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Can I use my own LLM? Enterprise tenants can plug a customer-hosted LLM under BAA. Standard tenants use the Medera-managed inference layer (OpenAI Medera reasoning for voice agents, gpt-4o for SOAP / analysis, gpt-4o-mini for clinical NLP). Can I write a custom agent? Yes — use the Agent Builder Canvas to compose from existing node types, or extend the Care Orchestrator with a new agent type and a corresponding NodeRunner. Are agents deterministic? No — agents are LLM-driven. Every output is reported with calibrated confidence; every claim ties back to a span or citation. What happens on crisis-language detection? The guardrails layer detects crisis language and immediately invokes the Crisis Response Agent with no gating. The C-SSRS Risk Expert is consulted for risk band classification. Where can I see audit logs? PHI access logs: GET /api/audit/access-logs. Deployment actions: deployment_audit_log (WORM, exposed via Audit API).