SearcharxivSearch

arXiv · 2106.03965

A highly scalable repository of waveform and vital signs data from bedside monitoring devices

Abstract

The advent of cost effective cloud computing over the past decade and ever-growing accumulation of high-fidelity clinical data in a modern hospital setting is leading to new opportunities for translational medicine. Machine learning is driving the appetite of the research community for various types of signal data such as patient vitals. Health care systems, however, are ill suited for massive processing of large volumes of data. In addition, due to the sheer magnitude of the data being collected, it is not feasible to retain all of the data in health care systems in perpetuity. This gold mine of information gets purged periodically thereby losing invaluable future research opportunities. We have developed a highly scalable solution that: a) siphons off patient vital data on a nightly basis from on-premises bio-medical systems to a cloud storage location as a permanent archive, b) reconstructs the database in the cloud, c) generates waveforms, alarms and numeric data in a research-ready format, and d) uploads the processed data to a storage location in the cloud ready for research. The data is de-identified and catalogued such that it can be joined with Electronic Medical Records (EMR) and other ancillary data types such as electroencephalogram (EEG), radiology, video monitoring etc. This technique eliminates the research burden from health care systems. This highly scalable solution is used to process high density patient monitoring data aggregated by the Philips Patient Information Center iX (PIC iX) hospital surveillance system for archival storage in the Philips Data Warehouse Connect enterprise-level database. The solution is part of a broader platform that supports a secure high performance clinical data science platform.

Explore related subjects

Keep this discovery

BibTeXRIS

Sanjay Malunjkar, Susan Weber, Somalee Datta. 2021-06-07. A highly scalable repository of waveform and vital signs data from bedside monitoring devices. https://arxiv.org/abs/2106.03965

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

OmniTable: A Unified Wide-Table System for Petabyte-Scale LLM Data Curation and Exploration

Data curation is a critical bottleneck in industrial-grade LLM development, where petabyte-scale unstructured corpora are scattered across hundreds of physical tables, feature engineering relies on manual, table-centric pipeline orchestration, and data lineage is largely absent. We present OmniTable as an architecture blueprint for a unified wide-table layer built on Logical Unification, Physical Separation, targeting petabyte-scale LLM data curation and exploration. OmniTable makes four contributions: (1) a unified wide-table abstraction that consolidates multi-source heterogeneous data and thousands of derived features under a single logical schema via logical-physical mapping; (2) declarative feature lifecycle management that automates dependency resolution, execution planning, operator fusion, and lineage tracking, replacing manual pipeline orchestration with a "declare-and-execute" paradigm; (3) an adaptive execution engine with autonomous governance that achieves stable PB-scale feature backfill through heterogeneous compute routing (CPU/GPU), adaptive tuning, UDF-level fault tolerance, and automated storage layout optimization; and (4) hybrid-accelerated data exploration combining a global ID index, transparent OLAP offloading, and background materialized views to deliver second-level point lookups and filtered exports exceeding 20 TB/hour. In production, OmniTable manages over 35 PB of training data across web, code, PDF, and SFT domains, reducing the human-in-the-loop curation cycle from approximately 14 days to approximately 2.5 days (5.6x over the pre-OmniTable production workflow), with consistent feature versioning, auditable lineage, and minimal manual intervention.

cs.DB

When Does Low-Bit Quantization Preserve the Decisions of Vector Search?

Low-bit quantization can achieve high recall on some vector representations and fail sharply on others, while average distortion and global rank correlation do not explain the difference. We study quantized vector search at the level of the comparisons consumed by ranking and graph-pruning algorithms. Our first result is a distribution-free decomposition: the probability that a comparison flips is bounded by the probability mass of exact margins near zero plus the tail probability of the calibrated residual. We then account for dependence between residuals that share a query or graph node, and derive covariance-aware second-moment identities and tail bounds under a joint MGF proxy. For a frozen candidate permutation, we prove a deterministic coupling theorem for Vamana neighbour selection: the approximate replay returns the exact neighbour list exactly when all candidate-level pruning actions agree on the frozen exact states. We connect these results to representation geometry through an exact Gaussian oracle, establish a strict correlation gain from a deterministic magnitude bit in an aligned bilinear model, and give a rare-contamination construction showing why marginal Gaussian diagnostics do not imply the required residual tails. When analytical assumptions are unavailable, a held-out block certificate bounds the selective failure risk of a frozen quantized rule. Across learned, classical, and synthetic embeddings, standardized exact margins predict held-out ranking and pruning flip rates substantially better than global rank correlation. The framework applies to coordinate binary codes, RaBitQ, Lucene BBQ, and product quantizers through a common decision interface.

cs.DB

Contextual Utility of Quantization Moves in Extreme Low-Bit LLMs

Post-training quantizers select finite code changes using reconstruction proxies or local loss approximations, but the utility of a quantization move depends on the state through which it is executed. We identify two sources of this contextual dependence. First, the displacement of the move matters: evaluating the gradient at the move midpoint captures curvature accumulated along the move that a current-state linearization omits. Across frozen two-bit moves from Llama-3.2 models, midpoint evaluation predicts the direction of exact endpoint loss changes substantially more accurately than current-state gradients. Second, moves interact: exhaustive lattices of legal quantized states are well approximated by quadratic pseudo-Boolean functions, yet their small pairwise components can determine Pareto fronts and cause different evaluation functionals to prefer opposite directions. These effects explain failures of reconstruction-optimal code re-selection and additive composition. Reading each move at its own midpoint repairs the local selection step and improves downstream accuracy and held-out perplexity, while larger supports require evaluating exact endpoints from the state actually reached. Exact-endpoint beam search finds sparse changes that dominate much larger one-shot updates, and repricing the same moves after intervening changes produces widespread sign reversals. These results show that quantization utility is contextual at the granularity of a few moves: reliable construction must evaluate finite changes along their own paths and compose them from the evolving quantized state.

cs.DB