Posts by thepetersams

SOLR and Selective Retrieval at Scale: Full‑Document Indexing for User Search and LLM Summaries

In the previous article, we explored Decision Support — the stage where structured data, modeling, and LLM‑based summarization converge. This...

Decision Support at Scale: How Structured Data, Modeling, and LLM Summaries Work Together

In the previous article, we focused on cTAKES and the engineering work required to make clinical NLP viable on large,...

cTAKES at Production Scale: Data Modeling, Performance, and Operational Practices

This piece is a focused, technical deep dive on how we adapted and optimized cTAKES for national deployments.  It covers...

Engineering for Scale: How Our Pipeline Runs 20M+ Pages a Day on Commodity Hardware

A technical overview of the architecture, engineering choices, and operational controls that make a nationally deployed medical evidence system reliable,...

The Hidden Challenge of Medical Evidence at a National Scale

How Modern AI Is Transforming Medical Evidence Review for Millions of Americans Across the United States, millions of people depend...