Mdpg : a novel multi-disease diagnosis prediction method based on patient knowledge graphs

© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law..

Diagnosis prediction, a key factor in enhancing healthcare efficiency, remains a focal point in clinical decision support research. However, the time-series, sparse and multi-noise characteristics of electronic health record (EHR) data make it a great challenge. Existing methods commonly address these issues using RNNs and incorporating medical prior knowledge from medical knowledge bases, but they neglect the local spatial characteristics and spatial-temporal correlation of the data. