Oura Ring Gen 4 sensor data, not clinical measurementsN=1 case study, not validated for clinical decisionsHEV diagnosed Mar 18; Day 205 post-ruxolitinibMore
Consumer wearable data can support exploratory review only. The HEV diagnosis, temporally confounded with treatment start, remains a material confounder.

Foundation Model Forecasting

Amazon Chronos-2 + ARIMA Statistical Baseline - Oura Ring Biometrics, Post-HSCT
Foundation Model
Info
chronos-bolt-base
RMSSD MAE
In range
1.4ms
90% PI coverage: 100.0%
HR MAE
Watch
4.2bpm
90% PI coverage: 85.7%
Feb 9 Chronos Holdout
In range
2/2
Chronos retrospective holdout detected Feb 9
Ruxolitinib Start
Info
16. mar 2026
March Ensemble
Chronos + ARIMA
0 HIGH confidence anomalies | Feb 9 not detected
NIGHTLY FORECAST

1. Nightly RMSSD and HR - Chronos-2 Probabilistic Forecast

55 nights context, 14 nights forecast. Shaded bands: 90% (light) and 50% (dark) prediction intervals. Cross = anomaly outside 90% PI.

HOURLY HR

2. Continuous HR - Hourly Resolution Forecast

21K+ HR readings downsampled to hourly means. Sliding window detection identifies anomalous segments.

ENSEMBLE

3. Ensemble Consensus - Foundation Model + ARIMA Baseline

Two independent models score each date. HIGH = both flag anomaly, MEDIUM = one, NORMAL = none.

FEB9 RETRO

4. Feb 9 Retrospective Validation

Model trained on all data through February 8, forecast for February 9-15. Tests whether the foundation model would have flagged the acute event prospectively.

Feb 9 Detection Summary
MethodSeriesDetected?Residual
Chronos RetrospectiveRMSSDYES-5.28
Chronos RetrospectiveHRYES13.04

Prospective March ensemble HIGH-confidence anomalies: None detected
Feb 9 in March ensemble consensus: No

RUXOLITINIB

5. Pre vs Post Ruxolitinib Regime Analysis

Model trained on pre-ruxolitinib period and forecasts into treatment period. Narrower prediction intervals indicate stabilization, systematic shift indicates treatment effect.

METRICS

Detailed Metrics

SectionMetricValue
chronos_hourly_hr
total_hours5868
context_hours2048
forecast_hours48
mae8.330
residual_std8.810
coverage_90pi58.300
n_anomalous_hours_2sd3
sliding_window_anomalies168
feb9_hourly_anomalies9
inference_time_s0.080
chronos_nightly_hr
context_nights55
forecast_nights14
context_start2026-01-08
context_end2026-03-03
forecast_start2026-03-04
forecast_end2026-03-17
mae4.239
rmse5.389
mape4.750
coverage_90pi85.700
coverage_50pi50.000
pi_width_90_mean17.310
pi_width_50_mean8.740
n_anomalies_outside_90pi2
anomaly_dates2026-03-05, 2026-03-15
inference_time_s0.050
chronos_nightly_rmssd
context_nights55
forecast_nights14
context_start2026-01-08
context_end2026-03-03
forecast_start2026-03-04
forecast_end2026-03-17
mae1.387
rmse1.758
mape11.150
coverage_90pi100.000
coverage_50pi78.600
pi_width_90_mean8.770
pi_width_50_mean4.180
n_anomalies_outside_90pi0
anomaly_dates
inference_time_s0.080
data_range
start2026-01-08
end2026-10-06
n_nights274
ensemble_consensus
high_confidence_anomaly_dates
medium_confidence_count3
normal_count25
feb9_detectedNo
feb9_retro_hr
context_nights32
forecast_nights7
forecast_dates2026-02-09, 2026-02-10, 2026-02-11, 2026-02-12, 2026-02-13, 2026-02-14, 2026-02-15
feb9_detectedYES
feb9_residual13.040
feb9_directionabove
feb9_actual109.760
feb9_median_forecast96.720
n_anomalies_in_window6
detection_rate_pct85.700
inference_time_s0.050
feb9_retro_rmssd
context_nights32
forecast_nights7
forecast_dates2026-02-09, 2026-02-10, 2026-02-11, 2026-02-12, 2026-02-13, 2026-02-14, 2026-02-15
feb9_detectedYES
feb9_residual-5.280
feb9_directionbelow
feb9_actual4.990
feb9_median_forecast10.270
n_anomalies_in_window2
detection_rate_pct28.600
inference_time_s0.080
ruxolitinib_hr
pre_period_nights67
post_period_nights207
pre_pi_width_9017.840
post_pi_width_9019.040
uncertainty_change_pct6.700
inference_time_s0.310
ruxolitinib_rmssd
pre_period_nights67
post_period_nights205
pre_pi_width_905.870
post_pi_width_9010.650
uncertainty_change_pct81.400
inference_time_s0.280
statistical_hr
modelARIMA(0, 1, 2)
mae4.270
rmse5.493
coverage_90ci100.000
n_anomalies0
anomaly_dates
statistical_rmssd
modelARIMA(0, 1, 1)
mae1.448
rmse1.843
coverage_90ci92.900
n_anomalies1
anomaly_dates2026-03-09
N=1 retrospective case study. All detection metrics are descriptive, not inferential. The model was trained and evaluated on a single patient's data. Validation requires an external multi-patient cohort.