The server defines 5 FHIR tools with basic structure but significant quality gaps. All tools have descriptions, but they are generic and lack LLM-actionable guidance. Input schemas are present but incomplete, parameters lack detailed descriptions, constraints, and format specifications. No output schemas are documented. Error handling is absent. The tool names are reasonably clear (search_fhir, read_fhir_resource, create_fhir_resource, update_fhir_resource, delete_fhir_resource) but descriptions do not explain WHEN to use each tool, what it returns, or how to chain them. Parameter schemas define types but omit critical details like valid resource types, pagination limits, or field constraints. This is a typical community server stuck at the definition-quality baseline (50-59 range).

• Add exhaustive output schemas for all 5 tools. Document the structure, field types, and critical fields needed for chaining (e.g., resourceId returned by create_fhir_resource so update_fhir_resource can reference it).
• Expand all tool descriptions to 100-200 characters explaining WHAT, WHEN, and WHAT-IS-RETURNED. Example: 'Search for FHIR resources matching criteria. Returns up to 20 results with pagination cursor. Use search_fhir when you have filters; use read_fhir_resource if you already know the resource ID.'
• Replace free-form 'searchParams' and 'resource' objects with enum-constrained parameters or detailed schema. Document valid FHIR resource types as an enum: Patient, Observation, Medication, Procedure, etc. Document required vs optional fields for create/update.
• Add pagination to search_fhir: include limit (default 20, max 100), offset/cursor, and total_count in response. Document result count expectations in the description.
• Add confirmation mechanism to delete_fhir_resource. Implement a dry-run parameter or separate confirm_delete tool. Update description to explicitly warn: 'DESTRUCTIVE: This permanently deletes the resource and cannot be undone.'
• Document error scenarios and recovery steps in each tool description. E.g., 'If resourceId not found, you will receive a 404 error with available IDs in the error message. Retry with a different ID or call search_fhir to find valid resources.'
• Constrain resourceType parameter as an enum across all tools instead of a free-form string. This prevents the LLM from inventing invalid types.

Inferred effective spec: <=2025-11-25.

• Relies on Logging (deprecated) - log to stderr or use OpenTelemetry