在超图上进行反事实和事实推理,在电子病历上进行可解释的临床预测。

Ran Xu, Yue Yu, Chao Zhang, Mohammed K Ali, Joyce C Ho, Carl Yang
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引用次数: 0

摘要

电子健康记录建模对数字医疗至关重要。然而,现有模型忽略了医疗代码之间的高阶交互作用及其对下游临床预测的因果关系。为了解决这些局限性,我们提出了一个新颖的框架 CACHE,基于超图表示学习以及反事实和事实推理技术,提供有效且有洞察力的临床预测。在两个真实的电子病历数据集上进行的实验显示了 CACHE 的卓越性能。与领域专家进行的案例研究表明,CACHE 在生成对正确预测有临床意义的解释方面具有优越的能力。
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Counterfactual and Factual Reasoning over Hypergraphs for Interpretable Clinical Predictions on EHR.

Electronic Health Record modeling is crucial for digital medicine. However, existing models ignore higher-order interactions among medical codes and their causal relations towards downstream clinical predictions. To address such limitations, we propose a novel framework CACHE, to provide effective and insightful clinical predictions based on hypergraph representation learning and counterfactual and factual reasoning techniques. Experiments on two real EHR datasets show the superior performance of CACHE. Case studies with a domain expert illustrate a preferred capability of CACHE in generating clinically meaningful interpretations towards the correct predictions.

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