PreemptiveAI
BIOMEDICAL AI & OPTICAL COMPUTINGFOUNDATION ARCHITECTURE

The science of
ambient physiology.

How millions of clinically labeled pulse waveforms turn everyday smartphone sensors into continuous windows into human biology.

TRAINING CORPUS12,000,000+Raw optical pulse streams
GROUND TRUTH75,000+Clinically labeled patients
INTELLECTUAL PROP.2 IssuedU.S. Patents (3 pending)
CORE SENSINGFDA-ClearedFoundational sensing
HEMODYNAMIC PHYSICS

Blood flow has to continuously adapt to what the body needs.

Blood delivers oxygen, nutrients, hormones, and immune factors throughout the entire human body. As physiological state shifts — whether from autonomic stress, metabolic spikes, fluid volume changes, or inflammatory responses — circulation must adjust instantaneously.

These microvascular adjustments alter peripheral resistance, arterial wall stiffness, stroke volume, dicrotic notch timing, and diastolic decay slopes across the entire pulse contour.

WHEN PHYSIOLOGY CHANGES, THE BLOOD-FLOW PATTERN CHANGES WITH IT.
MULTI-ORGAN PHYSIOLOGY

Different physiological systems imprint on the blood-flow wave in distinct ways.

No single scalar metric (like heart rate alone) tells the complete story. The entire high-dimensional wave structure reflects coordinated multi-organ dynamics.

Cardiovascular01
Heart contractility & stroke volume
Peak morphology, systolic upstroke velocity, and dicrotic notch sharpness
Renal & Hemodynamic02
Fluid volume & systemic vascular resistance
Waveform amplitude dynamics, area under systolic curve, and diastolic decay slope
Nervous (Autonomic)03
Sympathetic & parasympathetic balance
Beat-to-beat interval variability (HRV), respiratory sinus arrhythmia modulations
Metabolic & Microvascular04
Vascular endothelial reactivity & perfusion
Capillary refill timing, peripheral pulse transit dynamics, and microvascular tone
NO SINGLE FEATURE TELLS THE WHOLE STORY. THE EMBEDDED PATTERN DOES.
LATENT SPACE ARCHITECTURE • THE NEIGHBORHOOD

Your neighborhood helps tell us what your representation means.

Where you sit in high-dimensional physiological space provides continuous clinical context without relying on rigid, one-size-fits-all diagnostic cutoffs.

STEP 01Coordinate Anchor

One measurement, one location in latent space.

Your 30-second smartphone scan is translated into a high-dimensional embedding vector. In this space, every coordinate represents a distinct combination of microvascular compliance, autonomic balance, and pulsatile dynamics.

1 of 4 steps
TOPOLOGICAL LATENT PROJECTIONStep 1 View
YOU ARE HERE
High-Dimensional Embeddings (dim=128)Trained on 12M+ Waveforms
LONGITUDINAL BASELINE DYNAMICS • DIRECTION • DISTANCE • PERSISTENCE

And movement tells us when something changes.

Your neighborhood provides context. Your movement reveals change. By tracking an individual's trajectory over time, Preemptive decodes three fundamental vectors of physiological inflection.

TRAJECTORY EVOLUTION: BASELINE TO SHIFT14-Day Rolling Window
Day 1
Baseline Established
Initial calibration
0.0σ
Day 2
Equilibrium
Consistent wave pattern
<0.1σ
Day 3
Equilibrium
Stable autonomic tone
<0.1σ
Day 4
Equilibrium
Normal vascular compliance
<0.1σ
Day 5 → Now
Something Changed
Marked shift across vectors
+2.8σ
THE 3-VECTOR DEPARTURE EVALUATION

How the model characterizes a baseline departure.

VECTOR 01
Direction

"Where did it move?"

Determines which underlying physiological systems or latent axes changed — whether vascular resistance, parasympathetic vagal recovery, cardiac output, or metabolic tone.

CURRENT VECTOR:Elevated peripheral resistance & sympathetic activation
VECTOR 02
Distance

"How much did it change?"

Quantifies the statistical magnitude of departure from the user's established rolling personal normal, filtering out random noise.

CURRENT VECTOR:+2.84 standard deviations (High Clinical Significance)
VECTOR 03
Persistence

"Is the change sustained?"

Distinguishes between a transient 1-day spike (e.g. poor sleep or heavy meal) and a sustained 4-day trajectory shift that indicates clinical illness or medication response.

CURRENT VECTOR:4 consecutive days sustained (Triggers Proactive Check-in)
DIRECTION + DISTANCE + PERSISTENCE = CLINICALLY ACTIONABLE INTEL
Transforms raw waveforms into timely proactive questions
THE CLINICALLY MEANINGFUL COMPARISON IS YOU VS. YOU.
CLINICAL BENCHMARKS & VALIDATION

One learned representation. Many distinct downstream tasks.

These tasks demonstrate empirical evidence that a single foundation embedding contains rich, separable information across cardiovascular, metabolic, autonomic, and biological age axes.

Current State
Heart Rate
Heart Rate Variability
Biological Change
Biological Age
Cardiovascular Age
Metabolic Age
Renal Age
Disease / Progression
Blood Pressure Insights
Diabetes
Heart Disease
High Cholesterol
Kidney Disease
Emerging Risk
Body Temperature
Hospital Readmission
2 Issued Patents (3 Pending)
FDA-Cleared • Evaluated in a Study with Duke Health
LONGITUDINAL GROUND TRUTH

Four years of continuous physiology paired with verified clinical outcomes.

Raw optical signals without deep clinical ground truth are merely noise. Preemptive couples millions of raw pulse waveforms with comprehensive EHR trajectories, vitals data, and lab outcomes.

12,000,000+RAW PPG OPTICAL WAVEFORMS
75,000+PATIENTS WITH CLINICAL LABELS
DEMOGRAPHICS
LABORATORY PANELS
ELECTRONIC HEALTH RECORDS
CLINICAL OUTCOMES
VITALS
LONGITUDINALSMARTPHONE-NATIVEREAL-WORLD ACCURACY
SCIENTIFIC & CLINICAL PARTNERSHIP

Collaborate on clinical trials, validation, and biomedical AI research.

We partner with academic medical centers, clinical research organizations, biopharma trialists, and health AI researchers to pioneer continuous physiological intelligence.

Clinical Research Tooling • Vector Embedding API • Device-Independent PhotometrySubject to Mutual Confidentiality & IRB Protocols