{"bundle_type":"pith_open_graph_bundle","bundle_version":"1.0","pith_number":"pith:2026:UOPKMNJTC43DWQXVV4MUESBVGW","short_pith_number":"pith:UOPKMNJT","canonical_record":{"source":{"id":"2605.23320","kind":"arxiv","version":1},"metadata":{"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-05-22T07:36:26Z","cross_cats_sorted":[],"title_canon_sha256":"feb20220c31294b0087c32a2025289f3fdaa9b36ad13562aaf65ad2bdd5a3b18","abstract_canon_sha256":"dd1bfbeaaa629c8870d08a0d23fa8a6a2cbd20d6edede66d71c236ba6dbe3d77"},"schema_version":"1.0"},"canonical_sha256":"a39ea6353317363b42f5af19424835358d9c5fb0797ba563bdfd5e2fcbca644c","source":{"kind":"arxiv","id":"2605.23320","version":1},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2605.23320","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"arxiv_version","alias_value":"2605.23320v1","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2605.23320","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"pith_short_12","alias_value":"UOPKMNJTC43D","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"pith_short_16","alias_value":"UOPKMNJTC43DWQXV","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"pith_short_8","alias_value":"UOPKMNJT","created_at":"2026-05-25T02:01:48Z"}],"events":[{"event_type":"record_created","subject_pith_number":"pith:2026:UOPKMNJTC43DWQXVV4MUESBVGW","target":"record","payload":{"canonical_record":{"source":{"id":"2605.23320","kind":"arxiv","version":1},"metadata":{"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-05-22T07:36:26Z","cross_cats_sorted":[],"title_canon_sha256":"feb20220c31294b0087c32a2025289f3fdaa9b36ad13562aaf65ad2bdd5a3b18","abstract_canon_sha256":"dd1bfbeaaa629c8870d08a0d23fa8a6a2cbd20d6edede66d71c236ba6dbe3d77"},"schema_version":"1.0"},"canonical_sha256":"a39ea6353317363b42f5af19424835358d9c5fb0797ba563bdfd5e2fcbca644c","receipt":{"kind":"pith_receipt","key_id":"pith-v1-2026-05","algorithm":"ed25519","signed_at":"2026-05-25T02:01:48.837882Z","signature_b64":"TU26d3DiRVRhP8538RIi4HhlLU8yEjZWktiDP/Hmu7p3+6MKBHTWjliUXkDrg0NBx+ysUoUcEARlU+gTW0PbCA==","signed_message":"canonical_sha256_bytes","builder_version":"pith-number-builder-2026-05-17-v1","receipt_version":"0.3","canonical_sha256":"a39ea6353317363b42f5af19424835358d9c5fb0797ba563bdfd5e2fcbca644c","last_reissued_at":"2026-05-25T02:01:48.837208Z","signature_status":"signed_v1","first_computed_at":"2026-05-25T02:01:48.837208Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54"},"source_kind":"arxiv","source_id":"2605.23320","source_version":1,"attestation_state":"computed"},"signer":{"signer_id":"pith.science","signer_type":"pith_registry","key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54"},"created_at":"2026-05-25T02:01:48Z","supersedes":[],"prev_event":null,"signature":{"signature_status":"signed_v1","algorithm":"ed25519","key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signature_b64":"ssZFLgKF2NejbVUAhRywhWqFKvDHLpITIxliKA9/WPBCEsWuD6CktwqNI1722M8My0d58ssUbNVmJiiVm2xWDg==","signed_message":"open_graph_event_sha256_bytes","signed_at":"2026-05-31T22:25:57.384412Z"},"content_sha256":"2bb544cae1b1d3cf0920237fe5cc16488187a9c5bc7a669634d3c4ff0692e44b","schema_version":"1.0","event_id":"sha256:2bb544cae1b1d3cf0920237fe5cc16488187a9c5bc7a669634d3c4ff0692e44b"},{"event_type":"graph_snapshot","subject_pith_number":"pith:2026:UOPKMNJTC43DWQXVV4MUESBVGW","target":"graph","payload":{"graph_snapshot":{"paper":{"title":"Human-in-the-Loop Multi-Agent Ventilator Decision Support with Contextual Bandit Preference Learning","license":"http://creativecommons.org/licenses/by/4.0/","headline":"","cross_cats":[],"primary_cat":"cs.AI","authors_text":"Chen Zhan, Lei Gu, Qixing Wang, Roland Eils, Sijia Li, Teqi Hao, Weiyi Zhao, Xiaoyu Tan, Xihe Qiu, Xuemin Wang","submitted_at":"2026-05-22T07:36:26Z","abstract_excerpt":"Ventilator decision support requires sequential decisions that track evolving physiology and disease trajectories while respecting safety boundaries and clinician specific tuning styles. Rule based approaches rarely