{"state_type":"pith_open_graph_state","state_version":"1.0","pith_number":"pith:2026:CZUXEISGVBEXFDZDUTBII3BFZI","merge_version":"pith-open-graph-merge-v1","event_count":2,"valid_event_count":2,"invalid_event_count":0,"equivocation_count":0,"current":{"canonical_record":{"metadata":{"abstract_canon_sha256":"4d9cf34d0effc31bda518edb900c1e851bbea014dc34fb1b2e75f69e569dded6","cross_cats_sorted":["cs.AI","cs.MA"],"license":"http://creativecommons.org/licenses/by-sa/4.0/","primary_cat":"cs.LG","submitted_at":"2026-02-13T11:39:19Z","title_canon_sha256":"dd7439315755e4aefc0c13589a0f0f81ddc177cea28179c54c34541f7e13f4e0"},"schema_version":"1.0","source":{"id":"2602.12833","kind":"arxiv","version":2}},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2602.12833","created_at":"2026-05-27T01:05:44Z"},{"alias_kind":"arxiv_version","alias_value":"2602.12833v2","created_at":"2026-05-27T01:05:44Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2602.12833","created_at":"2026-05-27T01:05:44Z"},{"alias_kind":"pith_short_12","alias_value":"CZUXEISGVBEX","created_at":"2026-05-27T01:05:44Z"},{"alias_kind":"pith_short_16","alias_value":"CZUXEISGVBEXFDZD","created_at":"2026-05-27T01:05:44Z"},{"alias_kind":"pith_short_8","alias_value":"CZUXEISG","created_at":"2026-05-27T01:05:44Z"}],"graph_snapshots":[{"event_id":"sha256:ff587e90cefc2a94f0096e0e608b552b2632d45980392c3c222cdb0621fe43f6","target":"graph","created_at":"2026-05-27T01:05:44Z","signer":{"key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signer_id":"pith.science","signer_type":"pith_registry"},"payload":{"graph_snapshot":{"author_claims":{"count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57","strong_count":0},"builder_version":"pith-number-builder-2026-05-17-v1","claims":{"count":0,"items":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"formal_canon":{"evidence_count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"integrity":{"available":true,"clean":true,"detectors_run":[],"endpoint":"/pith/2602.12833/integrity.json","findings":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938","summary":{"advisory":0,"by_detector":{},"critical":0,"informational":0}},"paper":{"abstract_excerpt":"Longitudinal clinical reasoning over electronic health records requires tracking evolving physiological measurements, laboratory results, and interventions across extended patient trajectories. Existing LLM-based clinical reasoning systems often rely on repeatedly serializing patient histories or exchanging unconstrained textual agent messages, leading to context drift, unstable reasoning, and growing inference cost over long horizons. We present Vital Trace, a protocol-constrained multi-agent framework for future clinical risk prediction over evolving ICU trajectories. Instead of maintaining ","authors_text":"Michael F\\\"arber, Zhan Qu","cross_cats":["cs.AI","cs.MA"],"headline":"","license":"http://creativecommons.org/licenses/by-sa/4.0/","primary_cat":"cs.LG","submitted_at":"2026-02-13T11:39:19Z","title":"Vital Trace: Protocol-Constrained Patient-State Reasoning for Longitudinal Clinical Trajectories"},"references":{"count":0,"internal_anchors":0,"resolved_work":0,"sample":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2602.12833","kind":"arxiv","version":2},"verdict":{"created_at":null,"id":null,"model_set":{},"one_line_summary":"","pipeline_version":null,"pith_extraction_headline":"","strongest_claim":"","weakest_assumption":""}},"verdict_id":null}}],"author_attestations":[],"timestamp_anchors":[],"storage_attestations":[],"citation_signatures":[],"replication_records":[],"corrections":[],"mirror_hints":[],"record_created":{"event_id":"sha256:9826a44a3aa5960649a969c2e56f3a6dee8587a01d9c9910f8a923bb9bf8ce06","target":"record","created_at":"2026-05-27T01:05:44Z","signer":{"key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signer_id":"pith.science","signer_type":"pith_registry"},"payload":{"attestation_state":"computed","canonical_record":{"metadata":{"abstract_canon_sha256":"4d9cf34d0effc31bda518edb900c1e851bbea014dc34fb1b2e75f69e569dded6","cross_cats_sorted":["cs.AI","cs.MA"],"license":"http://creativecommons.org/licenses/by-sa/4.0/","primary_cat":"cs.LG","submitted_at":"2026-02-13T11:39:19Z","title_canon_sha256":"dd7439315755e4aefc0c13589a0f0f81ddc177cea28179c54c34541f7e13f4e0"},"schema_version":"1.0","source":{"id":"2602.12833","kind":"arxiv","version":2}},"canonical_sha256":"1669722246a849728f23a4c2846c25ca149edcb251ed0da383255a550a84cf92","receipt":{"algorithm":"ed25519","builder_version":"pith-number-builder-2026-05-17-v1","canonical_sha256":"1669722246a849728f23a4c2846c25ca149edcb251ed0da383255a550a84cf92","first_computed_at":"2026-05-27T01:05:44.554306Z","key_id":"pith-v1-2026-05","kind":"pith_receipt","last_reissued_at":"2026-05-27T01:05:44.554306Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","receipt_version":"0.3","signature_b64":"9HDY38VDTOnRTlGDgmkv1gpZANrRtFlb51HQLtpocrUoHmZl1DkdaEJaQg82nze9Lzk1ki5BT8ah5eDtfHKZDA==","signature_status":"signed_v1","signed_at":"2026-05-27T01:05:44.555110Z","signed_message":"canonical_sha256_bytes"},"source_id":"2602.12833","source_kind":"arxiv","source_version":2}}},"equivocations":[],"invalid_events":[],"applied_event_ids":["sha256:9826a44a3aa5960649a969c2e56f3a6dee8587a01d9c9910f8a923bb9bf8ce06","sha256:ff587e90cefc2a94f0096e0e608b552b2632d45980392c3c222cdb0621fe43f6"],"state_sha256":"98ba58b7487564177d7516675f6186efb28e1d7c23d5a1164734c23a5ab71303"}