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Time-Guided High-Order Attention Model of Longitudinal Heterogeneous Healthcare Data

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PRICAI 2019: Trends in Artificial Intelligence (PRICAI 2019)

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Abstract

Due to potential applications in chronic disease management and personalized healthcare, the EHRs data analysis has attracted much attentions of both researchers and practitioners. There are three main challenges in modeling longitudinal and heterogeneous EHRs data: heterogeneity, irregular temporality and interpretability. A series of deep learning methods have made remarkable progress in resolving these challenges. Nevertheless, most of existing attention models rely on capturing the 1-order temporal dependencies or 2-order multimodal relationships among feature elements. In this paper, we propose a time-guided high-order attention (TGHOA) model. The proposed method has three major advantages. (1) It can model longitudinal heterogeneous EHRs data via capturing the 3-order correlations of different modalities and the irregular temporal impact of historical events. (2) It can be used to identify the potential concerns of medical features to explain the reasoning process of healthcare model. (3) It can be easily expanded into cases with more modalities and flexibly applied in different prediction tasks. We evaluate the proposed method in two tasks of mortality prediction and disease ranking on two real world EHRs datasets. Extensive experimental results show the effectiveness of the proposed model.

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References

  1. Baytas, I.M., Xiao, C., Zhang, X., Wang, F., Jain, A.K., Zhou, J.: Patient subtyping via time-aware LSTM networks. In: SIGKDD, pp. 65–74. ACM (2017)

    Google Scholar 

  2. Cai, X., Gao, J., Ngiam, K.Y., Ooi, B.C., Zhang, Y., Yuan, X.: Medical concept embedding with time-aware attention. In: IJCAI, pp. 3984–3990 (2018)

    Google Scholar 

  3. Che, C., Xiao, C., Liang, J., Jin, B., Zho, J., Wang, F.: An RNN architecture with dynamic temporal matching for personalized predictions of Parkinson’s disease. In: SDM, pp. 198–206. SIAM (2017)

    Chapter  Google Scholar 

  4. Choi, E., Bahadori, M.T., Schuetz, A., Stewart, W.F., Sun, J.: Doctor AI: predicting clinical events via recurrent neural networks. In: MLHC, pp. 301–318 (2016)

    Google Scholar 

  5. Choi, E., et al.: Multi-layer representation learning for medical concepts. In: SIGKDD, pp. 1495–1504. ACM (2016)

    Google Scholar 

  6. Choi, E., Bahadori, M.T., Song, L., Stewart, W.F., Sun, J.: Gram: graph-based attention model for healthcare representation learning. In: SIGKDD. pp. 787–795. ACM (2017)

    Google Scholar 

  7. Choi, E., Bahadori, M.T., Sun, J., Kulas, J., Schuetz, A., Stewart, W.: Retain: an interpretable predictive model for healthcare using reverse time attention mechanism. In: NIPS, pp. 3504–3512 (2016)

    Google Scholar 

  8. Choi, E., Schuetz, A., Stewart, W.F., Sun, J.: Using recurrent neural network models for early detection of heart failure onset. J. Am. Med. Inform. Assoc. 24(2), 361–370 (2016)

    Google Scholar 

  9. Dinov, I.D., et al.: Predictive big data analytics: a study of Parkinson’s disease using large, complex, heterogeneous, incongruent, multi-source and incomplete observations. PLoS ONE 11(8), e0157077 (2016)

    Article  Google Scholar 

  10. Hoehn, M.M., Yahr, M.D., et al.: Parkinsonism: onset, progression, and mortality. Neurology 50(2), 318–318 (1998)

    Article  Google Scholar 

  11. Jagannatha, A.N., Yu, H.: Structured prediction models for RNN based sequence labeling in clinical text. In: EMNLP, vol. 2016, p. 856. NIH Public Access (2016)

    Google Scholar 

  12. Jin, B., Yang, H., Sun, L., Liu, C., Qu, Y., Tong, J.: A treatment engine by predicting next-period prescriptions. In: SIGKDD, pp. 1608–1616. ACM (2018)

