If I allow it, is the data from my meeting sent offsite at any stage, for example to an LLM service (e.g., Anthropic, OpenAI, etc.)? Or do the LLM vendors (or any others) have access to the internal data at any stage?

> If I allow it,

Which is your right, every patient can ask the provider to not use it.

> is the data from my meeting sent offsite at any stage

Yes, no one stores medical records on-prem any more. EMR systems are not like Quickbooks running on an 8 year old terminal server.

> for example to an LLM service

Yes, that's literally what an AI transcriber is, an LLM.

> (e.g., Anthropic, OpenAI, etc.)?

No. The recording goes (in realtime) to our vendor's infra where it is live transcribed, then summarized and returned. When complete only the finished note is saved, never the recording or transcript.

> Or do the LLM vendors (or any others) have access to the internal data at any stage?

Obviously, you can't pricess data you can't access, but the contractual and regulatory environment means that data can't be used for additional training without lots of consents. We do not participate in training activities at all. I won't allow it.