semblekit

semblekit

MCP server for the Semble practice-management API, enabling AI agents to search for patients, contacts, and users, as well as retrieve patient relationships via read-only tools.

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README

semblekit (@burrows99/semblekit)

standard-readme compliant License: MIT

CLI, library & MCP server for the Semble practice-management API — usable by any agent, human, or script.

semblekit drives Semble over its public GraphQL API. It models Semble's own concepts (contacts, patients & relationships, users) rather than any one organisation's usage of them, and ships four ways to use it: a semble CLI, an importable library, an MCP server, and a Claude Code plugin.

Not affiliated with, endorsed by, or supported by Semble Ltd. "Semble" names the API this tool interoperates with.

Design principle. Commands map to Semble resources, not workflows. A "Responsible Clinician", for example, is not a first-class Semble thing — it is just a patient relationship with a label pointing at a contact. So the tool exposes semble patient relationship … and leaves the meaning to the consumer.

Naming. The repo and CLI command are semblekit / semble; the published package is @burrows99/semblekit on the GitHub Packages registry (the bare name semblekit is taken on npmjs). The Claude plugin is semble@semblekit.

Table of Contents

Security

Semble is a practice-management / EHR system, so treat everything it returns as sensitive.

  • De-identification (on by default). Output is pseudonymised before any agent, CLI, or MCP client sees it: direct identifiers — name, email, date of birth, phone, address, NHS number — are redacted, and free-text is scrubbed for embedded emails / phone / NHS numbers, while Semble's opaque ids and clinical values are kept. Per the ICO, pseudonymised data is still personal data — this reduces what agents read, it does not anonymise. Disable with the CLI --no-deid flag or SEMBLE_DEID=false (honoured by the CLI and the MCP server; for MCP it is set at launch, so an agent cannot turn it off itself).
  • Health data. patient data is likely special-category personal data under UK GDPR / the Data Protection Act. You remain the controller or processor for anything you move with this tool. Prefer the sandbox for development.
  • Credentials. Supplied via flags, environment variables, or ~/.config/semble/config.json — never hardcoded. Keep them out of version control; the tool never logs credential values.
  • Tracing & data on disk. Every command appends request metadata (no bodies) to .semble/trace.jsonl. --trace / --trace-full additionally persist full request and response bodies — which may contain patient data — to that file. Secrets (tokens) are redacted, patient data is not. .semble/ is git-ignored by default; avoid full tracing against production data unless your obligations allow it.

Background

Credentials and API URLs come from flags, environment variables, or a config file — never hardcoded — so semblekit is not coupled to any deployment. It runs on plain Node (built-in fetch, Node ≥ 18); no Docker.

It talks to Semble's public GraphQL API (x-token). The design is object-oriented: typed entities own their behaviour, thin resources do I/O, and a single fetch chokepoint makes request tracing a one-line wrap.

Install

Requires Node ≥ 18. semblekit is published to the GitHub Packages npm registry, which needs a one-time scope + token setup (a GitHub token with the read:packages scope):

printf '@burrows99:registry=https://npm.pkg.github.com\n//npm.pkg.github.com/:_authToken=YOUR_GITHUB_TOKEN\n' >> ~/.npmrc

npm install -g @burrows99/semblekit   # global: the `semble` CLI + `semble-mcp` MCP server
# or, as a library in a project:
npm install @burrows99/semblekit

Dependencies

Node ≥ 18 only (uses the built-in fetch). No Docker, no database.

Usage

Credentials resolve flags > environment > config file > built-in presets, and are auto-discovered from the nearest .env / .claude/.env walking up from the working directory. See .env.example. For the public API the relevant variables are SEMBLE_OPEN_URL and SEMBLE_TOKEN.

CLI

semble patient search "smith" --limit 5        # find a patient id
semble patient get <patientId> --json
semble contact search "clinic" --json          # find a contact/clinician id
semble user list
semble patient relationship add <patientId> <contactId> --label "Responsible Clinician"
semble help

--json for machine output, --trace for a DevTools-style request log, --limit to cap paginated results. stdout is data, stderr is messages; exit 0 success · 1 runtime error · 2 usage error.

Library

import { SembleClient, SembleTracer, loadConfig } from "@burrows99/semblekit";

const client = new SembleClient(loadConfig({ profile: "sandbox" }));
const [patient] = await client.patients.search("smith");
const rels = await client.patients.listRelationships(patient.id);

new SembleTracer(client, (record) => console.error(record)); // optional: trace every HTTP exchange

Methods return data or throw SembleError; they never call process.exit or print. search / list paginate automatically and accept { limit }.

MCP server

semblekit ships a stdio MCP server so an AI host can drive Semble as tools — run it with npx, no install needed (uses the .npmrc set up in Install):

npx -p @burrows99/semblekit semble-mcp

Point an MCP host at it:

{
  "mcpServers": {
    "semblekit": { "command": "npx", "args": ["-y", "-p", "@burrows99/semblekit", "semble-mcp"] }
  }
}

Inspect it with the MCP Inspector:

npx @modelcontextprotocol/inspector npx -p @burrows99/semblekit semble-mcp

Read-only tools: semble_patient_search, semble_patient_get, semble_patient_relationships, semble_contact_search, semble_contact_get, semble_user_list, semble_user_get.

Claude Code plugin

claude plugin marketplace add /path/to/semblekit
claude plugin install semble@semblekit

API

  • new SembleClient(config?) — composes the transport and resources; build config with loadConfig(options).
  • client.patientssearch(query?, { limit? }), get(id), listRelationships(patientId).
  • client.contactssearch(query?, { limit? }), get(id).
  • client.userslist({ limit? }), get(id).
  • SembleTracer(client, sink, options?) — decorates the client's fetch chokepoint; sink(record) fires per request, with secrets redacted.
  • SembleConfig / loadConfig / PRESETS — profile resolution; presets name sandbox and prod.
  • EntitiesPatient, Contact, User, RelatedAccount; each JSON.stringifys to its API shape.
  • ErrorsSembleError and its subclasses SembleConfigError, SembleAuthError, SembleApiError, SembleNotFoundError, SembleValidationError.

Maintainers

@burrows99 (Raunak Burrows).

Contributing

Questions and bugs: open an issue at github.com/burrows99/semblekit/issues. PRs are welcome and target main. Keep org-specific meaning out of the library — expose the generic Semble operation.

npm install        # installs deps, builds via `prepare`
npm run build      # tsc → dist/ + .d.ts
npm run typecheck  # tsc --noEmit
npm test           # placeholder suite

Source is TypeScript (ESM, NodeNext) in src/**/*.ts, compiled to dist/. Add a resource by creating its entity in src/entities/, a src/resources/<resource>.ts, wiring it onto the client in src/client.ts, and a matching src/commands/<resource>.ts.

License

MIT © Raunak Burrows.

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