generalize personalization, and end to end reinforcement learning or single large language model systems remain difficult to control and audit. We propose the Ventilator Decision Support System (VDSS), a human in the loop multi agent framework that coordinates modular decision components through contract driven structured interfaces and produces traceable evidence for review. VDSS "},"claims":{"count":0,"items":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2605.23320","kind":"arxiv","version":1},"verdict":{"id":null,"model_set":{},"created_at":null,"strongest_claim":"","one_line_summary":"","pipeline_version":null,"weakest_assumption":"","pith_extraction_headline":""},"integrity":{"clean":true,"summary":{"advisory":0,"critical":0,"by_detector":{},"informational":0},"endpoint":"/pith/2605.23320/integrity.json","findings":[],"available":true,"detectors_run":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938"},"references":{"count":0,"sample":[],"resolved_work":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57","internal_anchors":0},"formal_canon":{"evidence_count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"author_claims":{"count":0,"strong_count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"builder_version":"pith-number-builder-2026-05-17-v1"},"verdict_id":null},"signer":{"signer_id":"pith.science","signer_type":"pith_registry","key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54"},"created_at":"2026-05-25T02:01:48Z","supersedes":[],"prev_event":null,"signature":{"signature_status":"signed_v1","algorithm":"ed25519","key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signature_b64":"cHfV7PXSC3JsPScCFnFceCFNrhPGIpz2cvzexz4wlZ0dMGTjozmYDdM0Is0bY69nleeUznSOxfpYuVKfeYilBA==","signed_message":"open_graph_event_sha256_bytes","signed_at":"2026-05-31T22:25:57.385248Z"},"content_sha256":"bf326ea19009e2f5901e54927281303deea11f8e77e98b3236fbdcdc0e62b66a","schema_version":"1.0","event_id":"sha256:bf326ea19009e2f5901e54927281303deea11f8e77e98b3236fbdcdc0e62b66a"}],"timestamp_proofs":[],"mirror_hints":[{"mirror_type":"https","name":"Pith Resolver","base_url":"https://pith.science","bundle_url":"https://pith.science/pith/UOPKMNJTC43DWQXVV4MUESBVGW/bundle.json","state_url":"https://pith.science/pith/UOPKMNJTC43DWQXVV4MUESBVGW/state.json","well_known_bundle_url":"https://pith.science/.well-known/pith/UOPKMNJTC43DWQXVV4MUESBVGW/bundle.json","status":"primary"}],"public_keys":[{"key_id":"pith-v1-2026-05","algorithm":"ed25519","format":"raw","public_key_b64":"stVStoiQhXFxp4s2pdzPNoqVNBMojDU/fJ2db5S3CbM=","public_key_hex":"b2d552b68890857171a78b36a5dccf368a953413288c353f7c9d9d6f94b709b3","fingerprint_sha256_b32_first128bits":"RVFV5Z2OI2J3ZUO7ERDEBCYNKS","fingerprint_sha256_hex":"8d4b5ee74e4693bcd1df2446408b0d54","rotates_at":null,"url":"https://pith.science/pith-signing-key.json","notes":"Pith uses this Ed25519 key to sign canonical record SHA-256 digests. Verify with: ed25519_verify(public_key, message=canonical_sha256_bytes, signature=base64decode(signature_b64))."}],"merge_version":"pith-open-graph-merge-v1","built_at":"2026-05-31T22:25:57Z","links":{"resolver":"https://pith.science/pith/UOPKMNJTC43DWQXVV4MUESBVGW","bundle":"https://pith.science/pith/UOPKMNJTC43DWQXVV4MUESBVGW/bundle.json","state":"https://pith.science/pith/UOPKMNJTC43DWQXVV4MUESBVGW/state.json","well_known_bundle":"https://pith.science/.well-known/pith/UOPKMNJTC43DWQXVV4MUESBVGW/bundle.json"},"state":{"state_type":"pith_open_graph_state","state_version":"1.0","pith_number":"pith:2026:UOPKMNJTC43DWQXVV4MUESBVGW","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":"dd1bfbeaaa629c8870d08a0d23fa8a6a2cbd20d6edede66d71c236ba6dbe3d77","cross_cats_sorted":[],"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-05-22T07:36:26Z","title_canon_sha256":"feb20220c31294b0087c32a2025289f3fdaa9b36ad13562aaf65ad2bdd5a3b18"},"schema_version":"1.0","source":{"id":"2605.23320","kind":"arxiv","version":1}},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2605.23320","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