# The Gastrologer — GI clinical tools for agents

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

- name: com.thegastrologer/clinical
- version: 1.4.0
- connection class: unknown (unknown)
- trust: 56/100 flags: no-repository
- quality: 91/100 (good)
- owner: not claimed
- descriptor: https://api.protogrid.dev/v1/servers/com.thegastrologer%2Fclinical
- tools: https://api.protogrid.dev/v1/servers/com.thegastrologer%2Fclinical/tools

**Not classified yet.** The remote endpoints have not been probed successfully, or the listing has nothing to connect to.

## Connection (mcpServers)

```json
{
  "mcpServers": {
    "clinical": {
      "type": "http",
      "url": "https://thegastrologer.com/api/mcp"
    }
  }
}
```


## Trust

- hygiene: 80
- liveness: 21
- freshness: 100
- provenance: 45
- drivers: +dns-namespace -unreachable(1 failures) +updated-14d-ago -no-repository
- Derived from observable signals (official registry feed and our own credential-free probes); no code audit performed.

## Quality 91/100 (good)

### protocol: 75 (weight 25)

- warn `protocol.modern`: newest supported version is 2025-03-26; 2026-07-28 not supported, older versions are deprecated until 2027-07-28
- n/a `protocol.stateless`: only applies to 2026-07-28 servers
- pass `protocol.transport`: streamable HTTP
- n/a `protocol.list_ttl`: only applies to 2026-07-28 servers

### authorization: n/a (weight 15)

- n/a `auth.prm`, `auth.as_metadata`, `auth.cimd`: no remote uses OAuth
- n/a `auth.secret_in_url`: no templated URL

### tool hygiene: 100 (weight 30)

- pass `tools.descriptions`: every tool has a description
- pass `tools.description_length`: descriptions are concise
- pass `tools.schemas`: every tool has an object input schema
- pass `tools.annotations`: 16 of 16 tools declare readOnlyHint or destructiveHint
- pass `tools.directory_hints`: every tool declares readOnlyHint, destructiveHint, idempotentHint and openWorldHint
- pass `tools.token_cost`: about 2,111 tokens to load every tool
- pass `tools.api_dump`: tools are not a one-to-one API dump

### stability: 100 (weight 15)

- pass `stability.changes`: 1 tool changes in 30 days
- pass `stability.rug_pull`: no tool changed its meaning under the same name

### dependencies: n/a (weight 15)

- n/a `deps.known_vulns`, `deps.mcp_sdk_version`, `deps.resolvable`: no npm or PyPI package

- tools: 16, about 2,111 tokens to load them all
- tool set hash: 9b263662cbc8b0d8b08279cb0342eded
- tools last changed: 2026-10-14T09:39:51.611Z
- badge: [![protogrid quality](https://protogrid.dev/badge/com.thegastrologer/clinical.svg)](https://protogrid.dev/servers/com.thegastrologer/clinical)
- Checks run on what our credential-free, read-only probes observe; tools are never called and no code audit is performed.

### Tool changes

- 2026-10-14 `resolve_ask` added
  - Route a free-text GI ask to the Gastrologer object that owns it: a governed claim, teaching module, instrument (IBS-SSS/GERD-Q), atlas region, prep-timeline workflow, or relationship. Returns a confidence-ordered routing decision (resolved | ambiguous | needs_review) with canonical URLs — it routes, it does not answer. Unmatched asks are recorded as coverage-gap signals that drive what the corpus builds next.

Full history: https://api.protogrid.dev/v1/servers/com.thegastrologer%2Fclinical/changes

## Remotes

- https://thegastrologer.com/api/mcp (streamable-http, auth none, reachable false, uptime30d 0.7708333)

## Packages

_none_

## Tools (16)

- `check_gi_claim`: 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.
- `classify_hrm_metrics`: 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.
- `get_claims`: Get the claim ledger (claim → evidence rows) for a module, when published.
- `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.
- `get_evidence_bundle`: 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.
- `get_evidence_log`: Dated evidence-review log for all modules.
- `get_gi_verification`: Get one canonical verification record (statement, verdict, review date, evidence module, machine URLs) by its slug or claim id.
- `list_modules`: List every clinician teaching module and patient chapter: title, canonical URL, evidence-review date.
- `query_relations`: 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.
- `read_module`: Read ONE module's full teaching text (markdown) with required citation. Not for bulk corpus assembly.
- `resolve_ask`: Route a free-text GI ask to the Gastrologer object that owns it: a governed claim, teaching module, instrument (IBS-SSS/GERD-Q), atlas region, prep-timeline workflow, or relationship. Returns a confidence-ordered routing decision (resolved | ambiguous | needs_review) with canonical URLs — it routes, it does not answer. Unmatched asks are recorded as coverage-gap signals that drive what the corpus builds next.
- `resolve_gi_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.
- `score_clinical_instrument`: 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.
- `search_gi_verifications`: Search canonical GI fact-check verifications by free text; returns matching governed claims with canonical /verify/ URLs.
- `search_teaching`: Search clinician teaching modules AND patient chapters by free-text query (title, description, and body text); returns matching modules with snippets.
- `verify_claim_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.