Paper Citation Record · LEDGER

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation

As of 21 August 2026, this Paper Citation Record lists 13 of 13 outbound references and 0 inbound Pith citation observations for arXiv:2607.24859.

A citation records a reference. It does not transfer a finding from one paper to another.

pith.paper-citation-record.v1
2607.24859 v1

Coverage vector

measured 13 of 13 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-07-30T20:22:16.198159Z

measured 13 of 13 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-21T06:32:19.484+00:00

measured 0 of 0 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links

measured 0 of 1 external citation measurements

A source-named dated measurement, never combined with another source.

Source: cited_works

Reference resolution

13 of 13 outbound references displayed

verified exact0
verified fuzzy0
unresolved13
parse uncertain0
malformed identifier0
metadata mismatch0

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation b1eeba51-75d8-4a05-9810-ffd9a4dd6849 · outbound

This paper cites https://www.timeshighereducation.com/news/fake- sick-notes-rise-student-cheating-cases.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation https://www.timeshighereducation.com/news/fake- sick-notes-rise-student-cheating-cases

Reference 5

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.179706Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 7e46ab36-d070-4706-8c15-0307e586e9e0 · outbound

This paper cites Visual-RolePlay: Universal Jailbreak Attack on MultiModal Large Language Models via Role-playing Image Character.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation Visual-RolePlay: Universal Jailbreak Attack on MultiModal Large Language Models via Role-playing Image Character

Reference 6

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.367808Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 18edbb88-b364-40d3-ba41-198c92ca5b22 · outbound

This paper cites HarmBench: A Standardized Evaluation Framework for Automated Red Teaming and Robust Refusal.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation HarmBench: A Standardized Evaluation Framework for Automated Red Teaming and Robust Refusal

Reference 7

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.523539Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 18ca1df6-7523-47b0-b385-1df7676c1e3f · outbound

This paper cites https://openai.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation https://openai

Reference 9

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.754734Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 370ca71a-9e13-4918-9d67-3fb232963ae1 · outbound

This paper cites InMedical Imaging 2026: Imaging Informatics, vol- ume 13930, 77–86.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation InMedical Imaging 2026: Imaging Informatics, vol- ume 13930, 77–86

Reference 10

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.862552Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation f60688c9-3ec5-4555-84be-6cf231031183 · outbound

This paper cites Do-Not-Answer: A Dataset for Evaluating Safeguards in LLMs.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation Do-Not-Answer: A Dataset for Evaluating Safeguards in LLMs

Reference 11

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.974831Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 23244cd9-ddaf-4a1a-a644-054cf19f9697 · outbound

This paper cites First, do NOHARM: a medical safety benchmark and randomized study of physician and AI teaming on clinical consultations.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation First, do NOHARM: a medical safety benchmark and randomized study of physician and AI teaming on clinical consultations

Reference 12

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:16.055531Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation b7865037-4219-4528-99d1-a8cdf0c0b46b · outbound

This paper cites Universal and Transferable Adversarial Attacks on Aligned Language Models.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation Universal and Transferable Adversarial Attacks on Aligned Language Models

Reference 13

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:16.198159Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 4e0cab5b-3ebe-4349-bb41-648c2c1920a8 · outbound

This paper cites A.; and Yates, F.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation A.; and Yates, F

Reference 358

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.015587Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 38344499-961e-4f8d-99ae-b2e680fb9103 · outbound

This paper cites Capabilities of GPT-4 on Medical Challenge Problems.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation Capabilities of GPT-4 on Medical Challenge Problems

Reference 2023

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:15.638386Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation fcd05a68-38ef-4f01-a6f6-c588440845b5 · outbound

This paper cites an unresolved cited work.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation Unresolved cited work

Reference 2024

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:14.653863Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 36c212ea-4e8f-4c0b-ba00-09ca0a7350f3 · outbound

This paper cites https://www.datamintelligence.com/research-report/ healthcare-llm-platform-market.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation https://www.datamintelligence.com/research-report/ healthcare-llm-platform-market

Reference 2025

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:14.856099Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Observation 24c6fbad-418b-41ee-bca4-0a8a0d3d296d · outbound

This paper cites Accessed: 2026-05-21.

The Mirage of LLM Guardrails: A Case Study in AI-Assisted Medical Note Manipulation Accessed: 2026-05-21

Reference 2026

Resolution: unresolved; no resolver link, observed 2026-07-30T20:22:14.425483Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

Pith citing papers

No inbound Pith citation observations are available.