The past decade has seen an explosion in the amount of digital information stored in electronic health records (EHR). While primarily designed for archiving patient clinical information and administrative healthcare tasks, many researchers have found secondary use of these records for various clinical informatics tasks…
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48 results for “Electronic Health Record (EHR)”
Bayesian model predicts patient survival from sparse EHR data.
problem Analyzing EHR data with few samples and diverse information.
method Nonparametric probabilistic model using Bayesian trees.
result Improved survival trajectory predictions on patient data.
Neural TPPs improve EHR modelling efficiency.
problem Challenges in modelling irregularly timed, noisy EHRs.
method Proposed neural network parameterizations of Temporal Point Processes (TPPs) for EHRs.
result Neural TPPs outperform non-TPP models on EHRs.
New method generates diverse EHR data types while maintaining privacy.
problem Privacy risks in sharing EHRs across large scales.
method Refined GAN model, feature constraints, and utility measures.
result New model preserves EHR statistics, correlations, and constraints.
A latent topic model for mining heterogenous non-randomly missing electronic health records datacs.LG
Electronic health records (EHR) are rich heterogeneous collection of patient health information, whose broad adoption provides great opportunities for systematic health data mining. However, heterogeneous EHR data types and biased ascertainment impose computational challenges. Here, we present mixEHR, an unsupervised g…
AdaptHetero uses MLI to tailor EHR models for subgroup-specific predictions.
problem Lack of subgroup-specific, operationalizable modeling strategies in EHRs.
method Integrates MLI with unsupervised clustering to identify subgroup-specific characteristics.
result Improves predictive performance by up to 174.39 percent across many subpopulations.
Language models improve clinical prediction models using EHR data.
problem Limited patient data for training clinical prediction models.
method Using patient representation schemes from natural language processing.
result 3.5% mean improvement in AUROC on five prediction tasks.
Develops algorithm to find subgroups with different treatment effects in HIV patients.
problem Estimating treatment effects in EHR data with challenges like time-varying confounding.
method SDLD algorithm combining generalized interaction tree and longitudinal targeted maximum likelihood estimation.
result Identifies subgroups of HIV patients at higher risk of weight gain with dolutegravir-containing ARTs.
Paper proposes multimodal contrastive learning for EHR data.
problem Separate treatment of structured and unstructured EHR data.
method Proposes a multimodal feature embedding generative model and a multimodal contrastive loss.
result Multimodal learning yields better feature representation than single-modality learning.
Framework harmonizes EHR data across institutions for better analysis.
problem Heterogeneity of medical codes and terminologies hinder EHR data analysis.
method MASH (Multi-source Automated Structured Hierarchy) uses neural optimal transport and learned hyperbolic embeddings to align and structure EHR data.
result MASH generates interpretable hierarchical graphs for unstructured local laboratory codes.
AI system predicts acute critical illness from EHRs with explainability.
problem Lack of clinical interpretability in AI predictions for acute critical illness.
method Developed an explainable AI early warning score (xAI-EWS) system.
result System provides clinicians with insights into EHR data explaining predictions.
AI predicts medical specialty diagnostic choices from EHR records.
problem Predicting timely medical specialty diagnostic workups for patients.
method Ensemble of feed-forward neural networks trained on EHR data.
result Significantly higher accuracy compared to traditional checklists.
PEHRT harmonizes EHR data for translational research.
problem Barriers in using EHR data for translational research.
method Common pipeline including open-source code, visualization tools, and detailed documentation.
result PEHRT harmonizes EHR data to standardized ontologies and generates robust embeddings.
VBphenoR uses variational Bayes for EHR-based patient phenotyping.
problem Phenotyping patients from EHR data for targeted treatments.
method Variational Bayes Gaussian Mixture Model (GMM) and logistic regression.
result Closed-form inference for efficient patient phenotype determination.
Improving Patient Subtyping on Longitudinal Data using Representations from Mamba-based Architecturecs.LG
Study proposes a model to improve patient subtyping from EHR data.
problem Challenges in subtyping temporal EHR datasets.
method Self-supervised Mamba-based model for learning EHR representations.
result Model outperforms baseline models in EHR data subtyping.
