TAPER: Time-Aware Patient EHR Representation

Darabi, Sajad, Kachuee, Mohammad, Fazeli, Shayan, Sarrafzadeh, Majid

arXiv.org Machine Learning 

--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 conditions the patient may have, and are typically recorded by medical staff. Accompanying codes are notes containing valuable information about patients beyond the structured information contained in electronic health records. We use transformer networks and the recently proposed BERT language model to embed these data streams into a unified vector representation. The presented approach effectively encodes a patient's visit data into a single distributed representation, which can be used for downstream tasks. Our model demonstrates superior performance and generalization on mortality, readmission and length of stay tasks using the publicly available MIMIC-III ICU dataset. LECTRONIC health records (EHR) are commonly adopted in hospitals to improve patient care. In an intensive care unit (ICU), various data sources are collected on a daily basis as preempted by medical staff as the patient undergoes care in the unit. The collected data consists of data from different modalities: medical codes such as diagnosis which are standardized by well-organized ontology's like the International Classification of Disease (ICD) Additionally, lab tests and bedside monitoring devices are used to collect signals each of which are collected at varying frequencies for a quantitative measure of the patient care.

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