{"_canonicalization":{"envelope_id":"axm_ + sha256(envelope minus {signature, axiom_id, anchors})","envelope_signature":"ed25519(envelope minus {signature, axiom_id})","json":"sort_keys=True, separators=(',',':'), ensure_ascii=False, allow_nan=False, utf-8","leaf_hash":"sha256(0x00 || canonical_json(envelope_full))","seal_signature":"ed25519(seal minus {signature, sig_algorithm})"},"axiom_id":"axm_03d47e19ecbbac476efe61e2a8b84776c5d17988d23af4c5cf81409a61e0deaf","bitcoin_anchor":{"bitcoin_attestations":[],"calendar_attestations":[],"ots_url":"","stamped_at":"","status":"pending_next_stamp"},"envelope":{"anchors":[{"chain":"crovia.axiom_graph","height":0,"merkle_proof":"spider_vendor_press_v1","root_at_anchor":"spider_vendor_press_v1"}],"axiom_id":"axm_03d47e19ecbbac476efe61e2a8b84776c5d17988d23af4c5cf81409a61e0deaf","axiom_type":"AX.OBS","body":{"axiom_subtype":"news.vendor_press.v1","category":"news","fingerprint":"2151b042a33822f3e422dfac48506d9f73b38aadd47386ea5c0aa81df585cd52","published":"Thu, 16 Jul 2026 00:00:00 -0400","receipt_hash":"2151b042a33822f3e422dfac48506d9f73b38aadd47386ea5c0aa81df585cd52","schema":"spider.news.vendor_press.v1","spider":"vendor_press","spider_record":{"axiom_subtype":"news.vendor_press.v1","category":"news","decision_hint":"POSITIVE","envelope_target":"AX.OBS","fingerprint":"2151b042a33822f3e422dfac48506d9f73b38aadd47386ea5c0aa81df585cd52","observed_at":"2026-07-16T04:44:04.234592Z","parent_run_hash":"392cd8ef881a5a54dbb7fbd0e0c490e4811d7ed32379244b3196bd5cb9c5d632","published":"Thu, 16 Jul 2026 00:00:00 -0400","runtime_version":"0.1.0","schema":"spider.news.vendor_press.v1","source_status":200,"source_url":"https://export.arxiv.org/rss/cs.AI","spider":"vendor_press","summary_excerpt":"arXiv:2607.12527v2 Announce Type: replace \nAbstract: Musculoskeletal diseases are among the leading causes of disability worldwide and create the greatest global need for rehabilitation. Because recovery, remodelling and degeneration often unfold over months to years, musculoskeletal care requires longitudinal management that repeatedly integrates evolving patient evidence, external medical knowledge and stage-specific functional goals. In routine practice, this evidence is fragmented across visits, departments and hospital systems, limiting individualized, evidence-based care. Here we report OrthoPilot, a clinical artificial intelligence system powered by a large language model that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal management. OrthoPilot autonomously retrieves real-time imaging, laboratory, pathology and order data and converts evolving patient states into evidence-based decisions from admission diagnosis to rehabili","title":"Evidence-Grounded AI for Musculoskeletal Care","url":"https://arxiv.org/abs/2607.12527","vendor":"arxiv_cs_ai"},"summary":"arXiv:2607.12527v2 Announce Type: replace \nAbstract: Musculoskeletal diseases are among the leading causes of disability worldwide and create the greatest global need for rehabilitation. Because recovery, remodelling and degeneration often unfold over months to years, musculoskeletal care requires longitudinal management that repeatedly integrates evolving patient evidence, external medical knowledge and stage-specific functional goals. In routine practice, this evidence is fragmented across visits, departments and hospital systems, limiting individualized, evidence-based care. Here we report OrthoPilot, a clinical artificial intelligence system powered by a large language model that integrates hospital data streams with authoritative external knowledge for continuous musculoskeletal management. OrthoPilot autonomously retrieves real-time imaging, laboratory, pathology and order data and converts evolving patient states into evidence-based decisions from admission diagnosis to rehabili","title":"Evidence-Grounded