The Transcript Layer Lie: Why Your Multimodal Pipeline Hallucinates Downstream
Your ASR system returned "the patient takes metaformin twice daily." The correct word was metformin. The transcript looked clean — no [INAUDIBLE] markers, no error flags. Confidence was 0.73 on that word. Your pipeline discarded that number and handed clean text to the LLM. The LLM, treating it as ground truth, reasoned about a medication that doesn't exist.
This is the transcript layer lie: the implicit assumption that intermediate text representations — whether produced by speech recognition, OCR, or vision models parsing a document — are reliable enough to pass downstream without qualification. They aren't. But almost every production pipeline treats them as if they are.
