MeSH MCP Server

Local setup required. This server has to be cloned and prepared on your machine before you register it in Claude Code.
1

Set the server up locally

Run this once to clone and prepare the server before adding it to Claude Code.

Run in terminal
pip install git+https://github.com/YOUR_USERNAME/mesh-mcp.git
2

Register it in Claude Code

After the local setup is done, run this command to point Claude Code at the built server.

Run in terminal
claude mcp add mesh-mcp -- node "<FULL_PATH_TO_MESH_MCP>/dist/index.js"

Replace <FULL_PATH_TO_MESH_MCP>/dist/index.js with the actual folder you prepared in step 1.

README.md

Connects Claude to the U.S. National Library of Medicine MeSH APIs

MeSH MCP

An experimental MCP (Model Context Protocol) server connecting Claude to the U.S. National Library of Medicine (NLM) Medical Subject Headings (MeSH) linked data APIs, built to investigate the potential of large language models in subject analysis and authority control.


What This Server Does

MeSH MCP connects Claude Desktop to the NLM MeSH APIs, allowing you to search and retrieve MeSH authority data directly within your AI-assisted cataloging workflow.

Once installed, you can ask Claude things like:

  • "Search MeSH for terms related to osmotic stress"
  • "Find the MeSH descriptor for CRISPR gene editing"
  • "What is the scope note for this MeSH descriptor?"
  • "Look up the full record for descriptor D011506"

The server handles all the API calls, parses the responses, and returns structured data Claude can reason about.


Who This Is For

  • Catalogers and metadata staff using Claude Desktop who want AI-assisted subject description grounded in real MeSH vocabulary data
  • Library and repository staff working with health sciences or biomedical research outputs — theses, datasets, grey literature — where MeSH is the preferred controlled vocabulary
  • Developers integrating MeSH lookups into MCP-based systems

Tools

Tool Description
search_mesh Search MeSH descriptors by label using the NLM lookup autocomplete endpoint. Supports startsWith (default), contains, and exact matching. Returns a list of {label, ui, uri} dicts.
get_mesh_record Retrieve the full record for a MeSH descriptor by UI code or URI. Returns label, annotation (scope note), tree numbers, tree categories, broader descriptors, see-also cross-references, and qualifier count.
get_mesh_qualifiers Retrieve the allowable subheading qualifiers for a descriptor (e.g. Diabetes Mellitus/therapy). Optionally includes per-qualifier indexing annotations.
get_mesh_tree Retrieve the MeSH tree hierarchy for a descriptor: tree numbers, top-level category names, and immediate broader (parent) descriptors.

Notes on Search Behaviour

search_mesh uses left-anchored matching by default (startsWith), which matches from the beginning of the heading label. Searching diabetes will find Diabetes Mellitus and related headings, but searching mellitus will not. When a startsWith search returns no results, use match="contains" to search anywhere in the label.

For highly specialized or emerging concepts without a direct MeSH equivalent — such as specific protein families or recently coined terminology — search with a broader parent term and review the returned hierarchy to identify the best available descriptor.

Use get_mesh_record to verify before assigning. Retrieve the full record to confirm the scope note matches the intended concept, particularly when multiple candidate terms are returned. Tree numbers indicate where the term sits in the MeSH hierarchy and can guide selection of broader or narrower terms.


Installation

Requirements

  • Python 3.11 or later
  • Claude Desktop (or another MCP-compatible host)

Install from GitHub

pip install git+https://github.com/YOUR_USERNAME/mesh-mcp.git

Install from a local clone

git clone https://github.com/YOUR_USERNAME/mesh-mcp.git
cd mesh-mcp
pip install -e .

On Windows with Anaconda, use Anaconda Prompt and add --break-system-packages if prompted.


Claude Desktop Configuration

After installation, add the server to your claude_desktop_config.json. Claude Desktop uses a restricted PATH that does not include the Python bin directory, so the full path to the command is required.

To find your exact path, run the following in Terminal (Mac) or Anaconda Prompt (Windows):

  • Mac: which mesh-mcp
  • Windows: where mesh-mcp

The examples below are illustrative only — your actual path will differ depending on your Python version and installation method.

Mac (example):

{
  "mcpServers": {
    "mesh": {
      "command": "/Library/Frameworks/Python.framework/Versions/3.13/bin/mesh-mcp"
    }
  }
}

Windows/Anaconda (example):

{
  "mcpServers": {
    "mesh": {
      "command": "C:\\Users\\username\\anaconda3\\Scripts\\mesh-mcp.exe"
    }
  }
}

Always replace the path with the actual output of the which or where command on your machine.

Finding your config file:

  • Mac: ~/Library/Application Support/Claude/claude_desktop_config.json
  • Windows: %APPDATA%\Claude\claude_desktop_config.json

After editing the config, quit Claude Desktop completely and reopen it. The MeSH tools will be available in your next conversation.

Verifying the installation

Once Claude Desktop is open, ask: "What cataloger tools do you have available?" — you should see all four MeSH tools listed.


Troubleshooting

Tools not appearing in Claude Desktop

Tools (4)

search_meshSearch MeSH descriptors by label using the NLM lookup autocomplete endpoint.
get_mesh_recordRetrieve the full record for a MeSH descriptor by UI code or URI.
get_mesh_qualifiersRetrieve the allowable subheading qualifiers for a descriptor.
get_mesh_treeRetrieve the MeSH tree hierarchy for a descriptor.

Configuration

claude_desktop_config.json
{"mcpServers": {"mesh": {"command": "/path/to/mesh-mcp"}}}

Try it

Search MeSH for terms related to osmotic stress
Find the MeSH descriptor for CRISPR gene editing
What is the scope note for this MeSH descriptor?
Look up the full record for descriptor D011506

Frequently Asked Questions

What are the key features of MeSH MCP?

Search MeSH descriptors by label with support for startsWith, contains, and exact matching. Retrieve full MeSH records including scope notes, tree numbers, and cross-references. Fetch allowable subheading qualifiers for specific descriptors. Access MeSH tree hierarchy data for subject analysis.

What can I use MeSH MCP for?

AI-assisted subject description for catalogers and metadata staff. Grounding medical terminology in official NLM MeSH vocabulary. Assisting library staff in cataloging health sciences and biomedical research. Verifying terminology for medical datasets and grey literature.

How do I install MeSH MCP?

Install MeSH MCP by running: pip install git+https://github.com/YOUR_USERNAME/mesh-mcp.git

What MCP clients work with MeSH MCP?

MeSH MCP works with any MCP-compatible client including Claude Desktop, Claude Code, Cursor, and other editors with MCP support.

Turn this server into reusable context

Keep MeSH MCP docs, env vars, and workflow notes in Conare so your agent carries them across sessions.

Need the old visual installer? Open Conare IDE.
Open Conare