{"as_of":"2026-08-10T05:53:00Z","caps":{"database_statements":6,"inbound":100,"outbound":100},"context_digest":"sha256:83c9eeeca00af9673a1bc268cdbf28dbdf925f55df9ded4cab40839fa4200f4f","coverage":[{"denominator":22,"lane":"reference_resolution","note":"Typed states for the displayed outbound observations.","records_observed":22,"source":"paper_references, paper_reference_links","source_observed_at":"2026-07-11T11:38:20.987334Z","state":"measured"},{"denominator":22,"lane":"standing_notices","note":"One-hop event checks from named stored sources.","records_observed":22,"source":"scholarly_work_events, retraction_status_cache","source_observed_at":"2026-08-09T06:31:02.800959+00:00","state":"measured"},{"denominator":0,"lane":"inbound_itemization","note":"Pith citing papers itemized under the disclosed page cap.","records_observed":0,"source":"paper_references, paper_reference_links","source_observed_at":null,"state":"measured"},{"denominator":1,"lane":"external_citation_measurements","note":"A source-named dated measurement, never combined with another source.","records_observed":0,"source":"cited_works","source_observed_at":null,"state":"measured"}],"external_citation_measurements":[],"inbound":[],"links":{"evidence":"/evidence","html":"/paper/2607.04907/citation-record","integrity":"/paper/2607.04907/integrity","json":"/paper/2607.04907/citation-record.json","paper":"/paper/2607.04907"},"outbound":[{"citation":{"cited_paper":{"arxiv_id":"2302.13971","last_updated":"2023-02-27T17:11:15Z","snapshot_observed_at":"2026-07-06T02:11:23.670680Z","submitted_at":"2023-02-27T17:11:15Z","title":"LLaMA: Open and Efficient Foundation Language Models","version":1},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2302.13971","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"LLaMA: Open and Efficient Foundation Language Models,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":1,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2302.13971","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:f9df77ce6fa5d37d26642fcc14c73d4db8b166e57999938b0f6255dc35ac438b","observation_id":"a2a498de-374b-4d7d-a307-bef0c1e3facf","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2407.21783","last_updated":"2024-11-23T23:27:33Z","snapshot_observed_at":"2026-07-06T18:55:11.576666Z","submitted_at":"2024-07-31T17:54:27Z","title":"The Llama 3 Herd of Models","version":3},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2407.21783","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"The Llama 3 Herd of Models,","venue":null,"work_id":null,"year":2024},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":2,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2407.21783","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:f182cb2e315e45bb0d0f587f065ce13e43541f8a878dc2734e416f59124fcba1","observation_id":"44fe6e1f-30c5-453b-8a45-4e7e3ab24d84","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Retrieval Augmented Generation for Knowledge- Intensive NLP Tasks,","venue":null,"work_id":null,"year":2020},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":3,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:0e991512d3d23a3da9d2948e3aebe7b46552dccd90c4a504887d6926ba9e067d","observation_id":"f14c0a44-9421-411d-ad01-575f86f915bd","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Large Language Models Encode Clinical Knowledge,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":4,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:0bf9923d64c3912f91dcbd2b3561ef8d844331eee3112154eb79097202a9533b","observation_id":"13cf80a6-c56f-4ed2-9fd9-c1e21e776dbf","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2305.09617","last_updated":"2023-05-16T17:11:29Z","snapshot_observed_at":"2026-08-03T08:52:05.725675Z","submitted_at":"2023-05-16T17:11:29Z","title":"Towards Expert-Level Medical Question Answering with Large Language Models","version":1},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2305.09617","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Towards Expert -Level Medical Question Answering with Large Language Models,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":5,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2305.09617","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:9021937613f5bf6e3800cf4cad1a789103ecf7d5735c331d7207c8222ded8b04","observation_id":"73e213f6-46dd-46ce-8249-2f7ee0f39da9","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2306.00890","last_updated":"2023-06-01T16:50:07Z","snapshot_observed_at":"2026-08-09T05:23:28.778360Z","submitted_at":"2023-06-01T16:50:07Z","title":"LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day","version":1},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2306.00890","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"LLaVA -Med: Training a Large Language -and-Vision Assistant for Biomedicine in One