Fullscript Logo

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

· signal nominal

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

Featured technical dossier

View all field notes →

Engineering / 6 min read

Categorizing Merge Requests with an LLM

See how Fullscript uses an LLM, a priority-ordered decision tree, and a daily CronJob to categorize every merge request.

System
Fullscript platform
Stack
Production systems
Scale
100K+ practitioners
Status
Production
Focus
Engineering
Read the investigation

RubyConf 2026 Takeover Edition

Engineering / 27 min read

Teaching Ruby to Rank: Building a Learning to Rank Ruby Gem

See how Fullscript fixed search with learning to rank in Ruby: NDCG, judgment lists from clicks, XGBoost reranking, and our upcoming ltr gem.

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.