Towards a General Intelligence and Interface for Wearable Health Data

While ubiquitous wearable sensors capture a wealth of behavioral and physiological information, effectively transforming these signals into personalized health insights is challenging. Specifically, converting low-level sensor data into representations capable of characterizing higher-level states is difficult due to high phenotypic diversity and variation in individual baseline health, physiology, and lifestyle factors. Moreover, collecting wearable data paired with health outcome annotations is laborious and expensive, and retrospective annotation remains practically unfeasible, contributing to a scarcity of data with high-quality labels. To overcome these limitations, we propose a foundation model for wearable health that is pretrained on more than one trillion minutes of unlabeled sensor signals drawn from a large cohort of five million participants. We demonstrate that the joint scaling of model capacity and pretraining data volume leads to systematic improvements in performance, as evaluated on a diverse set of 35 health prediction tasks, spanning cardiovascular, metabolic, sleep, and mental health, as well as lifestyle choices and demographic factors. We find that this population scale representation unlocks label-efficient few-shot learning and generative capabilities for robust daily metric estimation. To further leverage this learned representation, we deploy a classroom of LLM agents to autonomously search the space of downstream predictive heads built on the model embeddings, showing broad performance improvements that increase with LLM model capacity. Finally, we show how integrating these downstream predictors into a Personal Health Agent can support model responses that are more relevant, contextually aware, and safe, and we validate this via 1,860 ratings from a cohort of clinicians.

SymptomAI: Towards a Conversational AI Agent for Everyday Symptom Assessment

Language models excel at diagnostic assessments on currated medical case-studies and vignettes, performing on par with, or better than, clinical professionals. However, existing studies focus on complex scenarios with rich context making it difficult to draw conclusions about how these systems perform for patients reporting symptoms in everyday life. We deployed SymptomAI, a set of conversational AI agents for end-to-end patient interviewing and differential diagnosis (DDx), via the Fitbit app in a study that randomized participants (N=13,917) to interact with five AI agents. This corpus captures diverse communication and a realistic distribution of illnesses from a real world population. A subset of 1,228 participants reported a clinician-provided diagnosis, and 517 of these were further evaluated by a panel of clinicians during over 250 hours of annotation. SymptomAI DDx were significantly more accurate (OR = 2.47, p < 0.001) than those from independent clinicians given the same dialogue in a blinded randomized comparison. Moreover, agentic strategies which conduct a dedicated symptom interview that elicit additional symptom information before providing a diagnosis, perform substantially better than baseline, user-guided conversations (p < 0.001). An auxiliary analysis on 1,509 conversations from a general US population panel validated that these results generalize beyond wearable device users. We used SymptomAI diagnoses as labels for all 13,917 participants to analyze over 500,000 days of wearable metrics across nearly 400 unique conditions. We identified strong associations between acute infections and physiological shifts (e.g., OR > 7 for influenza). While limited by self-reported ground truth, these results demonstrate the benefits of a dedicated and complete symptom interview compared to a user-guided symptom discussion, which is the default of most consumer LLMs.

Exploring and Characterizing Large Language Models For Embedded System Development and Debugging

Large language models (LLMs) have shown remarkable abilities to generate code, however their ability to develop software for embedded systems, which requires cross-domain knowledge of hardware and software has not been studied. In this paper we systematically evaluate leading LLMs (GPT-3.5, GPT-4, PaLM 2) to assess their performance for embedded system development, study how human programmers interact with these tools, and develop an AI-based software engineering workflow for building embedded systems. We develop an an end-to-end hardware-in-the-loop evaluation platform for verifying LLM generated programs using sensor actuator pairs. We compare all three models with N=450 experiments and find surprisingly that GPT-4 especially shows an exceptional level of cross-domain understanding and reasoning, in some cases generating fully correct programs from a single prompt. In N=50 trials, GPT-4 produces functional I2C interfaces 66% of the time. GPT-4 also produces register-level drivers, code for LoRa communication, and context-specific power optimizations for an nRF52 program resulting in over 740x current reduction to 12.2 uA. We also characterize the models' limitations to develop a generalizable workflow for using LLMs in embedded system development. We evaluate the workflow with 15 users including novice and expert programmers. We find that our workflow improves productivity for all users and increases the success rate for building a LoRa environmental sensor from 25% to 100%, including for users with zero hardware or C/C++ experience.