Day,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":6,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2306.00890","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:b907620adb5d822273ac50d77f786965c8021b219e72612c38fe517b223a521a","observation_id":"24532394-14ab-4183-ae5f-bc3a0992d95f","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2509.07706","last_updated":"2026-02-26T07:39:32Z","snapshot_observed_at":"2026-08-09T03:58:38.701437Z","submitted_at":"2025-09-09T13:10:49Z","title":"FHIR-RAG-MEDS: Integrating HL7 FHIR with Retrieval-Augmented Large Language Models for Enhanced Medical Decision Support","version":2},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2509.07706","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"FHIR-RAG-MEDS: Integrating HL7 FHIR with retrieval augmented Large Language Models for Enhanced Medical Decision Support,","venue":null,"work_id":null,"year":2025},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":7,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2509.07706","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:3cfbaa086eacd870e4f6a68faed0ba42f3b5eab221ed84d4b7a197c37aeed2af","observation_id":"0c2d7da2-b6d0-4cd3-b422-43ae3a409e6a","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2402.01741","last_updated":"2024-02-17T21:13:16Z","snapshot_observed_at":"2026-08-09T13:22:36.455397Z","submitted_at":"2024-01-29T16:03:29Z","title":"Development and Testing of a Novel Large Language Model-Based Clinical Decision Support Systems for Medication Safety in 12 Clinical Specialties","version":2},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2402.01741","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Development and Testing of a Novel Large Language Model-Based Clinical Decision Support System for Medication Safety,","venue":null,"work_id":null,"year":2024},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":8,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2402.01741","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:e17c24e4a81d2cd92550914a816688638be8d515f33cd91ae6005ba834da6c0a","observation_id":"32d7cc0e-4d46-411d-8cac-515552e98f5f","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Benchmarking Vision -Language Models for Diagnostics in Emergency and Critical Care Settings,","venue":null,"work_id":null,"year":2025},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":9,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:7ce356c252ab45c451efdfac37c60d48094176401a0b76a92bf124423bcd980c","observation_id":"7ca1b304-10e6-4fa4-bd04-81234eba0d47","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"FHIR Release 5 Specification,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":10,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:b0ccbb3a13ecb010380c06c44c3ed8c83aead67e37bea8be9fd560d75d2b303d","observation_id":"9080b0c4-bde8-477b-9a2a-410dc2df2b5d","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"1702.08734","last_updated":"2017-02-28T10:42:31Z","snapshot_observed_at":"2026-07-06T05:31:42.551086Z","submitted_at":"2017-02-28T10:42:31Z","title":"Billion-scale similarity search with GPUs","version":1},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"1702.08734","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Billion-scale Similarity Search with GPUs,","venue":null,"work_id":null,"year":2017},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":11,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/1702.08734","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:c4c12815f648de9fc683ca7b48c7bc6a3b188a88088745f4ccc63af5b0dacfa2","observation_id":"0e07e663-a756-4e92-bfa3-fd0e2d2bd0ea","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":null,"venue":null,"work_id":null,"year":2026},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":12,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:34a55f21f47265b36a89defff5f91dd082c8707c056f4c2b3565819c535e6393","observation_id":"2d42fd4e-27e9-4cca-b40d-5d631a313970","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":null,"venue":null,"work_id":null,"year":2026},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":13,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:4579e4e1f4428c7c8c0d518c6787041dce14a4be8100c60fa67e16bd81f53cb0","observation_id":"78ffeab8-1587-44cf-a44c-e02e219726ff","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2308.11432","last_updated":"2025-03-02T04:04:03Z","snapshot_observed_at":"2026-08-02T07:33:16.089197Z","submitted_at":"2023-08-22T13:30:37Z","title":"A Survey on Large Language Model based Autonomous Agents","version":7},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2308.11432","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"A Survey on Large Language Model Based Autonomous Agents,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":14,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2308.11432","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:d3cc45abde01d1c9b442f0e976e84d1f2e3438e5ef42fee792ed4aca0181b1a9","observation_id":"3015c13f-8847-4d8d-b4d2-a6a239631f8c","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Data Structures for Statistical Computing in