AutoMed: Automated Medical Risk Predictive Modeling on Electronic Health Records.

Suhan Cui, Jiaqi Wang, Xinning Gui, Ting Wang, Fenglong Ma
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Abstract

Electronic health records (EHR) have been widely applied to various tasks in the medical domain such as risk predictive modeling, which aims to predict further health conditions by analyzing patients' historical EHR. Existing work mainly focuses on modeling the sequential and temporal characteristics of EHR data with advanced deep learning techniques. However, the network architectures of these models are all manually designed based on experts' prior knowledge, which largely impedes non-experts from exploring this task. To address this issue, in this paper, we propose a novel automated risk prediction model named AutoMed to automatically search the optimal model architecture for modeling the complex EHR data and improving the performance of the risk prediction task. In particular, we follow the idea of neural architecture search to design a search space that contains three separate searchable modules. Two of them are used for analyzing sequential and temporal features of EHR data, respectively. The third is to automatically fuse both features together. Besides these three modules, AutoMed contains an embedding module and a prediction module. All the three searchable modules are jointly optimized in the search stage to derive the optimal model architecture. In such a way, the model design can be automatically achieved with few human interventions. Experimental results on three real-world datasets show that AutoMed outperforms state-of-the-art baselines in terms of PR-AUC, F1, and Cohen's Kappa. Moreover, the ablation study shows that AutoMed can obtain reasonable model architectures and offer useful insights to the future risk prediction model design.

AutoMed:电子健康记录上的自动医疗风险预测建模。
电子健康记录(EHR)已被广泛应用于医疗领域的各种任务,如风险预测建模,其目的是通过分析患者的历史EHR来预测进一步的健康状况。现有工作主要侧重于利用先进的深度学习技术对电子病历数据的顺序和时间特征进行建模。然而,这些模型的网络架构都是基于专家的先验知识手动设计的,这在很大程度上阻碍了非专业人员对这一任务的探索。为解决这一问题,我们在本文中提出了一种名为 AutoMed 的新型自动风险预测模型,以自动搜索最佳模型架构,对复杂的电子病历数据建模,提高风险预测任务的性能。具体而言,我们遵循神经架构搜索的理念,设计了一个包含三个独立可搜索模块的搜索空间。其中两个模块分别用于分析电子病历数据的顺序特征和时间特征。第三个模块用于将这两种特征自动融合在一起。除这三个模块外,AutoMed 还包含一个嵌入模块和一个预测模块。在搜索阶段,所有三个可搜索模块将共同优化,以得出最佳模型架构。这样,只需少量人工干预,就能自动完成模型设计。在三个真实世界数据集上的实验结果表明,AutoMed 在 PR-AUC、F1 和 Cohen's Kappa 方面都优于最先进的基线。此外,消融研究表明,AutoMed 可以获得合理的模型架构,并为未来的风险预测模型设计提供有益的启示。
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