Bag Epl Mcp

io.github.malkreidePublished by GitHub account malkreidev1.0.4Updated Oct 24, 2026

BAG EPL: Spezialitätenliste, medication and reimbursement data

Overview

AI-generated overview

Local MCP server for Swiss BAG ePL data, letting an assistant look up medication, congenital-disorder and medical-device coverage questions.

What you can do
Search the Spezialitaetenliste for compulsory-insurance medications and check GGSL coverage for congenital disorders, plus search the MiGeL for medical devices and aids. List pending SL admission requests for transparency. Retrieve legal context for coverage questions, including WZW criteria and Fedlex references. Report server status and API phase information. The README states that five of the six tools make no network request and return legal basis and entry points rather than retrieved list data.
When to use it
Useful when answering questions about whether a medication, aid or device is covered by Swiss mandatory health insurance, or which laws govern admission to the Spezialitaetenliste. Best treated as a pointer to official BAG and Fedlex sources rather than a definitive coverage check.
Requirements
Python 3.11+ and uv (recommended) or pip; runs locally over stdio, for example via uvx bag-epl-mcp. No API key or account is needed. Optional HTTP transport is configured through MCP_TRANSPORT, MCP_HOST, MCP_PORT and MCP_CORS_ORIGINS; optional tracing uses OTEL_EXPORTER_OTLP_ENDPOINT and MCP_OTEL_ENABLED.
Before you install
The README says Phase 1 tools mostly return legal context and entry points, not retrieved list data, so answers may be less complete than expected. It is informational only, not medical or legal advice, and is not affiliated with the BAG. Data is CC BY 4.0 and subject to upstream terms; availability depends on BAG and Fedlex sources. Setting MCP_HOST to 0.0.0.0 exposes the server without authentication.

Installation

In SourceWeft

  1. Open Bag Epl Mcp in the dashboard and add it to a workspace.
  2. Enable the server for the chats that should use its tools.

Desktop only via STDIO. STDIO servers start a local process, so they need the SourceWeft desktop host.

Other MCP clients

Follow the launch instructions in the repository.

README

\U0001f1e8\U0001f1ed Part of the Swiss Public Data MCP Portfolio

\U0001f48a bag-epl-mcp

[Version] [License: MIT] [Python 3.11+] [MCP] [No Auth Required] [CI]

MCP Server for the Swiss BAG electronic benefits platform (ePL) — Spezialitaetenliste, GGSL, MiGeL

\U0001f1e9\U0001f1ea Deutsche Version

Demo

[Demo: Claude using epl_sl_suche and epl_rechtskontext]


Overview

bag-epl-mcp enables AI models to answer questions about mandatory health insurance coverage in Switzerland — in natural language, grounded in real data.

ListPurposeLegal basis
Spezialitaetenliste (SL)Compulsory-insurance medicationsKVG Art. 52
GGSLMedications for congenital disorders (IV)IVG Anhang
MiGeLMedical devices & aidsKLV Art. 20

Anchor query: "Is this medication covered by mandatory health insurance?" → epl_sl_suche: Live lookup in the Spezialitaetenliste (SL) → More use cases by audience →


Features

  • \U0001f48a 6 tools, 2 resources, 2 prompts for Swiss health insurance data
  • \U0001f50d epl_sl_suche — search the Spezialitaetenliste for medications
  • ⚖️ epl_rechtskontext — legal context with Fedlex links
  • \U0001f513 No API key required — all data publicly accessible
  • ☁️ Dual transport — stdio (Claude Desktop) + Streamable HTTP (cloud)
  • \U0001f4da Prompt templates for insurance coverage checks and school health queries

Prerequisites

  • Python 3.11+
  • uv (recommended) or pip

Installation

bash
# Clone the repositorygit clone https://github.com/malkreide/bag-epl-mcp.gitcd bag-epl-mcp
# Installpip install -e .# or with uv:uv pip install -e .

