Native OpenMed and OpenMedKit vision-language inference for Apple Silicon, including local clinical-document and chart workflows on Mac, iPhone, and iPad.

These repositories contain MLX conversions of CohereLabs/North-Micro-Vision-Instruct, a compact 2.4B-parameter Cohere Compass vision-language model released under Apache 2.0. OpenMed provides the Python and Swift runtime paths described here and consumes the repositories as data-only model artifacts.

The same byte-identical README is published across all five precision variants. The repository name, config.json, and openmed-mlx.json identify the precision.

Choose a precision

Repository	Weight payload	Intended trade-off
`OpenMed/North-Micro-Vision-Instruct-4bit-mlx`	2.02 GiB	Smallest affine variant; validate quality on your document set
`OpenMed/North-Micro-Vision-Instruct-5bit-mlx`	2.25 GiB	Compact middle ground
`OpenMed/North-Micro-Vision-Instruct-6bit-mlx`	2.48 GiB	Recommended first quality/size trial
`OpenMed/North-Micro-Vision-Instruct-8bit-mlx`	2.93 GiB	Higher-fidelity quantized variant
`OpenMed/North-Micro-Vision-Instruct-bf16-mlx`	4.63 GiB	Full converted-precision reference

The 4/5/6/8-bit repositories use 64-element affine weight groups. Their vision tower remains in source precision; eligible language-model layers are quantized. This preserves the source visual encoder for OCR and document work while reducing the decoder footprint.

Python through OpenMed

Install OpenMed with Apple MLX support:

uv pip install "openmed[mlx]"

Image plus text:

python

from openmed.mlx import OpenMedMLXVisionLanguageModel

model = OpenMedMLXVisionLanguageModel(
    "OpenMed/North-Micro-Vision-Instruct-6bit-mlx"
)

result = model.generate_with_metadata(
    "Read this synthetic document and list the visible medication and dose.",
    image="synthetic-clinical-note.png",
    max_tokens=128,
)

print(result.text)
print(result.prompt_tokens, result.generation_tokens)

Text-only generation uses the same loaded model:

python

response = model.generate(
    "Explain why local processing can improve clinical-document privacy.",
    max_tokens=96,
)

Pass a local artifact directory instead of the Hub repository ID for a fully offline deployment. OpenMed validates the Compass artifact, loads weights strictly, applies the bundled chat template, performs native-resolution image processing, and generates with MLX. It never enables remote model code.

Swift and iOS through OpenMedKit

OpenMedKit implements Cohere Compass directly in Swift on MLX. Add the tested OpenMed branch until the implementation is merged and included in a tagged release:

swift

dependencies: [
    .package(
        url: "https://github.com/maziyarpanahi/openmed.git",
        branch: "feature/cohere-compass-runtime"
    ),
]

Load from Hugging Face and ask a question about a local image:

swift

import OpenMedKit

let model = try await OpenMedVisionLanguageModel.load(
    modelID: "OpenMed/North-Micro-Vision-Instruct-6bit-mlx"
)

let result = try await model.generate(
    "List the visible medication and dose.",
    imageURL: clinicalDocumentURL,
    maxTokens: 128
)

print(result.text)

For a bundled, app-managed, or air-gapped artifact:

swift

let model = try await OpenMedVisionLanguageModel.load(
    modelDirectory: localModelDirectory
)

OpenMedVisionLanguageGeneration exposes decoded text, generated token IDs, prompt/generation token counts, and timing. Overloads support text-only input, CIImage, a local image URL, or multiple UserInput.Image values.

The initial Hub download is a network operation. Prompt and image inference is local after the artifact is cached, with no telemetry and no cloud inference fallback. For PHI workflows, pre-download or bundle the model before intake, keep raw documents out of logs and analytics, and apply OpenMedKit privacy policies before an explicitly authorized export.

