Open-source guardrails between AI agents and FHIR clinical data — PHI redaction, immutable audit, step-up auth, tenant isolation. MCP server + OpenAI/Gemini adapters. A healthclaw.io project.
Setup
Choose your client, copy the config, then fill in any required environment variables.
claude mcp add --transport http healthclaw-guardrails https://mcp-server-production-5112.up.railway.app/mcp --header 'X-Step-Up-Token: <X_STEP_UP_TOKEN>'~/.codex/config.toml
[mcp_servers.healthclaw-guardrails]
url = "https://mcp-server-production-5112.up.railway.app/mcp"
http_headers = { X-Step-Up-Token = "<X_STEP_UP_TOKEN>" }
# codex mcp add healthclaw-guardrails --url https://mcp-server-production-5112.up.railway.app/mcp~/.cursor/mcp.json
{
"mcpServers": {
"healthclaw-guardrails": {
"url": "https://mcp-server-production-5112.up.railway.app/mcp",
"headers": {
"X-Step-Up-Token": "<X_STEP_UP_TOKEN>"
}
}
}
}.vscode/mcp.json
{
"servers": {
"healthclaw-guardrails": {
"type": "http",
"url": "https://mcp-server-production-5112.up.railway.app/mcp",
"headers": {
"X-Step-Up-Token": "<X_STEP_UP_TOKEN>"
}
}
}
}~/.gemini/settings.json
{
"mcpServers": {
"healthclaw-guardrails": {
"httpUrl": "https://mcp-server-production-5112.up.railway.app/mcp",
"headers": {
"X-Step-Up-Token": "<X_STEP_UP_TOKEN>"
}
}
}
}claude_desktop_config.json · Customize › Connectors › Add custom connector
{
"mcpServers": {
"healthclaw-guardrails": {
"command": "npx",
"args": [
"-y",
"mcp-remote",
"https://mcp-server-production-5112.up.railway.app/mcp",
"--header",
"X-Step-Up-Token:<X_STEP_UP_TOKEN>"
]
}
}
}.trae/mcp.json
{
"mcpServers": {
"healthclaw-guardrails": {
"url": "https://mcp-server-production-5112.up.railway.app/mcp",
"headers": {
"X-Step-Up-Token": "<X_STEP_UP_TOKEN>"
}
}
}
}