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Victor Farias DE Souza

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Preprint Aug 2026

Generated Context versus Governed State: Functional Conditions for Accountable Longitudinal Clinical Reasoning

This paper argues that longitudinal clinical reasoning is a state-estimation problem under partial observability, and that the axis on which clinical AI succeeds or fails is not the fluency of the model reading the record but the governance of the patient state it reasons over.

Augusto Bernardo Pissarra, Victor Farias DE Souza · 0 citations

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