Implementation and review status: OpenMed PR #2885

Why this model fits OpenMedKit

North Micro Vision accepts interleaved text and images, preserves native image aspect ratios, and was trained for OCR, document understanding, charts, grounding, captioning, multilingual prompts, and multi-image conversations. That maps naturally to a privacy-first OpenMedKit pipeline:

Capture or import a page locally on iPhone, iPad, or Mac.
Run image normalization and VLM inference on the device.
Validate names, identifiers, medications, measurements, and other generated fields against the source page.
Redact or pseudonymize with OpenMedKit policies before any authorized disclosure.
Preserve provenance and require human review before consequential use.

Local inference reduces a network boundary; it does not make generated content automatically safe or correct. Never auto-trigger diagnosis, treatment, disclosure, or another consequential clinical action from model output.

OpenMed runtime validation

Before the runtime and cards were published, every precision was loaded independently and run through the same synthetic suite in both native runtimes:

Python: OpenMedMLXVisionLanguageModel, strict safetensors loading;
Swift: OpenMedVisionLanguageModel in an Xcode Metal-backed test bundle;
coherent deterministic text-only privacy explanation;
exact Tuesday extraction from a short synthetic note;
correct name, synthetic record ID, medication, dose, frequency, and allergy extraction from a generated clinical-document image;
exact Screening, 42 extraction from a generated chart image;
tokenizer/chat-template and prompt-token-count parity;
native image resize, patch-grid, visual-token, and multimodal decode checks;
macOS execution for all five payloads and an iOS device-target build gate.

The Python and Swift tests use the same prompts, image fixtures, token counts, and clinical fact acceptance criteria. Canonical fact and chart answers are also token-exact. Free-form sentences can choose equivalent near-tied tokens across MLX language bindings, so those are checked for coherence and required facts instead of brittle punctuation or wording.

openmed-runtime-validation.json records the OpenMed runtime gates for this variant. openmed-validation.json preserves the original conversion and independent-reference certificate. Those fixtures are synthetic and are not clinical-quality evidence.

Artifact contract

Each repository is data-only and includes:

model.safetensors plus its index;
config.json with model_type: cohere_compass;
tokenizer, chat-template, and generation configuration;
native-resolution image processor configuration;
openmed-mlx.json runtime/precision metadata;
OpenMed conversion and native-runtime validation reports.

No conversion-time Python package or executable model code is stored in the repository. Both OpenMed runtimes consume the same artifact payload.

Scope and limitations

The source model supports visual question answering, grounding, OCR, document and chart understanding, multilingual prompts, and multiple images. Cohere reports multimodal training and validation up to 8K tokens; do not silently claim longer multimodal reliability.

The source model is not a reasoning model, has limited math and code ability, does not support tool calling, and is intended as a compact foundation for prototyping and specialization. Native-resolution images can materially increase memory use, latency, and thermal pressure on mobile devices. Measure the exact precision, image sizes, and sustained workload on each target device.

This model and OpenMedKit are not medical devices. Outputs can be incomplete, incorrect, or fabricated. A qualified human must verify consequential use.

Reproducibility and credits

Source: CohereLabs/North-Micro-Vision-Instruct
Pinned source revision: 373bda96ac70bf89f99f7048f420cf00dc07c149
OpenMed / OpenMedKit: github.com/maziyarpanahi/openmed

Thank you to Cohere for releasing North Micro Vision and to the Apple MLX contributors who make private on-device inference possible.

The converted weights retain the source model's Apache 2.0 license. OpenMed's SDK source is separately licensed under Apache 2.0.

OpenMed/North-Micro-Vision-Instruct-4bit-mlx

North Micro Vision Instruct — OpenMed MLX family

Choose a precision

Python through OpenMed

Swift and iOS through OpenMedKit

Why this model fits OpenMedKit

OpenMed runtime validation

Artifact contract

Scope and limitations

Reproducibility and credits

OpenMed/
North-Micro-Vision-Instruct-4bit-mlx