{"_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_bd7a9f50da83b5f7a7ad3c44797acf20d0d97b94c165a2465847c37f64f697f9","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_bd7a9f50da83b5f7a7ad3c44797acf20d0d97b94c165a2465847c37f64f697f9","axiom_type":"AX.OBS","body":{"axiom_subtype":"news.vendor_press.v1","category":"news","fingerprint":"909637e1d29da90729ca7488b4b36484c9fa370aa9d2bb269f6a054067680ab8","published":"Mon, 13 Jul 2026 00:00:00 -0400","receipt_hash":"909637e1d29da90729ca7488b4b36484c9fa370aa9d2bb269f6a054067680ab8","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":"909637e1d29da90729ca7488b4b36484c9fa370aa9d2bb269f6a054067680ab8","observed_at":"2026-07-13T04:43:08.394955Z","parent_run_hash":"900c1c934245e788564e199a9619f2dc36ec91d9804ddd9c6a40fb42c8a1e1c0","published":"Mon, 13 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:2508.14817v2 Announce Type: replace-cross \nAbstract: Objective: To evaluate whether retrieval-augmented generation (RAG) can serve as an efficient alternative to long-context prompting for clinical reasoning over electronic health records (EHRs). Methods: We defined three EHR-based tasks that are replicable across health systems and vary in reasoning complexity: 1) extracting imaging procedures (modality, date, and anatomic site), 2) generating timelines of therapeutic antibiotic use, and 3) identifying the key diagnoses for a hospitalization. Using real inpatient clinical notes from a US academic health system, we evaluated three large language models (GPT-5.4-mini, Mistral Medium 3, DeepSeek V3.1) with varying amounts of provided context, comparing targeted retrieval to using the most recent clinical notes. Results: For Imaging Procedures, RAG strongly outperformed recent-note inputs and exceeded long-context performance (by 0.17-9.83 F1 across all models) using fewer than 8K t","title":"Evaluating Retrieval-Augmented Generation vs. Long-Context Input for Clinical Reasoning over EHRs","url":"https://arxiv.org/abs/2508.14817","vendor":"arxiv_cs_ai"},"summary":"arXiv:2508.14817v2 Announce Type: replace-cross \nAbstract: Objective: To evaluate whether retrieval-augmented generation (RAG) can serve as an efficient alternative to long-context prompting for clinical reasoning over electronic health records (EHRs). Methods: We defined three EHR-based tasks that are replicable across health systems and vary in reasoning complexity: 1) extracting imaging procedures (modality, date, and anatomic site), 2) generating timelines of therapeutic antibiotic use, and 3) identifying the key diagnoses for a hospitalization. Using real inpatient clinical notes from a US academic health system, we evaluated three large language models (GPT-5.4-mini, Mistral Medium 3, DeepSeek V3.1) with varying amounts of provided context, comparing targeted retrieval to using the most recent clinical notes. Results: For Imaging Procedures, RAG strongly outperformed recent-note inputs and exceeded long-context performance (by 0.17-9.83 F1 across all models) using fewer than 8K t","title":"Evaluating Retrieval-Augmented Generation vs. Long-Context Input for Clinical Reasoning over EHRs","vendor":"arxiv_cs_ai"},"confidence":{"method":"deterministic"},"decision":"POSITIVE","issued_at":"2026-07-13T04:43:08Z","notes":"Spider vendor_press (news) news.vendor_press.v1","object":{"captured_by":"crovia.spider.vendor_press","primary_source_url":"https://arxiv.org/abs/2508.14817"},"predecessors":[],"schema":"crovia.axiom.v1","signature":"ed25519:704ef6fa1b4b46edf38e1decbcd14b520ae1dbae6625d21f7e0316b4594caa1cf60608e0dfc433a0a26c9f80795f072603482afca7c25a1a1091cf651dea8402","signer":"crovia.substrate","subject":{"observed_at":"2026-07-13T04:43:08Z","source_collector":"spider:vendor_press","target_id":"https://arxiv.org/abs/2508.14817"},"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":"f443b7d3d7bf982393979f27c945fe879c7bed809e470d24645931d441303361","leaf_index":309712,"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":"12e6037eab9e3c62bd1469c12cf2a65f70d3cf5dd27baf2c536f6199413c0885","side":"right"},{"sibling":"f84805f5803ed9fc2edf328fab93ef01e4ccc1c475b6c20a71b4126168ada9eb","side":"right"},{"sibling":"48258ec90f0b456bed21f8264d1dd4fb12682521ae5bc425a8f51c422c02508f","side":"right"},{"sibling":"df04a3ad40a5e4dd53775ae88973a795336f40b30b8504cc9c99148e95088c1d","side":"right"},{"sibling":"8699bfe506179c5c809d850cba1a3509bcf0c1227a33aec7cb94b5f7f0ddc31b","side":"left"},{"sibling":"88c44e323ef86a9c4f17a14b68eb1a15c4b1b49a81438fbb84791655c362f2d7","side":"right"},{"sibling":"42713195b458e33ad755469890443a1ff2740bc55d9158b7553b968ec2d002fc","side":"left"},{"sibling":"49f7764de5dea797b32547b8437f6d371cde9fb33ac6cf784651dcfa196b149a","side":"left"},{"sibling":"6cbb0c4695e74fa8ec17dfde89fa56c1958a1d4dffbbcbe3556da4a69c699ebc","side":"left"},{"sibling":"c4bde3283be97905033d39c1097ac73b82f180de8830384fe6f9f1933f7fa4b9","side":"right"},{"sibling":"3b5f968ebea87e7be458ef7e63c6637988d27ba6d170e1f3794d385cd76ca23f","side":"right"},{"sibling":"5ed534e945b31085c140b50460415e7960b76a4b6266da67d272b853dc94b352","side":"left"},{"sibling":"91010b271bc8eb5253b3549292ef3146e1d85bc9bac7ca36e0862f1204f84e8d","side":"left"},{"sibling":"772fbc112e94d8e574379343387c65503d3cf8fb16ff89090174eccced871a41","side":"left"},{"sibling":"5d50450cae1a230f682b390c8e28ae822ec6c0c04a9bc79b0d27af97306ccccd","side":"right"},{"sibling":"d8b9143917b539c543cf4448cec00131f8b807bd8004979c54ebe09798748c66","side":"left"},{"sibling":"e9ac4b1e71d3f572751b7984e9ca00893d71628137b4634e82df02cf3db9ab68","side":"right"},{"sibling":"99ff86058e045249bf936a629308be31e4cc71328f0282c4a924f4e6718be5f0","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":309862,"merkle_root":"f18a76abb66e7cb448986b6541091416ed4ebdde8124f5208a7c7c94bb4165d1","public_key_hex":"cf742e26f75669dc673cb5c0786a1ae23ae8ca19c347317192ce40c28a7ff25c","run_id":"hourly_json_retrofit_20260713T053701Z","schema":"crovia.seal.v1","seal_family_version":"crovia-seal-family/1","seal_kind":"substrate_batch","sealed_at":"2026-07-13T05:38:23Z","sig_algorithm":"ed25519","signature":"0488e3527b1d559ba55116220f91e2f6c22bb5358a135e8a9b94a65450b50511702044fa993555662ebca09f005b277f5f6ad0d044ec96a5568e9993c09ef007","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_bd7a9f50da83b5f7a7ad3c44797acf20d0d97b94c165a2465847c37f64f697f9"}}