AI for Musculoskeletal Care","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-07-16T04:44:04Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2607.12527"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:583ab4bacf4979230f9e9a55cf896875e656aebf145d2df8fa9bc8262c4aa28e96e21966f19c38c8154b8aac5d6f034a22ed2b696ac93dda4687a3626f8eef09","signer":"crovia.substrate","subject":{"observed_at":"2026-07-16T04:44:04Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2607.12527"},"tsa":{"authority":"crovia.substrate.bootstrap","rfc3161_token":"{\"kind\":\"crovia.bootstrap.tsa\",\"source_jsonl\":\"/opt/crovia/spider/data/news/vendor_press_v1.jsonl\",\"source_seal_merkle_root\":\"spider_vendor_press_v1\",\"upgrade_path\":\"Sessione H \\u2014 OpenTimestamps weekly anchor\"}"},"zk_mode":"clear","zk_proof":null},"ledger":{"leaf_hash":"0ddf4e876b92a141b60e28157d32f38e3ca334767f4999f4ce53352d135e2616","leaf_index":319899,"ledger_path":"/opt/crovia/substrate/axiom_ledger.jsonl"},"merkle_proof":{"hash_alg":"sha256","leaf_prefix":"0x00","node_prefix":"0x01","odd_leaf_rule":"duplicate_last","path":[{"sibling":"ba67f0991f50b7b90b90de0e78e31c2e814e8c0604ca72a807ac57b34bf3ca63","side":"left"},{"sibling":"09d4f98a1b457609a22b89240cd69532a23fdd5d9a9cfe3e8e92d19f873ddf1d","side":"left"},{"sibling":"900017c88d783da3861a1f5ea3790b833b411cb7ea416b88a2b5ee1514f71df4","side":"right"},{"sibling":"3b643d27add0b4f72a8061f92b33310ac626d49ac14f684d6eb3494436fb2d7b","side":"left"},{"sibling":"83b44dfbeff4896d1c3548ce16bb68989434aa76eb6e74963505811bc3fc8951","side":"left"},{"sibling":"62e3b394632b6a6c803431d7367cf3239ed0a656a71708a95c3697a979e35cdb","side":"right"},{"sibling":"ee301003f62e32cb8340b9b36c3b96d6f2fbb9843fae27ab12f5db78a700fd40","side":"right"},{"sibling":"07cc977fce7e64af6ef759252372209956d49c5a495213666eef01b40c0f6d6f","side":"left"},{"sibling":"929619d7bb5abd9d4c015f749565f8d43a371ed382bafe122457d67edb9b8323","side":"left"},{"sibling":"1290775fa2a1fe2079ed83a9c60b8cb479714b6312967daa62f6a91dbbe1cac9","side":"right"},{"sibling":"95977bf2fb44d423026e874e6c275f78b1cf48666d2c472c5e4603d16f4faf7f","side":"right"},{"sibling":"6b83879fdb76b5b7270071f1edfe4d1a059fa9b92653e70fc8c8893214b8f237","side":"right"},{"sibling":"ff49c1d8749b258f58cc33cfaf20d723098ed6860fb62a6779db960d6250915b","side":"right"},{"sibling":"34d85f6ad6cc7dfa79d90e2b9ff99a561bcdc75b0301bbbd3e83861f54535c1e","side":"left"},{"sibling":"f302542c38ba7c3aab7c9280dd60259ecec777dca6e6f71b6f0729b0b8791b72","side":"left"},{"sibling":"d8b9143917b539c543cf4448cec00131f8b807bd8004979c54ebe09798748c66","side":"left"},{"sibling":"3ee6ab8db1878db0b324dd807ca233edd472899b8e90d2c5e018848ea5d12d99","side":"right"},{"sibling":"73a8d1605c15a74de720f0c54b5b4567e3eb8b5999bd8812dc66eedc461540fa","side":"right"},{"sibling":"1cecb7f447febd025aac272837c80de218aecc6485d2395a509b2a1f1b9c746e","side":"left"}]},"schema":"crovia.axiom_proof.v1","seal":{"first_collector_run_id":"","first_receipt_hash":"","jsonl_path":"/opt/crovia/substrate/axiom_ledger.jsonl","key_id":"430895f101d38164","last_collector_run_id":"","last_receipt_hash":"","leaf_count":320080,"merkle_root":"1e159bceacfdb1f3c930dae410f8759ddc4c762abcfa4a257b150d6f44ab16e0","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260716T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-07-16T05:38:31Z","sig_algorithm":"ed25519","signature":"c1cd1fc5704d4fec4dee47b29a0e9877f8cfb41eb61dcfd783d82344a15f6e44d80d6cd5128849547b62fe9d9724fc71433319ab6030445b4ac1c9e6bf8a3709","signer_version":"1.1.0"},"trust_root":{"key_id":"430895f101d38164","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","signature_algorithm":"ed25519","url":"/registry/canon/TRUST_ROOT.md"},"verifier":{"spec":"/registry/canon/AXIOM_RECEIPT_v1.md","url":"/v/axm_03d47e19ecbbac476efe61e2a8b84776c5d17988d23af4c5cf81409a61e0deaf"}}