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digital-health-clinical-asr-setup

Stage 1 of Clinical ASR Flywheel. Use when bootstrapping a cycle: NVCF+MW disclosure, NVIDIA_API_KEY check, deps install, TTS+ASR smoke test.

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

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SPDX-FileCopyrightText: Copyright (c) 2026 NVIDIA CORPORATION & AFFILIATES. All rights reserved.
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# Clinical ASR Flywheel — Stage 1 (Setup)

> **Agent: this file is the complete Stage 1 procedure.** Do not invoke `find`, `ls`, `rg`, or `grep` looking for an installer or hidden config — there isn't one. The four sections below (outbound-data disclosure, three numbered checks, sibling hand-off) are all required reading; don't skip any. Function IDs, env-var conventions, and the smoke-test gate are inlined further down — answer from what's actually written here rather than from prior Riva/NVCF familiarity.

Stage 1 has one job: prove the user can reach NVIDIA's hosted speech stack with the `NVIDIA_API_KEY` they currently hold. Once a single clinical sentence round-trips through Magpie TTS → Parakeet/Nemotron ASR successfully, the user is cleared to advance to `/digital-health-clinical-asr-build`.

The four-stage flywheel exists to drive down **KER (keyword error rate)** on clinical entities — drugs, procedures, anatomy, conditions, labs, roles. WER averages obscure the failures that hurt clinically; KER is what Stage 3 will measure you against.

There is **no installer script** anywhere in this skill — not `install.sh`, not `setup.py`, nothing hidden. Stage 1 *is* the three steps below: verify the key, install Python deps, run the smoke test. Anything past Stage 1 is composed from sibling skills (`/data-designer`, `/riva-tts`, the inlined Stage 3 ASR recipe, `/riva-asr-custom`). If a user asks "what script installs everything?", answer from this paragraph; don't go searching.