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  4. Point-process-based Representation Learning for Electronic Health Records
 
conference paper

Point-process-based Representation Learning for Electronic Health Records

Karami, Hojjat  
•
Ionescu, Anisoara  
•
Atienza, David  
January 1, 2023
2023 Ieee Embs International Conference On Biomedical And Health Informatics, Bhi
IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI)

Irregular sampling of time series in electronic health records (EHRs) presents a challenge for the development of machine learning models. Additionally, the pattern of missing data in certain clinical variables is not random, but depends on the decisions of clinicians and the state of the patient. Point process is a mathematical framework for analyzing event sequence data that is consistent with irregular sampling patterns. To tackle the challenges posed by EHRs, we propose a transformer event encoder with point process loss that encodes the pattern of laboratory tests in EHRs. We conduct experiments on two real-world EHR databases to evaluate our proposed approach. Firstly, we learn the transformer event encoder jointly with an existing state encoder in a self-supervised learning approach which gives superior performance in negative log-likelihood and future event prediction. Additionally, we propose an algorithm for aggregating attention weights that can reveal the interaction between the events. Secondly, we transfer and freeze the learned transformer event encoder to the downstream task for the outcome prediction (mortality and sepsis shock), where it outperforms state-of-the-art models for handling irregularly-sample time series. Our results demonstrate that our approach can improve representation learning in EHRs and can be useful for clinical prediction tasks.

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Type
conference paper
DOI
10.1109/BHI58575.2023.10313499
Web of Science ID

WOS:001107519300059

Author(s)
Karami, Hojjat  
Ionescu, Anisoara  
Atienza, David  
Date Issued

2023-01-01

Publisher

IEEE

Publisher place

New York

Published in
2023 Ieee Embs International Conference On Biomedical And Health Informatics, Bhi
ISBN of the book

979-8-3503-1050-4

Subjects

Technology

•

Life Sciences & Biomedicine

•

Electronic Health Records (Ehrs)

•

Point Process

•

Irregular Sampling

•

Informative Missingness

•

Self-Supervised Learning

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
ESL  
Event nameEvent placeEvent date
IEEE-EMBS International Conference on Biomedical and Health Informatics (BHI)

Pittsburgh, PA

OCT 15-18, 2023

FunderGrant Number

European Union

GA 101017915

Available on Infoscience
February 20, 2024
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/204419
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