[360Labs.ai]
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[360Labs.ai]
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// sanad

Sanad-1.0

Released

Clinical AI Assistant for Medical Diagnosis, Transcription, and Arabic Medical Support

Sanad-1.0 is a fine-tuned clinical AI model built on Google's MedGemma-27B-text-it. Purpose-built for Mediscribe, it provides clinical transcription (dialogue to SOAP notes), primary diagnosis extraction with ICD-10 coding, and ranked differential diagnosis generation. Trained on 551,491 curated medical examples across 15 specialized datasets using a 4-stage progressive QLoRA pipeline.

Specifications

27B

Parameters

MedGemma-27B

Base Model

551K

Training Examples

87.7%

MedQA (USMLE)

90%

EHRQA Accuracy

128K tokens

Context Window

English + Arabic

Languages

BF16

Precision

32

LoRA Rank

21+

Specialties

QLoRA (4-bit NF4)

Fine-Tuning

8,192 tokens

Output Limit

Architecture

1 Stage 1: Transcription (152,930 examples) - Dialogue to SOAP notes, clinical documentation
2 Stage 2: Diagnosis (61,920 examples) - Clinical knowledge, diagnostic reasoning, ICD-10
3 Stage 3: Differential Diagnosis (129,696 examples) - Ranked DDx with chain-of-thought reasoning
4 Stage 4: Arabic + Reinforcement (179,373 examples) - Bilingual support, existing clinical data

Features

  • Clinical transcription: converts doctor-patient conversations into structured SOAP notes and discharge summaries
  • Primary diagnosis extraction with ICD-10 classification and clinical reasoning
  • Ranked differential diagnosis with probability assessments and reasoning chains
  • Chain-of-thought reasoning with transparent <thinking> traces
  • Full bilingual capability (English + Arabic) for clinical consultations
  • USMLE-level knowledge across 21+ medical specialties
  • Structured JSON output for EHR integration
  • 128K context window for complete clinical transcripts and multi-visit patient histories
  • 4-stage progressive fine-tuning with decreasing learning rates to prevent catastrophic forgetting
  • 87.7% MedQA accuracy, surpassing models with 2.5x more parameters

Benchmarks

DatasetScoreComparison
MedQA (USMLE)87.7%Base Gemma 3 27B: 74.9%
MedMCQA74.2%Base: 62.6%
MMLU-Med87.0%Base: 83.3%
EHRQA (v1.5)90.0%Base: 68.0%
AgentClinic-MedQA56.2%Human physicians: 54%
AfriMed-QA84.0%Base: 72.0%