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Regulated work · 2026-09-11

A cardiologist's referral system, fully air-gapped

Referral triage that extracts details, standardizes them, and suggests categories and tests — with the final call always left to a doctor, and nothing ever leaving the network.

This cardiologist runs a local system that manages incoming patient referrals: it extracts the relevant clinical information, presents it to the team in a standardized format, and suggests triage categories and relevant tests, though the final decision always stays with a doctor. It runs on a Mac mini as the application server with a DGX Spark hosting the models, with no internet exposure and no external APIs — nothing about a referral leaves the local network at any point.

VERIFIABLE SOURCE

Reported anonymously by an r/LocalLLM contributor · score 2

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