VitalDiagnosis

VitalDiagnosis: AI-Driven Ecosystem for 24/7 Vital Monitoring and Chronic Disease Management

From passive tracking to proactive care—linking continuous wearables, AI-guided inquiry, and tailored recommendations in a single loop.

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Zhikai Xue, Tianqianjin Lin, Pengwei Yan, Ruichun Wang, Yuxin Liu, Zhuoren Jiang, Xiaozhong Liuet al.

Collaborating Institutions

Worcester Polytechnic Institute
Zhejiang University
University of Delaware
Beijing Corning Ruitong Information Technology Co., LTD
VitalDiagnosis System Concept

Background & Problem

Understanding the challenges in chronic disease management and how VitalDiagnosis addresses them.

Chronic Disease Management: A Long-Horizon Challenge

Chronic diseases require continuous monitoring and management over extended periods, placing significant strain on healthcare resources.

Healthcare systems worldwide struggle with limited capacity for regular follow-ups, leading to suboptimal patient outcomes and increased hospitalizations.

The gap between available medical resources and the growing prevalence of chronic conditions continues to widen.

Chronic Disease Management Challenges

Wearables increased data. Care did not scale.

Without a role-based workflow, routine management drifts and outliers escalate too late.

Patient Challenges

  • Data collection without meaningful interpretation or action
  • Difficulty maintaining consistent self-management routines
  • Uncertainty about how to respond to abnormal readings
  • Delayed intervention when conditions deteriorate

Clinical Challenges

  • Limited bandwidth for daily monitoring of stable patients
  • Information overload from raw wearable data
  • Need for efficient triage and prioritization tools
  • Difficulty tracking long-term trends and patient adherence

"The gap isn't sensing—it's workflow."

Our Solution

VitalDiagnosis bridges the workflow gap by creating a closed-loop system that connects continuous monitoring with intelligent intervention and clinical oversight.

Always-on monitoring

Continuous collection and analysis of vital signs data from wearable devices

Dual-track system

Parallel workflows for routine care management and outlier detection

Clinician governance

Physician oversight with clear escalation paths and decision support

Discover how our system transforms patient and clinician experiences

UI Walkthrough

Explore the patient and clinician interfaces that power the VitalDiagnosis ecosystem.

Patient Routine Care Interface 1 Patient Routine Care Interface 2

Patient Routine Care

The patient-facing interface provides continuous monitoring, personalized guidance, and seamless communication with healthcare providers.

  • Regular Health Check-ins

    AI-powered chat interface for daily health assessments and medication reminders

  • Vital Signs Dashboard

    Clear visualization of heart rate, blood pressure, oxygen levels, and respiratory rate

  • Personalized Recommendations

    Adaptive suggestions for lifestyle adjustments based on trends in vital signs

  • Voice Interaction

    Hands-free option for patients to report symptoms and ask health questions

This system is designed to assist clinical decision-making and should not replace professional medical judgment. High-risk alerts require immediate human review.

Solution Highlights

Discover the key innovations that make VitalDiagnosis unique in chronic disease management.

Always-on Wearables + LLM for Proactive Chronic Disease Management

Chronic disease care is continuous, but clinical touchpoints are episodic. VitalDiagnosis combines wearables and an LLM-driven agent to turn day-to-day monitoring into proactive follow-up between visits.

  • Built for chronic disease management: supports ongoing tracking, adherence support, and timely adjustments over weeks and months
  • Moves beyond passive numbers by enabling proactive follow-up and actionable guidance when attention is needed
  • Keeps patients engaged in day-to-day management, instead of waiting for the next clinic visit
  • Provides the foundation for the system’s two chronic-care workflows: routine care and outlier triage

LLM-Enhanced Dual-Track Personalized Medical Agent

One system, two modes for chronic care: improving routine management and handling acute events—both personalized and interactive.

Routine Care

  • Periodic assessment of adherence and daily management patterns over a recent period
  • Incorporates patient feedback to refine recommendations and plan adjustments
  • Produces patient-friendly summaries and actionable suggestions for sustained self-management

Outlier Triage

  • Triggered when monitoring flags an event that needs attention
  • Runs a focused inquiry to confirm critical details and context
  • Produces a severity-aware triage summary and recommended next steps
  • Higher-risk: proactively escalates to configured caregivers and/or clinicians

Patient–Clinician Dual-Channel Workflow with Governance

Two role-specific channels, one governed workflow—so chronic care can scale without losing clinical oversight.

  • Patient channel (App): understandable guidance, follow-up, and trackable plan adjustments for ongoing management
  • Clinician channel (Web): rapid review for time-sensitive items + deep-dive case review when needed
  • Complete audit trail supports accountability and learning
  • Tiered governance: high-risk items require explicit clinician review; lower-risk items use streamlined confirmation
  • Traceability supports audit, feedback, and continuous improvement without adding unnecessary burden

Technical Architecture

A modular system design that integrates advanced technologies for seamless chronic disease management.

VitalDiagnosis Technical Architecture

Overall System Architecture

VitalDiagnosis employs a modular, microservices-based architecture that enables continuous monitoring, intelligent analysis, and coordinated intervention across patient and clinician interfaces.

Compliance & Safety

Built with patient safety, data privacy, and clinical governance at its core.

Tiered Approval (Human-in-the-Loop)

All AI-generated recommendations undergo appropriate levels of human review based on risk stratification.

Role-Based Visibility & Responsibility

Granular access controls ensure information is only accessible to authorized personnel based on their role.

Safety-Aware Escalation

Multi-level escalation protocols with redundant notification systems for critical alerts.

Traceability & Audit Support

Comprehensive logging of all system actions and human interactions to support audit requirements.

Clear Scope & Disclaimers

Transparent communication about system capabilities, limitations, and appropriate use cases.

Contact

For more information about VitalDiagnosis, please reach out to our team.

Email

VitalDiagnosisAI@gmail.com

© 2026 VitalDiagnosis Team. All rights reserved.