Products · Curation layer

Verantos Curation Platform.

An agentic platform that pairs clinical annotators with AI agents to label reference standard data, train extraction and clinical inference models, and apply them to medical records, producing fully structured, research-ready curated data sets.

The problem

Patient insights require understanding the entire medical record.

Pharmacoepidemiological studies depend on complex variables: eligibility criteria and outcomes that can’t be easily extracted and analyzed from traditional data sources alone. Producing them with research-grade quality requires curation: extraction, imputation, and clinical inference applied across the full medical record, along with demonstrated reliability in accordance with FDA guidelines.

Most of the clinical record never reaches a structured field. The signal that decides a study lives in notes, reports, and documents.

Complex variables used to select eligible patients and evaluate outcomes:

Asthma or COPD exacerbationHeart failure with ejection fractionMigraine severityCognitionPsychosis

Complex variables require curation to become research-ready: extraction, imputation, or clinical inference.

The platform

Three integrated capabilities for producing curated data sets.

The Verantos Curation Platform pairs clinical annotators with AI agents to create reference standard data, train validated models, and apply them to medical records at scale.

1

Data labeling

Rapidly create reference standard data using clinical annotators and AI agents working in concert.

Two readers independently label every record in the reference sample, and neither sees the other’s read. Adjudication and inter-rater reliability thresholds gate the reference standard before any model sees it.

Source · free-text progress note …worsening over 6 days. FEV1/FVC 0.64 post-bronchodilator1, partial reversibility. Eos 410 cells/µL. Two courses of systemic corticosteroids in past 12 months2; ED visit in Nov. 40 pack-yr hx · wheeze · partial reversibility3. Impression: …
Span in the noteTwo independent readsReference standardModel
1FEV1/FVC 0.64 post-BDA0.64B0.64fev1_fvc_post_bd = 0.64scored ✓
2two courses in 12 monthsA2 exacerbationsB2 exacerbationsexacerbations_12mo = 2scored ✓
340 pack-yr · wheeze · reversibilityAasthma–COPD overlapBsevere persistent asthma routed back for adjudicationunscored

Where the two reads diverge, nothing moves forward: the record routes back for adjudication rather than into the reference standard.

2

Model training

Train new extraction, imputation, and clinical inference models using the reference standard data.

Reference standard · ground truth
Held outA reserved set of dual-read records the model never trains onthe exam, not the coursework
Trained onThe remaining reference standardextraction · imputation · clinical inference
Accuracy, per variable

Every model is evaluated against the held-out reference standard and reported with the metrics regulators and reviewers expect.

SensitivitySpecificityPPVF1
Past that gate, the models the platform trains come back as its readers: an AI agent takes one of the two annotation seats, held to the same inter-rater reliability bar as a clinician.

3

Curated data sets

Apply validated models to medical records to produce fully structured curated data sets at scale.

Curation reads every source, not text alone: structured fields and unstructured narrative, with inferred insights where no single field holds the answer and recovery where the structured record is silent.

Structured · codes and fields
ICD-10J45.50severe persistent asthma
RxNorm859038prednisone 20 mg
smoking— missingno structured entry
Unstructured · notes, reports, documents

67F, 40 pack-yr hx1. Wheeze worsening over 6 days. Spirometry: FEV1/FVC 0.64 post-bronchodilator2, partial reversibility. Two courses of systemic corticosteroids in past 12 months3; ED visit in Nov. Impression: severe persistent asthma, inadequately controlled4.

Curated · research-ready
Lung functionFEV1/FVC 0.64extraction · fev1_fvc_post_bd · from ²
Exacerbations2 in 12 monthsextraction · exacerbations_12mo = 2 · from ³
SeveritySevere persistent, uncontrolledclinical inference · codes + from ⁴
Smoking history40 pack-yearsmissing in structured · recovered from ¹

Illustrative record — constructed to demonstrate the mechanism; not patient data.

Every value carries the source that produced it: a code, a note span, or the inference that joined them. And where the whole record is silent, the field stays honestly empty rather than quietly filled.

Full validation methodology
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