Methodology
How we approach data quality.
Generation is only the beginning. Healthcare AI data also requires clear specifications, measurable checks, appropriate expert review, and an honest account of limitations.
- 1Per engagement
Define the capability
Pin down the model behaviour you want to change and the failures you are seeing.
- Target behaviour
- Failure inventory
- 2In use
Write the specification
Constraints, specialty coverage, output schema, difficulty mix, and acceptance criteria, in writing.
- Schema
- Contract
- Acceptance criteria
- 3In use
Generate candidates
Synthetic scenarios and responses from controlled, versioned generation runs.
- Versioned records
- Prompts
- 4In use
Verify and review
Deterministic gate rules on every record, rubric scoring, and qualified human review where required.
- Gate verdicts
- Rubric scores
- Review plan
- 5Per engagement
Package and deliver
Accepted records with schema, provenance, quality report, and documented limitations.
- Dataset
- Quality report
- Provenance
Scenario design
In use todayEvery dataset starts as a written specification. Generation without a specification produces volume, not coverage.
- Clinical scope: which conditions, settings, and populations are in and out.
- Constraints and assumptions: stated explicitly so they can be checked, not inferred.
- Intended tasks: what the model is supposed to do with each record.
- Difficulty levels: a target distribution from routine to multi-constraint edge cases.
- Demographic and cultural representation where appropriate to the task.
- Uncertain or missing information, deliberately included so models learn to recognise it.
- Coverage of edge cases, enumerated rather than left to chance.
Synthetic generation
In use todayGenerated records are fictional by construction. They can include patient-like scenarios, clinical task descriptions, structured model responses, comparative candidates, and evaluation annotations.
- Controlled, versioned workflows so a record can be traced to the generation run that produced it.
- Schema-bound outputs so downstream checks have something concrete to validate.
- Comparative candidates generated under varied conditions for preference data.
NoteSynthetic generation does not itself establish factual medical correctness. It establishes structure, coverage, and traceability. Correctness is a separate question answered by validation and review.
Automated validation
In use todayThe Assessment Gate: a versioned, fingerprinted contract of deterministic rules that runs on every record and removes inconsistent or unsafe output before anyone spends time reviewing it. Our current diet-plan contract has 45 rules.
- Patient-record coherence: anthropometrics, age and sex physiology, mutually exclusive diagnoses, timelines.
- Weight-indexed dose bands, such as protein in kidney disease and in children.
- Contraindicated therapeutic diets and declared-allergen screens.
- Schema validity and field completeness.
- Unit consistency and deterministic numerical constraints where the task defines them.
- Duplicate and near-duplicate detection.
- Contradiction screening against the stated constraint list.
- Task-specific rubric scoring with pass, fail, and needs-review outcomes.
- Version tracking for generation, checks, and rubrics.
NoteAn LLM-based judge is a scoring tool. We do not describe it as an independent medical expert, and rubric outcomes are labelled as rubric outcomes.
Human expert review
Scoped per engagementThe intended review model for commercial datasets. Coverage depends on the dataset and the agreed engagement.
- Qualified domain-specific experts matched to the clinical domain of the records they review.
- Stratified random samples sized to the dataset and the risk profile of the task.
- Targeted review of high-risk, infeasible, or flagged cases in addition to sampling.
- Disagreement resolution with a documented adjudication path.
- Explicit reviewer qualifications and protocols recorded in the quality report.
- Documented limitations of what the review did and did not cover.
NoteRandom sampling does not guarantee that every record is medically safe. A dietitian's review does not establish validity for unrelated specialties. Where a gold-standard evaluation set requires full review, that is designed as a separate workflow.
Quality reporting
Scoped per engagementA dataset quality report is the artifact a buyer can audit. It should capture:
- Number of generated and accepted records.
- Automated checks run and their results.
- Human-reviewed sample counts and reviewer qualifications.
- Error categories observed.
- Acceptance criteria used.
- Known limitations.
- Task coverage against the specification.
- Dataset version and provenance.
Training vs evaluation separation
In use todayEvaluation examples are held out from training by construction, and contamination is checked rather than assumed.
- Held-out sets are generated from the same specification but never released alongside training data.
- Contamination and leakage checks compare evaluation items against training records.
- Model improvement is measured against the model's own baseline, with repeatable evaluation runs.
Provenance and rights
Scoped per engagementCommercially licensed data needs documented provenance and rights checks. Synthetic output is not automatically rights-cleared because it was generated.
- Generation sources, prompts, and reference materials are documented per dataset version.
- Rights review precedes any sample or delivery.
- Customer patient data and sensitive healthcare information are not part of the offered training inventory.
Evidence levels
Every record and every dataset can be placed on this scale. These are Meethealth's proposed evidence categories, not a recognised external medical certification standard.
| Level | What it means | What it establishes | What it does not establish | Status |
|---|---|---|---|---|
| L1Generated synthetic example | A record produced by a versioned generation workflow from a written specification. | Traceability, intended task, scenario structure. | Correctness, safety, or clinical validity. | Implemented in internal research |
| L2Automated checks passed | Schema, completeness, unit, numerical, duplicate, and contradiction checks passed. | Structural consistency and adherence to stated constraints. | Medical appropriateness beyond what the checks encode. | Implemented in internal research |
| L3Internal model/rubric evaluation | Scored by a task-specific rubric, often with an LLM-based judge, under an internal protocol. | Rubric-relative quality and systematic failure patterns. | Independent expert judgement; the rubric's blind spots carry through. | Implemented in internal research |
| L4Domain-expert-reviewed example | Reviewed by a qualified expert matched to the record's clinical domain, under a documented protocol. | Expert judgement on the reviewed records, with stated qualifications. | Validity of unreviewed records in the same dataset. | Commercial review offering, scoped |
| L5Independently assessed or benchmark evidence | Evaluated by a party independent of generation, or shown to change measured performance on a held-out, task-specific benchmark. | External or outcome-based evidence for the stated task. | Regulatory approval, certification, or suitability for clinical deployment. | Future / by evidence only |
- Level 1Implemented in internal research
Generated synthetic example
- Meaning
- A record produced by a versioned generation workflow from a written specification.
- Establishes
- Traceability, intended task, scenario structure.
- Does not establish
- Correctness, safety, or clinical validity.
- Level 2Implemented in internal research
Automated checks passed
- Meaning
- Schema, completeness, unit, numerical, duplicate, and contradiction checks passed.
- Establishes
- Structural consistency and adherence to stated constraints.
- Does not establish
- Medical appropriateness beyond what the checks encode.
- Level 3Implemented in internal research
Internal model/rubric evaluation
- Meaning
- Scored by a task-specific rubric, often with an LLM-based judge, under an internal protocol.
- Establishes
- Rubric-relative quality and systematic failure patterns.
- Does not establish
- Independent expert judgement; the rubric's blind spots carry through.
- Level 4Commercial review offering, scoped
Domain-expert-reviewed example
- Meaning
- Reviewed by a qualified expert matched to the record's clinical domain, under a documented protocol.
- Establishes
- Expert judgement on the reviewed records, with stated qualifications.
- Does not establish
- Validity of unreviewed records in the same dataset.
- Level 5Future / by evidence only
Independently assessed or benchmark evidence
- Meaning
- Evaluated by a party independent of generation, or shown to change measured performance on a held-out, task-specific benchmark.
- Establishes
- External or outcome-based evidence for the stated task.
- Does not establish
- Regulatory approval, certification, or suitability for clinical deployment.
Ask us what was checked.
If a figure, badge, or claim on this site is unclear, we would rather explain the method than let the number stand on its own.