digital-health-clinical-asr-eval
Stage 3 of Clinical ASR Flywheel. Score a NeMo manifest, produce the five-section KER leaderboard (by-ipa_source diagnostic). Not for ASR auth (/riva-asr).
npx skills add NVIDIA/skills --skill digital-health-clinical-asr-eval --agent claude-code
Same command for any agent — swap --agent for codex, cursor, copilot.
Weekly change comes from our own snapshots, not the repository page — it measures attention, not adoption.
What it does
Scores a NeMo manifest for clinical ASR by transcribing each row with an ASR NIM, computes four metrics (WER, CER, KER, SER) with inlined scoring, and generates a five-section KER leaderboard. It uses per-row fields such as term, entity_category, ipa_source, voice_id, noise_level, and context_type, and outputs artifacts including per_sample.json, results.csv, and leaderboard_cycle<N>.md. It decides the next step via a post-eval decision tree and, depending on results, may route back to build or to finetune stages.
How it works
- Accepts a NeMo-format manifest.jsonl with clinical-extension fields. For each row, transcribes audio_filepath using the chosen ASR NIM (default Parakeet TDT v2) and writes per_sample.json with fields: audio_filepath, ref, hyp, term, entity_category, ipa_source, voice_id, noise_level, context_type.
- Scores four metrics per row: WER, CER, KER, SER, applying normalization steps to ref and hyp (lowercase, NFKD, strip punctuation except hyphen, collapse spaces).
- KER is computed as a contiguous, in-order match of the term words in the normalized hypothesis; a miss of contiguous term words yields KER=1 for that row, otherwise 0, while WER/CER reflect broader errors.
- Builds a five-section leaderboard in this order: Headline (WER/CER/KER/SER), KER by entity_category, KER by ipa_source, KER by noise_level, Per-term KER (worst first).
- Writes artifacts: per_sample.json, results.csv, leaderboard_cycle<N>.md, and uses the post-eval decision tree to route the user (e.g., back to build, to finetune, or stop and harden).
When to use it
Use when you have a manifest.jsonl and want to score it and obtain a structured leaderboard to guide next steps in the Clinical ASR Flywheel, including potential routing decisions after evaluation.
What it can touch
- Reads and writes files per the transcribe and scoring steps, including per_sample.json, results.csv, and leaderboard markdown.
- Interfaces with the ASR NIM via offline_recognize in the provided recipe, and respects environment overrides for ASR model, function-id, and endpoint.
Caveats
- Requires NVIDIA_API_KEY for hosted ASR NIMs and a NeMo-format manifest with clinical-extension fields. All ASR call shapes and scoring recipes are inlined; no sibling agent skill required.
- Audio leaves your environment when sending WAV clips to NVIDIA NVCF Parakeet/Nemotron ASR for each manifest row; synthetic audio should be used per protocol.
- Special routing rules apply for certain ipa_source/terminology cases and the decision tree may route to build or finetune rather than continuing eval.
<!-- SPDX-FileCopyrightText: Copyright (c) 2026 NVIDIA CORPORATION & AFFILIATES. All rights reserved. SPDX-License-Identifier: Apache-2.0 --> # Clinical ASR Flywheel — Stage 3 (Eval) > **⚠ Agent: read the Critical Workflow Rules section below before answering.** This SKILL.md is self-contained — `evals/`, `references/`, and `assets/` are pointers, not load-bearing. Answer methodology questions fro
What does the digital-health-clinical-asr-eval skill do?
Stage 3 of Clinical ASR Flywheel. Score a NeMo manifest, produce the five-section KER leaderboard (by-ipa_source diagnostic). Not for ASR auth (/riva-asr).
How do I install it?
Run `npx skills add NVIDIA/skills --skill digital-health-clinical-asr-eval --agent claude-code` — it drops the skill into your project so the agent can pick it up. Swap the --agent value for codex, cursor or copilot if you use one of those.
Where does this skill come from?
From NVIDIA/skills, a repository with 2,789 stars. We read it straight from the repository tree rather than a submitted listing, so what you see here is what is actually published.
Is a popular skill a good skill?
Not necessarily. Stars measure attention, not adoption — a repository can trend for a week and be abandoned. That is why we show the weekly change from our own snapshots next to the total, instead of a single flattering number.
