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Paper Citation Record · LEDGER

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework

As of 17 August 2026, this Paper Citation Record lists 19 of 19 outbound references and 3 inbound Pith citation observations for arXiv:2506.13800.

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

pith.paper-citation-record.v1
2506.13800 v1

Coverage vector

measured 19 of 19 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-08-07T04:11:43.180137Z

measured 22 of 22 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-17T06:30:58.91139+00:00

measured 3 of 3 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links, observed 2026-08-05T10:41:11.079780Z

measured 0 of 1 external citation measurements

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

Source: arxiv_reference, observed 2026-05-19T04:37:04.025649Z

Reference resolution

19 of 19 outbound references displayed

  • verified exact1
  • verified fuzzy12
  • unresolved6
  • parse uncertain0
  • malformed identifier0
  • metadata mismatch0

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation 058420ba-1f80-410f-ae97-93638bf41347 · outbound

This paper cites Electronic health records,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Electronic health records,

Reference 1

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.552595Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.102422Z digest=sha256:50b9320edd6149e9c70fd5a1838706dcf87c18c67cd585a470d5c2020591007e

Observation 6bd44380-1817-475f-8a4e-3ac8a9a82983 · outbound

This paper cites FHIR Overview,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework FHIR Overview,

Reference 2

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.541229Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.106941Z digest=sha256:abfa82fdcfeeae99961464a1c005adb5f2ad4f8f67795b8dbf558f6a95d5dfb9

Observation 1e9c3f9d-2869-4611-9ff3-f4fbbb6a5500 · outbound

This paper cites 21st Century Cures Act,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework 21st Century Cures Act,

Reference 3

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.528001Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.111242Z digest=sha256:0d20d9f16befe2f0a787a2c3e723c3cfed808f2359139dbdab79e58e02cadbaa

Observation 675ebb00-4911-4e50-9fae-eae3743b1b46 · outbound

This paper cites Do patients understand?.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Do patients understand?

Reference 4

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.515406Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.115236Z digest=sha256:12924864a247a260535bd6aaaa2816e7e1039259917af25d8f41643e09c5ee2b

Observation bd20dc71-ed63-4485-978f-16ee9fa87d36 · outbound

This paper cites A Survey of Large Language Models.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework A Survey of Large Language Models

Reference 5

Resolution
unresolved
no resolver link, observed 2026-08-07T04:11:43.119319Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-07T04:11:43.119319Z digest=sha256:15cc463ed225261caacaac17792e4c531ba106bcf9829dae7a03027010c03a5d

Observation efe90324-2088-49a6-98aa-1018639f86f2 · outbound

This paper cites Gpt-4 technical report,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Gpt-4 technical report,

Reference 6

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.503798Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.123928Z digest=sha256:67139246c8fdd2090aea0deb42f9b109fba4a534aa1c21e340b6235ebd17189d

Observation ac79f040-58b3-484b-9fe8-68850f4b2d07 · outbound

This paper cites Large Language Models: A Survey.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Large Language Models: A Survey

Reference 7

Resolution
unresolved
no resolver link, observed 2026-08-07T04:11:43.128722Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-07T04:11:43.128722Z digest=sha256:4136bba08b95419d3dc91f883846b4bb3eb7c9b8f981006c03fdb978436d0caf

Observation 7a825d7b-cc10-4446-b7fe-92c16d3ad77b · outbound

This paper cites Clinical workflows and the associated tasks and behaviors to support delivery of integrated behavioral health and primary care,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Clinical workflows and the associated tasks and behaviors to support delivery of integrated behavioral health and primary care,

Reference 8

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.492420Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.133016Z digest=sha256:2c1587f055d77c6c71b744620151e1b67b24a99376daf1bb25d9ed463468ea33

Observation 17658cd2-4523-40ac-bcb2-a70de641e738 · outbound

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

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Capabilities of GPT-4 on Medical Challenge Problems

Reference 9

Resolution
unresolved
no resolver link, observed 2026-08-07T04:11:43.136840Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-07T04:11:43.136840Z digest=sha256:4becab7b5aad459a88fea17768def18470fe55474dc6e2e1f985e9c97979525d

Observation f1fb9b2c-5e8b-4de3-8395-55e0d75c37b5 · outbound

This paper cites AI chatbots not yet ready for clinical use,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework AI chatbots not yet ready for clinical use,

Reference 10

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.481379Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.140605Z digest=sha256:126ba8963bb50b6328493e8133ae4b7ad252a2f4f5d18d5b232b37f81fbd31c9

Observation bae043f8-b661-4b0b-900e-365f9db47865 · outbound

This paper cites Stanford Spezi: Open-source framework for digital health applications,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Stanford Spezi: Open-source framework for digital health applications,

Reference 12

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.469098Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.148548Z digest=sha256:c424447bb930396846d9d07c1886f21615d5bc2b3ccd9b96c1561157c6d8084c

Observation bf695547-1b93-41e7-9b73-a7803e0c3097 · outbound

This paper cites A survey of the model context protocol (mcp): Standardizing context to enhance large language models (llms),.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework A survey of the model context protocol (mcp): Standardizing context to enhance large language models (llms),

Reference 13

Resolution
verified exact
raw_fallback, observed 2026-08-07T04:11:43.350611Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.152203Z digest=sha256:c995c0dfd378f16b6ded1a0dfc2541e269658536776a62c40900ea0a580d9257

