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[ { "content": "Biosignal: Squinting slightly", "role": "user" }, { "content": "\"I'm feeling a bit uncomfortable.\"", "role": "assistant" } ]
{ "biosignal_description": "Squinting slightly", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"I'm feeling a bit uncomfortable.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Tense facial muscles\nContext: therapy room, spinal_cord_injury patient (incomplete)\nUrgency: high", "role": "user" }, { "content": "\"I'm in pain.\"", "role": "assistant" } ]
{ "biosignal_description": "Tense facial muscles", "context": "therapy room, spinal_cord_injury patient (incomplete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"I'm in pain.\"", "signal_type": "facial", "urgency_level": "high", "visual_data": { "bounding_box": { "height": 0.31, "width": 0.299, "x": 0.704, "y": 0.672 }, "expression": { "confidence": 0.84, "intensity": "low", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.366678111763025, 0.360083271987636 ], "mouth": [ 0.471234521735076, 0.696080376703826 ], "right_eye": [ 0.6567274429338671, 0.33243134464602603 ] } } }
[ { "content": "Biosignal: Furrowed brow (confusion)\nContext: skilled nursing facility, spinal_cord_injury patient (incomplete)\nUrgency: high", "role": "user" }, { "content": "\"My head feels fuzzy. What's happening?\"", "role": "assistant" } ]
{ "biosignal_description": "Furrowed brow (confusion)", "context": "skilled nursing facility, spinal_cord_injury patient (incomplete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"My head feels fuzzy. What's happening?\"", "signal_type": "facial", "urgency_level": "high", "visual_data": { "bounding_box": { "height": 0.299, "width": 0.212, "x": 0.532, "y": 0.599 }, "expression": { "confidence": 0.78, "intensity": "high", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.33010910311342, 0.356443112599022 ], "mouth": [ 0.49776981292861605, 0.6364388564944671 ], "right_eye": [ 0.6657386685926161, 0.39008097724157603 ] } } }
[ { "content": "Biosignal: Staring at empty plate\nContext: early morning, ALS patient (advanced)\nUrgency: medium", "role": "user" }, { "content": "\"I'm hungry. Can I have some breakfast?\"", "role": "assistant" } ]
{ "biosignal_description": "Staring at empty plate", "context": "early morning, ALS patient (advanced)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"I'm hungry. Can I have some breakfast?\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Rapid blinking for 3s", "role": "user" }, { "content": "\"I need help.\"", "role": "assistant" } ]
{ "biosignal_description": "Rapid blinking for 3s", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I need help.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Looking away and back", "role": "user" }, { "content": "\"I'm all set.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking away and back", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm all set.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Widening eyes briefly + Lip twitch + Hopeful expression\nContext: study, stroke patient (acute)\nUrgency: high", "role": "user" }, { "content": "\"I'm ready to try.\"", "role": "assistant" } ]
{ "biosignal_description": "Widening eyes briefly + Lip twitch + Hopeful expression", "context": "study, stroke patient (acute)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I'm ready to try.\"", "signal_type": "multimodal", "urgency_level": "high", "visual_data": { "bounding_box": { "height": 0.375, "width": 0.162, "x": 0.368, "y": 0.719 }, "expression": { "confidence": 0.93, "intensity": "high", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.337111567158476, 0.34283007155648804 ], "mouth": [ 0.46750142674176604, 0.643913946305529 ], "right_eye": [ 0.641710451893172, 0.35376182331607003 ] } } }
[ { "content": "Biosignal: Rapid blinking for 3s", "role": "user" }, { "content": "\"I need help.\"", "role": "assistant" } ]
{ "biosignal_description": "Rapid blinking for 3s", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"I need help.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Relaxed features (agreement)\nContext: bathroom, spinal_cord_injury patient (incomplete)\nUrgency: medium", "role": "user" }, { "content": "\"Okay, I'm ready.\"", "role": "assistant" } ]
{ "biosignal_description": "Relaxed features (agreement)", "context": "bathroom, spinal_cord_injury patient (incomplete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"Okay, I'm ready.\"", "signal_type": "facial", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.35100000000000003, "width": 0.31, "x": 0.335, "y": 0.217 }, "expression": { "confidence": 0.86, "intensity": "low", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.32585153132523803, 0.32437148250033104 ], "mouth": [ 0.510848115775659, 0.6389189506579861 ], "right_eye": [ 0.640122534558721, 0.35730841358292004 ] } } }
[ { "content": "Biosignal: Squinting slightly", "role": "user" }, { "content": "\"My eyes are a little sensitive to the light.\"", "role": "assistant" } ]
{ "biosignal_description": "Squinting slightly", "context": "", "is_simple_query": true, "medical_condition": "cerebral_palsy", "response": "\"My eyes are a little sensitive to the light.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Slight jaw movement", "role": "user" }, { "content": "\"I'm here.\"", "role": "assistant" } ]
{ "biosignal_description": "Slight jaw movement", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"I'm here.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Widening eyes briefly + Concentrated look", "role": "user" }, { "content": "\"I'm thinking.\"", "role": "assistant" } ]
{ "biosignal_description": "Widening eyes briefly + Concentrated look", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm thinking.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.391, "width": 0.187, "x": 0.483, "y": 0.744 }, "expression": { "confidence": 0.98, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.32822270453552205, 0.36196003579524305 ], "mouth": [ 0.538342618901006, 0.6096035595462701 ], "right_eye": [ 0.630818381366522, 0.31355167355998803 ] } } }
[ { "content": "Biosignal: Widening eyes briefly + Cheek muscle tension + Concentrated look", "role": "user" }, { "content": "\"I'm concentrating.\"", "role": "assistant" } ]
{ "biosignal_description": "Widening eyes briefly + Cheek muscle tension + Concentrated look", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"I'm concentrating.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.14200000000000002, "width": 0.228, "x": 0.581, "y": 0.316 }, "expression": { "confidence": 0.9400000000000001, "intensity": "moderate", "primary_emotion": "neutral" }, "facial_landmarks": { "left_eye": [ 0.35849404924037703, 0.352182600296543 ], "mouth": [ 0.48146290469707403, 0.652607909621019 ], "right_eye": [ 0.643336305638165, 0.37945515250940703 ] } } }
[ { "content": "Biosignal: Eyebrow raise", "role": "user" }, { "content": "\"Yes.\"", "role": "assistant" } ]
{ "biosignal_description": "Eyebrow raise", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"Yes.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Looking away and back", "role": "user" }, { "content": "\"I'm thinking.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking away and back", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"I'm thinking.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Focused gaze on TV remote\nContext: alone, ALS patient (moderate)\nUrgency: medium", "role": "user" }, { "content": "\"Can you put the TV on for me?\"", "role": "assistant" } ]
{ "biosignal_description": "Focused gaze on TV remote", "context": "alone, ALS patient (moderate)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"Can you put the TV on for me?\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Brief eye closure + Slight smile\nContext: skilled nursing facility, stroke patient (recovery)\nUrgency: low", "role": "user" }, { "content": "\"I'm feeling good.\"", "role": "assistant" } ]