Or with uvx (no permanent installation):

bash
uvx bag-epl-mcp

Quickstart

bash
# stdio (for Claude Desktop) — default, opens no network portspython -m bag_epl_mcp.server
# Streamable HTTP (cloud) — transport selected via env varMCP_TRANSPORT=streamable-http MCP_HOST=0.0.0.0 MCP_PORT=8000 \  pip install -e ".[http]" && python -m bag_epl_mcp.server

Transport & host are configured exclusively via environment variables (MCP_TRANSPORT, MCP_HOST, MCP_PORT). The default is stdio bound to nothing; MCP_HOST defaults to 127.0.0.1 and should only be set to 0.0.0.0 inside a container/cloud environment.

Try it immediately in Claude Desktop:

"Is Methylphenidate (Ritalin) covered by mandatory health insurance?" "Which laws regulate admission to the Spezialitaetenliste?" "Is a wheelchair covered by mandatory insurance?"


Configuration

Claude Desktop

Edit ~/Library/Application Support/Claude/claude_desktop_config.json (macOS) or %APPDATA%\Claude\claude_desktop_config.json (Windows):

json
{  "mcpServers": {    "bag-epl": {      "command": "python",      "args": ["-m", "bag_epl_mcp.server"]    }  }}

Or with uvx:

json
{  "mcpServers": {    "bag-epl": {      "command": "uvx",      "args": ["bag-epl-mcp"]    }  }}

Cloud Deployment (Streamable HTTP for browser access)

Render.com (recommended):

  1. Push/fork the repository to GitHub
  2. On render.com: New Web Service → connect GitHub repo
  3. Build command: pip install -e ".[http]"
  4. Set the following environment variables:
    • MCP_TRANSPORT=streamable-http
    • MCP_HOST=0.0.0.0 (required so the container accepts external traffic)
    • MCP_PORT=8000 (or Render's $PORT)
    • (optional) MCP_CORS_ORIGINS='["https://claude.ai"]' to extend the browser CORS allow-list
    • (optional) OpenTelemetry tracing is on by default but a no-op unless the tracing deps are installed — build with pip install -e ".[http,otel]" and point OTEL_EXPORTER_OTLP_ENDPOINT at your collector. Set MCP_OTEL_ENABLED=0 to disable.
  5. Start command: python -m bag_epl_mcp.server
  6. In claude.ai under Settings → MCP Servers, add: https://your-app.onrender.com/mcp

Security note: the server exposes only public, read-only data and uses no authentication. See docs/SECURITY.md for the threat model (egress allow-list, host binding, Lethal-Trifecta assessment).


Available Tools

ToolDescription
epl_sl_sucheSearch the Spezialitaetenliste for compulsory-insurance medications
epl_ggsl_abfrageCheck GGSL coverage for congenital disorders
epl_migel_sucheSearch the MiGeL for medical devices & aids
epl_gesuchseingaengeList pending SL admission requests (transparency)
epl_rechtskontextLegal context for coverage questions (WZW criteria)
epl_server_infoServer status and API phase information

Example Use Cases

QueryTool
"Is Ritalin covered by insurance?"epl_sl_suche
"Which medications for congenital disorder GG-313?"epl_ggsl_abfrage
"Is a wheelchair covered?"epl_migel_suche
"Which laws regulate the SL?"epl_rechtskontext

Architecture

Data flow (Phase 1):

                         bag-epl-mcp (FastMCP) ┌────────────┐   MCP   ┌───────────────────────────────┐   HTTPS GET  ┌──────────────────┐ │ MCP Client │◀───────▶│  tools (read-only)            │─────────────▶│ sl.bag.admin.ch  │ │ (Claude    │ stdio / │   ├─ epl_sl_suche             │  egress      │ www.bag.admin.ch │ │  Desktop,  │ Stream- │   ├─ epl_ggsl_abfrage         │  allow-list  │ www.fedlex...    │ │  claude.ai)│ able    │   ├─ epl_migel_suche          │◀─────────────│ (public OGD)     │ │            │ HTTP    │   ├─ epl_gesuchseingaenge     │  (no auth)   └──────────────────┘ │            │         │   ├─ epl_rechtskontext        │ │            │         │   └─ epl_server_info          │   structured JSON logs → stderr └────────────┘         │  resources: epl://uebersicht …│                        │  prompts:   epl_kassenpflicht…│                        └───────────────────────────────┘

