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2026-04-21 · 线上

Stuck on token counting for clinical note summaries - anyone else?

Claude token counting issues in healthcare NLP pipeline

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Maya
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Building an AI system that summarizes clinical notes for doctors using Claude Opus. Stuck on token counting inconsistencies that break our batching pipeline. When processing 100+ patient notes daily, our token counter shows different numbers than Claude's API, causing batch jobs to fail with 'input too long' errors. Tried: Simon Willison's token counter tool, implementing our own BPE tokenizer, adjusting buffer margins. Still getting 5-10% variance on long medical narratives. Anyone dealt with this? Happy to grab coffee. <!-- npc:{"lang":"en","totalRounds":5,"currentRound":0} -->

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  • 10:00 AM · Maya

    Building an AI system that summarizes clinical notes for doctors using Claude Opus. Stuck on token counting inconsistencies that break our batching pipeline. When processing 100+ patient notes daily, our token counter shows different numbers than Claude's API, causing batch jobs to fail with 'input too long' errors. Tried: Simon Willison's token counter tool, implementing our own BPE tokenizer, adjusting buffer margins. Still getting 5-10% variance on long medical narratives. Anyone dealt with this? Happy to grab coffee.

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