{ "biosignal_description": "Brief eye closure + Slight smile", "context": "skilled nursing facility, stroke patient (recovery)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I'm feeling good.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.219, "width": 0.29, "x": 0.734, "y": 0.277 }, "expression": { "confidence": 0.8300000000000001, "intensity": "high", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.36902341010601103, 0.36387671440275504 ], "mouth": [ 0.5075460714526381, 0.685770497792453 ], "right_eye": [ 0.6747431787267041, 0.31287275396064 ] } } }
[ { "content": "Biosignal: Trying to lift arm\nContext: evening, stroke patient (acute)\nUrgency: medium", "role": "user" }, { "content": "\"I need to adjust my arm.\"", "role": "assistant" } ]
{ "biosignal_description": "Trying to lift arm", "context": "evening, stroke patient (acute)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I need to adjust my arm.\"", "signal_type": "muscle", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Worried expression", "role": "user" }, { "content": "\"I'm worried.\"", "role": "assistant" } ]
{ "biosignal_description": "Worried expression", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm worried.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.23500000000000001, "width": 0.112, "x": 0.329, "y": 0.445 }, "expression": { "confidence": 0.79, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.362731347934349, 0.32212219311626805 ], "mouth": [ 0.5256923785234471, 0.630670849211842 ], "right_eye": [ 0.615981400332412, 0.369459438539156 ] } } }
[ { "content": "Biosignal: Mouth opening (speech attempt)\nContext: ICU, stroke patient (chronic)\nUrgency: low", "role": "user" }, { "content": "\"I'm trying to say something.\"", "role": "assistant" } ]
{ "biosignal_description": "Mouth opening (speech attempt)", "context": "ICU, stroke patient (chronic)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I'm trying to say something.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.292, "width": 0.168, "x": 0.424, "y": 0.641 }, "expression": { "confidence": 0.81, "intensity": "moderate", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.396149359617602, 0.34878632700774403 ], "mouth": [ 0.48114142606527904, 0.6457311617052001 ], "right_eye": [ 0.606573644527125, 0.37903865580844104 ] } } }
[ { "content": "Biosignal: Looking at clock on wall\nContext: in wheelchair, cerebral_palsy patient (mild)\nUrgency: high", "role": "user" }, { "content": "\"Is it time to go?\"", "role": "assistant" } ]
{ "biosignal_description": "Looking at clock on wall", "context": "in wheelchair, cerebral_palsy patient (mild)", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"Is it time to go?\"", "signal_type": "eye_movement", "urgency_level": "high", "visual_data": null }
[ { "content": "Biosignal: Effort to swallow\nContext: on medical transport, cerebral_palsy patient (moderate)\nUrgency: low", "role": "user" }, { "content": "\"I need a sip of water.\"", "role": "assistant" } ]
{ "biosignal_description": "Effort to swallow", "context": "on medical transport, cerebral_palsy patient (moderate)", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"I need a sip of water.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Attempting to move hand\nContext: ICU, ALS patient (moderate), evening\nUrgency: high", "role": "user" }, { "content": "\"My hand… I need to move my hand.\"", "role": "assistant" } ]
{ "biosignal_description": "Attempting to move hand", "context": "ICU, ALS patient (moderate), evening", "is_simple_query": false, "medical_condition": "ALS", "response": "\"My hand… I need to move my hand.\"", "signal_type": "muscle", "urgency_level": "high", "visual_data": null }
[ { "content": "Biosignal: Looking at family photo\nContext: in wheelchair, stroke patient (acute)\nUrgency: medium", "role": "user" }, { "content": "\"I miss my family.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking at family photo", "context": "in wheelchair, stroke patient (acute)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I miss my family.\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Looking toward the door repeatedly\nContext: evening, spinal_cord_injury patient (incomplete)\nUrgency: medium", "role": "user" }, { "content": "\"Is someone coming to visit?\"", "role": "assistant" } ]
{ "biosignal_description": "Looking toward the door repeatedly", "context": "evening, spinal_cord_injury patient (incomplete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"Is someone coming to visit?\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Widening eyes briefly", "role": "user" }, { "content": "\"I understand.\"", "role": "assistant" } ]
{ "biosignal_description": "Widening eyes briefly", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I understand.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Jerky eye movements\nContext: before sleep, ALS patient (advanced), before sleep\nUrgency: high", "role": "user" }, { "content": "\"I'm uncomfortable. Please adjust my position.\"", "role": "assistant" } ]
{ "biosignal_description": "Jerky eye movements", "context": "before sleep, ALS patient (advanced), before sleep", "is_simple_query": false, "medical_condition": "ALS", "response": "\"I'm uncomfortable. Please adjust my position.\"", "signal_type": "eye_movement", "urgency_level": "high", "visual_data": null }
[ { "content": "Biosignal: Trying to lift arm\nContext: emergency room, locked_in_syndrome patient (incomplete)\nUrgency: medium", "role": "user" }, { "content": "\"I'm trying to move my arm.\"", "role": "assistant" } ]
{ "biosignal_description": "Trying to lift arm", "context": "emergency room, locked_in_syndrome patient (incomplete)", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I'm trying to move my arm.\"", "signal_type": "muscle", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Tense facial muscles\nContext: ICU, stroke patient (acute)\nUrgency: critical", "role": "user" }, { "content": "\"I'm in pain.\"", "role": "assistant" } ]
{ "biosignal_description": "Tense facial muscles", "context": "ICU, stroke patient (acute)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I'm in pain.\"", "signal_type": "facial", "urgency_level": "critical", "visual_data": { "bounding_box": { "height": 0.252, "width": 0.33, "x": 0.622, "y": 0.41000000000000003 }, "expression": { "confidence": 0.88, "intensity": "low", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.324655053212459, 0.372297967880154 ], "mouth": [ 0.509437477658523, 0.68690483242525 ], "right_eye": [ 0.6177872147208591, 0.332422130573485 ] } } }
[ { "content": "Biosignal: Sustained upward gaze", "role": "user" }, { "content": "\"Yes.\"", "role": "assistant" } ]
{ "biosignal_description": "Sustained upward gaze", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"Yes.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Slight smile", "role": "user" }, { "content": "\"I'm content.\"", "role": "assistant" } ]
{ "biosignal_description": "Slight smile", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm content.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.28, "width": 0.36, "x": 0.529, "y": 0.793 }, "expression": { "confidence": 0.9, "intensity": "moderate", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.38356028860267705, 0.35569664566444403 ], "mouth": [ 0.45317194133036903, 0.683886866817344 ], "right_eye": [ 0.6355224707266941, 0.395297643588554 ] } } }
[ { "content": "Biosignal: Weak finger twitch + Worried expression\nContext: study, spinal_cord_injury patient (complete)\nUrgency: low", "role": "user" }, { "content": "\"I'm a little worried about how I'm going to manage all this.\"", "role": "assistant" } ]
