Widespread adoption of electronic health records (EHRs) has fueled development of clinical outcome models using machine learning . However, patient EHR data are complex, and how to optimally represent them is an open question. This complexity, along with often small training set sizes available to train these clinical outcome models, are two core challenges for training high quality models. In this paper, we demonstrate that learning generic representations from the data of all the patients in the EHR enables better performing prediction models for clinical outcomes, allowing for these challenges to be overcome. We adapt common representation learning techniques used in other domains and find that representations inspired by language models enable a 3.5\% mean improvement in AUROC on five clinical outcomes compared to standard baselines, with the average improvement rising to 19\% when only a small number of patients are available for training a prediction modelfor a given clinical outcome .
Widespread adoption of electronic health records (EHRs) has fueled the development of using machine learning to build prediction models for various clinical outcomes. This process is often constrained by having a relatively small number of patient records for training the model. We demonstrate that using patient representation schemes inspired from techniques in natural language processing can increase the accuracy of clinical prediction models by transferring information learned from the entire patient population to the task of training a specific model, where only a subset of the population is relevant. Such patient representation schemes enable a 3.5\% mean improvement in AUROC on five prediction tasks compared to standard baselines, with the average improvement rising to 19\% when only a small number of patient records are available for training the clinical prediction model .
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development of clinical outcome models
the development of
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. However, patient EHR data are complex, and how to optimally represent them is an open question. This complexity, along with often small training set sizes available to train these clinical outcome models, are two core challenges for training high quality models. In this paper, we demonstrate that learning generic representations from the data of all the patients in the EHR enables better performing prediction models for clinical outcomes, allowing for these challenges to be overcome. We adapt common representation learning techniques used in other domains and find that representations inspired by language models
to build prediction models for various clinical outcomes. This process is often constrained by having a relatively small number of patient records for training the model. We demonstrate that using patient representation schemes inspired from techniques in natural language processing can increase the accuracy of clinical prediction models by transferring information learned from the entire patient population to the task of training a specific model, where only a subset of the population is relevant. Such patient representation schemes
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clinical outcomes
prediction tasks
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patients
patient records
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a prediction modelfor a given clinical outcome
the clinical prediction model