{"_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_0909b5f128c97f3190dfa9d43fa71d51e435a2bd9903f73a3629844dbd1f5264","bitcoin_anchor":{"bitcoin_attestations":["bitcoin_block_949451"],"calendar_attestations":["https://finney.calendar.eternitywall.com","https://btc.calendar.catallaxy.com","https://alice.btc.calendar.opentimestamps.org","https://bob.btc.calendar.opentimestamps.org"],"ots_url":"/registry/data/substrate/anchors/77fc9c28fae777b81da5b495b3115474df6592dfac590333213d3bdf8b94a9b3.ots","stamped_at":"2026-05-15T03:00:03Z","status":"bitcoin"},"envelope":{"anchors":[{"chain":"crovia.axiom_graph","height":0,"merkle_proof":"spider_vendor_press_v1","root_at_anchor":"spider_vendor_press_v1"}],"axiom_id":"axm_0909b5f128c97f3190dfa9d43fa71d51e435a2bd9903f73a3629844dbd1f5264","axiom_type":"AX.OBS","body":{"axiom_subtype":"news.vendor_press.v1","category":"news","fingerprint":"3f60a56c288c778643fa5b1acedb1342974ed896cd794a1c51589191d4e81276","published":"Tue, 12 May 2026 00:00:00 -0400","receipt_hash":"3f60a56c288c778643fa5b1acedb1342974ed896cd794a1c51589191d4e81276","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":"3f60a56c288c778643fa5b1acedb1342974ed896cd794a1c51589191d4e81276","observed_at":"2026-05-12T04:43:42.564879Z","parent_run_hash":"4cc5aca0c1b8116c9ab92405e0260204f01cf7ce2e49dea9d7e123236f5dc13b","published":"Tue, 12 May 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:2605.09584v1 Announce Type: cross \nAbstract: Inpatient clinical reasoning is a sequential decision under partial observability: the clinician sees the admission so far and must choose the next action whose downstream consequences are not yet visible. Existing clinical-LLM evaluations and RL rewards signals collapse this into closed-form retrieval, clinical journey leakage, or unanchored LLM-as-judge scoring. We introduce CLR-voyance, a framework that reformulates inpatient reasoning as a Partially Observable Markov Decision Process (POMDP) and supervises it with rewards that are simultaneously outcome-grounded and clinician-validated. We instantiate the formulation as CLR-POMDP, which partitions successful patient journeys into a policy-visible past and an oracle-only future. Using the past information, an oracle LLM generates a case-specific query-answer pair, and the first adaptive rubric for clinical reasoning which is verifiable in the future of the patient journey. These rub","title":"CLR-voyance: Reinforcing Open-Ended Reasoning for Inpatient Clinical Decision Support with Outcome-Aware Rubrics","url":"https://arxiv.org/abs/2605.09584","vendor":"arxiv_cs_ai"},"summary":"arXiv:2605.09584v1 Announce Type: cross \nAbstract: Inpatient clinical reasoning is a sequential decision under partial observability: the clinician sees the admission so far and must choose the next action whose downstream consequences are not yet visible. Existing clinical-LLM evaluations and RL rewards signals collapse this into closed-form retrieval, clinical journey leakage, or unanchored LLM-as-judge scoring. We introduce CLR-voyance, a framework that reformulates inpatient reasoning as a Partially Observable Markov Decision Process (POMDP) and supervises it with rewards that are simultaneously outcome-grounded and clinician-validated. We instantiate the formulation as CLR-POMDP, which partitions successful patient journeys into a policy-visible past and an oracle-only future. Using the past information, an oracle LLM generates a case-specific query-answer pair, and the first adaptive rubric for clinical reasoning which is verifiable in the future of the patient journey. These rub","title":"CLR-voyance: Reinforcing Open-Ended Reasoning for Inpatient Clinical Decision Support with Outcome-Aware Rubrics","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-05-12T04:43:42Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2605.09584"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:b50e1db5a33ec27baf86d132925a675b084dcf321a7924b5b546cf11c353501caf3e77fef1faeea1922444dff21113cfc7091a3461eb4636f006d2304c653b03","signer":"crovia.substrate","subject":{"observed_at":"2026-05-12T04:43:42Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2605.09584"},"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":"6f8b64caee678cea52da0e47f1bff87f55e571730285432000d0def7ab776bfe","leaf_index":128740,"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":"61a626f3e6215f23152c52ac071840f8a29fc303016d6068cda323acee6150d9","side":"right"},{"sibling":"ea750180319a47409b498eb29ef22634c88931e58b1539019f795f6b7afd069d","side":"right"},{"sibling":"5d027277783585280dd8e15c7eea5caee4e88e5341be5cfa29ef0e4c951fac9e","side":"left"},{"sibling":"c2c1e0da6dccb718dfcfd775b1dc7ec8fcdef94731703e9eaf0ad7c402f6239f","side":"right"},{"sibling":"c5e5650b63202c16e38971ec6e247d830ad7d197014626fa5face59a7fdd546e","side":"right"},{"sibling":"4c99c0fa50bab9cfdff8620bd6186743c3ee2c9ecf9b69f24fe1d40c85b9423f","side":"left"},{"sibling":"b8399efa86c600d3b6c6043f58d34ae85891a591cd008a713987d313dca752fc","side":"left"},{"sibling":"66ed9d27919b2830cd6c07ec62488d62635d76aad26e26435c6ebbcd12730198","side":"left"},{"sibling":"831b04b4dcc29bcff4577c406291bc4f644057b650a55f064d46d1cab5185326","side":"right"},{"sibling":"1d74b0fb79eace68949b4d82b0e430b1d9eb122c125f67f5be7d50c074c228e7","side":"left"},{"sibling":"c6eaf7a4fcab2db96e9e9423acb6922c80f64882d0f3f50d09e53a4807d23084","side":"left"},{"sibling":"df12eaabc0a370aff5d0488478f48d2b3f90d025c903643f98ea804b017688ec","side":"right"},{"sibling":"ffc4d51379293bc3e1910c7d612f409dc610fd9acf8241793fb89f82e1bad4ef","side":"left"},{"sibling":"62ac6554017807bd83187f5a3e5f4f72d6c482616429c2780e9fff1f4845fa04","side":"left"},{"sibling":"3a5e69cf0803f4c91f3895ed7c9a95748fef240bec4422e167c05300f79f06c0","side":"left"},{"sibling":"f2817ab288b5324fe49770372c7a10f33f7cd11005f8d4c0a730316f5229dc98","side":"left"},{"sibling":"725fac972e772ca0dc598810ea1abc70df472f72d2d6ab8a0baee2b80e5d2f4c","side":"left"},{"sibling":"98fc57dfef8873b512edc8340f7181df57302bb96777625e072235c62d7c5895","side":"right"}]},"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":134292,"merkle_root":"77fc9c28fae777b81da5b495b3115474df6592dfac590333213d3bdf8b94a9b3","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260515T023701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-05-15T02:37:25Z","sig_algorithm":"ed25519","signature":"68107a834b00b24f5d4501e5ec727445311f132a486567ecc4c72a4e6dff24c8c21f2de3105293353ba5fdbe370d032819af6aa70f694e2e39b6af6737507009","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_0909b5f128c97f3190dfa9d43fa71d51e435a2bd9903f73a3629844dbd1f5264"}}