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Synthesizes 30 dated, evidence-graded sources into one boardroom-ready answer: a tiered architecture (on-device, hosted open models, frontier APIs) whose break-even thresholds, price dynamics, and European co-determination rules now let hospital CIOs decide with numbers instead of ideology.
This white paper introduces Isaree, a medical-grade open-source operating platform designed to overcome legacy EMR limitations by using standardized data, dynamic fog computing, and multi-agent AI orchestration to transform clinical workflows and improve healthcare delivery.