{"state_type":"pith_open_graph_state","state_version":"1.0","pith_number":"pith:2025:JLUQYQ5S2AZOJQAZ4M56HKFNDH","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":"36fc72329a320a162dba1baddc06a81cb2a0a1bde27b93a775f7775aa9071eb2","cross_cats_sorted":[],"license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","primary_cat":"cs.AI","submitted_at":"2025-08-26T14:59:19Z","title_canon_sha256":"80fcc251714601912154884a5fe60873fafebaef87c8964a1a1f25caa1e92bde"},"schema_version":"1.0","source":{"id":"2508.19097","kind":"arxiv","version":1}},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2508.19097","created_at":"2026-07-05T11:59:36Z"},{"alias_kind":"arxiv_version","alias_value":"2508.19097v1","created_at":"2026-07-05T11:59:36Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2508.19097","created_at":"2026-07-05T11:59:36Z"},{"alias_kind":"pith_short_12","alias_value":"JLUQYQ5S2AZO","created_at":"2026-07-05T11:59:36Z"},{"alias_kind":"pith_short_16","alias_value":"JLUQYQ5S2AZOJQAZ","created_at":"2026-07-05T11:59:36Z"},{"alias_kind":"pith_short_8","alias_value":"JLUQYQ5S","created_at":"2026-07-05T11:59:36Z"}],"graph_snapshots":[{"event_id":"sha256:9eb5223bdf3c80e041dd96d2c608eba1f42b1f800eb5f09ee5872ae9f4a7808c","target":"graph","created_at":"2026-07-05T11:59:36Z","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/2508.19097/integrity.json","findings":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938","summary":{"advisory":0,"by_detector":{},"critical":0,"informational":0}},"paper":{"abstract_excerpt":"The emergence of advanced reasoning capabilities in Large Language Models (LLMs) marks a transformative development in healthcare applications. Beyond merely expanding functional capabilities, these reasoning mechanisms enhance decision transparency and explainability-critical requirements in medical contexts. This survey examines the transformation of medical LLMs from basic information retrieval tools to sophisticated clinical reasoning systems capable of supporting complex healthcare decisions. We provide a thorough analysis of the enabling technological foundations, with a particular focus","authors_text":"Armin Berger, David Berghaus, Rafet Sifa, Sarthak Khanna","cross_cats":[],"headline":"","license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","primary_cat":"cs.AI","submitted_at":"2025-08-26T14:59:19Z","title":"Reasoning LLMs in the Medical Domain: A Literature Survey"},"references":{"count":0,"internal_anchors":0,"resolved_work":0,"sample":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2508.19097","kind":"arxiv","version":1},"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":"sha256:0518070148239276f9202fd1698070a916c80cf8ac1329f0661cc7cca632d22c","target":"record","created_at":"2026-07-05T11:59:36Z","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":"36fc72329a320a162dba1baddc06a81cb2a0a1bde27b93a775f7775aa9071eb2","cross_cats_sorted":[],"license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","primary_cat":"cs.AI","submitted_at":"2025-08-26T14:59:19Z","title_canon_sha256":"80fcc251714601912154884a5fe60873fafebaef87c8964a1a1f25caa1e92bde"},"schema_version":"1.0","source":{"id":"2508.19097","kind":"arxiv","version":1}},"canonical_sha256":"4ae90c43b2d032e4c019e33be3a8ad19e0fd5995aa0a7e7877ae43b1841b678f","receipt":{"algorithm":"ed25519","builder_version":"pith-number-builder-2026-05-17-v1","canonical_sha256":"4ae90c43b2d032e4c019e33be3a8ad19e0fd5995aa0a7e7877ae43b1841b678f","first_computed_at":"2026-07-05T11:59:36.663935Z","key_id":"pith-v1-2026-05","kind":"pith_receipt","last_reissued_at":"2026-07-05T11:59:36.663935Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","receipt_version":"0.3","signature_b64":"VYm6Bvl1xnfybEPr0qRfEy0Cx++tfMhbP5yWWbYm+vpLeDS0/gtI4zDzmew6l0lXTMVpm9ECoMW1mZiQKM7XBw==","signature_status":"signed_v1","signed_at":"2026-07-05T11:59:36.664377Z","signed_message":"canonical_sha256_bytes"},"source_id":"2508.19097","source_kind":"arxiv","source_version":1}}},"equivocations":[],"invalid_events":[],"applied_event_ids":["sha256:0518070148239276f9202fd1698070a916c80cf8ac1329f0661cc7cca632d22c","sha256:9eb5223bdf3c80e041dd96d2c608eba1f42b1f800eb5f09ee5872ae9f4a7808c"],"state_sha256":"21a6069a1dbaf6183161e6a558620c3638d9e373207376a9e4efae181d086638"}