A Digital Twin for an Entire Country's Health ✎ express

Original: "Foresight-England: Development of a National-Scale Generative AI Model of Electronic Health Records for Medical Event Prediction across the COVID-19 Pandemic"
arXiv:2608.16273v1 · 2026-08-17 · CC BY-NC-ND 4.0 · independent analysis · 1 min
A model trained on records from 61 million patients predicts the next step of a disease.

A medical record is like a long diary: doctor visits, diagnoses, prescriptions, lab results. A human doctor reads it cover to cover to understand what's going on with the patient. Now, a machine reads this diary, and does it in seconds.

The developers created a model called Foresight-E. It was trained on de-identified records of about 61 million people: that's nearly the entire population of England. The model works like a text predictor: given past events, it predicts the next one. But instead of words, it uses medical codes: diseases, procedures, medications. In total, its vocabulary includes about 40,000 concepts.

The model doesn't just memorize. It builds a chain: if a person has diabetes and has had a heart attack, the risk of certain complications is higher. The machine finds these connections on its own, without doctor input.

What sets this model apart is that it predicts 30 days into the future. For example, the likelihood of hospitalization with COVID-19 or the risk of death. It was tested on data from 2023 that the model had never seen during training. It's like taking an exam on a textbook that was written after the class ended.

Currently, access to the data is suspended, so the exact performance numbers are unknown. But the approach itself, how to build such a model without compromising patient privacy, is described in detail. It's like the blueprint for a bridge that hasn't been built yet, but you can already learn from it.

The model's vocabulary includes about 40,000 medical codes — roughly the number of words a five-year-old child knows.

Concepts
electroencephalography