{"title":"Medication Recommendation Based on a Knowledge-enhanced Pre-training Model","authors":"Mengzhen Wang, Jianhui Chen, Shaofu Lin","doi":"10.1145/3498851.3498968","DOIUrl":null,"url":null,"abstract":"More and more attention has been paid to electronic medical record (EMR)-based auxiliary diagnosis and treatment, in which medication recommendation is an important research direction. The existing medication recommendation models mainly depend on the data of patients, diagnosis and medications. However, the insufficient amount of clinical data with temporal dependencies becomes a major obstacle. This paper proposes a new knowledge-enhanced pre-training model for medication recommendation. On the one hand, the classification knowledge in diagnostic codes and drug codes is encoded by Graph Attention Network and fused into the clinical data for expanding the data content. On the other hand, a large number of single visit data of EMR are used to create the pre-trained visit model by a modified BERT for expanding the data scale. The experimental results on EMR data from more than 2,000 medical and health institutions in Hainan, China show that the fusion of classification knowledge and pre-training model can effectively improve the accuracy of medication recommendation.","PeriodicalId":89230,"journal":{"name":"Proceedings. IEEE/WIC/ACM International Conference on Web Intelligence and Intelligent Agent Technology","volume":"92 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Proceedings. IEEE/WIC/ACM International Conference on Web Intelligence and Intelligent Agent Technology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1145/3498851.3498968","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
Abstract
More and more attention has been paid to electronic medical record (EMR)-based auxiliary diagnosis and treatment, in which medication recommendation is an important research direction. The existing medication recommendation models mainly depend on the data of patients, diagnosis and medications. However, the insufficient amount of clinical data with temporal dependencies becomes a major obstacle. This paper proposes a new knowledge-enhanced pre-training model for medication recommendation. On the one hand, the classification knowledge in diagnostic codes and drug codes is encoded by Graph Attention Network and fused into the clinical data for expanding the data content. On the other hand, a large number of single visit data of EMR are used to create the pre-trained visit model by a modified BERT for expanding the data scale. The experimental results on EMR data from more than 2,000 medical and health institutions in Hainan, China show that the fusion of classification knowledge and pre-training model can effectively improve the accuracy of medication recommendation.
基于电子病历(electronic medical record, EMR)的辅助诊疗越来越受到重视,其中药物推荐是一个重要的研究方向。现有的药物推荐模型主要依赖于患者、诊断和药物的数据。然而,具有时间依赖性的临床数据量不足成为一个主要障碍。提出了一种新的基于知识增强的药物推荐预训练模型。一方面,将诊断码和药物码中的分类知识通过图注意网络进行编码,融合到临床数据中,扩展数据内容;另一方面,利用大量EMR的单次就诊数据,通过改进的BERT建立预训练的就诊模型,扩大数据规模。对中国海南省2000多家医疗卫生机构EMR数据的实验结果表明,分类知识与预训练模型的融合可以有效提高药物推荐的准确性。