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OpenAI once again makes the case for giving ChatGPT your health records

Engadget

The company is rolling out its ChatGPT Health feature to users in the US who are 18 years or older. OpenAI is rolling out its dedicated health experience, ChatGPT Health, to users who are 18 years or older and live in the US. The company began testing ChatGPT Health in January in a separate portal, but this updated version lets ChatGPT reference relevant health data in any conversation. The new feature is designed to go beyond the chatbot's existing ability to answer health-related questions -- something OpenAI claims its new GPT-5.6 Sol model improves -- and grounds responses in personal data from doctors' notes, blood tests and more.


Nuclear veterans' medical record handling haphazard, report finds

BBC News

Report finds secrecy impacted handling of nuclear test veterans' records Image caption, Nuclear test veterans met then Labour opposition leader, Sir Keir Starmer, in 2021, campaigning for full disclosure of the impact of the UK's nuclear bomb testing programme. High levels of Cold War secrecy were a factor in the haphazard approach taken towards the medical records of nuclear test veterans, an official report has found. The lack of a centralised approach means that the system will appear complex and inconsistent to the veterans who have been campaigning for the full release of their medical records. The findings come in a series of official documents released by the Ministry of Defence (MoD) in response to years of campaigning by the veterans. Andy Burnham spoke up in favour of the nuclear test veterans on Tuesday evening in his first speech in parliament since his re-election last month, endorsing their call for a special tribunal. As many as 25,000 members of the UK armed services, scientists and civilians took part in the nuclear testing programme between 1952 and 1967 at sites including Australia and several islands in the Pacific Ocean.


Improving Patient Subtyping on Longitudinal Data using Representations from Mamba-based Architecture

arXiv.org Machine Learning

Effective sub-typing (also known as grouping or clustering) of patients using their electronic health record (EHR) data can greatly inform precision medicine efforts. However, subtyping temporal EHR datasets is known to be challenging due to inherent EHR issues, including complexity and irregularity. In this study, we propose a self-supervised Mamba-based model that learns effective EHR representations and enables enhanced patient subtyping. We evaluate the proposed model on public and private real-world EHR datasets to classify the data based on the available labels and subtype patients based on the representations learned from the model. Through an extensive set of experiments, we demonstrate that our model's design choices lead to better performance compared to competitive baseline models for prediction. Moreover, we evaluate several clustering techniques to demonstrate that our findings offer valuable insights into subtyping patients based on temporal records from EHR models\footnote{Our implementations are available at https://github.com/healthylaife/triplet_mamba.


InvisibleInk: High-Utility and Low-Cost Text Generation with Differential Privacy

Neural Information Processing Systems

As major progress in LLM-based long-form text generation enables paradigms such as retrieval-augmented generation (RAG) and inference-time scaling, safely incorporating private information into the generation remains a critical open question.


An Investigation of Memorization Risk in Healthcare Foundation Models

Neural Information Processing Systems

Foundation models trained on large-scale de-identified electronic health records (EHRs) hold promise for clinical applications. However, their capacity to memorize patient information raises important privacy concerns. In this work, we introduce a suite of black-box evaluation tests to assess privacy-related memorization risks in foundation models trained on structured EHR data. Our framework includes methods for probing memorization at both the embedding and generative levels, and aims to distinguish between model generalization and harmful memorization in clinically relevant settings. We contextualize memorization in terms of its potential to compromise patient privacy, particularly for vulnerable subgroups.


Fortifying Time Series: DTW-Certified Robust Anomaly Detection

Neural Information Processing Systems

Time-series anomaly detection is critical for ensuring safety in high-stakes applications, where robustness is a fundamental requirement rather than a mere performance metric. Addressing the vulnerability of these systems to adversarial manipulation is therefore essential. Existing defenses are largely heuristic or provide certified robustness only under โ„“p-norm constraints, which are incompatible with time-series data. In particular, โ„“p-norm fails to capture the intrinsic temporal structure in time series, causing small temporal distortions to significantly alter the โ„“p-norm measures. Instead, the similarity metric Dynamic Time Warping (DTW) is more suitable and widely adopted in the time-series domain, as DTW accounts for temporal alignment and remains robust to temporal variations. To date, however, there has been no certifiable robustness result in this metric that provides guarantees. In this work, we introduce the first DTW-certified robust defense in time-series anomaly detection by adapting the randomized smoothing paradigm. We develop this certificate by bridging the โ„“p-norm to DTW distance through a lower-bound transformation.


