Agent skill · software engineering · nvidia
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.
Why this skill is useful
Provides specific procedures and checks for setting up clinical ASR systems using NVIDIA's tools, which are not widely documented.
What it needs
Requires python installed locally. Requires nvidia account access. About 10k tokens when loaded. Last updated 2026-08-07. 2,816 stars on the source repository.
What this skill does
<!-- SPDX-FileCopyrightText: Copyright (c) 2026 NVIDIA CORPORATION & AFFILIATES. All rights reserved. SPDX-License-Identifier: Apache-2.0 --> 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 NVIDIAAPIKEY 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. Outbound data flows — surface before any text or audio is sent Two external endpoints receive data during this flywheel. The user has to acknowledge both before Stage 2 begins, against whatever data-governance policy their organization enforces. Render the table below word-for-word in your response — a paraphrase doesn't satisfy the disclosure; the literal phrasing is what counts. …
How to use it
Reference it in AdaL, Claude Code, Cursor or any coding agent — nothing to install:
@skills nvidia/digital-health-clinical-asr-setup