arXiv subjects

Akshat Choube

Publications and source records attributed to Akshat Choube.

7 recordsLinked to original sources

arXiv2026

Foundation Agents Meet Agentic Deep Research: Evidence-Grounded Clinical Code Forecasting

Next-encounter ICD forecasting predicts which standardized diagnosis codes will be documented at a future visit from the longitudinal record available beforehand. The task is prospective and multi-label: the target note does not yet exist, and several codes may be correct. Structured EHR foundation models capture recurrence and temporal progression, whereas language foundation models generate flexible diagnostic hypotheses. We introduce ICD-Deepresearch, a DeepResearch workflow that composes these predictive foundation models with medical search and ICD dictionaries. Because no source reveals the future code set, research evaluates candidate transitions by linking patient evidence, external clinical relations, and exact code semantics under a fixed top-K budget. Candidate Generation uses SparseEHR to produce an EHR Prior that initializes two bounded Research Expansion rounds; an independent GPT-5 Direct Forecast supplies complementary candidates. Final Selection validates, deduplicates, and jointly ranks both paths, after which a separate module writes rationales without changing predictions. Finally ICD-Deepresearch achieves patient-averaged precision/recall of 24.60/35.09% on MIMIC-III and 25.14/48.32% on MIMIC-IV. Physicians rate 51% and 68% of its retrieved documents useful, compared with 22% and 39% for standalone GPT-5 web search and 32% and 41% for Medical Deep Research. ICD-Deepresearch therefore improves over the registered local comparators while retrieving evidence with higher physician-rated usefulness than the standalone research systems

cs.CL↗

arXiv2026

From 'What' to 'How' and 'Why': Sharing LLM-Generated Retrospective Summaries of Older Adults' Passive Tracking Data with Remote Family Members

With the growing prevalence of modern ubiquitous computing technologies, multi-modal tracking systems hold promise for providing timely awareness and reassurance to stakeholders such as remote family members (RFMs) of older adults, who play a central role in care coordination. However, combining heterogeneous data streams into high-level, meaningful content - such as retrospective summaries - remains challenging. While recent work has demonstrated the promise of large language models (LLMs) for interpreting multi-modal tracking data, less attention has been given to generating narrative accounts for stakeholders like RFMs, who possess rich personal knowledge of older adults and strong emotional responsibility, yet have limited visibility into their daily lives and limited capacity for caregiving. In this work, we explore how LLMs can be used to generate retrospective summaries from multi-modal tracking data for RFMs of older adults. We leveraged and customized an existing system, Vital Insight, to generate initial summaries on different dates and data availability scenarios as technology probes, and conducted interviews with 11 RFMs to gather feedback. Based on these insights, we redesigned the system into a multi-layer, multi-agent, insight-driven summary approach that builds from objective statistics and descriptions to enriched, context-aware narratives. We then compared the redesigned summaries with the initial versions through a survey with the same 11 RFMs and found significant improvements in satisfaction, perceived helpfulness, trust, and willingness to receive the summaries. We conclude by presenting design implications for AI-generated summaries for RFMs and broader contexts, emphasizing the need to support RFMs' sensemaking shift from simply presenting ''What'' data were collected, to explaining ''How'' is my loved one doing and ''Why''.

cs.HC↗

arXiv2025

GLOSS: Group of LLMs for Open-Ended Sensemaking of Passive Sensing Data for Health and Wellbeing

The ubiquitous presence of smartphones and wearables has enabled researchers to build prediction and detection models for various health and behavior outcomes using passive sensing data from these devices. Achieving a high-level, holistic understanding of an individual's behavior and context, however, remains a significant challenge. Due to the nature of passive sensing data, sensemaking -- the process of interpreting and extracting insights -- requires both domain knowledge and technical expertise, creating barriers for different stakeholders. Existing systems designed to support sensemaking are either not open-ended or cannot perform complex data triangulation. In this paper, we present a novel sensemaking system, Group of LLMs for Open-ended Sensemaking (GLOSS), capable of open-ended sensemaking and performing complex multimodal triangulation to derive insights. We demonstrate that GLOSS significantly outperforms the commonly used Retrieval-Augmented Generation (RAG) technique, achieving 87.93% accuracy and 66.19% consistency, compared to RAG's 29.31% accuracy and 52.85% consistency. Furthermore, we showcase the promise of GLOSS through four use cases inspired by prior and ongoing work in the UbiComp and HCI communities. Finally, we discuss the potential of GLOSS, its broader implications, and the limitations of our work.

cs.HC↗

arXiv2024

Imputation Matters: A Deeper Look into an Overlooked Step in Longitudinal Health and Behavior Sensing Research

