Quality & methodology

Quality controls for clinical datasets and interactive environments

Kaelio applies clinician-authored ground truth and auditable production controls to physician-generated and de-identified real-patient data. Quality is designed for the intended training, post-training, or evaluation use of each clinical data program.

01

Physician-authored state

Each case is an interactive environment with an initial presentation, a hidden ground-truth state, and faithful transitions for every clinically sensible action across history, examination, investigation, treatment, and referral. If a model acts outside the authored space, the authoring physician adjudicates the step and folds it back in.

02

Multi-physician adjudication

Every rubric criterion is written and checked by multiple independent physicians, with an error taxonomy that separates reasoning-process failures from factual and safety ones, each carrying a severity grade.

03

Held-out splits & IRR

Held-out splits and inter-rater reliability targets are fixed in the data specification up front, so quality is measurable rather than asserted.

04

Provenance & compliance

Physician-authored cases are written from scratch, with no identifiable records. Real-world data such as imaging, procedural video, or consented real cases is captured under consent, ethics approval, and de-identification. Kaelio Health is HIPAA compliant and SOC 2 compliant.

Operational diligence

Quality that can be audited

Kaelio can document how contributors are qualified, how ground truth is independently reviewed, how disagreements are adjudicated, how production quality is monitored, and how accepted throughput scales during a program.

  • Specialty-matched contributor qualification
  • Calibration and planted quality-control tasks
  • Independent review and adjudication
  • Inter-rater reliability monitoring
  • Audit sampling and release criteria
  • Access, provenance, and activity records
  • Anomaly and integrity monitoring
  • Named program and queue ownership

Technical diligence

Everything your team needs to evaluate the data

Kaelio prepares complete dataset, evaluation, ground-truth, and delivery evidence for every data program. Exact results and representative materials are shared after a technical scoping conversation.

01

Dataset specification

Exact sample counts, schemas, formats, splits, provenance, licensing, versioning, and availability.

  • Exact sample and token counts
  • Data schema and file formats
  • Train, validation, and held-out evaluation splits
  • Specialty, modality, and task coverage
  • Source provenance and collection method
  • Version history, availability, and licensing terms
  • Known limitations and intended uses

02

Evaluation evidence

Evaluation harness, current-model performance, pre-training and post-training scaling where applicable, difficulty subsets, and failure-case analysis.

  • Evaluation harness and scoring protocol
  • Existing frontier-model performance
  • Pre-training and post-training scaling where applicable
  • Easy, medium, hard, and adversarial subsets
  • Failure taxonomy and failure-case analysis
  • Slice-level results by specialty, modality, and task
  • Reproduction conditions and comparison assumptions

03

Clinical ground truth

Ground-truth audit results, inter-rater reliability, adjudication records, and generalist and specialist clinician baselines.

  • Annotation and rubric specification
  • Clinician qualifications and specialty matching
  • Independent review and adjudication process
  • Inter-rater reliability and acceptance thresholds
  • Ground-truth audit results
  • Generalist and specialist clinician baselines
  • Error severity and safety taxonomy

04

Delivery readiness

Validated weekly throughput, ramp plan, staffing model, dedicated queue owner, scalable quality control, and adversarial workforce controls.

  • Validated maximum weekly throughput
  • Ramp schedule and acceptance targets
  • Staffing and specialty coverage plan
  • Named program and queue ownership
  • Scalable quality-control workflow
  • Contributor qualification and ongoing calibration
  • High-level adversarial and integrity controls
  • Delivery cadence, formats, and change management

Pack matching

Matched to your research program

  • Target model capability or clinical workflow
  • Model-development stage
  • Modalities and specialties
  • Intended training or evaluation use
  • Expected volume and timeline

Direct access

Why the material is shared directly

Technical packs can contain proprietary evaluation results, representative clinical records, operational controls, and benchmark-sensitive information. Direct sharing protects the data and ensures your team receives the evidence relevant to its program.

Access sequence

From requirements to technical review

  1. 01Talk to a clinical data lead.
  2. 02Scope the relevant dataset or program.
  3. 03Receive the matched technical pack and representative materials.
  4. 04Review results, limitations, delivery capacity, and commercial fit.

Model graders

The signal automated graders are calibrated against

On open-ended clinical answers, automated judges separate complete from incomplete responses only marginally above chance. Calibrating or replacing them takes physician rubric grades, and we produce that signal directly.

AUC 0.49-0.66

LLM judges separate complete from incomplete clinical answers only marginally above chance. Even when they agree with a clinician, they cite the same reasoning just 24.6% of the time.

Independent evaluations of LLM clinical graders, 2025 to 2026

Talk through your clinical data requirements

Tell us the capability, clinical workflow, modality, and model-development stage you are working on. We will identify the relevant Kaelio data or scope a custom program with you.