The adoption of EHRs has expanded opportunities to leverage data-driven algorithms in clinical care and research. A major bottleneck in effectively conducting multi-institutional EHR studies is the data heterogeneity across systems with numerous codes that either do not exist or represent different clinical concepts across institutions. The need for data privacy further limits the feasibility of including multi-institutional patient-level data required to study similarities and differences across patient subgroups. To address these challenges, we developed the GAME algorithm. Tested and validated across 7 institutions and 2 languages, GAME integrates data in several levels: (1) at the institutional level with knowledge graphs to establish relationships between codes and existing knowledge sources, providing the medical context for standard codes and their relationship to each other; (2) between institutions, leveraging language models to determine the relationships between institution-specific codes with established standard codes; and (3) quantifying the strength of the relationships between codes using a graph attention network. Jointly trained embeddings are created using transfer and federated learning to preserve data privacy. In this study, we demonstrate the applicability of GAME in selecting relevant features as inputs for AI-driven algorithms in a range of conditions, e.g., heart failure, rheumatoid arthritis. We then highlight the application of GAME harmonized multi-institutional EHR data in a study of Alzheimer's disease outcomes and suicide risk among patients with mental health disorders, without sharing patient-level data outside individual institutions.

Neural fields are neural networks which map coordinates to a desired signal. When a neural field should jointly model multiple signals, and not memorize only one, it needs to be conditioned on a latent code which describes the signal at hand. Despite being an important aspect, there has been little research on conditioning strategies for neural fields. In this work, we explore the use of neural fields as decoders for 2D semantic segmentation. For this task, we compare three conditioning methods, simple concatenation of the latent code, Feature Wise Linear Modulation (FiLM), and Cross-Attention, in conjunction with latent codes which either describe the full image or only a local region of the image. Our results show a considerable difference in performance between the examined conditioning strategies. Furthermore, we show that conditioning via Cross-Attention achieves the best results and is competitive with a CNN-based decoder for semantic segmentation.

According to parallel distributed processing (PDP) theory in psychology, neural networks (NN) learn distributed rather than interpretable localist representations. This view has been held so strongly that few researchers have analysed single units to determine if this assumption is correct. However, recent results from psychology, neuroscience and computer science have shown the occasional existence of local codes emerging in artificial and biological neural networks. In this paper, we undertake the first systematic survey of when local codes emerge in a feed-forward neural network, using generated input and output data with known qualities. We find that the number of local codes that emerge from a NN follows a well-defined distribution across the number of hidden layer neurons, with a peak determined by the size of input data, number of examples presented and the sparsity of input data. Using a 1-hot output code drastically decreases the number of local codes on the hidden layer. The number of emergent local codes increases with the percentage of dropout applied to the hidden layer, suggesting that the localist encoding may offer a resilience to noisy networks. This data suggests that localist coding can emerge from feed-forward PDP networks and suggests some of the conditions that may lead to interpretable localist representations in the cortex. The findings highlight how local codes should not be dismissed out of hand.