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Fullscript / Clinical systems lab

Building the systems behind better care.

Engineering stories from the teams powering Fullscript—where reliability, thoughtful tooling, and practitioner care meet in production.

Live platform signal

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Technical investigations from the living systems that connect practitioners, patients, and care.

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Engineering / 16 min read

Building Fullscript Assist

How Fullscript rebuilt its clinical AI assistant with Elixir, BEAM processes, and MCP to support 120K+ providers with stateful conversations.

System
Fullscript platform
Stack
Production systems
Scale
100K+ practitioners
Status
Production
Focus
Engineering
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Latest field notes

Close to the work.

Architecture decisions, delivery lessons, and hard-won operational knowledge.

Fullscript / People & practice

Engineering at Fullscript

Learn more about our team, culture, and how we're building technology that transforms healthcare.

Fullscript builders

Notes from the lab

Technical investigations, architecture stories, and lessons from building healthcare infrastructure.