Phase roadmap (details in docs/ROADMAP.md):

Phase 1 (current)  → legal context + entry points, no data retrievalPhase 2 (planned)  → FHIR/IDMP API, once publicly accessiblePhase 3 (vision)   → MiGeL + AL via ePL-FHIR

What Phase 1 does, and what it does not. Five of the six tools make no network request at all — there is exactly one outgoing HTTP call in the whole module. They return the legal basis and an entry point, and they now say so. The previous wording, "XML/XLSX downloads + SL website access", advertised a capability with no code path behind it; on 2026-08-08 it was removed rather than implemented, because the underlying source is not machine-readable.

That one HTTP call goes to sl.bag.admin.ch/api/search and receives HTTP 200 with text/html — the 51 KB Angular shell. A freely invented path under the same prefix returns the identical response, byte for byte: there is no API at that address. Previously the resulting JSON parse error was caught by a bare except Exception and turned into the claim "the SL database API is not publicly documented" — a statement about the BAG's publishing practice, derived from a parser error. The tool now reports what was measured.

The SL front end calls https://epl.bag.admin.ch/api/sl/ instead, on a different host. That host answers 401 without authentication — but it answers 401 for invented paths too, so this does not establish that any particular route exists. It is deliberately not on the egress allow-list: without verifiable access, adding it would be a grant on suspicion.

MCP protocol version: 2026-07-28 natively, 2025-11-25 as the initialize handshake ceiling. epl_server_info reports the revision the calling connection actually negotiated — derived from the request, not written down here a second time. See MCP Protocol Version for both eras. SDK updates are proposed monthly via Dependabot; the protocol version is reviewed on every mcp SDK bump — see the versioning policy in docs/ROADMAP.md.


Safety & Limits

  • Read-only: All tools perform HTTP GET requests only — no data is written, modified, or deleted.
  • No personal data: The server accesses public regulatory lists (SL, GGSL, MiGeL). No personally identifiable information (PII) is processed or stored.
  • No medical advice: This server provides informational access to regulatory data only. For medical or legal decisions, always consult the official BAG sources and qualified professionals.
  • Rate limits: The SL website (sl.bag.admin.ch) is a public Angular SPA; the server enforces a 30s timeout per request. Use limit parameters conservatively.
  • Data freshness: Phase 1 tools link to live BAG sources. No caching is performed by this server.
  • Links are measured, not assumed: the addresses handed out as "official source" are re-checked by scripts/record_fixtures.py on every run, together with a control request to an invented path. Two BAG pages previously handed out (.../Arzneimittel/geburtsgebrechen-spezialitaetenliste.html and .../Arzneimittel/gesuchseingaenge.html) answered HTTP 404 on 2026-08-08 and were replaced by the entry point that verifiably resolves — not by a guessed replacement URL.
  • Legal references are checked against the register: every SR number the server prints is resolved to its ELI via the Fedlex SPARQL endpoint. This detour is necessary: Fedlex's web front end is a single-page app that answers HTTP 200 with the same byte count for any ELI, including an invented one. That is how a wrong GgV link (eli/cc/1986/40_40_40, no register entry) went unnoticed; the correct ELI is eli/cc/1986/46_46_46.
  • Data licence (OGD-CH): The underlying BAG/Fedlex data is Swiss Open Government Data, licensed CC BY 4.0. Tool outputs carry a source / provenance block (JSON) or a source-and-licence footer (Markdown) so attribution is preserved.
  • Structured output: every tool returns both a human-readable Markdown/JSON block (content) and a typed structuredContent validated against a per-tool output schema, so MCP clients can consume results programmatically without parsing prose.
  • Terms of service: Data is subject to the ToS of sl.bag.admin.ch, bag.admin.ch, and fedlex.admin.ch.
  • No guarantees: This is a community project, not affiliated with the BAG or any government entity. Availability depends on upstream sources.

MCP Protocol Version

This server speaks two protocol eras over the same endpoint. The client's first request on a connection decides which one applies; a later claim from the other era is refused.