Python,","venue":null,"work_id":null,"year":2010},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":15,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:c06833d85e7fac2ad946d3c2e4ac41cc0ab1fb2ac8a2c9cd5c167d5a69cba59a","observation_id":"69c3743a-424b-47b4-874d-5d8377d1b22e","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2312.10997","last_updated":"2024-03-27T09:16:57Z","snapshot_observed_at":"2026-07-06T02:11:23.670680Z","submitted_at":"2023-12-18T07:47:33Z","title":"Retrieval-Augmented Generation for Large Language Models: A Survey","version":5},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2312.10997","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Retrieval- Augmented Generation for Large Language Models: A Survey,","venue":null,"work_id":null,"year":2024},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":16,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2312.10997","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:92fd7ac3f6726902e7499ac4d7de4db4d38975aa76775d473376863aeb3b2d77","observation_id":"9f3e545b-d4e0-4602-bb81-55b977759471","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Foundation Models for Generalist Medical Artificial Intelligence,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":17,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:196fe15c5bb4aeed49d645d8f005098448245423bcd5841af5afcb85e84dad3a","observation_id":"7b002c05-ea21-45b8-a132-54e864ada3d2","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"ReAct: Synergizing Reasoning and Acting in Language Models,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":18,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:d644326e2e1c46d90282c5aa21383467847d3c354db9cad7e3535d5d28be9faf","observation_id":"80d30e85-ff3a-463c-b745-64a42ee39449","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Toolformer: Language Models Can Teach Themselves to Use Tools,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":19,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:16bc20d088d34e391e86b9ff1a42053d7cdbacb5aeec3a324fd83fdd8c7ff066","observation_id":"e45f058f-9b89-46a4-ad88-501f5d1340b5","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"HuggingGPT: Solving AI Tasks with ChatGPT and its Friends in Hugging Face,","venue":null,"work_id":null,"year":2023},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":20,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:cb1b4c1284577e0a230f13cb7f929b50e6a11c602d98e4bdba780c3fa30ca7fe","observation_id":"81c871ba-1289-4d55-b050-ae6088de8b71","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":null,"snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Ethics and Governance of Artificial Intelligence for Health,","venue":null,"work_id":null,"year":2021},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":21,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:96fb3ab8bec75548e32b0556e353702415da74cc2188a357a0f2a17900c0c2d1","observation_id":"cafa7f6c-48ab-4652-bc75-923431d0422e","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}},{"citation":{"cited_paper":{"arxiv_id":"2403.03744","last_updated":"2024-10-09T17:22:24Z","snapshot_observed_at":"2026-08-10T01:22:05.424612Z","submitted_at":"2024-03-06T14:34:07Z","title":"MedSafetyBench: Evaluating and Improving the Medical Safety of Large Language Models","version":5},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2403.03744","snapshot_observed_at":"2026-07-11T11:38:20.987334Z","title":"Towards Safe and Reliable Large Language Models for Medicine,","venue":null,"work_id":null,"year":2024},"citing_paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation","version":1},"reference_index":22,"source":"pdf_text","source_observed_at":"2026-07-11T11:38:20.987334Z"},"links":{"cited_paper":"/paper/2403.03744","citing_paper":"/paper/2607.04907"},"observation_digest":"sha256:dd269fabf77ed214d67952fd2b06a10d799e47494abbd061d9e3fb2e7a1948e6","observation_id":"5200e208-8256-4355-8e45-00976e832edd","resolution":{"observed_at":"2026-07-11T11:38:20.987334Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}}],"paper":{"arxiv_id":"2607.04907","last_updated":"2026-07-06T10:36:04Z","latest_version":1,"primary_category":"cs.AI","snapshot_observed_at":"2026-08-03T16:25:09.484049Z","submitted_at":"2026-07-06T10:36:04Z","title":"Medi-Gemma: A Hybrid Clinical Decision Support System Integrating Deterministic EMR Analytics and Retrieval-Augmented Generation"},"reference_resolution":{"displayed":22,"state_counts":{"malformed_identifier":0,"metadata_mismatch":0,"parse_uncertain":0,"unresolved":22,"verified_exact":0,"verified_fuzzy":0},"total_outbound_references":22},"refusal":"A citation records a reference. It does not transfer a finding from one paper to another.","schema":"pith.paper-citation-record.v1","standing_sources":[{"observed_at":"2026-08-09T06:31:02.800959+00:00","source":"crossref"},{"observed_at":"2026-08-09T06:30:57.326959+00:00","source":"retraction_watch"}],"thesis":"As of 10 August 2026, this Paper Citation Record lists 22 of 22 outbound references and 0 inbound Pith citation observations for arXiv:2607.04907."}