100% local
Documents, embeddings, and cases live in SQLite + LanceDB on your Mac. No cloud database. No middleware server.
Local-first · Open source · No telemetry · Not a medical device
A virtual committee.On your machine.
Conclave MD debates every case against itself —four passes, one adversarial critique— before proposing a verdict. You decide.
Four passes
Four passes. One answer.
Most AI tools hand you the first idea that comes to mind. Conclave MD puts it on trial.
- 01DE-ID + RAG
Briefing
Conclave MD de-identifies the case and retrieves evidence from your documents before any LLM sees it.
- 02GENERATION
Draft
A first agent writes a draft verdict, citing the passages that back it.
- 03CROSS-REVIEW
Adversarial critique
A second agent looks for cracks, biases, and omissions. It challenges the draft like a demanding colleague would.
- 04RECONCILIATION
Final verdict
The system reconciles both stances and produces a structured recommendation with explicit certainty levels and red flags.
Privacidad por diseño
Data that never leaves the machine.
Conclave MD was built so the most uncomfortable question any clinical tool faces —where does my patient data go?— has a one-word answer: here.
No telemetry
Zero analytics, zero pings, zero cookies. The code is open source and you can audit it line by line.
Your keys, your account
Choose which LLM engine to use and connect your own API key. Conclave MD never proxies your traffic or stores your prompts.
Conclave MD is not a medical device. It is a decision-support tool: the clinician always retains final authority over any decision.
Capacidades
Built for real clinical work.
What you need when protocols matter as much as speed.
/ 01
Documents as source of truth
Upload PDFs, DOCX, and notes. Conclave MD chunks them, embeds them, and cites them by page number.
/ 02
Per-specialty workspaces
One knowledge base per specialty or service. Rules and guidelines that live together and don't cross-contaminate.
/ 03
Bilingual by default (EN/ES)
Configure output language per workspace. Useful for mixed teams or international publications.
/ 04
Adversarial critique
Another AI pass challenges the answer. What reaches you has already gone through its own internal referee.
/ 05
Auditable traceability
Every verdict stores the question, the retrieved context, the drafts, and the critiques.
/ 06
Open source
Dual-licensed AGPL/MIT. Audit the code, contribute, fork what you need.
Multi-proveedor
Your engine. Your rules.
Conclave MD is provider-agnostic. Bring the keys you already pay for, or run local models fully offline.
- Anthropic Claude
- OpenAI
- OpenRouter
- Ollama
- Apple Intelligence
- Claude Code CLI
- Codex CLI
Conclave MD never proxies your traffic. You talk directly to whichever provider you choose.
Available now
Download Conclave MD
Free and open source. Grab the signed installer for your platform — macOS, Windows, or Linux.
System requirements
- macOS 11 (Big Sur) or later on Apple Silicon (M1/M2/M3/M4).
- Apple Intelligence features require macOS 26 (Tahoe).
- Windows 10+ (.msi) and Linux (.AppImage or .deb, glibc 2.39+ — Ubuntu 24.04+, Fedora 39+).
Signed and notarised. Open source under MIT — every build comes straight from a tagged commit on GitHub Releases, so you can inspect exactly what you run.
FAQ
Frequently asked questions
The most common questions before installing Conclave MD.
- Is Conclave MD a medical device?
- No. It's a clinical decision-support tool. Final authority over any medical decision always rests with the healthcare professional. Read the full disclaimer before using it in real-world scenarios.
- Does my patient data leave the machine?
- Queries sent to a remote LLM provider (Anthropic, OpenAI, etc.) do go to their servers —after passing through a local de-identification layer. For zero data egress, use Ollama or Apple Intelligence: both fully local.
- Does it work without internet?
- Yes, if you use Ollama or Apple Intelligence as the LLM engine. The rest of the system (RAG, embeddings, deliberation) already runs offline.
- What if I don't have an Anthropic or OpenAI account?
- You can use OpenRouter (token-priced, no commitment), Ollama (free local models), or Apple Intelligence on compatible Macs.
- Is it free?
- The software is open source and free. You only pay for what you consume from whichever LLM provider you choose, directly to them.
- Can I use it with real patients?
- That's your professional decision. Read the disclaimer and consider your local regulatory framework. Conclave MD is designed to assist, not replace, clinical judgment.
- Is there a Linux version?
- Yes. The app ships as .dmg for macOS, .exe for Windows, and AppImage for Linux.
- Which specialties does it work for?
- Any specialty that works with written protocols: internal medicine, oncology, emergency care, anesthesia, clinical pharmacy… You upload your specialty's knowledge base.