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ICF

@stayceMCP server · External

WHO ICF codes: lookup, search, hierarchy, qualifiers, and 11 scored clinical assessment instruments.

Medical referencev1.1.0MITTypeScript
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What it costs

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  • icf
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README3 min read

ICF MCP Server (Cloudflare Workers)

A Model Context Protocol (MCP) server for the WHO International Classification of Functioning, Disability and Health (ICF), deployed on Cloudflare Workers for global edge availability.

Live URL: https://mcp-icf.medseal.app/mcp

What is ICF?

The ICF is a WHO classification that complements ICD (diagnosis codes) by describing how health conditions affect a person's functioning in daily life:

  • Body Functions (b) - Physiological and psychological functions
  • Body Structures (s) - Anatomical parts of the body
  • Activities and Participation (d) - Task execution and life involvement
  • Environmental Factors (e) - Physical, social, and attitudinal environment

Tool

A single icf tool with action dispatch (token-efficient). 19 actions:

Codes & Hierarchy

ActionDescription
lookupLook up a specific ICF code (e.g., b280, d450)
searchSearch by keyword (e.g., "walking difficulty", "pain")
browseBrowse a category (b, s, d, e) or sub-chapter (b1, d4, e3)
childrenGet subcategories of a code
parentNavigate up to a code's parent category
siblingsCodes at the same level (same parent)
chainFull hierarchy path from root to a code
profileBuild a functional profile from multiple codes

Qualifiers

ActionDescription
qualifierComponent-specific qualifier reference (b=1, s=3, d=2, e=barrier/facilitator)
validateValidate code format + qualifiers, verify existence in the WHO API
parseParse fully qualified codes (d450.23, s730.312, e120+3)

Clinical Assessment Instruments

11 standardized RPM instruments with items, scoring, and ICF mappings: GAD-7, PHQ-9, RADAI-5, SLEDAI-2K, WHODAS 2.0, HAQ-DI, PROMIS-10, CAT, ODI, NRS Pain, Short FES-I.

ActionDescription
instrumentsList instruments, optionally filtered by domain
instrumentFull spec: items, response options, scoring, ICF mappings
scoreScore responses → severity, interpretation, ICF qualifier
suggestSuggest instruments for a condition, ICF code, or domain
mappingShow an instrument's ICF code mappings

Meta

ActionDescription
overviewFull ICF classification overview
apiRaw WHO API request (escape valve)
helpAction reference with examples

Example call:

json
{"action": "score", "name": "GAD-7", "responses": [1, 2, 1, 0, 1, 2, 1]}

Instrument and qualifier actions are pure logic and work without WHO API credentials; code/hierarchy actions require them.

Prerequisites

  1. WHO ICD-API credentials (free): Register at https://icd.who.int/icdapi
  2. Cloudflare account with Workers enabled
  3. Node.js 18+ and npm

Installation

bash
git clone https://github.com/stayce/icf-mcp-cloudflare.git
cd icf-mcp-cloudflare
npm install

Configuration

  1. Copy the example environment file:

    bash
    cp .dev.vars.example .dev.vars
    
  2. Edit .dev.vars with your WHO API credentials for local development.

  3. For production, set secrets:

    bash
    wrangler secret put WHO_CLIENT_ID
    wrangler secret put WHO_CLIENT_SECRET
    

Development

bash
npm run dev

The server will be available at http://localhost:8787.

Testing

bash
npm test

Regression tests cover instrument scoring (all 11 instruments) and qualifier parsing — pure logic, no WHO API credentials needed.

Deployment

bash
npm run deploy

For custom domain (configured in wrangler.toml):

bash
wrangler deploy --env production

Usage with Claude

Add to your Claude Desktop config (~/Library/Application Support/Claude/claude_desktop_config.json on macOS):

json
{
  "mcpServers": {
    "icf": {
      "type": "url",
      "url": "https://mcp-icf.medseal.app/mcp"
    }
  }
}

Or if deploying your own:

json
{
  "mcpServers": {
    "icf": {
      "type": "url",
      "url": "https://your-worker.workers.dev/mcp"
    }
  }
}

Endpoints

  • / or /health - Health check / server info
  • /mcp - MCP protocol endpoint (streamable HTTP)

API Reference

This server uses the WHO ICD-API which provides programmatic access to both ICD-11 and ICF classifications.

License

MIT License - see LICENSE

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