{"_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_66173b840d7d8702f2aaf257c0cd5796a0bc5803d73153c967ee61a1d1c6fc26","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_66173b840d7d8702f2aaf257c0cd5796a0bc5803d73153c967ee61a1d1c6fc26","axiom_type":"AX.OBS","body":{"axiom_subtype":"news.vendor_press.v1","category":"news","fingerprint":"6bf88e7a34c57c8985dc1f4eeb3f498d030d358661c0e2e21498daceb167e262","published":"Wed, 03 Jun 2026 00:00:00 -0400","receipt_hash":"6bf88e7a34c57c8985dc1f4eeb3f498d030d358661c0e2e21498daceb167e262","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":"6bf88e7a34c57c8985dc1f4eeb3f498d030d358661c0e2e21498daceb167e262","observed_at":"2026-06-03T04:43:57.136784Z","parent_run_hash":"62ae9c8eda846b00bc49666345b338d00756c5203438666c4c1fc694cc364b84","published":"Wed, 03 Jun 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:2606.03641v1 Announce Type: new \nAbstract: We investigate whether large language models produce different medical triage recommendations for identical neurological symptoms when only the patient's stated gender and age vary. Using three model families--Gemini 3.5 Flash, Claude Sonnet 4.6, and GPT-5.4-mini--we present a standardized symptom profile (persistent headache, blurred vision, morning nausea, visual disturbances) across seven demographic conditions: three age groups (25, 38, 65) x two genders (male, female), plus a gender-unspecified baseline (n = 30 per condition per model, 630 total trials). We find a stark, systemic gender-dependent triage disparity: young women receive significantly lower emergency room (ER) referral rates than age-matched men (Gemini: 0% vs. 23.3%; Claude: 6.7% vs. 96.7%; GPT: 6.7% vs. 66.7%, all p < 0.001). The disparity disappears at age 65 for all models. The primary mechanism is diagnostic substitution: the models anchor on a gender-associated di","title":"Gender-Dependent Diagnostic Substitution in LLM Medical Triage: Same Symptoms, Unequal Urgency","url":"https://arxiv.org/abs/2606.03641","vendor":"arxiv_cs_ai"},"summary":"arXiv:2606.03641v1 Announce Type: new \nAbstract: We investigate whether large language models produce different medical triage recommendations for identical neurological symptoms when only the patient's stated gender and age vary. Using three model families--Gemini 3.5 Flash, Claude Sonnet 4.6, and GPT-5.4-mini--we present a standardized symptom profile (persistent headache, blurred vision, morning nausea, visual disturbances) across seven demographic conditions: three age groups (25, 38, 65) x two genders (male, female), plus a gender-unspecified baseline (n = 30 per condition per model, 630 total trials). We find a stark, systemic gender-dependent triage disparity: young women receive significantly lower emergency room (ER) referral rates than age-matched men (Gemini: 0% vs. 23.3%; Claude: 6.7% vs. 96.7%; GPT: 6.7% vs. 66.7%, all p < 0.001). The disparity disappears at age 65 for all models. The primary mechanism is diagnostic substitution: the models anchor on a gender-associated di","title":"Gender-Dependent Diagnostic Substitution in LLM Medical Triage: Same Symptoms, Unequal Urgency","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-06-03T04:43:57Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2606.03641"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:c4f2693139151b38b2414eb61942ecca36ad9be8e5fc773d45fdd410603c99ee145001cfb0827e9cb26373e6d3579ca9595a37c0e17aa0ed42fbeff015b91f08","signer":"crovia.substrate","subject":{"observed_at":"2026-06-03T04:43:57Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2606.03641"},"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":"083a8e35787365fe36dd8dac0fb28494d27886472e3f12c93a19b8a09aeaceef","leaf_index":209065,"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":"63f64d4581ffc8e95df3597864c1d4810eb6fd92227a1a6d6cb93bb718ab70a3","side":"left"},{"sibling":"59dcb6d69389e021f8d6179336c2011b2a4c6445d0772a6a726eb05bc501e458","side":"right"},{"sibling":"5a3387d842aa1f7e781c853a1f30662476fbdc4e0df121413b44f510cab97964","side":"right"},{"sibling":"c7842d61be55dc5cc33f594a96af3621a7d6661b5ada79bad22f0ab51dc6225f","side":"left"},{"sibling":"8f344101640781283af134db303d3ac1b5aa655050a7e1bccf7dcb842073e2a6","side":"right"},{"sibling":"539a986e1a314056d614cc58138b39df2987d9391785174a6e8077bce59eb459","side":"left"},{"sibling":"774fc127f09c4116646d44b290dc856efd1c3b5371b99a54c99f0ed4cfbe2353","side":"right"},{"sibling":"eae7f3d160253f87d5f2b594663f65cef3187784faa6d32d0ec2a662c29c4d98","side":"left"},{"sibling":"9924ce3405008f0c3a3b79e9066c574929b10c2965e0cc083262d3ac8aae2cb3","side":"right"},{"sibling":"2abcec6d14b256f82b270a3141886de6129141dec525543607b760f02588a877","side":"right"},{"sibling":"2b6b45743f97ac502854e489ac38a3366f8ae7ede58a2728b45daadbf29e9d03","side":"right"},{"sibling":"a81babbd79ea0da9e030dd7f43bffb6519d214317decd50727bea4e78189d970","side":"right"},{"sibling":"2dca509b3eb767a47cf215d4315f230ce9103a76264412008ae23a349b519ef1","side":"left"},{"sibling":"24d1bb4b13e0e46131b27b70a48e65fcf4e2e14b95e3bb83ade821e9df530f6b","side":"left"},{"sibling":"8d3baa674a45fd8bc6d3e8d25298f4bec86c72fa8259d576c330d12955c7b4f7","side":"right"},{"sibling":"e32819d1eff909db08066d1703f2db3f091cddac19378b2c0c625ab11e3fdbc0","side":"right"},{"sibling":"c300cf0154c136afc09b1702a0be98f4ba5b6dc5cf57e8cc714ec1eaf4196eff","side":"left"},{"sibling":"d841ad93efda0869e5eb97678f348f03f5caab4353e05ff4bf18f47fb945b822","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":209569,"merkle_root":"c852efc8ad7dfffc196c71380f79e6398bcaf566974cbae7c9950b0f600d5bc8","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260603T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-06-03T05:37:57Z","sig_algorithm":"ed25519","signature":"1ca417607effc813341721cfdade0a2d2d4ba96a90d361dbc3e864b6991b90abc326ec41d9ba3e7110cc04adb29d7b8d95abea7ff2ab8c591b2f864ed7270c03","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_66173b840d7d8702f2aaf257c0cd5796a0bc5803d73153c967ee61a1d1c6fc26"}}