{"state_type":"pith_open_graph_state","state_version":"1.0","pith_number":"pith:2026:3KY5YT2SG4HFTALHDRYRGWRR2D","merge_version":"pith-open-graph-merge-v1","event_count":5,"valid_event_count":5,"invalid_event_count":0,"equivocation_count":1,"current":{"canonical_record":{"metadata":{"abstract_canon_sha256":"5761f904c01e66c0348464f571b9566c8a48dc17495343fc1e4f89d0b6badec6","cross_cats_sorted":[],"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-08-09T16:44:28Z","title_canon_sha256":"46e83c0ebd5e097543085bc45b6ece927e5ff044794b9123ef933d5f20e4f678"},"schema_version":"1.0","source":{"id":"2608.08806","kind":"arxiv","version":1}},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2608.08806","created_at":"2026-08-11T01:25:23Z"},{"alias_kind":"arxiv_version","alias_value":"2608.08806v1","created_at":"2026-08-11T01:25:23Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2608.08806","created_at":"2026-08-11T01:25:23Z"},{"alias_kind":"pith_short_12","alias_value":"3KY5YT2SG4HF","created_at":"2026-08-11T01:25:23Z"},{"alias_kind":"pith_short_16","alias_value":"3KY5YT2SG4HFTALH","created_at":"2026-08-11T01:25:23Z"},{"alias_kind":"pith_short_8","alias_value":"3KY5YT2S","created_at":"2026-08-11T01:25:23Z"}],"graph_snapshots":[{"event_id":"sha256:f997537d2f09f5f8e66813f391529222297a8e38150ccf566090d767cf019dac","target":"graph","created_at":"2026-08-11T01:25:23Z","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/2608.08806/integrity.json","findings":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938","summary":{"advisory":0,"by_detector":{},"critical":0,"informational":0}},"paper":{"abstract_excerpt":"Objective. Healthcare IT is usually organized by the technologies it adopts. We instead organize it by the unit of information a system makes computable, and describe a computational layer whose object is patient-specific clinical intent. Approach. We give criteria for a computational layer, derive three (record, clinical state, and a proposed layer of intent), and formalize the Actionable Clinical Record (ACR) as the atomic object of the third layer. Discussion. The framework distinguishes prescribed, observed, and intended process; existing standards represent intent once it is structured bu","authors_text":"Alexander Apartsin, Yehudit Aperstein","cross_cats":[],"headline":"","license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-08-09T16:44:28Z","title":"Three Generations of Healthcare IT: From the Digital Record to the Computable Care Process"},"references":{"count":0,"internal_anchors":0,"resolved_work":0,"sample":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2608.08806","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:e755d8822f773c6c6e9b0504a9f80b911ab0e03ea1850e5a17f19a2c1ca290fa","target":"record","created_at":"2026-08-11T01:25:23Z","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":"5761f904c01e66c0348464f571b9566c8a48dc17495343fc1e4f89d0b6badec6","cross_cats_sorted":[],"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-08-09T16:44:28Z","title_canon_sha256":"46e83c0ebd5e097543085bc45b6ece927e5ff044794b9123ef933d5f20e4f678"},"schema_version":"1.0","source":{"id":"2608.08806","kind":"arxiv","version":1}},"canonical_sha256":"dab1dc4f52370e5981671c71135a31d0e31935de880a2f3741a9af1b024cf56b","receipt":{"algorithm":"ed25519","builder_version":"pith-number-builder-2026-05-17-v1","canonical_sha256":"dab1dc4f52370e5981671c71135a31d0e31935de880a2f3741a9af1b024cf56b","first_computed_at":"2026-08-11T01:25:23.659988Z","key_id":"pith-v1-2026-05","kind":"pith_receipt","last_reissued_at":"2026-08-11T01:25:23.659988Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","receipt_version":"0.3","signature_b64":"X0gMkPaYoh+PKMY/mlalRz4fcUAOrETa4A4Zt209Vgr06hFngNw0wBFszuFc3b4rQr3+dKAORqWGUjgWetinBw==","signature_status":"signed_v1","signed_at":"2026-08-11T01:25:23.662755Z","signed_message":"canonical_sha256_bytes"},"source_id":"2608.08806","source_kind":"arxiv","source_version":1}}},"equivocations":[{"signer_id":"pith.science","event_type":"integrity_finding","target":"integrity","event_ids":["sha256:2a821e6896bdcf39d3c2d751fe75ca628c793e1d4631042822ae001c77304ee6","sha256:6428581c603c1ab2aab85e2a8660d83108479104f82af256ac42ce5c0db02366","sha256:a185676788db751bb7ffae435d13efafa2c6f6f2f4709cf3cdfe5cfbd56db7ac"]}],"invalid_events":[],"applied_event_ids":["sha256:e755d8822f773c6c6e9b0504a9f80b911ab0e03ea1850e5a17f19a2c1ca290fa","sha256:f997537d2f09f5f8e66813f391529222297a8e38150ccf566090d767cf019dac"],"state_sha256":"79aa33e2a0f82b1cde343078b7120afec5c684cb2aaf304de6feb586ff12539b"}