{"state_type":"pith_open_graph_state","state_version":"1.0","pith_number":"pith:2025:3W2GPJA57YCAYMGUU4XI4CLTIW","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":"f1575cc5461c986b9565399b52675d129a10984d54d4979c6de94ad011ae53dc","cross_cats_sorted":["cs.AI","cs.CL","cs.CY"],"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.HC","submitted_at":"2025-05-02T14:10:03Z","title_canon_sha256":"7205cdca85dd3fbff866af27480c021d8c2456ce0f995ee8d9e749d3cb39ae84"},"schema_version":"1.0","source":{"id":"2507.17754","kind":"arxiv","version":1}},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2507.17754","created_at":"2026-07-05T11:42:34Z"},{"alias_kind":"arxiv_version","alias_value":"2507.17754v1","created_at":"2026-07-05T11:42:34Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2507.17754","created_at":"2026-07-05T11:42:34Z"},{"alias_kind":"pith_short_12","alias_value":"3W2GPJA57YCA","created_at":"2026-07-05T11:42:34Z"},{"alias_kind":"pith_short_16","alias_value":"3W2GPJA57YCAYMGU","created_at":"2026-07-05T11:42:34Z"},{"alias_kind":"pith_short_8","alias_value":"3W2GPJA5","created_at":"2026-07-05T11:42:34Z"}],"graph_snapshots":[{"event_id":"sha256:fe3a0b78ec256869707cef3b3a4edd6d89dc993420f08ba6d84aa30dd7bef7bd","target":"graph","created_at":"2026-07-05T11:42:34Z","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/2507.17754/integrity.json","findings":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938","summary":{"advisory":0,"by_detector":{},"critical":0,"informational":0}},"paper":{"abstract_excerpt":"Clinician burnout has motivated the growing adoption of ambient medical scribes in the clinic. In this work, we introduce a custom-built ambient scribe application integrated into the EHR system at Included Health, a personalized all-in-one healthcare company offering telehealth services. The application uses Whisper for transcription and a modular in-context learning pipeline with GPT-4o to automatically generate SOAP notes and patient instructions. Testing on mock visit data shows that the notes generated by the application exceed the quality of expert-written notes as determined by an LLM-a","authors_text":"Angelo Sisante, Jack Sullivan, Justin Morse, Kurt Gilbert, Kyle Shin, Peyton Rose, Rick Cooke","cross_cats":["cs.AI","cs.CL","cs.CY"],"headline":"","license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.HC","submitted_at":"2025-05-02T14:10:03Z","title":"A Custom-Built Ambient Scribe Reduces Cognitive Load and Documentation Burden for Telehealth Clinicians"},"references":{"count":0,"internal_anchors":0,"resolved_work":0,"sample":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2507.17754","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":"sha256:52f2f70ffcbeb54973b863363964e60bb81215a1cee1432c80b06463d4f25293","target":"record","created_at":"2026-07-05T11:42:34Z","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":"f1575cc5461c986b9565399b52675d129a10984d54d4979c6de94ad011ae53dc","cross_cats_sorted":["cs.AI","cs.CL","cs.CY"],"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.HC","submitted_at":"2025-05-02T14:10:03Z","title_canon_sha256":"7205cdca85dd3fbff866af27480c021d8c2456ce0f995ee8d9e749d3cb39ae84"},"schema_version":"1.0","source":{"id":"2507.17754","kind":"arxiv","version":1}},"canonical_sha256":"ddb467a41dfe040c30d4a72e8e097345b2db394173a7f2dae2f207233892a97c","receipt":{"algorithm":"ed25519","builder_version":"pith-number-builder-2026-05-17-v1","canonical_sha256":"ddb467a41dfe040c30d4a72e8e097345b2db394173a7f2dae2f207233892a97c","first_computed_at":"2026-07-05T11:42:34.335190Z","key_id":"pith-v1-2026-05","kind":"pith_receipt","last_reissued_at":"2026-07-05T11:42:34.335190Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","receipt_version":"0.3","signature_b64":"XEwx4YrQJroQHn+6ewdO2UjFCnQjFgEWn5GExI51jDkpLwnheDwjz+PvqhNE3EoEn5zrg1ZCMDNJvaojHVa5AQ==","signature_status":"signed_v1","signed_at":"2026-07-05T11:42:34.335987Z","signed_message":"canonical_sha256_bytes"},"source_id":"2507.17754","source_kind":"arxiv","source_version":1}}},"equivocations":[],"invalid_events":[],"applied_event_ids":["sha256:52f2f70ffcbeb54973b863363964e60bb81215a1cee1432c80b06463d4f25293","sha256:fe3a0b78ec256869707cef3b3a4edd6d89dc993420f08ba6d84aa30dd7bef7bd"],"state_sha256":"092ee427e8e64fe57d402223baf5943bb027fc954381d7d52e98cf498a581e8d"}