Advancements in Electronic Health Record Analysis

The field of electronic health record (EHR) analysis is moving towards the development of more sophisticated and multimodal models that can effectively harness the heterogeneity of EHR data. Recent research has focused on creating foundation models that can learn from multiple data modalities, including structured and unstructured data, to support clinical tasks such as prediction and narrative generation. These models have demonstrated superior performance in various clinical prediction tasks, including mortality prediction, readmission prediction, and disease diagnosis. Furthermore, there is a growing emphasis on developing interpretable models that can provide insights into the decision-making process, which is critical for building trust and transparency in clinical AI systems. Noteworthy papers in this area include:

  • Generative Deep Patient, a multimodal foundation model that natively encodes structured EHR time-series and fuses it with unstructured EHRs, demonstrating superior performance in clinical prediction and narrative generation tasks.
  • ProtoEHR, a hierarchical prototype learning framework that fully exploits the rich, multi-level structure of EHR data to enhance healthcare predictions, offering interpretable insights on code, visit, and patient levels.
  • A deep learning approach using natural language processing techniques that integrates multimodal EHRs to predict mortality and resource utilization in critical care settings, showing strong resilience to data corruption within structured data.

Sources

Generative Foundation Model for Structured and Unstructured Electronic Health Records

Evaluation and LLM-Guided Learning of ICD Coding Rationales

ProtoEHR: Hierarchical Prototype Learning for EHR-based Healthcare Predictions

Proactive HIV Care: AI-Based Comorbidity Prediction from Routine EHR Data

Prediction of mortality and resource utilization in critical care: a deep learning approach using multimodal electronic health records with natural language processing techniques

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