{ "biosignal_description": "Weak finger twitch + Worried expression", "context": "study, spinal_cord_injury patient (complete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"I'm a little worried about how I'm going to manage all this.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.154, "width": 0.322, "x": 0.391, "y": 0.297 }, "expression": { "confidence": 0.72, "intensity": "high", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.38992507664882203, 0.343736672675512 ], "mouth": [ 0.481561795018197, 0.692241866597049 ], "right_eye": [ 0.6607839167842431, 0.372352130005627 ] } } }
[ { "content": "Biosignal: Relaxed features (agreement)\nContext: therapy session, stroke patient (chronic)\nUrgency: low", "role": "user" }, { "content": "\"Yeah, that sounds good.\"", "role": "assistant" } ]
{ "biosignal_description": "Relaxed features (agreement)", "context": "therapy session, stroke patient (chronic)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"Yeah, that sounds good.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.11900000000000001, "width": 0.256, "x": 0.6000000000000001, "y": 0.275 }, "expression": { "confidence": 0.79, "intensity": "low", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.39700977506294605, 0.38370938954695805 ], "mouth": [ 0.531554497732969, 0.6459200296676001 ], "right_eye": [ 0.6631665673376871, 0.354314452390171 ] } } }
[ { "content": "Biosignal: Sustained upward gaze", "role": "user" }, { "content": "\"Yes.\"", "role": "assistant" } ]
{ "biosignal_description": "Sustained upward gaze", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"Yes.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Furrowed brow (confusion)\nContext: porch, ALS patient (early)\nUrgency: high", "role": "user" }, { "content": "\"What's that sound?\"", "role": "assistant" } ]
{ "biosignal_description": "Furrowed brow (confusion)", "context": "porch, ALS patient (early)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"What's that sound?\"", "signal_type": "facial", "urgency_level": "high", "visual_data": { "bounding_box": { "height": 0.28300000000000003, "width": 0.197, "x": 0.211, "y": 0.46900000000000003 }, "expression": { "confidence": 0.9500000000000001, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.33351137460030705, 0.314455363273887 ], "mouth": [ 0.542575602703072, 0.609788774197169 ], "right_eye": [ 0.61876528685813, 0.350815145069972 ] } } }
[ { "content": "Biosignal: Forehead wrinkle", "role": "user" }, { "content": "\"I'm confused.\"", "role": "assistant" } ]
{ "biosignal_description": "Forehead wrinkle", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm confused.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Quick double blink + Nostril flare", "role": "user" }, { "content": "Given the biosignals of a quick double blink and a nostril flare, and considering the patient has ALS, the urgency and nature of these signals suggest a need for immediate attention related to breathing or discomfort.\n\n**\"I can't breathe.\"**", "role": "assistant" } ]
{ "biosignal_description": "Quick double blink + Nostril flare", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "Given the biosignals of a quick double blink and a nostril flare, and considering the patient has ALS, the urgency and nature of these signals suggest a need for immediate attention related to breathing or discomfort.\n\n**\"I can't breathe.\"**", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.225, "width": 0.322, "x": 0.229, "y": 0.44 }, "expression": { "confidence": 0.74, "intensity": "high", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.36109952474501805, 0.359428333137824 ], "mouth": [ 0.5027635068138361, 0.619623502316554 ], "right_eye": [ 0.6770106466113051, 0.314448232409047 ] } } }
[ { "content": "Biosignal: Asymmetric muscle activation\nContext: religious service, cerebral_palsy patient (moderate)\nUrgency: low", "role": "user" }, { "content": "\"This hymn is beautiful.\"", "role": "assistant" } ]
{ "biosignal_description": "Asymmetric muscle activation", "context": "religious service, cerebral_palsy patient (moderate)", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"This hymn is beautiful.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Involuntary rapid blinking\nContext: early morning, stroke patient (chronic), middle of night\nUrgency: critical", "role": "user" }, { "content": "\"I think I'm having another stroke. I can't move.\"", "role": "assistant" } ]
{ "biosignal_description": "Involuntary rapid blinking", "context": "early morning, stroke patient (chronic), middle of night", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I think I'm having another stroke. I can't move.\"", "signal_type": "eye_movement", "urgency_level": "critical", "visual_data": null }
[ { "content": "Biosignal: Nostril flare + Peaceful expression", "role": "user" }, { "content": "\"I'm content.\"", "role": "assistant" } ]
{ "biosignal_description": "Nostril flare + Peaceful expression", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"I'm content.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.124, "width": 0.163, "x": 0.20400000000000001, "y": 0.492 }, "expression": { "confidence": 0.75, "intensity": "high", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.33055717323157, 0.371653482968394 ], "mouth": [ 0.5399317369493171, 0.656790676399572 ], "right_eye": [ 0.6673992214716621, 0.39034397510177005 ] } } }
[ { "content": "Biosignal: Slow deliberate blink", "role": "user" }, { "content": "\"I need a moment.\"", "role": "assistant" } ]
{ "biosignal_description": "Slow deliberate blink", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"I need a moment.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Difficulty maintaining gaze\nContext: clinic, spinal_cord_injury patient (complete)\nUrgency: low", "role": "user" }, { "content": "\"I'm having a little trouble focusing.\"", "role": "assistant" } ]
{ "biosignal_description": "Difficulty maintaining gaze", "context": "clinic, spinal_cord_injury patient (complete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"I'm having a little trouble focusing.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Quick double blink", "role": "user" }, { "content": "\"Yes.\"", "role": "assistant" } ]
{ "biosignal_description": "Quick double blink", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"Yes.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Lip twitch + Slight smile\nContext: therapy room, locked_in_syndrome patient (incomplete), afternoon\nUrgency: low", "role": "user" }, { "content": "\"I'm feeling pretty content right now.\"", "role": "assistant" } ]
{ "biosignal_description": "Lip twitch + Slight smile", "context": "therapy room, locked_in_syndrome patient (incomplete), afternoon", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I'm feeling pretty content right now.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.247, "width": 0.246, "x": 0.228, "y": 0.6910000000000001 }, "expression": { "confidence": 0.93, "intensity": "moderate", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.35935927055972705, 0.391638623795503 ], "mouth": [ 0.48493603879704605, 0.6722970836195501 ], "right_eye": [ 0.6693285551547701, 0.35697671785983903 ] } } }
[ { "content": "Biosignal: Focused gaze on TV remote\nContext: on medical transport, stroke patient (chronic)\nUrgency: low", "role": "user" }, { "content": "\"I'd like to watch some TV.\"", "role": "assistant" } ]
{ "biosignal_description": "Focused gaze on TV remote", "context": "on medical transport, stroke patient (chronic)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I'd like to watch some TV.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Involuntary rapid blinking\nContext: in car, locked_in_syndrome patient (incomplete)\nUrgency: medium", "role": "user" }, { "content": "\"Can we pull over? I need a break.\"", "role": "assistant" } ]
{ "biosignal_description": "Involuntary rapid blinking", "context": "in car, locked_in_syndrome patient (incomplete)", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"Can we pull over? I need a break.\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Brief eye closure + Cheek muscle tension + Confused expression\nContext: with friends, cerebral_palsy patient (mild), mid-morning\nUrgency: low", "role": "user" }, { "content": "\"Wait, what was that again?\"", "role": "assistant" } ]
