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Architecture & Design

System design, patterns, and architecture

Showing 1 - 3 of 3 Posts
Engineering14 min read

Building Fullscript Assist, Part 3: One Writer Per Session

How we guarantee one writer per conversation as Fullscript Assist scales across nodes: a durable lease for ownership, an epoch fence for writes.

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Engineering16 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.

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Illustration of a central GSD hub connected to department icons, representing AI-driven automation across teams, with a faint “19,000” in the background indicating hours saved.
Technology14 min read

Team GSD - Year 1 Reflection: Unlocking Operational Velocity

Team GSD scaled AI and automation across real workflows, improving operational velocity across multiple departments. Here’s how they did it.

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