{"id":"https://openalex.org/W7135194580","doi":"https://doi.org/10.48550/arxiv.2603.11721","title":"When OpenClaw Meets Hospital: Toward an Agentic Operating System for Dynamic Clinical Workflows","display_name":"When OpenClaw Meets Hospital: Toward an Agentic Operating System for Dynamic Clinical Workflows","publication_year":2026,"publication_date":"2026-03-12","ids":{"openalex":"https://openalex.org/W7135194580","doi":"https://doi.org/10.48550/arxiv.2603.11721"},"language":null,"primary_location":{"id":"doi:10.48550/arxiv.2603.11721","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2603.11721","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"type":"preprint","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.48550/arxiv.2603.11721","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5128925032","display_name":"Wenxian Yang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yang, Wenxian","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5128943622","display_name":"Hanzheng Qiu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Qiu, Hanzheng","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037943194","display_name":"B. Y. Zhang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhang, Bangqun","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129035705","display_name":"Chengquan Li","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Li, Chengquan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129003344","display_name":"Zhiyong Huang","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Huang, Zhiyong","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129023852","display_name":"Xiaobin Feng","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Feng, Xiaobin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5098937262","display_name":"Rongshan Yu","orcid":null},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yu, Rongshan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5101968865","display_name":"Jiahong Dong","orcid":"https://orcid.org/0000-0002-8002-9086"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Dong, Jiahong","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10456","display_name":"Multi-Agent Systems and Negotiation","score":0.5386000275611877,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10456","display_name":"Multi-Agent Systems and Negotiation","score":0.5386000275611877,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.03480000048875809,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13643","display_name":"Artificial Intelligence in Law","score":0.020400000736117363,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.7864000201225281},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.5156999826431274},{"id":"https://openalex.org/keywords/task","display_name":"Task (project management)","score":0.5083000063896179},{"id":"https://openalex.org/keywords/architecture","display_name":"Architecture","score":0.428600013256073},{"id":"https://openalex.org/keywords/resource","display_name":"Resource (disambiguation)","score":0.39160001277923584},{"id":"https://openalex.org/keywords/reliability","display_name":"Reliability (semiconductor)","score":0.34450000524520874},{"id":"https://openalex.org/keywords/multi-agent-system","display_name":"Multi-agent system","score":0.3303999900817871},{"id":"https://openalex.org/keywords/interaction-protocol","display_name":"Interaction protocol","score":0.3276999890804291}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.7864000201225281},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.703000009059906},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5156999826431274},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.5083000063896179},{"id":"https://openalex.org/C115903868","wikidata":"https://www.wikidata.org/wiki/Q80993","display_name":"Software engineering","level":1,"score":0.4699000120162964},{"id":"https://openalex.org/C123657996","wikidata":"https://www.wikidata.org/wiki/Q12271","display_name":"Architecture","level":2,"score":0.428600013256073},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.39160001277923584},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.39149999618530273},{"id":"https://openalex.org/C43214815","wikidata":"https://www.wikidata.org/wiki/Q7310987","display_name":"Reliability (semiconductor)","level":3,"score":0.34450000524520874},{"id":"https://openalex.org/C41550386","wikidata":"https://www.wikidata.org/wiki/Q529909","display_name":"Multi-agent system","level":2,"score":0.3303999900817871},{"id":"https://openalex.org/C2775851571","wikidata":"https://www.wikidata.org/wiki/Q6045205","display_name":"Interaction protocol","level":3,"score":0.3276999890804291},{"id":"https://openalex.org/C19527686","wikidata":"https://www.wikidata.org/wiki/Q1665453","display_name":"System