RAD: Towards Trustworthy Retrieval-Augmented Multi-modal Clinical Diagnosis

Neural Information Processing Systems

Clinical diagnosis is a highly specialized discipline requiring both domain expertise and strict adherence to rigorous guidelines. While current AI-driven medical research predominantly focuses on knowledge graphs or natural text pretraining paradigms to incorporate medical knowledge, these approaches primarily rely on implicitly encoded knowledge within model parameters, neglecting task-specific knowledge required by diverse downstream tasks. To address this limitation, we propose Retrieval-Augmented Diagnosis (RAD), a novel framework that explicitly injects external knowledge into multimodal models directly on downstream tasks. Specifically, RAD operates through three key mechanisms: retrieval and refinement of disease-centered knowledge from multiple medical sources, a guidelineenhanced contrastive loss that constrains the latent distance between multi-modal features and guideline knowledge, and the dual transformer decoder that employs guidelines as queries to steer cross-modal fusion, aligning the models with clinical diagnostic workflows from guideline acquisition to feature extraction and decision-making. Moreover, recognizing the lack of quantitative evaluation of interpretability for multimodal diagnostic models, we introduce a set of criteria to assess the interpretability from both image and text perspectives. Extensive evaluations across four datasets with different anatomies demonstrate RAD's generalizability, achieving state-of-the-art performance. Furthermore, RAD enables the model to concentrate more precisely on abnormal regions and critical indicators, ensuring evidence-based, trustworthy diagnosis. Our code is available at this repository.


Magical: Medical Lay Language Generation via Semantic Invariance and Layperson-tailored Adaptation

Neural Information Processing Systems

Medical Lay Language Generation (MLLG) plays a vital role in improving the accessibility of complex scientific content for broader audiences. Recent literature to MLLG commonly employ parameter-efficient fine-tuning methods such as LowRank Adaptation (LoRA) to fine-tuning large language models (LLMs) using paired expert-lay language datasets. However, LoRA struggles with the challenges posed by multi-source heterogeneous MLLG datasets. Specifically, through a series of exploratory experiments, we reveal that standard LoRA fail to meet the requirement for semantic fidelity and diverse lay-style generation in MLLG task. To address these limitations, we propose Magical, an asymmetric LoRA architecture tailored for MLLG under heterogeneous data scenarios. Magical employs a shared matrix Afor abstractive summarization, along with multiple isolated matrices B for diverse lay-style generation. To preserve semantic fidelity during the lay language generation process, Magical introduces a Semantic Invariance Constraint to mitigate semantic subspace shifts on matrix A. Furthermore, to better adapt to diverse lay-style generation, Magical incorporates the Recommendation-guided Switch, an externally interface to prompt the LLM to switch between different matrices B. Experimental results on three real-world lay language generation datasets demonstrate that Magical consistently outperforms prompt-based methods, vanilla LoRA, and its recent variants, while also reducing trainable parameters by 31.66%.


Transformers for Mixed-type Event Sequences

Neural Information Processing Systems

Event sequences appear widely in domains such as medicine, finance, and remote sensing, yet modeling them is challenging due to their heterogeneity: sequences often contain multiple event types with diverse structures--for example, electronic health records that mix discrete events like medical procedures with continuous lab measurements. Existing approaches either tokenize all entries, violating natural inductive biases, or ignore parts of the data to enforce a consistent structure. In this work, we propose a simple yet powerful Marked Temporal Point Process (MTPP) framework for modeling event sequences with flexible structure, using a single unified model. Our approach employs a single autoregressive transformer with discrete and continuous prediction heads, capable of modeling variable-length, mixed-type event sequences. The continuous head leverages an expressive normalizing flow to model continuous event attributes, avoiding the numerical integration required for inter-event times in most competing methods.


Integrating Drug Substructures and Longitudinal Electronic Health Records for Personalized Drug Recommendation

Neural Information Processing Systems

Drug recommendation systems aim to identify optimal drug combinations for patient care, balancing therapeutic efficacy and safety. Advances in large-scale longitudinal EHRs have enabled learning-based approaches that leverage patient histories such as diagnoses, procedures, and previously prescribed drugs, to model complex patient-drug relationships. Yet, many existing solutions overlook standard clinical practices that favor certain drugs for specific conditions and fail to fully integrate the influence of molecular substructures on drug efficacy and safety. In response, we propose SubRec, a unified framework that integrates representation learning across both patient and drug spaces. Specifically, SubRec introduces a conditional information bottleneck to extract core drug substructures most relevant to patient conditions, thereby enhancing interpretability and clinical alignment. Meanwhile, an adaptive vector quantization mechanism is designed to generate patient-drug interaction patterns into a condition-aware codebook which reuses clinically meaningful patterns, reduces training overhead, and provides a controllable latent space for recommendation. Crucially, the synergy between condition-specific substructure learning and discrete patient prototypes allows SubRec to make accurate and personalized drug recommendations. Experimental results on the real-world MIMICIII and IV demonstrate our model's advantages. The source code is available at https://DrugRecommendation/.