Real-Time Streaming H-Pipeline for Sub-Millisecond Sensor-to-LLM Clinical Reasoning: Stages L-A through L-D, an Apple Silicon Empirical Anchor with Analytical Hardware Extrapolation Across Seven Classes, and a 363-Study Validation Campaign at 96.7% S

v4 (2026-06): Corrected attribution-- compressibility and privacy are now attributed to the codebook-quantization layer, lossless invertibility to the spiral front-end. All numerical results unchanged. This deposit accompanies the v3 manuscript for Paper 14 of the spiral-domain encoder validation campaign series. It contains the complete pre-registration scope document, runner code, summary verdicts, figures, and arXiv-format manuscript for a 363-study empirical validation campaign of the real-time streaming extension of the H-pipeline architecture introduced in Paper 12 and federated in Paper 13. The campaign comprises 363 studies executed in a continuous deterministic protocol (PYTHONHASHSEED=0) across the new streaming Stages L-A through L-D, which together specify the real-time end-to-end streaming H-pipeline operating below standard medical-device latency budgets. The campaign achieves 96.7% SUPPORTED. The v3 manuscript adds an image/video modality extension subsection (§2.5) reflecting Parent L v5 spec sync, including the canonical operating-point table for per-frame feature-embedding mode (W=1.0s, H=0.5s, fs=30Hz, d-axis=5, D-input=768 for ViT-Tiny through ResNet-50). Headline findings · Apple Silicon p99 = 0.124 ms wall-clock anchor (~400× under the 50 ms streaming budget) measured on a 2023 MacBook Air M2. · Analytical hardware extrapolation across 7 hardware classes — Apple Silicon anchor + x86 Xeon Gold, ARM Neoverse N1, Raspberry Pi 4, Apple Watch S9 SiP, NVIDIA Jetson Orin Nano, and Cortex-M7 200MHz embedded — all under 50 ms budget including the most-constrained embedded class. · Streaming triple-composed mitigation preserves the 0.55-0.62 capable-MIA AUC envelope carried forward from Phase XXVI federated. · FDA SaMD Class I, II, and III compatibility on all 7 hardware classes characterized. · Cost-benefit ~$2.84B/year savings at 1-million-patient continuous-monitoring fleet scale (Embodiment K analysis). · Image/video modality extension via Parent L v5 sync. Per-frame feature embeddings from on-device CNN/ViT extractors → spiral encoder → codebook quantization → streaming H-pipeline (Stages L-A through L-D). Canonical operating point validated across the d-axis = 5 / D-input range from ViT-Tiny D=192 through ResNet-50 D=2048. Related provisional patent application Parent L (U.S. Provisional Patent Application 64/084,827, filed at USPTO on 2026-06-11; 70 claims, 56 pages; Stages L-A through L-D plus image/video modality extension via Embodiments M/N/O/P and dependent Claims 65-68). Parent L is a standalone provisional with an independent priority date; 12-month non-provisional conversion deadline is 2027-06-11. Three companion standalone provisionals filed the same day: Parent I (64/084,807) federated, Parent J (64/084,817) codebook-centroid privacy hardening, Parent K (64/084,821) pre-encoder identity-axis projection. Companion deposits in the campaign series · Paper 8 — Phase XXI musculoskeletal-DT validation: 10.5281/zenodo.20466035 · Paper 9 — Phase XXII surgical-robot patient-pair DT: 10.5281/zenodo.20470763 · Paper 10 — Phase XXIII unidirectional release-only bioelectric DT: 10.5281/zenodo.20480183 · Paper 11 — Phase XXIV bidirectional closed-loop bioelectric DT: 10.5281/zenodo.20495976 · Paper 12 — Phase XXV IoT-LLM pipeline: 10.5281/zenodo.20499453 · Paper 13 — Phase XXVI federated multi-institutional (this deposit cycle) · Paper 15 — Phase XXVIII image/video modality (this deposit cycle) Reproducibility All 363 studies execute deterministically under PYTHONHASHSEED=0. The reproducibility corpus includes the streaming H-pipeline harness library, section runner scripts, and 363 per-study summary JSONs. End-to-end campaign reproduction wall-clock: ~15 minutes on Apple M2 / 16 GB. License Creative Commons Attribution 4.0 International (CC-BY 4.0). Commercial deployment of the streaming H-pipeline architecture or image/video modality extension requires a license to Fieldstone Analytics, LLC. Contact: [email protected]. Citation Ferlic, R.J. and Ferlic, K.K. (2026). Real-Time Streaming H-Pipeline with Image and Video Sensor Modality Extension: A 363-Study Validation Campaign. Zenodo. https://doi.org/10.5281/zenodo.20596597