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MeethealthLabs

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.

  1. 1Per engagement

    Define the capability

    Pin down the model behaviour you want to change and the failures you are seeing.

    • Target behaviour
    • Failure inventory
  2. 2In use

    Write the specification

    Constraints, specialty coverage, output schema, difficulty mix, and acceptance criteria, in writing.

    • Schema
    • Contract
    • Acceptance criteria
  3. 3In use

    Generate candidates

    Synthetic scenarios and responses from controlled, versioned generation runs.

    • Versioned records
    • Prompts
  4. 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
  5. 5Per engagement

    Package and deliver

    Accepted records with schema, provenance, quality report, and documented limitations.

    • Dataset
    • Quality report
    • Provenance
A

Scenario design

In use today

Every 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.
B

Synthetic generation

In use today

Generated 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.

C

Automated validation

In use today

The 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.

D

Human expert review

Scoped per engagement

The 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.

E

Quality reporting

Scoped per engagement

A 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.
F

Training vs evaluation separation

In use today

Evaluation 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.
G

Provenance and rights

Scoped per engagement

Commercially 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.
H

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.

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

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