MedScale

MedScale is a Rust-owned, local-first, privacy-first medical intelligence platform.

Cursor: start here

Open the repository in Cursor and tell it to read CURSOR.md and continue MedScale from live repository truth. The repository contains standing founder authorization and an autonomous build queue; Cursor should not need routine founder decisions.

Read order:

1. CURSOR.md
2. AGENTS.md
3. docs/planning/START_HERE.md
4. docs/planning/BUILD_QUEUE.md
5. docs/planning/MASTER_BUILD_PLAN_V2.md

Active state

PLAN = CANONICAL_V2
SPEC_000 = CLOSED_CANONICAL
FIRST_EXECUTABLE_SPEC = 001
CURSOR_AUTONOMOUS_IMPLEMENTATION = AUTHORIZED_WITHIN_PLAN
REAL_PHI = NOT_AUTHORIZED
MESC_MUTATION = NOT_AUTHORIZED
PRODUCT_RUNTIME_EGRESS = DEFAULT_DENY
UI_VISUAL_SOURCE = v0

Engineering bootstrap

• Spec Kit constitution: .specify/memory/constitution.md
• Active Spec 001 package: specs/001-rust-repository-speckit-bootstrap/
• Contributing: docs/engineering/CONTRIBUTING.md
• Dependency direction: docs/engineering/DEPENDENCY_DIRECTION.md

cargo test --workspace
cargo run -p medscale-cli -- --version
cargo run -p medscale-cli -- doctor

Execution support

• Cursor execution playbook
• Implementation authority
• Decision defaults
• Definition of done
• External gates
• Source acquisition and copy plan
• v0 UI integration contract

Canonical architecture/planning

• Master Build Plan V2
• Spec Kit Master Roadmap V2
• Canonical Source Register V2
• OSS / Code Absorption Matrix V2
• OpenMed Parity / Surpass Matrix V2
• GLM 5.3 Reconciliation V2

One platform, many surfaces: CLI, Desktop, iOS, Android and SDK bindings share the same Rust-owned source/provenance, identity, time, authority, privacy and Pack semantics. OpenMed is the capability floor/strategic donor. MESC is an independent scientific producer. Neither owns MedScale clinical truth.