Large language models can convert medical documents into structured data, but plausible output may still be unsupported by the source. Persisting such output in a longitudinal health record, a record that accumulates patient information over time, therefore creates an integrity risk: unverified data may influence later summaries, trends, or preventive-care computations. We introduce an evidence-gated trust-promotion model that keeps generated data provisional until a deterministic monitor verifies it against the source document. The monitor admits a candidate for a specified downstream use only when the source contains a unique supporting quotation, the relevant fields occur within the same laboratory row, and the required provenance is preserved. The generator cannot approve its own output, missing or ambiguous evidence causes refusal, and refused candidates remain available for human review rather than being silently discarded. We implement the model in Medical DataCloud, a personal health-record application, and evaluate it through automated tests and a replay of saved extraction outputs. All 22 conformance and mutation tests pass. The replay covers nine historical laboratory PDF reports containing 102 manually labelled rows. The reports produce 97 numeric candidates: schema validation accepts all 97, an earlier packet-level evidence check accepts 94, and the hardened quotation- and row-level policy admits 72 while retaining 25 for review. The study evaluates system integrity rather than clinical correctness or clinical safety. The results demonstrate the technical feasibility of an enforceable boundary that prevents generated claims from authorizing their own reuse in a longitudinal health record.
Raw numerical datasets remain less systematically examined in integrity screening than images, plagiarism, or summary-statistic inconsistencies. We developed the Fabrication-risk Digit Randomness Screening model (FDRS), a statistical and machine-learning framework for detecting non-random digit-pattern irregularities in numerical research data. FDRS integrates single- and joint-decimal-digit tests, Cramer's V, entropy metrics, Kullback-Leibler divergence, digit-preference indices, progressive subsampling, and semi-supervised risk scoring. It was evaluated using an instrument-derived enzymatic absorbance dataset (RawData, n=253) and a blinded manually simulated irregular dataset (ErrData, n=255). RawData showed no significant deviation in single third-decimal-digit analysis, whereas ErrData showed a significant deviation. In joint third-fourth decimal digit analysis, ErrData showed higher Cramer's V, lower normalized entropy, higher KL divergence, and a more persistent progressive-subsampling deviation signal. In internal validation, Elastic-net Logistic Regression achieved the highest AUC (0.98395) and lowest Brier score (0.048439), while Random Forest achieved the highest accuracy (0.926667) and balanced accuracy (0.935). RawData received a low ensemble risk score of 0.124627 and was classified as Grade 0; ErrData received a score of 0.740760 and was classified as Grade 3. External real-world benchmarks supported graded risk stratification: three datasets without identified public post-publication concerns were classified as Grade 0 or 1, whereas two datasets from publicly questioned or institutionally handled articles were classified as Grade 2 or 3. FDRS can prioritize raw numerical datasets for further review by integrating interpretable statistical and machine-learning features. It is an auxiliary digit-structure screening tool, not standalone evidence of fabrication or misconduct.
Michał Brzozowski, Neo Christopher Chungcs.DL cs.LG
These names do not exist. Elena Vasquez and Marcus Chen have appeared as volcano experts, astronauts, thriller protagonists, podcast hosts, and academic co-authors across hundreds of independently produced AI-generated documents, never having lived. We show that large language models do not merely default to high-probability individual names when generating fictional experts: they produce correlated character ensembles, pairs and trios whose co-occurrence rates far exceed chance and are consistent across independent generations. These priors are model-family-specific (Claude: Elena Vasquez + Marcus Chen + Amara Okafor; Gemini: Aris Thorne + Lena Petrova; GPT: Elara Voss with no fixed partner), version-specific, and actively suppressed at model release boundaries, leaving dateable behavioral fingerprints in the content they produced. We document a downstream consequence at scale. On Zenodo, a CERN-operated repository that mints real DataCite DOIs, we identify 1,655 ghost-authored records claiming nonexistent journals with fabricated publication dates: server-side DataCite timestamps prove deliberate backdating, and 991 records were registered in a single month; these carry real DOIs registered in DataCite, making them harvestable by any scholarly aggregator that ingests DOI metadata. Ghost names additionally appear on ResearchGate forming synthetic research groups with collaborators drawn from multiple model families; publication dates on these records provide a reliable temporal proxy for model deployment windows.