{ "biosignal_description": "Brief eye closure + Cheek muscle tension + Confused expression", "context": "with friends, cerebral_palsy patient (mild), mid-morning", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"Wait, what was that again?\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.17400000000000002, "width": 0.386, "x": 0.251, "y": 0.294 }, "expression": { "confidence": 0.97, "intensity": "moderate", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.336215608403347, 0.363012207564743 ], "mouth": [ 0.48096310085802, 0.661258619440326 ], "right_eye": [ 0.6213513070631941, 0.31310833060957205 ] } } }
[ { "content": "Biosignal: Quick double blink + Facial muscle tension + Worried expression", "role": "user" }, { "content": "\"I'm worried about something.\"", "role": "assistant" } ]
{ "biosignal_description": "Quick double blink + Facial muscle tension + Worried expression", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm worried about something.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.392, "width": 0.231, "x": 0.465, "y": 0.201 }, "expression": { "confidence": 0.8200000000000001, "intensity": "high", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.39181853871383104, 0.31095755927073904 ], "mouth": [ 0.526494085534398, 0.611200470664924 ], "right_eye": [ 0.690675454666417, 0.39370155885054303 ] } } }
[ { "content": "Biosignal: Slow deliberate blink + Forehead wrinkle", "role": "user" }, { "content": "\"I'm in pain.\"", "role": "assistant" } ]
{ "biosignal_description": "Slow deliberate blink + Forehead wrinkle", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm in pain.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.163, "width": 0.335, "x": 0.631, "y": 0.607 }, "expression": { "confidence": 0.89, "intensity": "low", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.33031179938674304, 0.36005501948315305 ], "mouth": [ 0.545488663807666, 0.618460134041465 ], "right_eye": [ 0.649792040960641, 0.38041656363131804 ] } } }
[ { "content": "Biosignal: Asymmetric muscle activation\nContext: doctor's office, locked_in_syndrome patient (incomplete)\nUrgency: critical", "role": "user" }, { "content": "\"Something is wrong.\"", "role": "assistant" } ]
{ "biosignal_description": "Asymmetric muscle activation", "context": "doctor's office, locked_in_syndrome patient (incomplete)", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"Something is wrong.\"", "signal_type": "muscle", "urgency_level": "critical", "visual_data": null }
[ { "content": "Biosignal: Forehead wrinkle + Frown", "role": "user" }, { "content": "\"I'm uncomfortable.\"", "role": "assistant" } ]
{ "biosignal_description": "Forehead wrinkle + Frown", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm uncomfortable.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.357, "width": 0.359, "x": 0.782, "y": 0.717 }, "expression": { "confidence": 0.79, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.35562577451382305, 0.396092254240042 ], "mouth": [ 0.503765826104273, 0.624431090417593 ], "right_eye": [ 0.697880628868166, 0.3924601052714 ] } } }
[ { "content": "Biosignal: Pursed lips (disagreement)\nContext: early morning, spinal_cord_injury patient (complete)\nUrgency: low", "role": "user" }, { "content": "\"I don't agree with that.\"", "role": "assistant" } ]
{ "biosignal_description": "Pursed lips (disagreement)", "context": "early morning, spinal_cord_injury patient (complete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"I don't agree with that.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.221, "width": 0.247, "x": 0.23, "y": 0.23800000000000002 }, "expression": { "confidence": 0.87, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.346314518390119, 0.349088607437737 ], "mouth": [ 0.47715784805418704, 0.694663633885898 ], "right_eye": [ 0.636823001417378, 0.39830262616198003 ] } } }
[ { "content": "Biosignal: Asymmetric muscle activation\nContext: in ambulance, ALS patient (early), before sleep\nUrgency: medium", "role": "user" }, { "content": "\"Ugh, my arm feels weird... Can you adjust my pillow, please?\"", "role": "assistant" } ]
{ "biosignal_description": "Asymmetric muscle activation", "context": "in ambulance, ALS patient (early), before sleep", "is_simple_query": false, "medical_condition": "ALS", "response": "\"Ugh, my arm feels weird... Can you adjust my pillow, please?\"", "signal_type": "muscle", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Looking away and back", "role": "user" }, { "content": "\"I'm thinking.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking away and back", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm thinking.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Eyebrow raise", "role": "user" }, { "content": "\"Yes.\" or \"I understand.\"", "role": "assistant" } ]
{ "biosignal_description": "Eyebrow raise", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"Yes.\" or \"I understand.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Prolonged stare at top-left + Tired expression\nContext: ICU, ALS patient (moderate), middle of night\nUrgency: low", "role": "user" }, { "content": "\"I'm awake.\"", "role": "assistant" } ]
{ "biosignal_description": "Prolonged stare at top-left + Tired expression", "context": "ICU, ALS patient (moderate), middle of night", "is_simple_query": false, "medical_condition": "ALS", "response": "\"I'm awake.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.243, "width": 0.19, "x": 0.59, "y": 0.533 }, "expression": { "confidence": 0.79, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.306681637376481, 0.39797355403796403 ], "mouth": [ 0.46421300886848205, 0.6061290430432901 ], "right_eye": [ 0.6617278833946191, 0.34184186751085704 ] } } }
[ { "content": "Biosignal: Sustained upward gaze", "role": "user" }, { "content": "\"Yes.\" or \"I want that.\"", "role": "assistant" } ]
{ "biosignal_description": "Sustained upward gaze", "context": "", "is_simple_query": true, "medical_condition": "cerebral_palsy", "response": "\"Yes.\" or \"I want that.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Throat muscle movement", "role": "user" }, { "content": "\"I'm thirsty.\"", "role": "assistant" } ]
{ "biosignal_description": "Throat muscle movement", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm thirsty.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Restricted range of motion\nContext: hospital bed, stroke patient (recovery)\nUrgency: medium", "role": "user" }, { "content": "\"I'm having trouble moving my arm.\"", "role": "assistant" } ]
{ "biosignal_description": "Restricted range of motion", "context": "hospital bed, stroke patient (recovery)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I'm having trouble moving my arm.\"", "signal_type": "muscle", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Throat muscle movement", "role": "user" }, { "content": "\"I'm thirsty.\"", "role": "assistant" } ]
{ "biosignal_description": "Throat muscle movement", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm thirsty.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Looking away and back", "role": "user" }, { "content": "\"I'm done.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking away and back", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm done.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Throat muscle movement + Surprised look\nContext: therapy room, stroke patient (chronic)\nUrgency: medium", "role": "user" }, { "content": "\"Oh! That's new.\"", "role": "assistant" } ]
{ "biosignal_description": "Throat muscle movement + Surprised look", "context": "therapy room, stroke patient (chronic)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"Oh! That's new.\"", "signal_type": "multimodal", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.324, "width": 0.252, "x": 0.75, "y": 0.676 }, "expression": { "confidence": 0.89, "intensity": "high", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.35210269907769903, 0.300617881689107 ], "mouth": [ 0.469120443428904, 0.6083213457419131 ], "right_eye": [ 0.663744099133402, 0.31706675508000004 ] } } }
