All use case spotlights ·Analytics & Reporting ·Knowledge Search ·Healthcare

Sleep-therapy provider

Natural-language clinical reports

≈ $60M revenue (approx.) · 40 clinics · one clinical reporting app

Clinicians ask for patient cohorts in plain English and a constrained pipeline turns the question into validated filters, never free-form database queries, on a private GPU that costs a fraction of the hosted model it replaced.

Organization
Sleep-therapy provider with a clinical reporting application
Question
Could a small open model replace the hosted model in a constrained parser?
Runs on
A single cloud project with an inexpensive GPU
Scope
Natural-language report queries, validated before execution

The situation

Where they started.

Clinicians wanted to ask for cohorts in plain English: patients within a range of adherence, a number of days, a device condition. The existing parser used a hosted frontier model, which meant every question left the provider's environment and cost money per call. The team needed to know whether a private model could match it before committing.

What FlatClaw does

What was built.

  • A constrained-intent pipeline: the model emits a fixed schema that is checked against an allowlist of fields before anything runs; never free-form database queries.
  • A small open-weight model served on an inexpensive GPU inside the same cloud project as the application, so inference never crosses the boundary.
  • A provider seam that lets the application switch between the hosted model and the private one with an environment variable.
  • The provider's own benchmark questions replayed against both to settle the question with evidence.

Results

What changed.

  • The open model reproduced the hosted model's answers on nine of ten benchmark questions; the tenth was unverifiable in the original logs.
  • Every query valid against the schema; no invented fields.
  • Inference at a fraction of the hosted model's cost, and the GPU can be paused when idle.
  • A dress rehearsal for larger private deployments on the same pattern.

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