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I therefore propose a dialectical standard of care that treats the integrated AI-physician dyad as the singular responsible diagnostic entity, mandating the synthesis of algorithmic precision with human interpretive authority within robust data governance and patient privacy frameworks.","title":"Algorithmic Authority and the Clinical Standard of Care","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-06-02T04:43:38Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2606.00044"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:8b7833f47d764246bad38a65717863348b64653ef8d601dd8c1e0607a4ed78a60c898e8e06d3fe6fe075ea11456594f63a9172e6ed613b96e286a3503aabad0e","signer":"crovia.substrate","subject":{"observed_at":"2026-06-02T04:43:38Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2606.00044"},"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":"4dbcef3c458c76533571b25867747a91962f2346d5d4f7f2c875503add5b65bb","leaf_index":205359,"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":"07cddd76dbb794c225db89c263fe5ad7d1df9bd02d355cc73b9769c472707cc7","side":"left"},{"sibling":"c7536c73819a5ed8792fbdffdf49e6857b384f0f5bb11d1d694d2b3744093fac","side":"left"},{"sibling":"e9d0cae92585b00837db59e6f287bf8903d088d57848ca25f37661bbb1d43224","side":"left"},{"sibling":"22e0a108ceda17e6d9c8a3b0eea1a612d736698348b1a8ff26256a121763001d","side":"left"},{"sibling":"31d0f9f9ffe496f5ebaebe67ba7c3400f2120b61a34b45da9ec036c4df21e1d8","side":"right"},{"sibling":"63275dba537a222bf2529f34123b61b635896071180776512c2f598b6075d97d","side":"left"},{"sibling":"3b0d448c2e292fc4b19f608984f8252d66fcbab3a604f598ba9866d7435871b3","side":"right"},{"sibling":"5e8ef229952a4c6fda87dc1edd85b273121854e550efc4d376e399540dde01b3","side":"right"},{"sibling":"24ca17172d6e9b822b45054c27a7852aa461e97a906c83736cd55c5cf9874394","side":"right"},{"sibling":"6620a5008acf732cd3e57b0f2d1437293e88366c2e5b175ebeb7d796fc1e0c62","side":"left"},{"sibling":"a82575bfb494af7afcc13aaae718afa6f74030f09d71b02819ea25efd4186fc4","side":"right"},{"sibling":"e6adead8216db4cae92f0a036d53baebf30eed95a99c0d10758aa75bb7780f2f","side":"right"},{"sibling":"1acc2b7ff453ffd8c97b80ae4db5358780f0c6796874fd75403791dbe99f8cd7","side":"right"},{"sibling":"24d1bb4b13e0e46131b27b70a48e65fcf4e2e14b95e3bb83ade821e9df530f6b","side":"left"},{"sibling":"5f86f58c28b1a86ae06dfff4666bb9fba8866021a81fd4f1d200aa9af4722dfb","side":"right"},{"sibling":"f6cc6f94f6944ae21390afc65ac9e91dc31f84ee6e060681bba5ae08058294bd","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":206226,"merkle_root":"d2a6d32b13cbf343fb143b21a756d0533864ae6577a376ee84ba867b949207ec","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260602T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-06-02T05:37:46Z","sig_algorithm":"ed25519","signature":"abd9956cfb19dd1fb8142c46a220bac2514848c6abb0e79b8b0940206cc3ebb00894d4daaf9f786427f82a7cc12482e7fda79054ebb06bceaa9b4b97e23fb30e","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_9f932bd0d6bee8bf246f4f453050c146dec62d5cdfad5c21af87877cfbb0172c"}}