# REMONI: An Autonomous System Integrating Wearables and Multimodal Large Language Models for Enhanced Remote Health Monitoring

arXiv: https://arxiv.org/abs/2510.21445 · HTML: https://mlsanity.com/paper/2510.21445/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 24 references that are in the map.
- First posted on arXiv 24 Oct 2025.

## Builds on (most cited first, 10 of 10)

- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [Video-ChatGPT: Towards Detailed Video Understanding via Large Vision and Language Models](https://mlsanity.com/paper/2306.05424/) (2023)
- [Towards Expert-Level Medical Question Answering with Large Language Models](https://mlsanity.com/paper/2305.09617/) (2023)
- [ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledge](https://mlsanity.com/paper/2303.14070/) (2023)
- [MedAlpaca -- An Open-Source Collection of Medical Conversational AI Models and Training Data](https://mlsanity.com/paper/2304.08247/) (2023)
- [MEDITRON-70B: Scaling Medical Pretraining for Large Language Models](https://mlsanity.com/paper/2311.16079/) (2023)
- [Virtual Fusion with Contrastive Learning for Single Sensor-based Activity Recognition](https://mlsanity.com/paper/2312.02185/) (2023)
- [Deep Learning-based Fall Detection Algorithm Using Ensemble Model of Coarse-fine CNN and GRU Networks](https://mlsanity.com/paper/2304.06335/) (2023)
- [Deep Learning Based Signal Enhancement of Low-Resolution Accelerometer for Fall Detection Systems](https://mlsanity.com/paper/2012.03426/) (2020)

## Abstract (arXiv)

With the widespread adoption of wearable devices in our daily lives, the demand and appeal for remote patient monitoring have significantly increased. Most research in this field has concentrated on collecting sensor data, visualizing it, and analyzing it to detect anomalies in specific diseases such as diabetes, heart disease and depression. However, this domain has a notable gap in the aspect of human-machine interaction. This paper proposes REMONI, an autonomous REmote health MONItoring system that integrates multimodal large language models (MLLMs), the Internet of Things (IoT), and wearable devices. The system automatically and continuously collects vital signs, accelerometer data from a special wearable (such as a smartwatch), and visual data in patient video clips collected from cameras. This data is processed by an anomaly detection module, which includes a fall detection model and algorithms to identify and alert caregivers of the patient's emergency conditions. A distinctive feature of our proposed system is the natural language processing component, developed with MLLMs capable of detecting and recognizing a patient's activity and emotion while responding to healthcare worker's inquiries. Additionally, prompt engineering is employed to integrate all patient information seamlessly. As a result, doctors and nurses can access real-time vital signs and the patient's current state and mood by interacting with an intelligent agent through a user-friendly web application. Our experiments demonstrate that our system is implementable and scalable for real-life scenarios, potentially reducing the workload of medical professionals and healthcare costs. A full-fledged prototype illustrating the functionalities of the system has been developed and being tested to demonstrate the robustness of its various capabilities.