Clinical Handover Server

A Model Context Protocol (MCP) server for clinical handover coordination agents. It provides structured tools for risk classification, SBAR generation, completeness validation, follow-up task extraction, and ward preference management.

⚠️ Safety Notice: All outputs are clinical communication support drafts only. This system does not diagnose, prescribe, or make clinical decisions. Every output must be reviewed by a qualified clinical professional before use in patient care.

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Quick Start

Prerequisites

• Node.js ≥ 20
• npm ≥ 9

Install & Build

# 1. Install dependencies
npm install

# 2. Compile TypeScript → build/
npm run build

# 3. Verify the server starts cleanly
npm start
# Expected stderr: [clinical-handover-mcp] Server running on stdio transport. Ready.
# Press Ctrl+C to stop.

Local Development (no build step)

npm run dev          # runs src/index.ts via tsx directly

Lint (TypeScript type-check without emitting)

npm run lint

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Inspect with MCP Inspector

npm run inspect
# Opens MCP Inspector UI — usually at http://localhost:5173

The inspector lets you call each tool interactively with a form UI and see raw JSON responses. Use the sample inputs in src/data/sample-handover.md as test data.

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Tools

Tool	Purpose
classify_patient_risk	Risk-score a patient case (high/medium/low/uncertain)
validate_handover_completeness	Check for missing critical fields, return 0–100 score
generate_follow_up_tasks	Extract prioritised tasks from Gmail/Fireflies/Notion text
build_sbar_handover	Format a structured SBAR handover document
create_handover_record	Assemble a full shift handover record
update_ward_preferences	Draft ward-specific preference rules from clinician feedback

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Connect to Claude Desktop

Add to ~/Library/Application Support/Claude/claude_desktop_config.json (macOS) or %APPDATA%\Claude\claude_desktop_config.json (Windows):

{
  "mcpServers": {
    "clinical-handover": {
      "command": "node",
      "args": ["/ABSOLUTE/PATH/TO/clinical-handover-mcp-server/build/index.js"]
    }
  }
}

Replace /ABSOLUTE/PATH/TO/ with the real path, then restart Claude Desktop. The 6 tools will appear in Claude's tool palette.

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Connect to Agentman

In your Agentman agent config, add this MCP server as a tool source:

{
  "mcp_servers": [
    {
      "name": "clinical-handover",
      "transport": "stdio",
      "command": "node",
      "args": ["build/index.js"],
      "cwd": "/path/to/clinical-handover-mcp-server"
    }
  ]
}

The agent will discover all 6 tools automatically via the MCP protocol.

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Environment Variables

Copy .env.example to .env and populate if needed:

cp .env.example .env

Currently the server needs no secrets — all logic is local. Future integrations (e.g. Notion write-back) would add tokens here.

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Future: Streamable HTTP Deployment

The server currently uses stdio transport (simplest for local agents and Claude Desktop).

To expose it as an HTTP endpoint for multi-agent or remote deployments:

1. Install the HTTP transport package when available:

   npm install @modelcontextprotocol/sdk-transport-http
   

2. Replace StdioServerTransport in src/index.ts with StreamableHttpServerTransport:

   import { StreamableHttpServerTransport } from "@modelcontextprotocol/sdk-transport-http";
   const transport = new StreamableHttpServerTransport({ port: 3000 });
   

3. Deploy behind a reverse proxy (nginx/Caddy) with TLS.

4. Add bearer token auth middleware before exposing publicly.

For now, stdio is preferred — it keeps the attack surface minimal and avoids network credential management for a clinical communication tool.

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Safety Design Principles

1. No diagnosis. Tools score and classify for communication purposes only — not to inform clinical treatment.
2. No prescribing. The recommendation field in SBAR is a handover communication field, not a prescription.
3. Mandatory disclaimer. Every tool output carries the safety notice.
4. Human approval gate. update_ward_preferences never writes to Notion directly — it drafts rules for human review.
5. No PII storage. The server holds no state between calls. Patient identifiers used in tool calls are not persisted.

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Project Structure

src/
  index.ts        Entry point — stdio transport setup, graceful shutdown
  server.ts       Tool registration (MCP tool schemas + handlers)
  logic.ts        Core business logic (risk scoring, completeness, task extraction)
  formatters.ts   Output formatters (SBAR markdown, task tables, handover records)
  safety.ts       Safety disclaimer constants
  types.ts        Shared TypeScript interfaces and type aliases
  data/
    sample-handover.md   Sample handover text for testing
docs/
  CODEX_PROMPT.md  Agent system prompt reference