Abstract

With the prevalence and growing volume of Electronic Health Records (EHRs), there has been increasing interest in mining EHRs for improving clinical decision support. The accurate identification of patients with similar conditions based on EHRs is a key step in personalized healthcare. Existing studies model EHRs by medical knowledge graph embedding to learn the latent embeddings of medical entities (e.g., patients, medications, diagnoses and procedures). However, such precisely structured data is usually limited in quantity and in scope. Therefore, to enhance the quality of the embeddings it is important to consider more widely available medical information such as medical entity descriptions. In this paper we propose a novel framework, called Deep Patient Similarity (DeepPS). Specifically, DeepPS incorporates medical entity descriptions by augmenting the embeddings of medical entities and relations with the embeddings of words, which leverages both information from medical knowledge graph structures and the contexts of medical entity descriptions. Furthermore, DeepPS employs the embeddings to patient similarity learning by leveraging Siamese Convolutional Neural Network (CNN) with Spatial Pyramid Pooling (SPP). Extensive experiments on real datasets are conducted to show superior performance of our proposed framework.

Highlights

  • Patient similarity learning [1] is a key and fundamental task in the medical healthcare domain, which aims to improve the doctors’ diagnoses and the treatment of patients

  • SOLUTION Taking into account all challenges mentioned above, we propose a novel patient similarity learning framework based on knowledge representation learning, which is able to take advantages of both medical knowledge graph and medical entity description

  • 2) We propose a novel method for modeling a patient based on the learned embeddings of medical entities and incorporate Siamese Convolutional Neural Network (CNN) with Spatial Pyramid Pooling (SPP) as a deep learning model to measure the similarity between all patient pairs

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Summary

Introduction

Patient similarity learning [1] is a key and fundamental task in the medical healthcare domain, which aims to improve the doctors’ diagnoses and the treatment of patients. With the tremendous growth of the adoption of EHRs, various sources of clinical information (e.g., demographics, diagnostic history, medications, procedures and laboratory test results) are becoming available about patients. This makes EHRs a valuable resource for identifying similar patients. A proper similarity measure enables various downstream applications, such as personalized medicine [2], behavioral analysis [3] and medical diagnoses [4]–[11].

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