Can one shared 24 GB cloud GPU serve accurate HIV chart answers to four clinicians at the same time?

Three-layer read-only evaluation reference

Layer 1 · Deterministic
HTTP/schema validity, exact chart-reference UUID resolution, and temporal guardrail gate status — computed without an LLM judge.
Layer 2 · LLM Judge
advisory Scout autorater composite (0–100), Safety-Adjusted Benchmark (hard-gated on severe harm / critical omission), and per-axis scores.
Layer 3 · Human & PPI
clinician/human adjudication recorded via python -m harness.validate adjudicate <run_dir>, paired with Prediction-Powered Inference (PPI) calibration and Cohen’s κ.
⏱ latency
end-to-end response time; orange = first turn per backend (carries model warmup).
chart refs
count of chart records cited — a COUNT, not a grounding/quality signal.
not surfaced
tokens / finish_reasons / response model — not returned by /chat (OTel-deferred).