How to Use the Epic Fhir MCP in VS Code Copilot

Q: How does our team get consistent access to Epic Fhir data with VS Code Copilot?

You add the MCP server configuration to a .vscode/mcp.json file and commit it to your Git repository. Every developer who pulls the repo will automatically have the same 10 tools available in their VS Code Copilot chat.

Equip your entire engineering team with access to Epic's FHIR API inside VS Code Copilot. Standardize on one toolset.

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Connect Epic Fhir MCP to VS Code Copilot

Create your Vinkius account to connect Epic Fhir to VS Code Copilot and route execution through our secure gateway. The platform manages server hosting, runtime updates, and security layers. Configuration requires no manual server provisioning.

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Setup Epic Fhir with VS Code Copilot

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Shared Patient Data Access for Your Team

This isn't just for you; it's for your whole team. By committing a `.vscode/mcp.json` file to your repository, every developer automatically gets these 10 Epic FHIR tools in their VS Code Copilot. No individual setup required. Now everyone on the team is building against the same live data source. When someone uses Copilot to `search_patients` or `list_conditions`, they're using the same toolset as everyone else. This eliminates 'works on my machine' problems when dealing with the Epic API.

Your VS Code Copilot MCP Server

Tell Copilot Chat what you need to build. For example, 'Draft a TypeScript interface for a patient's medication list'. The agent can then call `list_medications` to get a real response and generate an accurate, correctly-typed interface on the spot. This is about writing correct code faster. Use `get_patient` to see the structure of a patient record, or `list_appointments` to understand the appointment object. Copilot uses this live context to give you better, more relevant code suggestions that work with the real Epic API.

Draft Code with Real FHIR Resources

You can ask Copilot to perform multi-step queries that would normally be a pain. For instance, 'Find all encounters for patient X in the last year using `list_encounters`, then pull any `list_diagnostic_reports` associated with those visits'. Copilot's agent can execute that chain of requests and present the results right in the chat panel. You can then copy-paste the data or, even better, ask the agent to write the code that performs that exact sequence of API calls. It's a powerful way to explore the API and build features without leaving your editor.

Setup guide

Set up Epic Fhir MCP in VS Code Copilot

Prerequisites

VS Code 1.99 or later with GitHub Copilot extension
Active Vinkius subscription with a valid endpoint token

1

Open MCP configuration

Open the Command Palette (Cmd+Shift+P / Ctrl+Shift+P) and run "MCP: Add Server". Select HTTP (Streamable) as the server type. VS Code will create .vscode/mcp.json in your workspace.
2

Add the Epic Fhir MCP

Paste the JSON snippet shown on the right into your .vscode/mcp.json. Replace [YOUR_TOKEN_HERE] with your endpoint token from cloud.vinkius.com.
3

Switch to Agent mode

Open Copilot Chat (Cmd+Shift+I / Ctrl+Shift+I) and switch to Agent mode using the dropdown. MCP tools are only available in Agent mode — they do not appear in Edit or Ask modes.
4

Verify the connection

In the Copilot Chat input, type # to list available tools. You should see the Epic Fhir tools listed. Try asking: "List my recent Epic Fhir transactions" and Copilot will invoke them automatically.

.vscode/mcp.json

{
  "mcpServers": {
    "epic-fhir-mcp": {
      "url": "https://edge.vinkius.com/[YOUR_TOKEN_HERE]/mcp"
    }
  }
}

Get your connection token →

Independent Platform Disclaimer: Vinkius is an independent platform and is not affiliated with, endorsed by, sponsored by, verified by, or otherwise authorized by Epic Fhir. All third-party trademarks, logos, and brand names are the property of their respective owners. Their use on this website is strictly for informational purposes to identify service compatibility and interoperability.

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Common questions about Epic Fhir MCP in VS Code Copilot

You add the MCP server configuration to a `.vscode/mcp.json` file and commit it to your Git repository. Every developer who pulls the repo will automatically have the same 10 tools available in their VS Code Copilot chat.

Yes. Once the server is configured, you can switch Copilot to Agent mode and prompt it to do exactly that. It will use the `search_patients` tool, find the right person, and then call `list_conditions` to get their diagnoses.

You need VS Code version 1.96 or newer and an active GitHub Copilot subscription. After you add the MCP server configuration, the tools will be available in the Copilot Chat agent.

Yes, it's designed for team and enterprise environments. The Vinkius platform is SOC 2 compliant, and managing access via a checked-in config file fits perfectly into managed, secure development workflows.

Security is paramount. The connection is ephemeral, meaning the Vinkius server processes requests for data like Immunizations or Encounters but never stores the results. Each transaction is isolated in a zero-trust sandbox, ensuring that patient data from Epic's API is only ever in transit to the developer's authenticated VS Code client.

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