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RxLM-Med: A multimodal clinical AI agent featuring System 2 reasoning, cross-lingual hierarchical RAG (BM25 + FAISS + RRF), deterministic medical calculation engine, and Traffic Light Protocol (TLP) safety alignment — built on Qwen-VL with LoRA fine-tuning, SFT/DPO alignment, and INT4 quantization for real-world lab report interpretation.