Notes, labelled and redacted
Clinical text made usable without being made public.

NSK·SOL·05
The note holds the finding and the identity in the same sentence. Every research request stalls on that fact.
So the notes stay unread, and the labelling that would make them useful never happens.
Grant a tier of consent.
Grant a tier of consent. The note reveals only what that tier permits.
Patient A. O. Adeyemi, aged 54, seen at Ikoyi clinic on 11 March. Metformin increased to 1g twice daily following an HbA1c of 8.4%. Renal function stable. Review in twelve weeks; letter copied to Dr B. Okonkwo.
A research cohort assembled from notes under the consent tier that covers it, and no wider.
Diagnoses and procedures labelled to a schema clinicians signed, with agreement rates published.
A decision with the note it rests on quoted, so the reviewer reads evidence rather than a score.

Consent recorded per tier and per purpose, and enforced at read time.
Identifiers separated before any model reads the text.
Audit trail per field and per viewer; clinical sign-off on every label schema.
Bring us the case you have not been able to close.
We will tell you which part of it is a model problem and which part is not.