"arxiv_version","alias_value":"2605.23320v1","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2605.23320","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"pith_short_12","alias_value":"UOPKMNJTC43D","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"pith_short_16","alias_value":"UOPKMNJTC43DWQXV","created_at":"2026-05-25T02:01:48Z"},{"alias_kind":"pith_short_8","alias_value":"UOPKMNJT","created_at":"2026-05-25T02:01:48Z"}],"graph_snapshots":[{"event_id":"sha256:bf326ea19009e2f5901e54927281303deea11f8e77e98b3236fbdcdc0e62b66a","target":"graph","created_at":"2026-05-25T02:01:48Z","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/2605.23320/integrity.json","findings":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938","summary":{"advisory":0,"by_detector":{},"critical":0,"informational":0}},"paper":{"abstract_excerpt":"Ventilator decision support requires sequential decisions that track evolving physiology and disease trajectories while respecting safety boundaries and clinician specific tuning styles. Rule based approaches rarely generalize personalization, and end to end reinforcement learning or single large language model systems remain difficult to control and audit. We propose the Ventilator Decision Support System (VDSS), a human in the loop multi agent framework that coordinates modular decision components through contract driven structured interfaces and produces traceable evidence for review. VDSS ","authors_text":"Chen Zhan, Lei Gu, Qixing Wang, Roland Eils, Sijia Li, Teqi Hao, Weiyi Zhao, Xiaoyu Tan, Xihe Qiu, Xuemin Wang","cross_cats":[],"headline":"","license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-05-22T07:36:26Z","title":"Human-in-the-Loop Multi-Agent Ventilator Decision Support with Contextual Bandit Preference Learning"},"references":{"count":0,"internal_anchors":0,"resolved_work":0,"sample":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2605.23320","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":"sha256:2bb544cae1b1d3cf0920237fe5cc16488187a9c5bc7a669634d3c4ff0692e44b","target":"record","created_at":"2026-05-25T02:01:48Z","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":"dd1bfbeaaa629c8870d08a0d23fa8a6a2cbd20d6edede66d71c236ba6dbe3d77","cross_cats_sorted":[],"license":"http://creativecommons.org/licenses/by/4.0/","primary_cat":"cs.AI","submitted_at":"2026-05-22T07:36:26Z","title_canon_sha256":"feb20220c31294b0087c32a2025289f3fdaa9b36ad13562aaf65ad2bdd5a3b18"},"schema_version":"1.0","source":{"id":"2605.23320","kind":"arxiv","version":1}},"canonical_sha256":"a39ea6353317363b42f5af19424835358d9c5fb0797ba563bdfd5e2fcbca644c","receipt":{"algorithm":"ed25519","builder_version":"pith-number-builder-2026-05-17-v1","canonical_sha256":"a39ea6353317363b42f5af19424835358d9c5fb0797ba563bdfd5e2fcbca644c","first_computed_at":"2026-05-25T02:01:48.837208Z","key_id":"pith-v1-2026-05","kind":"pith_receipt","last_reissued_at":"2026-05-25T02:01:48.837208Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","receipt_version":"0.3","signature_b64":"TU26d3DiRVRhP8538RIi4HhlLU8yEjZWktiDP/Hmu7p3+6MKBHTWjliUXkDrg0NBx+ysUoUcEARlU+gTW0PbCA==","signature_status":"signed_v1","signed_at":"2026-05-25T02:01:48.837882Z","signed_message":"canonical_sha256_bytes"},"source_id":"2605.23320","source_kind":"arxiv","source_version":1}}},"equivocations":[],"invalid_events":[],"applied_event_ids":["sha256:2bb544cae1b1d3cf0920237fe5cc16488187a9c5bc7a669634d3c4ff0692e44b","sha256:bf326ea19009e2f5901e54927281303deea11f8e77e98b3236fbdcdc0e62b66a"],"state_sha256":"854eecdef522feebd7a221d686c96441a5dc79af998222e874dab4006dbb5343"},"bundle_signature":{"signature_status":"signed_v1","algorithm":"ed25519","key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signature_b64":"/zkkT0Cte3zFeyq3M5cp9B0SQvyC07xx0OfdOR063mfr1wXQRJqrNZCeMtfwYsSGEQnNSN1/GqPNuAp8jgppBw==","signed_message":"bundle_sha256_bytes","signed_at":"2026-05-31T22:25:57.389426Z","bundle_sha256":"b1bc8d85c4a4304929fce4d11b6125acbec20c97e0a88ba551b12243d7f0a75f"}}