[ { "content": "Biosignal: Gaze focused on water glass\nContext: with caregiver, ALS patient (advanced)\nUrgency: medium", "role": "user" }, { "content": "\"I'm thirsty.\"", "role": "assistant" } ]
{ "biosignal_description": "Gaze focused on water glass", "context": "with caregiver, ALS patient (advanced)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"I'm thirsty.\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Squinting from discomfort\nContext: afternoon, ALS patient (moderate)\nUrgency: low", "role": "user" }, { "content": "\"My eyes are bothering me.\"", "role": "assistant" } ]
{ "biosignal_description": "Squinting from discomfort", "context": "afternoon, ALS patient (moderate)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"My eyes are bothering me.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.271, "width": 0.17300000000000001, "x": 0.314, "y": 0.543 }, "expression": { "confidence": 0.89, "intensity": "moderate", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.37783927860282, 0.367123939438092 ], "mouth": [ 0.5032666962113961, 0.621363032561396 ], "right_eye": [ 0.6441291758181491, 0.354563003135259 ] } } }
[ { "content": "Biosignal: Slight head tilt (curiosity)\nContext: with caregiver, stroke patient (chronic)\nUrgency: medium", "role": "user" }, { "content": "\"What's that?\"", "role": "assistant" } ]
{ "biosignal_description": "Slight head tilt (curiosity)", "context": "with caregiver, stroke patient (chronic)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"What's that?\"", "signal_type": "facial", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.215, "width": 0.34900000000000003, "x": 0.635, "y": 0.23600000000000002 }, "expression": { "confidence": 0.8200000000000001, "intensity": "moderate", "primary_emotion": "neutral" }, "facial_landmarks": { "left_eye": [ 0.36669681084765104, 0.362227482626203 ], "mouth": [ 0.45812340640491406, 0.642645361445451 ], "right_eye": [ 0.6515195345005951, 0.37176763617734504 ] } } }
[ { "content": "Biosignal: Confused expression", "role": "user" }, { "content": "\"I don't understand.\"", "role": "assistant" } ]
{ "biosignal_description": "Confused expression", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I don't understand.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.35100000000000003, "width": 0.17500000000000002, "x": 0.545, "y": 0.243 }, "expression": { "confidence": 0.99, "intensity": "high", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.309873780566956, 0.35640462801758704 ], "mouth": [ 0.45427639546172804, 0.67249596926106 ], "right_eye": [ 0.678155904145447, 0.38279303063366205 ] } } }
[ { "content": "Biosignal: Mouth opening (speech attempt)\nContext: dining room, locked_in_syndrome patient (incomplete), evening\nUrgency: low", "role": "user" }, { "content": "\"I'd like some water, please.\"", "role": "assistant" } ]
{ "biosignal_description": "Mouth opening (speech attempt)", "context": "dining room, locked_in_syndrome patient (incomplete), evening", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I'd like some water, please.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.279, "width": 0.154, "x": 0.243, "y": 0.452 }, "expression": { "confidence": 0.81, "intensity": "low", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.35482764479434503, 0.378008096048604 ], "mouth": [ 0.483980606578058, 0.6971993494218081 ], "right_eye": [ 0.6121404321728521, 0.38173504452692303 ] } } }
[ { "content": "Biosignal: Looking away and back", "role": "user" }, { "content": "\"I'm fine.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking away and back", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm fine.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Squinting slightly + Frustrated look", "role": "user" }, { "content": "\"I'm feeling a bit frustrated.\"", "role": "assistant" } ]
{ "biosignal_description": "Squinting slightly + Frustrated look", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm feeling a bit frustrated.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.279, "width": 0.139, "x": 0.723, "y": 0.636 }, "expression": { "confidence": 0.84, "intensity": "moderate", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.38235756313428504, 0.399536491243826 ], "mouth": [ 0.507582596433762, 0.6077148478061 ], "right_eye": [ 0.6550926073811221, 0.37395100608595805 ] } } }
[ { "content": "Biosignal: Muscle fatigue response\nContext: religious service, cerebral_palsy patient (mild)\nUrgency: medium", "role": "user" }, { "content": "\"I'm feeling a bit tired, but I'm okay to stay.\"", "role": "assistant" } ]
{ "biosignal_description": "Muscle fatigue response", "context": "religious service, cerebral_palsy patient (mild)", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"I'm feeling a bit tired, but I'm okay to stay.\"", "signal_type": "muscle", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Quick double blink + Shoulder shrug attempt", "role": "user" }, { "content": "\"I don't know.\"", "role": "assistant" } ]
{ "biosignal_description": "Quick double blink + Shoulder shrug attempt", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I don't know.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.32, "width": 0.247, "x": 0.268, "y": 0.72 }, "expression": { "confidence": 0.89, "intensity": "low", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.314781692281146, 0.335407195471819 ], "mouth": [ 0.5329402284958791, 0.612281491529255 ], "right_eye": [ 0.661662785147569, 0.37862725695703103 ] } } }
[ { "content": "Biosignal: Asymmetric eye movement\nContext: bedroom, cerebral_palsy patient (mild)\nUrgency: low", "role": "user" }, { "content": "\"Can you turn on my side lamp, please?\"", "role": "assistant" } ]
{ "biosignal_description": "Asymmetric eye movement", "context": "bedroom, cerebral_palsy patient (mild)", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"Can you turn on my side lamp, please?\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Sustained upward gaze + Cheek muscle tension\nContext: alone, stroke patient (chronic)\nUrgency: medium", "role": "user" }, { "content": "\"I need help.\"", "role": "assistant" } ]
{ "biosignal_description": "Sustained upward gaze + Cheek muscle tension", "context": "alone, stroke patient (chronic)", "is_simple_query": false, "medical_condition": "stroke", "response": "\"I need help.\"", "signal_type": "multimodal", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.33, "width": 0.24, "x": 0.426, "y": 0.35100000000000003 }, "expression": { "confidence": 0.98, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.33856093270575205, 0.306736542519202 ], "mouth": [ 0.48982329428303906, 0.6166480867316301 ], "right_eye": [ 0.651467185104182, 0.38268023313988303 ] } } }
[ { "content": "Biosignal: Alert expression (attention)\nContext: in car, ALS patient (advanced)\nUrgency: medium", "role": "user" }, { "content": "\"Excuse me.\" or \"Hey.\"", "role": "assistant" } ]
{ "biosignal_description": "Alert expression (attention)", "context": "in car, ALS patient (advanced)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"Excuse me.\" or \"Hey.\"", "signal_type": "facial", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.281, "width": 0.23800000000000002, "x": 0.299, "y": 0.466 }, "expression": { "confidence": 0.98, "intensity": "high", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.33583341278399503, 0.31242146011291505 ], "mouth": [ 0.49851608822456606, 0.6642213854401291 ], "right_eye": [ 0.617280991631453, 0.306398005017577 ] } } }
[ { "content": "Biosignal: Nodding slightly\nContext: on medical transport, ALS patient (advanced)\nUrgency: medium", "role": "user" }, { "content": "\"Yes, I understand.\"", "role": "assistant" } ]
