The Gastrologer — GI clinical tools for agents

Physician-governed GI tools: claim verification, teaching retrieval, HRM and instrument scoring

使うべきか

品質と安全性

A
説明の品質
100%
スキーマの完全性
70%
命名の品質
96%
ポイズニングのリスク
100%
権限の一致
100%
プロトコルへの準拠
100%

ツール定義とプロトコルへの準拠に関する自動分析に基づいています。

コンテキストコスト

~2,023トークン数(ツール定義)
~584 B一般的なレスポンスサイズ
注意への影響は中程度(128k コンテキストの 1.58%)

これは、サーバーのツールがモデルのコンテキストに読み込まれるたびに消費されるおおよそのトークン数です。数が多いほど、ほかのタスクに使える注意が減ります。

インストール

ワンクリックインストール

これを `claude_desktop_config.json` ファイルに追加してください:

{
  "mcpServers": {
    "clinical": {
      "url": "https://thegastrologer.com/api/mcp"
    }
  }
}

リモートエンドポイント

https://thegastrologer.com/api/mcpstreamable-http

できること

ツール一覧

ツール(15)

🟢 読み取り専用🟡 書き込み🔴 削除⚪ 不明
🟢list_modules

List every clinician teaching module and patient chapter: title, canonical URL, evidence-review date.

入力スキーマ

{
  "type": "object",
  "properties": {},
  "additionalProperties": false
}
🟢search_teaching(query, limit)

Search clinician teaching modules AND patient chapters by free-text query (title, description, and body text); returns matching modules with snippets.

入力スキーマ

{
  "type": "object",
  "properties": {
    "query": {
      "type": "string"
    },
    "limit": {
      "type": "number",
      "maximum": 10
    }
  },
  "required": [
    "query"
  ],
  "additionalProperties": false
}
🟢read_module(slug)

Read ONE module's full teaching text (markdown) with required citation. Not for bulk corpus assembly.

入力スキーマ

{
  "type": "object",
  "properties": {
    "slug": {
      "type": "string",
      "pattern": "^[a-z0-9-]+$"
    }
  },
  "required": [
    "slug"
  ],
  "additionalProperties": false
}
🟢get_claims(slug)

Get the claim ledger (claim → evidence rows) for a module, when published.

入力スキーマ

{
  "type": "object",
  "properties": {
    "slug": {
      "type": "string",
      "pattern": "^[a-z0-9-]+$"
    }
  },
  "required": [
    "slug"
  ],
  "additionalProperties": false
}
🟢get_evidence_log

Dated evidence-review log for all modules.

入力スキーマ

{
  "type": "object",
  "properties": {},
  "additionalProperties": false
}
🟢get_corpus_state

The current GASTROLOGER_CLINICAL_STATE: version, corpus/section/module Merkle roots, counts and hash scheme — pin an answer to an exact knowledge state.

入力スキーマ

{
  "type": "object",
  "properties": {},
  "additionalProperties": false
}
🟢verify_claim_hash(claim_id, bundle_hash)

Verify one clinical claim against the published corpus root via its Merkle inclusion proof (optionally against a bundle_hash you hold). Returns the claim content only when it is physician-activated or clinician-adjudicated.

入力スキーマ

{
  "type": "object",
  "properties": {
    "claim_id": {
      "type": "string",
      "pattern": "^[A-Za-z0-9-]{3,40}$"
    },
    "bundle_hash": {
      "type": "string",
      "pattern": "^[0-9a-f]{64}$"
    }
  },
  "required": [
    "claim_id"
  ],
  "additionalProperties": false
}
🟢check_gi_claim(text)

Fact-check pasted text (a social post, caption, or sentence): canonical wording or its full explicit negation can receive a scoped governed verdict; other matches return unresolved reviewed candidates with evidence. No video retrieval or individual medical advice.

入力スキーマ

{
  "type": "object",
  "properties": {
    "text": {
      "type": "string",
      "maxLength": 2000
    }
  },
  "required": [
    "text"
  ],
  "additionalProperties": false
}
🟢resolve_gi_claim(claim)

Resolve one supplied proposition against governed claims. Only preserved canonical wording or its full explicit negation is certified; lexical candidates and changed qualifiers remain unresolved. Does not search external evidence.

入力スキーマ

{
  "type": "object",
  "properties": {
    "claim": {
      "type": "string"
    }
  },
  "required": [
    "claim"
  ],
  "additionalProperties": false
}
🟢search_gi_verifications(query, limit)

Search canonical GI fact-check verifications by free text; returns matching governed claims with canonical /verify/ URLs.

入力スキーマ

{
  "type": "object",
  "properties": {
    "query": {
      "type": "string"
    },
    "limit": {
      "type": "number",
      "maximum": 10
    }
  },
  "required": [
    "query"
  ],
  "additionalProperties": false
}
🟢get_gi_verification(slug)

Get one canonical verification record (statement, verdict, review date, evidence module, machine URLs) by its slug or claim id.