    Google Scholar 

  13. Johnson, A.E., et al.: MIMIC-III, a freely accessible critical care database. Sci. Data 3, 160035 (2016)

    Article  Google Scholar 

  14. Kim, Y.: Convolutional neural networks for sentence classification. arXiv preprint arXiv:1408.5882 (2014)

  15. Lipton, Z.C., Kale, D.C., Elkan, C., Wetzel, R.: Learning to diagnose with LSTM recurrent neural networks. arXiv preprint arXiv:1511.03677 (2015)

  16. Ma, F., Chitta, R., Zhou, J., You, Q., Sun, T., Gao, J.: Dipole: diagnosis prediction in healthcare via attention-based bidirectional recurrent neural networks. In: SIGKDD, pp. 1903–1911. ACM (2017)

    Google Scholar 

  17. Miotto, R., Li, L., Kidd, B.A., Dudley, J.T.: Deep patient: an unsupervised representation to predict the future of patients from the electronic health records. Sci. Rep. 6, 26094 (2016)

    Article  Google Scholar 

  18. Pathak, J., Kho, A.N., Denny, J.C.: Electronic health records-driven phenotyping: challenges, recent advances, and perspectives (2013)

    Article  Google Scholar 

  19. Pham, T., Tran, T., Phung, D., Venkatesh, S.: DeepCare: a deep dynamic memory model for predictive medicine. In: Bailey, J., Khan, L., Washio, T., Dobbie, G., Huang, J.Z., Wang, R. (eds.) PAKDD 2016. LNCS (LNAI), vol. 9652, pp. 30–41. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-31750-2_3

    Chapter  Google Scholar 

  20. Richesson, R.L., Sun, J., Pathak, J., Kho, A.N., Denny, J.C.: Clinical phenotyping in selected national networks: demonstrating the need for high-throughput, portable, and computational methods. AIM 71, 57–61 (2016)

    Google Scholar 

  21. van Rooden, S.M., et al.: Clinical subtypes of Parkinson’s disease. Mov. Disord. 26(1), 51–58 (2011)

    Article  Google Scholar 

  22. Suresh, H., Szolovits, P., Ghassemi, M.: The use of autoencoders for discovering patient phenotypes. arXiv preprint arXiv:1703.07004 (2017)

  23. Thodoroff, P., Pineau, J., Lim, A.: Learning robust features using deep learning for automatic seizure detection. In: MLHC, pp. 178–190 (2016)

    Google Scholar 

  24. Xu, Y., Hong, K., Tsujii, J., Chang, E.I.C.: Feature engineering combined with machine learning and rule-based methods for structured information extraction from narrative clinical discharge summaries. J. Am. Med. Inform. Assoc. 19(5), 824–832 (2012)

    Article  Google Scholar 

  25. Xu, Y., Biswal, S., Deshpande, S.R., Maher, K.O., Sun, J.: RAIM: recurrent attentive and intensive model of multimodal patient monitoring data. In: SIGKDD, pp. 2565–2573. ACM (2018)

    Google Scholar 

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Acknowledgments

This work was supported in part by National Key Research and Development Program of China (No. 2017YFB1002804), National Natural Science Foundation of China (No. 61702511, 61720106006, 1711530243, 61620106003, 61432019, 61632007, U1705262, U1836220) and Key Research Program of Frontier Sciences, CAS, Grant NO. QYZDJSSWJSC039. This work was also supported by Research Program of National Laboratory of Pattern Recognition (No. Z-2018007) and CCF-Tencent Open Fund.

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Correspondence to Changsheng Xu .

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Huang, Y., Yang, X., Xu, C. (2019). Time-Guided High-Order Attention Model of Longitudinal Heterogeneous Healthcare Data. In: Nayak, A., Sharma, A. (eds) PRICAI 2019: Trends in Artificial Intelligence. PRICAI 2019. Lecture Notes in Computer Science(), vol 11670. Springer, Cham. https://doi.org/10.1007/978-3-030-29908-8_5

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  • DOI: https://doi.org/10.1007/978-3-030-29908-8_5

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  • Online ISBN: 978-3-030-29908-8

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