integration","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C13687954","wikidata":"https://www.wikidata.org/wiki/Q4826847","display_name":"Autonomous agent","level":2,"score":0.29510000348091125},{"id":"https://openalex.org/C98025372","wikidata":"https://www.wikidata.org/wiki/Q477538","display_name":"Systems architecture","level":3,"score":0.2948000133037567},{"id":"https://openalex.org/C206729178","wikidata":"https://www.wikidata.org/wiki/Q2271896","display_name":"Scheduling (production processes)","level":2,"score":0.2851000130176544},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.273499995470047},{"id":"https://openalex.org/C74072328","wikidata":"https://www.wikidata.org/wiki/Q1142726","display_name":"Intelligent agent","level":2,"score":0.25929999351501465},{"id":"https://openalex.org/C137703981","wikidata":"https://www.wikidata.org/wiki/Q4692093","display_name":"Agent architecture","level":3,"score":0.25920000672340393},{"id":"https://openalex.org/C2164484","wikidata":"https://www.wikidata.org/wiki/Q5170150","display_name":"Core (optical fiber)","level":2,"score":0.25029999017715454}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.48550/arxiv.2603.11721","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2603.11721","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.48550/arxiv.2603.11721","is_oa":true,"landing_page_url":"https://doi.org/10.48550/arxiv.2603.11721","pdf_url":null,"source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Large":[0],"language":[1],"model":[2,85],"(LLM)":[3],"agents":[4,64],"extend":[5],"generative":[6],"models":[7],"with":[8],"reasoning,":[9],"tool":[10],"use,":[11],"and":[12,31,48,88,99,140,172,205],"persistent":[13],"memory,":[14],"thereby":[15],"enabling":[16],"the":[17,120,144,163],"automation":[18],"of":[19,103,110,154],"complex":[20],"tasks.":[21],"In":[22,158],"healthcare,":[23],"such":[24],"systems":[25],"could":[26],"support":[27],"documentation,":[28],"care":[29,233],"coordination,":[30],"clinical":[32,54,134,174],"decision":[33],"making.":[34],"Their":[35],"reliable":[36],"deployment":[37],"in":[38],"hospitals,":[39],"however,":[40],"remains":[41],"constrained":[42],"by":[43,78],"safety":[44],"risks,":[45],"limited":[46],"transparency,":[47,139],"inadequate":[49],"mechanisms":[50],"for":[51,95,122,127,132,151],"handling":[52],"longitudinal":[53,96,155,211],"context.":[55],"Here":[56],"we":[57,147],"propose":[58],"an":[59,112,123],"architecture":[60,94],"that":[61,222],"adapts":[62],"LLM":[63],"to":[65],"hospital":[66],"environments.":[67],"The":[68],"design":[69,118],"comprises":[70],"four":[71],"components:":[72],"a":[73,82,91,100,129,159,187,238],"restricted":[74],"execution":[75],"environment":[76],"inspired":[77],"multi-user":[79],"operating":[80],"systems,":[81],"document-centric":[83],"interaction":[84],"linking":[86],"patient":[87,156,170],"clinician":[89],"agents,":[90],"page-indexed":[92],"memory":[93,145],"context":[97],"management,":[98],"curated":[101],"library":[102],"composable":[104],"medical":[105],"skills.":[106],"Implemented":[107],"on":[108,191,209],"top":[109],"OpenClaw,":[111],"open-source":[113],"agent":[114],"orchestration":[115],"framework,":[116],"this":[117],"provides":[119],"basis":[121],"Agentic":[124],"Operating":[125],"System":[126],"Hospitals:":[128],"computing":[130],"layer":[131],"coordinating":[133],"workflows":[135],"while":[136,197],"preserving":[137],"safety,":[138],"auditability.":[141],"To":[142],"evaluate":[143],"component,":[146],"introduce":[148],"manifest-guided":[149,184],"retrieval":[150,185],"hierarchical":[152,224],"navigation":[153,225],"records.":[157],"benchmark":[160],"derived":[161],"from":[162],"MIMIC-IV":[164],"dataset":[165],"(v2.2)":[166],"comprising":[167],"100":[168],"de-identified":[169],"records":[171],"300":[173],"queries":[175,230],"stratified":[176],"across":[177],"three":[178],"difficulty":[179],"tiers":[180],"(100":[181],"per":[182],"tier),":[183],"matched":[186],"metadata-filtered":[188],"RAG":[189],"baseline":[190],"overall":[192],"recall":[193,214],"(0.877":[194],"versus":[195,203,219],"0.876)":[196],"achieving":[198],"2.2x":[199],"higher":[200,217],"precision":[201],"(0.779":[202],"0.352)":[204],"retrieving":[206],"fewer":[207],"documents;":[208],"tier-3":[210],"queries,":[212],"manifest":[213],"was":[215],"21%":[216],"(0.846":[218],"0.701),":[220],"confirming":[221],"LLM-guided":[223],"is":[226],"most":[227],"valuable":[228],"when":[229],"span":[231],"multiple":[232],"episodes.":[234],"These":[235],"results":[236],"outline":[237],"practical":[239],"path":[240],"toward":[241],"hospital-scale":[242],"agentic":[243],"infrastructure.":[244]},"counts_by_year":[],"updated_date":"2026-07-01T06:00:48.157686","created_date":"2026-03-14T00:00:00"}
