Ollama endpoint(s) do not answer: http://100.64.0.2:11434 (VERIFIED) FAIL ollama.unreachable [home-server]: 1 Ollama endpoint(s) do not answer: http://100.64.0.3:11434 (VERIFIED) FAIL tailnet.peer_offline [home-server]: tailnet peer offline: home-server (VERIFIED) WARN model.expiring [gpu-box]: 1 loaded model(s) unload within 60s: qwen3:8b (VERIFIED) OK ollama.answering [gpu-box]: 1 endpoint(s) answer: http://127.0.0.1:11434 worst: FAIL
<!-- demo-report:end -->
That is the real output of python examples/demo_report.py: the shipped collector and rules, with a stub Ollama on 127.0.0.1 answering for gpu-box, the two placeholder tailnet addresses never contacted, and sample nvidia-smi and tailscale output so it prints the same on any machine. The shipped rules only report problems; the OK line comes from a small rule inside the script. A test fails if this block and the script disagree.
Why the grade. One run can make a finding at most LIKELY; the same finding on two runs in a row makes it VERIFIED; passing checks are not graded. On a home network a sleeping laptop, a Wi-Fi drop or a model being reloaded looks broken for a few seconds, so one bad sample is reported as a likely problem and only what persists is reported as fact.
Standard library only, Python 3.11+, no runtime dependencies.
One of four small, independent tools for people running local models: see The guardian family.
*Not affiliated with StackGuardian, the infrastructure-automation company. Same word, unrelated projects.*
flowchart LR
nodes["nodes.json"] --> collect subgraph collect["collect: one snapshot, all nodes in parallel"] direction TB ol["Ollama /api/tags, /api/ps OpenAI-compatible /v1/models"] gpu["nvidia-smi (local node only)"] ts["tailscale status --json"] end collect --> snap[("snapshot dict")] snap --> rules["checks.d/*.py rules run concurrently; a crash becomes check.crashed"] rules --> grade["state.grade LIKELY until seen twice, then VERIFIED"] hist[("state.json last 5 runs per node")] <--> grade grade --> cli["CLI: doctor exit 0 / 1 / 2"] grade --> mcp["MCP stdio server read-only, never records"] grade --> http["serve: /snapshot, /metrics"] grade -.->|"finding.fix"| fix["doctor --fix ID dry run unless --apply; snapshot + audit line"]
| module | job |
|---|---|
collect.py, multinode.py, parsers.py | probe every node in parallel under one deadline; parse Ollama, OpenAI-compatible, nvidia-smi and tailscale output into one snapshot dict. A dead endpoint is data, never an exception. |
core.py, finding.py, checks.d/ | load rule files, run them concurrently, and build findings with a fixed shape (code, severity, level, node, summary, evidence, try, confidence, fix). |
state.py | keep the last runs per node and grade confidence from streaks. |
fixes.py | the three typed fix actions, their dry-run plan, snapshot and audit line. |
cli.py, mcp_server.py, serve.py | the three front ends over the same doctor. |
Each is written up with its alternatives in docs/adr/.
pip install pulls nothing else, so it installs on any machine with Python 3.11. Trade-off: the HTTP client, JSON-RPC loop and Prometheus renderer are hand-written and have to be tested here.(snapshot, ctx) -> finding | list | None; a rule that raises becomes a check.crashed WARN, so a buggy rule never reports a broken stack. Trade-off: rules run in-process with your privileges; only load rule folders you trust.LIKELY; two bad runs in a row are VERIFIED. Trade-off: a real outage needs a second run before it is VERIFIED, and the history is a local file.--apply, and every applied fix leaves a snapshot and an audit line. Trade-off: anything outside the three actions has to be done by hand.serve binds to loopback unless told otherwise. Trade-off: an agent can diagnose but must hand the fix back to a person.stack-guardian-mcp speaks MCP over stdio with three read-only tools, stack_health, stack_snapshot and stack_explain. See MCP server for client configs and the tool reference.npm install dsh-stack-guardian, source in dsh/, Node 20+): adds one line at the start of a DeepSeek Harness session when the doctor reports WARN or FAIL, and nothing otherwise. It runs stack-guardian doctor --json --quiet, so set STACK_GUARDIAN_NODES to your nodes file in the harness environment.stack-guardian doctor --watch 30 --json prints one JSON object per finding that changes state (new, resolved, severity change), so an agent can tail it; stack-guardian-serve --nodes FILE also answers GET /metrics in Prometheus text format.stack-guardian-mcp (also stack-guardian mcp) speaks MCP over stdio (JSON-RPC 2.0, protocol 2024-11-05). It needs a nodes file (examples/nodes.json); give its path with --nodes FILE or the STACK_GUARDIAN_NODES environment variable. Optional: --ctx FILE (rule settings), --state FILE (run history to grade against), --ttl SECONDS (how long one snapshot is reused, default 10).
Run it without installing anything:
uvx stack-guardian mcp --nodes /path/to/nodes.json
Claude Desktop (claude_desktop_config.json):
{
"mcpServers": { "stack-guardian": { "command": "uvx", "args": ["stack-guardian", "mcp"], "env": {"STACK_GUARDIAN_NODE