Observation 6610d899-db8d-47bb-becb-ece126b06e15 · outbound

This paper cites Flexpa mcp-fhir server,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Flexpa mcp-fhir server,

Reference 14

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.456539Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.155885Z digest=sha256:96a86b5fb8387d0f0f973975ed7ec56802631f2a130637fc8b63d2c1a7676649

Observation b69b0e5c-b103-4fa4-a528-c412f8949326 · outbound

This paper cites Mcp agent: Build effective agents using model context pro- tocol and simple workflow patterns,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Mcp agent: Build effective agents using model context pro- tocol and simple workflow patterns,

Reference 15

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.443369Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.159756Z digest=sha256:ba9d956c255b579e5f2fdba81775b467609a9fb2a418f52254debdfff18057b5

Observation d7b88a74-ed5f-426a-bcf0-a882c8eb9618 · outbound

This paper cites A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethics.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework A Survey of Large Language Models for Healthcare: from Data, Technology, and Applications to Accountability and Ethics

Reference 16

Resolution
unresolved
no resolver link, observed 2026-08-07T04:11:43.164220Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-07T04:11:43.164220Z digest=sha256:f73ec94b9db8d69bd480bc85634bf931647c3c7df90cf04696fcbcb440e6a312

Observation 0d091a47-f6a1-4493-a6b7-745cafa1982d · outbound

This paper cites Creation and adoption of large language models in medicine,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Creation and adoption of large language models in medicine,

Reference 17

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.430438Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.168276Z digest=sha256:0e30e29f39766144bf25acaf2f4a41c57d3afbdcb4633a9183b8b746d7304365

Observation 658987ba-6ba1-4984-b1b0-4a267324bb20 · outbound

This paper cites LLM on FHIR -- Demystifying Health Records.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework LLM on FHIR -- Demystifying Health Records

Reference 18

Resolution
unresolved
no resolver link, observed 2026-08-07T04:11:43.172494Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-07T04:11:43.172494Z digest=sha256:7918b0383cd43ad138434f5d58ca49fd8c1d0da2a6b43713cb231c3c8f5f1a61

Observation 9d0776f1-8656-4da3-b88c-b322adc7ea00 · outbound

This paper cites A survey of agent interoperability protocols: Model Context Protocol (MCP), Agent Communication Protocol (ACP), Agent-to-Agent Protocol (A2A), and Agent Network Protocol (ANP).

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework A survey of agent interoperability protocols: Model Context Protocol (MCP), Agent Communication Protocol (ACP), Agent-to-Agent Protocol (A2A), and Agent Network Protocol (ANP)

Reference 19

Resolution
unresolved
no resolver link, observed 2026-08-07T04:11:43.176228Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-07T04:11:43.176228Z digest=sha256:78c398e5847bc7c7e11c3f3bb4d2fe0b3ebd23ef1fdce3e0eccb1ba3ca498e05

Observation 750103ba-2ffa-41a1-8af5-b331ff10c980 · outbound

This paper cites Llama 2: Open foundation and fine-tuned chat models,.

Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework Llama 2: Open foundation and fine-tuned chat models,

Reference 20

Resolution
verified fuzzy
raw_fallback, observed 2026-08-07T04:11:43.418587Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=pdf_text observed=2026-08-07T04:11:43.180137Z digest=sha256:33ef96c028baf7c5d70bd33eaf8b7cddd9797c46421c2e65eb5b24d5ee774cc6

Pith citing papers

Observation af1e66b3-ba1f-4beb-b99c-04b1eded75b8 · inbound

Infherno: End-to-end Agent-based FHIR Resource Synthesis from Free-form Clinical Notes cites this paper.

Infherno: End-to-end Agent-based FHIR Resource Synthesis from Free-form Clinical Notes Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework

Reference 7

Resolution
verified exact
arxiv_id, observed 2026-05-19T04:37:04.027906Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-17T06:30:58.91139+00:00.

source=arxiv_source observed=2026-05-19T04:35:43.872967Z digest=sha256:7cf3604d323b6e5eca9533161c0e5bbb70e80d8981c0c9fbcc6c47ca258f68b9

Observation 0e94b415-2205-435f-ae75-4ece3d4fff3b · inbound

An Agentic Model Context Protocol Framework for Medical Concept Standardization cites this paper.

An Agentic Model Context Protocol Framework for Medical Concept Standardization Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework

Reference 2025

Resolution
unresolved
no resolver link, observed 2026-08-05T10:41:11.079780Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-05T10:41:11.079780Z digest=sha256:d259b1fca15b8d0ac4ca2bab00b7383c0da394df2c590f4d9711921cd0300c00

Observation 4790267a-69cf-45f2-9585-c387399e5895 · inbound

Model Context Protocol (MCP) Tool Descriptions Are Smelly! Towards Improving AI Agent Efficiency with Augmented MCP Tool Descriptions cites this paper.

Model Context Protocol (MCP) Tool Descriptions Are Smelly! Towards Improving AI Agent Efficiency with Augmented MCP Tool Descriptions Enhancing Clinical Decision Support and EHR Insights through LLMs and the Model Context Protocol: An Open-Source MCP-FHIR Framework

Reference 16

Resolution
unresolved
no resolver link, observed 2026-08-02T23:04:28.859160Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-02T23:04:28.859160Z digest=sha256:679898296c0732518137899e1a4747135f283df9da5bb7aff1fb44d462e82e65