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Life sciences · Preprint
arXiv · September 23, 2026
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PPG-to-vital-sign reconstruction turns a wrist-worn photoplethysmogram into clinical waveforms such as the ECG. Long-horizon multivariate time-series forecasting underpins planning in energy, weather, and traffic. Both generate a target sequence from a condition sequence, and current models hard-code where each target position reads it, as a same-position copy or seasonal recurrence, so neither transfers between tasks. We propose ROOSTER, one conditioning module that handles vital-sign reconstruction and time-series forecasting alike by learning this correspondence. Its core is a periodic-comb bias over the target-condition offset whose center, period, and sharpness are learned per head, so one module settles on the identity alignment or a seasonal lag and reports which it found. On vital-sign reconstruction from PPG, ROOSTER outperformed the published baselines on four heart-rate and respiratory-rate benchmarks. On multivariate time-series forecasting, it achieved the best horizon-averaged MSE on four benchmarks and outperformed the forecasting model it extends on 20 of 24 dataset-horizon settings under matched three-seed training. An ablation study indicated that the relative bias, not content matching, carried the alignment.