Longitudinal passive sensing studies for health and behavior outcomes often have missing and incomplete data. Handling missing data effectively is thus a critical data processing and modeling step. Our formative interviews with researchers working in longitudinal health and behavior passive sensing revealed a recurring theme: most researchers consider imputation a low-priority step in their analysis and inference pipeline, opting to use simple and off-the-shelf imputation strategies without comprehensively evaluating its impact on study outcomes. Through this paper, we call attention to the importance of imputation. Using publicly available passive sensing datasets for depression, we show that prioritizing imputation can significantly impact the study outcomes -- with our proposed imputation strategies resulting in up to 31% improvement in AUROC to predict depression over the original imputation strategy. We conclude by discussing the challenges and opportunities with effective imputation in longitudinal sensing studies.

stat.ME↗

arXiv2024

Vital Insight: Assisting Experts' Context-Driven Sensemaking of Multi-modal Personal Tracking Data Using Visualization and Human-In-The-Loop LLM

Passive tracking methods, such as phone and wearable sensing, have become dominant in monitoring human behaviors in modern ubiquitous computing studies. While there have been significant advances in machine-learning approaches to translate periods of raw sensor data to model momentary behaviors, (e.g., physical activity recognition), there still remains a significant gap in the translation of these sensing streams into meaningful, high-level, context-aware insights that are required for various applications (e.g., summarizing an individual's daily routine). To bridge this gap, experts often need to employ a context-driven sensemaking process in real-world studies to derive insights. This process often requires manual effort and can be challenging even for experienced researchers due to the complexity of human behaviors. We conducted three rounds of user studies with 21 experts to explore solutions to address challenges with sensemaking. We follow a human-centered design process to identify needs and design, iterate, build, and evaluate Vital Insight (VI), a novel, LLM-assisted, prototype system to enable human-in-the-loop inference (sensemaking) and visualizations of multi-modal passive sensing data from smartphones and wearables. Using the prototype as a technology probe, we observe experts' interactions with it and develop an expert sensemaking model that explains how experts move between direct data representations and AI-supported inferences to explore, question, and validate insights. Through this iterative process, we also synthesize and discuss a list of design implications for the design of future AI-augmented visualization systems to better assist experts' sensemaking processes in multi-modal health sensing data.

cs.HC↗

arXiv2024

SeSaMe: A Framework to Simulate Self-Reported Ground Truth for Mental Health Sensing Studies

Advances in mobile and wearable technologies have enabled the potential to passively monitor a person's mental, behavioral, and affective health. These approaches typically rely on longitudinal collection of self-reported outcomes, e.g., depression, stress, and anxiety, to train machine learning (ML) models. However, the need to continuously self-report adds a significant burden on the participants, often resulting in attrition, missing labels, or insincere responses. In this work, we introduce the Scale Scores Simulation using Mental Models (SeSaMe) framework to alleviate participants' burden in digital mental health studies. By leveraging pre-trained large language models (LLMs), SeSaMe enables the simulation of participants' responses on psychological scales. In SeSaMe, researchers can prompt LLMs with information on participants' internal behavioral dispositions, enabling LLMs to construct mental models of participants to simulate their responses on psychological scales. We demonstrate an application of SeSaMe, where we use GPT-4 to simulate responses on one scale using responses from another as behavioral information. We also evaluate the alignment between human and SeSaMe-simulated responses to psychological scales. Then, we present experiments to inspect the utility of SeSaMe-simulated responses as ground truth in training ML models by replicating established depression and anxiety screening tasks from a previous study. Our results indicate SeSaMe to be a promising approach, but its alignment may vary across scales and specific prediction objectives. We also observed that model performance with simulated data was on par with using the real data for training in most evaluation scenarios. We conclude by discussing the potential implications of SeSaMe in addressing some challenges researchers face with ground-truth collection in passive sensing studies.

cs.HC↗

arXiv2017

Energy-Delay-Distortion Problem

An energy-limited source trying to transmit multiple packets to a destination with possibly different sizes is considered. With limited energy, the source cannot potentially transmit all bits of all packets. In addition, there is a delay cost associated with each packet. Thus, the source has to choose, how many bits to transmit for each packet, and the order in which to transmit these bits, to minimize the cost of distortion (introduced by transmitting lower number of bits) and queueing plus transmission delay, across all packets. Assuming an exponential metric for distortion loss and linear delay cost, we show that the optimization problem is jointly convex. Hence, the problem can be exactly solved using convex solvers, however, because of the complicated expression derived from the KKT conditions, no closed form solution can be found even with the simplest cost function choice made in the paper, also the optimal order in which packets should be transmitted needs to be found via brute force. To facilitate a more structured solution, a discretized version of the problem is also considered, where time and energy are divided in discrete amounts. In any time slot (fixed length), bits belonging to any one packet can be transmitted, while any discrete number of energy quanta can be used in any slot corresponding to any one packet, such that the total energy constraint is satisfied. The discretized problem is a special case of a multi-partitioning problem, where each packet's utility is super-modular and the proposed greedy solution is shown to incur cost that is at most $2$-times of the optimal cost.

cs.IT↗