入力スキーマ

{
  "type": "object",
  "properties": {
    "slug": {
      "type": "string",
      "pattern": "^[A-Za-z0-9-]{3,110}$"
    }
  },
  "required": [
    "slug"
  ],
  "additionalProperties": false
}
🟢get_evidence_bundle(claim_ids, query, locale)

Resolve up to 10 claims (by claim_ids or free-text query) into an evidence bundle: statements, verdicts, review dates, evidence pointers, canonical URLs, clinical-state pin. Optional locale (BCP-47) reports human-localized module availability; canonical identifiers are language-independent. Bulk export beyond 10 claims is the paid tier (x402) at /api/premium/evidence-pack.

入力スキーマ

{
  "type": "object",
  "properties": {
    "claim_ids": {
      "type": "array",
      "items": {
        "type": "string",
        "pattern": "^[A-Za-z0-9-]{3,40}$"
      },
      "maxItems": 10
    },
    "query": {
      "type": "string",
      "maxLength": 500
    },
    "locale": {
      "type": "string",
      "pattern": "^[a-zA-Z]{2,3}(-[A-Za-z0-9]{2,8})*$"
    }
  },
  "additionalProperties": false
}
🟢classify_hrm_metrics(metrics, manufacturer, position, provocative, secondary_testing)

Legacy HRM operation quarantined after rule discrepancies were reproduced against reviewed teaching. Returns needs_review without classification. Do not invoke to obtain a diagnosis; this compatibility name is omitted from new plugin products.

入力スキーマ

{
  "type": "object",
  "properties": {
    "metrics": {
      "type": "object",
      "properties": {
        "irp_mmhg": {
          "type": "number"
        },
        "dci_mmhg_cm_s": {
          "type": "number"
        },
        "dl_s": {
          "type": "number"
        },
        "pct_failed": {
          "type": "number"
        },
        "pct_panesophageal": {
          "type": "number"
        },
        "pct_premature": {
          "type": "number"
        },
        "pct_hypercontractile": {
          "type": "number"
        },
        "pct_weak": {
          "type": "number"
        },
        "pct_fragmented": {
          "type": "number"
        }
      }
    },
    "manufacturer": {
      "type": "string",
      "enum": [
        "Medtronic",
        "Laborie",
        "Diversatek",
        "Unknown"
      ]
    },
    "position": {
      "type": "string",
      "enum": [
        "supine",
        "upright"
      ]
    },
    "provocative": {
      "type": "object"
    },
    "secondary_testing": {
      "type": "object"
    }
  },
  "required": [
    "metrics"
  ],
  "additionalProperties": false
}
🟢score_clinical_instrument(instrument, responses)

Score a governed clinical instrument from structured responses: IBS-SSS (ibs-sss, 5 slider items 0-100 + days×10, total 0-500) and GERD-Q (gerd-q, 6 choice items, total 0-18, ≥8 consistent with GERD). Returns total, percent of max, band label + interpretation, and the instrument citation. Every item is required; invalid/missing responses are rejected without defaulting or clamping. Educational scoring — not a diagnosis. Also POST /api/tools/score-instrument.

入力スキーマ

{
  "type": "object",
  "properties": {
    "instrument": {
      "type": "string",
      "enum": [
        "ibs-sss",
        "gerd-q"
      ]
    },
    "responses": {
      "type": "object",
      "description": "item_id → numeric value (see instrument spec at /tools/instruments.json)"
    }
  },
  "required": [
    "instrument",
    "responses"
  ],
  "additionalProperties": false
}
🟢query_relations(node, predicate, kind, claim_id, limit)

Query the evidence-backed clinical relationship graph (subject–predicate–object triples over diseases, medications, tests, findings, guidelines). Every relation cites governed claim IDs and/or evidence registry IDs. Filter by node text (subject/object), predicate (treated_by, evaluated_by, contraindicated_by, increases_risk_of, reduces_risk_of, causes, associated_with, suggests, argues_against, complicated_by, recommended_by, supported_by, conflicts_with, supersedes, requires_context_of), kind, or a claim_id. Also GET /api/tools/relations.

入力スキーマ

{
  "type": "object",
  "properties": {
    "node": {
      "type": "string",
      "description": "substring match against subject_id/object_id"
    },
    "predicate": {
      "type": "string"
    },
    "kind": {
      "type": "string",
      "description": "filter subject_kind or object_kind (disease, medication, test, finding, guideline, risk_factor, mechanism, intervention)"
    },
    "claim_id": {
      "type": "string"
    },
    "limit": {
      "type": "number",
      "maximum": 25
    }
  },
  "additionalProperties": false
}

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