EraRevisionWho reaches it
initialize handshake2024-11-05 … 2025-11-25What today's clients speak. The server answers with the revision asked for, or with the 2025-11-25 ceiling when the request asks for something newer.
Per-request envelope2026-07-28A request carrying the 2026-07-28 _meta envelope opens a modern connection.

Both revisions are pinned in tests/test_protocol_version.py and asserted against the installed SDK, so a Dependabot bump of mcp cannot move either one silently. On top of the constants, the same file sends a real initialize and real 2026-07-28 requests (server/discover, tools/call) through the assembled HTTP app and asserts the measured answers.

Note that the SDK's LATEST_PROTOCOL_VERSION is an alias for the modern era, not for the handshake era — pinning against it alone would leave the era that current clients actually negotiate free to drift.

Update policy. When the gate fails, do not edit the constant blindly: read the spec changelog between the two revisions, verify the server still behaves, then move the constant, this section, README.de.md and CHANGELOG.md together.


Testing

bash
# Unit + contract tests (no network) — this is what CI runsPYTHONPATH=src pytest tests/ -m "not live"
# Live tests against the real BAG/Fedlex sourcesPYTHONPATH=src pytest tests/ -m "live"
# Re-record the measurements (writes tests/fixtures/ + PROVENANCE.md)PYTHONPATH=src python scripts/record_fixtures.py

100 tests — 88 offline, 12 against the live sources.

Why there is a contract test file as well as live tests

Until 2026-08-08 six of the eight live tests could not pass. They compared a string against a tool's return value:

python
assert "BAG ePL MCP Server" in result   # result is a CallToolResult

CallToolResult is a Pydantic model; in iterates over (field, value) pairs, so the comparison is always false. Nobody noticed, because CI excludes -m live — a test that only runs outside CI and is always red there reports to no one.

And even fixed, four of them would have proved nothing: assert "313" in result against a tool that writes its own input into a template, assert "Rollstuhl" in result likewise. They asserted that a tool echoes its input — which is precisely what those tools do.

What must hold permanently therefore lives in tests/test_quellen_vertrag.py, which runs inside CI against the recorded measurements under tests/fixtures/. PROVENANCE.md records source, date, selection rule and SHA-256 for each one.

Four of the recorded measurements are controls — an invented path under sl.bag.admin.ch/api/, an invented path in the BAG portal, an invented ELI, and an invented SR number. Without them each measurement would only show what we received, not what the source actually holds. The recorder aborts if a control stops discriminating, if a live entry point dies, if one of the dead pages returns, or if a legal reference drifts from the register.


Changelog

See CHANGELOG.md


Contributing

See CONTRIBUTING.md


Security

See SECURITY.md (Deutsch) for the security posture and how to report a vulnerability.


License

MIT License — see LICENSE


Author

Hayal Oezkan · malkreide


Credits & Related Projects

Installation

Run via uv's uvx — no clone or manual install needed. Add to your MCP client config (mcpServers for Claude Desktop, Cursor and Windsurf; use a top-level servers key for VS Code in .vscode/mcp.json):

json
{  "mcpServers": {    "bag-epl-mcp": {      "command": "uvx",      "args": [        "bag-epl-mcp"      ]    }  }}

Source: README.md at commit 2e7c443

Tools

0
SourceWeft has not started this package in its sandbox yet, so its tools are not known.

Version history

2
  1. v1.0.4LatestSep 27, 2026
  2. v1.0.3Sep 16, 2026

Score

50% of the applicable checks met

How complete this listing is, computed from the registry entry, the endpoint and public sources. Not a rating of the server and not a statement that it is safe or working today: reachability is a dated check, and no installs or reviews go into the score.

  • Reached in the last 30 days25 pts

    Keep the endpoint answering the MCP handshake; SourceWeft probes it every 30 days.

  • Auth declared10 pts

    Declare the credential headers in the registry entry, or keep the endpoint answering the probe so its auth can be classified.

  • Tools listed15 pts

    Answer tools/list without a credential, or ship a package that starts in a sandbox without one.

  • DescriptionRequired15 pts
  • Logo10 pts
  • Documentation15 pts
  • License10 pts