{"_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_200f9b2cfdf4120ca0e6c0b720dca3e3bc0535ce2ae7e3f181d37f8b6644319f","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_200f9b2cfdf4120ca0e6c0b720dca3e3bc0535ce2ae7e3f181d37f8b6644319f","axiom_type":"AX.OBS","body":{"axiom_subtype":"news.vendor_press.v1","category":"news","fingerprint":"3a65f4bc445d71e1934a6b12e83fc330a801ce9e36cde3d169aa97223edac78a","published":"Tue, 14 Jul 2026 00:00:00 -0400","receipt_hash":"3a65f4bc445d71e1934a6b12e83fc330a801ce9e36cde3d169aa97223edac78a","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":"3a65f4bc445d71e1934a6b12e83fc330a801ce9e36cde3d169aa97223edac78a","observed_at":"2026-07-14T04:43:37.834979Z","parent_run_hash":"66b89520a448b8d9fe7d8f602ef38b82b6c95e57f532ce72de51375b41870477","published":"Tue, 14 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:2607.11175v1 Announce Type: new \nAbstract: The growing ability of large language models and vision language models to jointly interpret and reason over images and text is reshaping medical agents, moving them from task specific predictors toward autonomous systems that perceive, reason, plan, remember, and act in clinical environments. This work departs from the capability first perspective of existing literature and instead begins from clinical deployment, asking what tasks, contamination resistant benchmarks, and interactive training environments are required before medical agents can be trusted in practice. Medical agents are formalized as sequential decision making systems under partial observability, together with a three level autonomy taxonomy spanning assisted, cooperative, and fully autonomous operation. The field is organized along a unified scaling spine consisting of framework scaling, capability scaling, and environment scaling. Within this framework, clinical enviro","title":"The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomy","url":"https://arxiv.org/abs/2607.11175","vendor":"arxiv_cs_ai"},"summary":"arXiv:2607.11175v1 Announce Type: new \nAbstract: The growing ability of large language models and vision language models to jointly interpret and reason over images and text is reshaping medical agents, moving them from task specific predictors toward autonomous systems that perceive, reason, plan, remember, and act in clinical environments. This work departs from the capability first perspective of existing literature and instead begins from clinical deployment, asking what tasks, contamination resistant benchmarks, and interactive training environments are required before medical agents can be trusted in practice. Medical agents are formalized as sequential decision making systems under partial observability, together with a three level autonomy taxonomy spanning assisted, cooperative, and fully autonomous operation. The field is organized along a unified scaling spine consisting of framework scaling, capability scaling, and environment scaling. Within this framework, clinical enviro","title":"The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomy","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-07-14T04:43:37Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2607.11175"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:29522ae03598b4558f5bd03d8ca02ce93d40b6808f12462288ca4ad4aa2e618f6cdf22b15f1e4417813485c9cf86238b1756993b8042ef4d5b39c809141aa306","signer":"crovia.substrate","subject":{"observed_at":"2026-07-14T04:43:37Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2607.11175"},"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":"5fb2e16d1a1cd60ea06dccca44746bd9daa964d617a61cb31acaadb66714cd07","leaf_index":312868,"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":"e262e97dd8cfc5dc4d2bd62ddc3e043f3177fba6b94dafb6ba65df9a3972fed1","side":"right"},{"sibling":"28ae5783ddf189e7b9d1813a52f547c8458e97756c74558b4d447b3b816aca94","side":"right"},{"sibling":"ea53c92c8cb45cdc3821a6dcda8340ac2baa8dca6be9ff699b03f44842804349","side":"left"},{"sibling":"7af231e95848467c418f221debcc5eb315af2617e47f24036897dba346e111ae","side":"right"},{"sibling":"b4163f608e7070cf2578b7c000cc4e25406696748f89ae33fec6f726a8288534","side":"right"},{"sibling":"5e5214b318d404a3e4b01d48a8808920cbd89a6e5750deca84bae38338a54fb7","side":"left"},{"sibling":"04a12e88bcadd8c9e1dda8e2f91239c99fb5d20c71c964d11fa8866459755f0e","side":"right"},{"sibling":"b6420221ab220053217910d6a61ccf0d6e8ca1f1eb9e0cc40a25723c21042168","side":"right"},{"sibling":"ca17e703a3fca19bfbb090cbed9e2450594a9c237665dd9a566195d3ef3072f7","side":"right"},{"sibling":"8393dc03644000353c5d503b6ec261c022cd2aa85a649223916153bc8af2dc75","side":"left"},{"sibling":"1627ce6908965f2e5fbc7c16bc8e247867478c587014561d0de1359dc2dc0afc","side":"left"},{"sibling":"74e1ba9fd48bdd0f52777dd5b56c10706e73f42629013748eca13ef113cd59db","side":"right"},{"sibling":"682fd39539db5bce908d0ab6f180374728fed6b34a9a8c87c7b4eb5a726e30b8","side":"right"},{"sibling":"184927f71d667ac0c6ebeadb33394626973738b9107c6dc3c0c4949b44acf295","side":"right"},{"sibling":"f302542c38ba7c3aab7c9280dd60259ecec777dca6e6f71b6f0729b0b8791b72","side":"left"},{"sibling":"d8b9143917b539c543cf4448cec00131f8b807bd8004979c54ebe09798748c66","side":"left"},{"sibling":"c4c189d79669979b59d9aa976ee249c54a7e065b4a05bf49463459cc7f37428e","side":"right"},{"sibling":"19475e206bdf2698769a286db2c97c4d3f089741319f9b29a139038c6e511975","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":313381,"merkle_root":"5f7d48580373d0ab0bc6bdf34f26de442f9a86d130946f7ee45addd1a55cb9f4","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260714T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-07-14T05:38:23Z","sig_algorithm":"ed25519","signature":"97364224142ed1b2a8925fed1bfba2e0a8a6a15f8ca0999b934846ad83584a78c7f0f5cd09dbc1c938b35383fcc5c8fa4b723118e30916628879d1c5fd3a9908","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_200f9b2cfdf4120ca0e6c0b720dca3e3bc0535ce2ae7e3f181d37f8b6644319f"}}