{ "biosignal_description": "Nodding slightly", "context": "on medical transport, ALS patient (advanced)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"Yes, I understand.\"", "signal_type": "facial", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.362, "width": 0.306, "x": 0.547, "y": 0.242 }, "expression": { "confidence": 0.91, "intensity": "high", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.39610616206132704, 0.386834063611008 ], "mouth": [ 0.49289851008457003, 0.66199452862189 ], "right_eye": [ 0.6982011355304291, 0.375062247470596 ] } } }
[ { "content": "Biosignal: Concentrated look", "role": "user" }, { "content": "\"I'm focusing.\"", "role": "assistant" } ]
{ "biosignal_description": "Concentrated look", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I'm focusing.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.28700000000000003, "width": 0.28700000000000003, "x": 0.652, "y": 0.241 }, "expression": { "confidence": 0.72, "intensity": "high", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.343576808813066, 0.309583246453906 ], "mouth": [ 0.49455591931334303, 0.679601670098784 ], "right_eye": [ 0.6712309459960111, 0.39451937015104804 ] } } }
[ { "content": "Biosignal: Brief eye closure + Nostril flare + Peaceful expression\nContext: in ambulance, locked_in_syndrome patient (complete)\nUrgency: medium", "role": "user" }, { "content": "\"I'm feeling calm.\"", "role": "assistant" } ]
{ "biosignal_description": "Brief eye closure + Nostril flare + Peaceful expression", "context": "in ambulance, locked_in_syndrome patient (complete)", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I'm feeling calm.\"", "signal_type": "multimodal", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.365, "width": 0.28500000000000003, "x": 0.713, "y": 0.449 }, "expression": { "confidence": 0.98, "intensity": "low", "primary_emotion": "neutral" }, "facial_landmarks": { "left_eye": [ 0.35354336161482003, 0.35998984701630804 ], "mouth": [ 0.457039830199569, 0.644557647202539 ], "right_eye": [ 0.6407465388336371, 0.36064839253006203 ] } } }
[ { "content": "Biosignal: Concentrated look", "role": "user" }, { "content": "\"I'm focusing.\"", "role": "assistant" } ]
{ "biosignal_description": "Concentrated look", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm focusing.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.135, "width": 0.112, "x": 0.495, "y": 0.226 }, "expression": { "confidence": 0.92, "intensity": "low", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.362760036744598, 0.386822515263882 ], "mouth": [ 0.49076692293765706, 0.667337528697032 ], "right_eye": [ 0.677206517182347, 0.32703893188891703 ] } } }
[ { "content": "Biosignal: Looking toward the door repeatedly\nContext: during meal, locked_in_syndrome patient (complete)\nUrgency: medium", "role": "user" }, { "content": "\"I think someone's at the door.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking toward the door repeatedly", "context": "during meal, locked_in_syndrome patient (complete)", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I think someone's at the door.\"", "signal_type": "eye_movement", "urgency_level": "medium", "visual_data": null }
[ { "content": "Biosignal: Confused expression", "role": "user" }, { "content": "\"I'm not sure what's going on.\"", "role": "assistant" } ]
{ "biosignal_description": "Confused expression", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"I'm not sure what's going on.\"", "signal_type": "facial", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.145, "width": 0.37, "x": 0.709, "y": 0.623 }, "expression": { "confidence": 0.78, "intensity": "moderate", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.334858713257974, 0.34561197846367303 ], "mouth": [ 0.5492552687156811, 0.636838086836365 ], "right_eye": [ 0.613940041560701, 0.30109697274858405 ] } } }
[ { "content": "Biosignal: Furrowed brow (confusion)\nContext: late night, ALS patient (early)\nUrgency: high", "role": "user" }, { "content": "\"What's happening?\"", "role": "assistant" } ]
{ "biosignal_description": "Furrowed brow (confusion)", "context": "late night, ALS patient (early)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"What's happening?\"", "signal_type": "facial", "urgency_level": "high", "visual_data": { "bounding_box": { "height": 0.11, "width": 0.233, "x": 0.497, "y": 0.299 }, "expression": { "confidence": 0.89, "intensity": "high", "primary_emotion": "pain" }, "facial_landmarks": { "left_eye": [ 0.313840976663927, 0.34725957341207603 ], "mouth": [ 0.503848841670233, 0.668297302883034 ], "right_eye": [ 0.656055304005512, 0.374129618466289 ] } } }
[ { "content": "Biosignal: Eye contact with caregiver\nContext: ICU, locked_in_syndrome patient (complete), middle of night\nUrgency: low", "role": "user" }, { "content": "\"I'm awake.\"", "role": "assistant" } ]
{ "biosignal_description": "Eye contact with caregiver", "context": "ICU, locked_in_syndrome patient (complete), middle of night", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I'm awake.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Tense facial muscles\nContext: hospital bed, spinal_cord_injury patient (complete)\nUrgency: medium", "role": "user" }, { "content": "\"I'm feeling some discomfort.\"", "role": "assistant" } ]
{ "biosignal_description": "Tense facial muscles", "context": "hospital bed, spinal_cord_injury patient (complete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"I'm feeling some discomfort.\"", "signal_type": "facial", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.339, "width": 0.226, "x": 0.627, "y": 0.627 }, "expression": { "confidence": 0.91, "intensity": "high", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.34899000702446203, 0.318443421653328 ], "mouth": [ 0.516068300883988, 0.6835398925560661 ], "right_eye": [ 0.6024201243850531, 0.377473367901464 ] } } }
[ { "content": "Biosignal: Reduced blink frequency\nContext: emergency room, locked_in_syndrome patient (complete)\nUrgency: low", "role": "user" }, { "content": "I'm tired.", "role": "assistant" } ]
{ "biosignal_description": "Reduced blink frequency", "context": "emergency room, locked_in_syndrome patient (complete)", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "I'm tired.", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Rapid blinking for 3s + Weak finger twitch + Concentrated look", "role": "user" }, { "content": "\"I need to go to the bathroom.\"", "role": "assistant" } ]
{ "biosignal_description": "Rapid blinking for 3s + Weak finger twitch + Concentrated look", "context": "", "is_simple_query": true, "medical_condition": "cerebral_palsy", "response": "\"I need to go to the bathroom.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.372, "width": 0.212, "x": 0.668, "y": 0.789 }, "expression": { "confidence": 0.88, "intensity": "high", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.337223986448339, 0.39216485474475005 ], "mouth": [ 0.500536383549825, 0.6995922547615421 ], "right_eye": [ 0.6846385245232071, 0.387128924488564 ] } } }
[ { "content": "Biosignal: Shoulder shrug attempt + Frustrated look", "role": "user" }, { "content": "\"I'm frustrated.\"", "role": "assistant" } ]
{ "biosignal_description": "Shoulder shrug attempt + Frustrated look", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"I'm frustrated.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.331, "width": 0.371, "x": 0.488, "y": 0.687 }, "expression": { "confidence": 0.71, "intensity": "high", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.30717166266274204, 0.376788035788063 ], "mouth": [ 0.45205920273624506, 0.6977890707160761 ], "right_eye": [ 0.6826584457853141, 0.30472323805231405 ] } } }
[ { "content": "Biosignal: Cheek muscle tension", "role": "user" }, { "content": "\"I need to adjust my position.\"", "role": "assistant" } ]