The wide implementation of electronic health record (EHR) systems facilitates the collection of large-scale health data from real clinical settings. Despite the significant increase in adoption of EHR systems, this data remains largely unexplored, but presents a rich data source for knowledge discovery from patient hea…
Knowledge Graph Embedding with Electronic Health Records Data via Latent Graphical Block Modelstat.ML
Proposes a method to derive knowledge graphs from EHR data.
problem Challenges in deriving generalizable knowledge from EHR data.
method Infer conditional dependency structure via a latent graphical block model (LGBM).
result Perfect recovery of block structure demonstrated.
Novel imputation method for EHRs with structured and sporadic missingness.
problem Missing data in integrated EHR datasets for clinical applications.
method Macomss, a novel imputation framework for structurally and heterogeneously missing data.
result Macomss outperforms existing methods in imputation and downstream prediction accuracy.
ODVICE augments EHR cohorts using ontology to improve analysis robustness.
problem Limited records in cohorts for rare diseases hamper robust analysis.
method Ontology-driven Monte-Carlo graph spanning algorithm for data augmentation.
result ODVICE augmented cohorts show ~30% improvement in AUC over non-augmented datasets.
This work generates synthetic EHRs with privacy guarantees for machine learning tasks.
problem Privacy concerns and heterogeneity in EHR data limit their use in machine learning.
method Generative Adversarial Networks (GANs) with differential privacy (DP) for synthetic data generation.
result Synthetic EHRs maintain performance close to real data, even with DP applied.
Proposes statistical inference for dependency knowledge graphs from EHR data.
problem Statistical uncertainty in linking entities in EHR data.
method Dynamic log-linear topic model with singular value decomposition.
result Established asymptotic normality for sparse graph edge recovery.
Paper proposes a graph network for EHR data that learns robust representations.
problem Learning robust representations for EHR data with implicit connections.
method Variationally regularized encoder-decoder graph network.
result Model outperforms existing methods in various EHR predictive tasks.
Electronic Health Record (EHR) data can be represented as discrete counts over a high dimensional set of possible procedures, diagnoses, and medications. Supervised topic models present an attractive option for incorporating EHR data as features into a prediction problem: given a patient's record, we estimate a set of …
Learning the Graphical Structure of Electronic Health Records with Graph Convolutional Transformercs.LG
Effective modeling of electronic health records (EHR) is rapidly becoming an important topic in both academia and industry. A recent study showed that using the graphical structure underlying EHR data (e.g. relationship between diagnoses and treatments) improves the performance of prediction tasks such as heart failure…
EHR-MPC optimizes sepsis treatment using digital twins and inference-time control.
problem Optimal sepsis treatment policies are contested and difficult to adapt during inference.
method EHR-MPC decouples learning patient dynamics from treatment optimization, enabling inference-time control over learned digital twins.
result EHR-MPC achieves comparable off-policy performance and improved simulation performance compared to RL baselines.
Neural network predicts cardiovascular events from EHRs with high accuracy.
problem Predicting onset of cardiovascular diseases from electronic health records.
method Multi-task gated recurrent units with attention mechanism.
result Model outperforms clinical risk scores in predicting stroke and myocardial infarction.
Paper improves communication in decentralized federated learning for EHRs.
problem Efficiently learn from large, decentralized EHR databases.
method Fully decentralized federated learning with iterative local updates and reduced communication rounds.
result Significant reduction in communication rounds without compromising solution optimality.
Databases of electronic health records (EHRs) are increasingly used to inform clinical decisions. Machine learning methods can find patterns in EHRs that are predictive of future adverse outcomes. However, statistical models may be built upon patterns of health-seeking behavior that vary across patient subpopulations, …
Deep Representation Learning of Electronic Health Records to Unlock Patient Stratification at Scaleq-bio.QM
Deep learning model creates patient representations for scalable EHR-based stratification.
problem Challenges in summarizing and representing patient data from EHRs prevent scalable stratification analysis.
method Unsupervised framework based on deep learning (ConvAE) using word embeddings, CNNs, and autoencoders.
result ConvAE significantly outperformed baselines in clustering diverse patient cohorts, identifying clinically relevant subtypes.
AACE learns treatment policies from EHRs using annotations to improve accuracy.
problem Learning treatment policies from multimodal EHRs with bias and inefficiency.
method Annotation-assisted coarsened effects (AACE) method.
result AACE outperforms existing methods in predicting treatment benefit from multimodal EHRs.
