OpenEvidence scales medical search for 650K doctors using Vercel Fluid compute

·2026.11.03 09:00

Key point

The platform supported over 20 million clinical consultations in January 2026 and absorbed a viral TikTok traffic spike without additional capacity provisioning.

Details

  • OpenEvidence serves 650,000 doctors with medical search, supporting over 20 million clinical consultations in January 2026 and more than 100 million Americans treated in 2025.
  • The team reduced serverless spend by 90% by enabling Fluid compute, which allows multiple requests to share a running function instance and avoids CPU charges during wait times.
  • Production deployments complete in about five minutes, and the platform absorbed a viral traffic spike reaching two million TikTok views without additional capacity provisioning.
  • Engineers use Next.js on Vercel to deploy preview environments for testing and roll back production releases, enabling multiple daily releases for a physician audience.
  • The patient-facing application Take Home runs as a separate Vercel project with a custom domain, allowing independent updates to the patient experience without affecting the physician-facing app.

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