{ "biosignal_description": "Cheek muscle tension", "context": "", "is_simple_query": true, "medical_condition": "spinal_cord_injury", "response": "\"I need to adjust my position.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Slight jaw movement + Concentrated look", "role": "user" }, { "content": "\"I'm thinking.\"", "role": "assistant" } ]
{ "biosignal_description": "Slight jaw movement + Concentrated look", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I'm thinking.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.311, "width": 0.218, "x": 0.755, "y": 0.508 }, "expression": { "confidence": 0.73, "intensity": "moderate", "primary_emotion": "neutral" }, "facial_landmarks": { "left_eye": [ 0.32883130049811105, 0.39544778173997003 ], "mouth": [ 0.476309473989564, 0.650022524871909 ], "right_eye": [ 0.64890584969394, 0.33039263904557203 ] } } }
[ { "content": "Biosignal: Agitated expression\nContext: middle of night, stroke patient (acute)\nUrgency: critical", "role": "user" }, { "content": "I'm scared. Something is wrong. Help me!", "role": "assistant" } ]
{ "biosignal_description": "Agitated expression", "context": "middle of night, stroke patient (acute)", "is_simple_query": false, "medical_condition": "stroke", "response": "I'm scared. Something is wrong. Help me!", "signal_type": "facial", "urgency_level": "critical", "visual_data": { "bounding_box": { "height": 0.355, "width": 0.31, "x": 0.298, "y": 0.597 }, "expression": { "confidence": 0.8200000000000001, "intensity": "high", "primary_emotion": "distress" }, "facial_landmarks": { "left_eye": [ 0.349343950739379, 0.38765558048180004 ], "mouth": [ 0.523848667120677, 0.602354400146885 ], "right_eye": [ 0.600283658295591, 0.34548818336317905 ] } } }
[ { "content": "Biosignal: Weak finger twitch", "role": "user" }, { "content": "\"I need something.\"", "role": "assistant" } ]
{ "biosignal_description": "Weak finger twitch", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"I need something.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Wincing\nContext: in car, stroke patient (recovery), evening\nUrgency: critical", "role": "user" }, { "content": "\"Ugh, my head really hurts.\"", "role": "assistant" } ]
{ "biosignal_description": "Wincing", "context": "in car, stroke patient (recovery), evening", "is_simple_query": false, "medical_condition": "stroke", "response": "\"Ugh, my head really hurts.\"", "signal_type": "facial", "urgency_level": "critical", "visual_data": { "bounding_box": { "height": 0.216, "width": 0.139, "x": 0.616, "y": 0.792 }, "expression": { "confidence": 0.91, "intensity": "low", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.34010204102289404, 0.389917088728014 ], "mouth": [ 0.45586998404960405, 0.662604638291248 ], "right_eye": [ 0.631862907052251, 0.31816550967907303 ] } } }
[ { "content": "Biosignal: Brief eye closure + Forehead wrinkle + Surprised look\nContext: early morning, spinal_cord_injury patient (incomplete)\nUrgency: medium", "role": "user" }, { "content": "\"Ugh, is it morning already? I totally didn't hear my alarm.\"", "role": "assistant" } ]
{ "biosignal_description": "Brief eye closure + Forehead wrinkle + Surprised look", "context": "early morning, spinal_cord_injury patient (incomplete)", "is_simple_query": false, "medical_condition": "spinal_cord_injury", "response": "\"Ugh, is it morning already? I totally didn't hear my alarm.\"", "signal_type": "multimodal", "urgency_level": "medium", "visual_data": { "bounding_box": { "height": 0.114, "width": 0.316, "x": 0.40700000000000003, "y": 0.297 }, "expression": { "confidence": 0.87, "intensity": "high", "primary_emotion": "neutral" }, "facial_landmarks": { "left_eye": [ 0.31310485058653503, 0.37828362207451605 ], "mouth": [ 0.464316904077723, 0.641337083240837 ], "right_eye": [ 0.6718359806977621, 0.32962125255760305 ] } } }
[ { "content": "Biosignal: Attempting facial expression\nContext: middle of night, ALS patient (advanced), mid-morning\nUrgency: low", "role": "user" }, { "content": "\"I'm awake.\"", "role": "assistant" } ]
{ "biosignal_description": "Attempting facial expression", "context": "middle of night, ALS patient (advanced), mid-morning", "is_simple_query": false, "medical_condition": "ALS", "response": "\"I'm awake.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Attempting facial expression\nContext: before sleep, stroke patient (acute)\nUrgency: high", "role": "user" }, { "content": "I'm in pain.", "role": "assistant" } ]
{ "biosignal_description": "Attempting facial expression", "context": "before sleep, stroke patient (acute)", "is_simple_query": false, "medical_condition": "stroke", "response": "I'm in pain.", "signal_type": "muscle", "urgency_level": "high", "visual_data": null }
[ { "content": "Biosignal: Difficulty maintaining gaze\nContext: emergency room, locked_in_syndrome patient (incomplete), mid-morning\nUrgency: low", "role": "user" }, { "content": "\"I'm feeling a bit tired.\"", "role": "assistant" } ]
{ "biosignal_description": "Difficulty maintaining gaze", "context": "emergency room, locked_in_syndrome patient (incomplete), mid-morning", "is_simple_query": false, "medical_condition": "locked_in_syndrome", "response": "\"I'm feeling a bit tired.\"", "signal_type": "eye_movement", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Nostril flare", "role": "user" }, { "content": "\"I'm having trouble breathing.\"", "role": "assistant" } ]
{ "biosignal_description": "Nostril flare", "context": "", "is_simple_query": true, "medical_condition": "stroke", "response": "\"I'm having trouble breathing.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Brief eye closure + Weak finger twitch + Surprised look", "role": "user" }, { "content": "\"Oh, wow.\"", "role": "assistant" } ]
{ "biosignal_description": "Brief eye closure + Weak finger twitch + Surprised look", "context": "", "is_simple_query": true, "medical_condition": "locked_in_syndrome", "response": "\"Oh, wow.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.247, "width": 0.2, "x": 0.495, "y": 0.354 }, "expression": { "confidence": 0.91, "intensity": "moderate", "primary_emotion": "happiness" }, "facial_landmarks": { "left_eye": [ 0.347980529464048, 0.356271828868015 ], "mouth": [ 0.5147243951477121, 0.613857631626843 ], "right_eye": [ 0.689809818495118, 0.33475328128748305 ] } } }
[ { "content": "Biosignal: Cheek muscle tension + Peaceful expression\nContext: hospital bed, cerebral_palsy patient (moderate)\nUrgency: low", "role": "user" }, { "content": "\"I'm comfortable.\"", "role": "assistant" } ]
{ "biosignal_description": "Cheek muscle tension + Peaceful expression", "context": "hospital bed, cerebral_palsy patient (moderate)", "is_simple_query": false, "medical_condition": "cerebral_palsy", "response": "\"I'm comfortable.\"", "signal_type": "multimodal", "urgency_level": "low", "visual_data": { "bounding_box": { "height": 0.225, "width": 0.183, "x": 0.252, "y": 0.202 }, "expression": { "confidence": 0.9, "intensity": "moderate", "primary_emotion": "concentration" }, "facial_landmarks": { "left_eye": [ 0.354486036254241, 0.38362533467879 ], "mouth": [ 0.49847503672626603, 0.616993253073516 ], "right_eye": [ 0.6888459876952091, 0.351498954277008 ] } } }
[ { "content": "Biosignal: Weak finger twitch", "role": "user" }, { "content": "\"I need a moment.\"", "role": "assistant" } ]
{ "biosignal_description": "Weak finger twitch", "context": "", "is_simple_query": true, "medical_condition": "ALS", "response": "\"I need a moment.\"", "signal_type": "muscle", "urgency_level": "low", "visual_data": null }
[ { "content": "Biosignal: Looking at family photo\nContext: hospital bed, ALS patient (advanced)\nUrgency: high", "role": "user" }, { "content": "\"I miss them so much.\"", "role": "assistant" } ]
{ "biosignal_description": "Looking at family photo", "context": "hospital bed, ALS patient (advanced)", "is_simple_query": false, "medical_condition": "ALS", "response": "\"I miss them so much.\"", "signal_type": "eye_movement", "urgency_level": "high", "visual_data": null }
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Silent Voice Biosignal-to-Language Dataset

