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Isa is in alpha as a research product. Here’s what to keep in mind about the data you put in, where it goes, and how it’s stored.

Use only synthetic data

Isa is research software. Use synthetic (fake) patient data only. Do not enter real patient information.

Where your data goes

What leaves your device depends on which model you run and which tools your Agent calls.
  • On your device: When the Primary Agent and Agents run on-device, when you use Dictation or an on-device Scribe Agent, and when OCR mode is Local only, data stays on your device.
  • Off your device: When you select a cloud model (OpenAI or Aki.io) for the Primary Agent, when you route Scribe transcription to ElevenLabs or extraction to OpenAI or Aki.io, when OCR mode sends a scan to a cloud model, or when an Agent or the Primary Agent calls an MCP server, the relevant data leaves your device.
You make this choice every time you pick a model or wire up an MCP server. See On-device vs. cloud for a deeper look at the trade-offs.

How patient data is stored

Patient data is stored encrypted on your device. There is no Isaree-hosted copy. This has two consequences worth keeping in mind:
  • Deleting Isa deletes every patient on the device with it. There is no cloud backup to restore from.
  • Patients don’t sync between devices. A patient created on your iPhone won’t appear on your iPad or Mac.

Next

Build your first agent

Build a tiny Agent and see these trade-offs in practice.

Choose a model

Pick the right model for the data you’re comfortable with.

On-device vs. cloud

Understand the trade-offs more deeply.