A cardiologist's referral system, fully air-gapped

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.