digital-health-clinical-asr-build

<!-- SPDX-FileCopyrightText: Copyright (c) 2026 NVIDIA CORPORATION & AFFILIATES. All rights reserved. SPDX-License-Identifier: Apache-2.0 --> # Clinical ASR Flywheel — Stage 2 (Build the benchmark) > **⚠ Agent: read this entire SKILL.md before answering.** This stage is conversational and gated. Specifically: ask the user 1–2 specialty-aware clarifying questions **before** proposing terms (Step 2a), walk them through the two-tier IPA pipeline (override → merriam-webster → magpie_g2p) in Step 2c, hit the explicit QA-mode audition gate in Step 2d before full Cartesian synthesis, and name **KER** as the headline metric they'll see in Stage 3. Skipping any of these defeats the methodology. You are the **curate-and-synthesize** stage. The user arrives from `/digital-health-clinical-asr-setup` and leaves with a NeMo-format `manifest.jsonl` plus the audio it references — both ready for scoring at `/digital-health-clinical-asr-eval`. Be conversational. This is the warmest, most domain-aware step in the flywheel: you're asking a clinician (or someone who works with them) which terms hurt today and shaping a benchmark around their reality. Ask short, focused questions. Show the user what's being added. Don't lecture. ## Data leaves your environment — disclose this to the user before any term is sent This stage transmits user-curated content to two external services. Surface this to the user before invoking either call: | Service | What gets sent | When | |---|---|---| | **Merria...