The increased adoption of Electronic Health Records(EHRs) has brought changes to the way the patient care is carried out. The rich heterogeneous and temporal data space stored in EHRs can be leveraged by machine learning models to capture the underlying information and make clinically relevant predictions. This can be …
Electronic phenotyping is the task of ascertaining whether an individual has a medical condition of interest by analyzing their medical record and is foundational in clinical informatics. Increasingly, electronic phenotyping is performed via supervised learning. We investigate the effectiveness of multitask learning fo…
Cardea automates machine learning for EHRs, improving model building efficiency.
problem Lack of a trusted, open-source framework for automated machine learning in EHRs.
method Uses FHIR for data structure, AUTOML frameworks for feature engineering, model selection, and tuning, and an adaptive data assembler.
result Demonstrates framework's effectiveness on 5 prediction tasks, highlighting its flexibility and human competitiveness.
HTAD predicts diagnoses from EHRs using target-aware attention.
problem Lack of specificity in aggregating clinical records for diagnosis prediction.
method Hierarchical target-attentive mechanism for EHRs.
result Target-aware attention significantly improves diagnosis prediction performance.
Electronic health records (EHRs) have contributed to the computerization of patient records and can thus be used not only for efficient and systematic medical services, but also for research on biomedical data science. However, there are many missing values in EHRs when provided in matrix form, which is an important is…
Privacy-preserving synthetic data from EHRs for learning and inference.
problem Sharing sensitive EHR data while maintaining patient privacy.
method Differentially private normalizing flows for density estimation and variational inference.
result Privacy-preserving synthetic data can yield good utility at a reasonable privacy cost.
Approach for modeling EHR data with rare features, improving prediction and interpretation.
problem Challenges in modeling rare binary features in EHR data.
method Tree-guided feature selection and logic aggregation for large-scale regression.
result Improved prediction and model interpretation of suicide risk in EHR data.
A variety of methods existing for generating synthetic electronic health records (EHRs), but they are not capable of generating unstructured text, like emergency department (ED) chief complaints, history of present illness or progress notes. Here, we use the encoder-decoder model, a deep learning algorithm that feature…
Modern electronic health records (EHRs) provide data to answer clinically meaningful questions. The growing data in EHRs makes healthcare ripe for the use of machine learning. However, learning in a clinical setting presents unique challenges that complicate the use of common machine learning methodologies. For example…
The rapid growth of Electronic Health Records (EHRs), as well as the accompanied opportunities in Data-Driven Healthcare (DDH), has been attracting widespread interests and attentions. Recent progress in the design and applications of deep learning methods has shown promising results and is forcing massive changes in h…
Automatic representation learning of key entities in electronic health record (EHR) data is a critical step for healthcare informatics that turns heterogeneous medical records into structured and actionable information. Here we propose ME2Vec, an algorithmic framework for learning low-dimensional vectors of the most co…
Bayesian model enhances phenotype discovery in asthma EHRs.
problem Lack of interpretability in unsupervised learning phenotyping of EHR data.
method Operationalized a Bayesian latent class framework with clinical knowledge priors.
result Identified an asthma sub-phenotype with elevated eosinophil levels and allergy markers.
Models extract relevant EHR snippets to aid radiologists in diagnosis.
problem Difficulty in identifying relevant patient record information for diagnosis.
method Distantly supervised transformer-based neural model for extractive summarization.
result Models yield better extractive summaries than unsupervised approaches.
Effective representation learning of electronic health records is a challenging task and is becoming more important as the availability of such data is becoming pervasive. The data contained in these records are irregular and contain multiple modalities such as notes, and medical codes. They are preempted by medical co…
Deep learning models exhibit state-of-the-art performance for many predictive healthcare tasks using electronic health records (EHR) data, but these models typically require training data volume that exceeds the capacity of most healthcare systems. External resources such as medical ontologies are used to bridge the da…
Study finds multi-task learning and pre-training can improve healthcare models on EHR data.
problem Improving model performance on diverse EHR tasks using multi-task learning.
method Examined multi-task learning across various EHR tasks and training schemes, using pre-training and fine-tuning.
result Significant gains in model performance achieved via multi-task pre-training and single-task fine-tuning.
Kernel TCK_IM tackles missing data in EHR time series, improving analysis.
problem Missing data complicates analysis of EHR time series.
method TCK_IM kernel using ensemble learning of mixed mode Bayesian mixture models.
result TCK_IM kernel effectively exploits missing data without imputation.
Causal thinking improves healthcare decisions from EHRs.
problem Shortcuts in data lead to biased healthcare decisions.
method Step-by-step framework for valid decision making from EHRs.
result Valid decision making requires careful analysis of EHR data.