A multimodal dataset of over 100,000 structured examples designed for training models that translate biosignals into natural-language communication. The dataset includes eye-tracking patterns, EMG signals, facial expression indicators, multimodal combinations, contextual metadata, urgency levels, and target natural-language outputs.

Overview

This dataset was created to support research in assistive communication, especially for individuals unable to speak due to conditions such as ALS, stroke, cerebral palsy, spinal cord injuries, and locked-in syndrome.

Each entry contains:

  • A structured biosignal description
  • Environmental and medical context
  • Urgency level
  • A natural-language output representing the intended communication

Dataset Composition

Approximate distribution:

  • 35% eye-tracking only
  • 25% EMG only
  • 15% facial expression only
  • 25% multimodal combinations

Total examples: 100,000+

Modalities

Eye-Tracking

Includes:

  • Sustained gaze positions
  • Gaze direction (e.g., top_left, window, object)
  • Single blink, double blink, rapid blink
  • Duration-coded signals

EMG (Electromyography)

Includes:

  • Jaw clench
  • Eyebrow raise
  • Finger twitch
  • Minimal muscle movements

Facial Expressions

Includes:

  • Pain levels (mild, moderate, severe)
  • Emotional expressions (happiness, distress, concentration)
  • Micro-expressions (40–500 ms)
  • YOLO-ready bounding box annotations
  • 68-point facial landmarks

Multimodal Signals

Combinations of:

  • Eye + EMG
  • Eye + facial
  • EMG + facial
  • Eye + EMG + facial

Context Metadata

Each sample includes structured fields:

Environment

Examples: home, hospital_bed, ICU, bedroom, therapy_session, with_family

Patient Condition

Examples: ALS (early, moderate, advanced), stroke, cerebral_palsy, locked_in_syndrome, spinal_cord_injury

Urgency Level

low, medium, high, critical

Output Format

Each entry contains a natural-language output expressing the patient’s intended message. Examples of communication categories:

  • Emergency alerts
  • Pain reporting
  • Daily care needs
  • Affirmations or confirmations
  • Emotional expression
  • Requests during therapy sessions

Data Format

Samples follow a structured prompt-style format:

Biosignal: <biosignal description>
Context: <environment, patient type, scenario>
Urgency: <low|medium|high|critical>
Output: <intended natural-language message>

Dataset may be provided as .json, .csv, or .txt depending on platform requirements.

Intended Use

  • Assistive communication research
  • Biosignal-to-text model training
  • Emergency signal interpretation models
  • Medical-context LLM fine-tuning
  • Development of multimodal AI for non-verbal patients
  • Creation of synthetic training data for healthcare AI

Ethical and Safety Notes

  • Biosignals are sensitive medical information; handle carefully.
  • This dataset is for research only and not intended for medical decision-making.
  • When pairing with real biosignal hardware, ensure patient consent and data protection.

Citation

If you use this dataset in research, please cite:

@misc{silent-voice-2025,
  title={Silent Voice: Neural Translation of Biosignals for Paralyzed Patients},
  author={0xroyce},
  year={2025}
}

Acknowledgements

This dataset was developed as part of the Silent Voice project, focused on enabling reliable, context-aware communication for patients with severe speech impairments.

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