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digital-health-clinical-asr-build

Stage 2 of the Clinical ASR Flywheel. Use when curating clinical terms, tagging IPA, and synthesizing a NeMo manifest. NOT for scoring (use /digital-health-clinical-asr-eval).

skills/digital-health-clinical-asr-build/SKILL.md

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# 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