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Healthcare artificial intelligence is still commonly built by pooling patient data from every hospital on a single server and training a model there. This approach delivers accuracy but creates a serious privacy risk, and it conflicts with regu-lations such as HIPAA, GDPR and India’s Digital Personal Data Protection Act, which is a major reason why hospitals are reluctant to release raw records [1], [2]. This paper pro-poses a system that avoids centralization instead of work-ing within it. Wearable devices at each hospital node con-tinuously collect physiological signals (heart rate, ECG, SpO2 and blood pressure), and a Long Short-Term Memory (LSTM) model [3] is trained on these data locally and on-site. Only an encrypted set of model weights leaves the hospital; a central server combines the weights using Fed-erated Averaging (FedAvg) [4] and returns an improved global model. Over 20 communication rounds, the global model reaches 97.6% accuracy and a 97.2% F1-score for early disease prediction over five categories, which is with-in about half a percentage point of a centralized model trained with full access to the same pooled data. Clinicians interact with the system through a Streamlit dashboard that shows prediction confidence, patient trends and alerts without exposing another hospital’s raw records.
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Kute et al. (2026) studied this question.
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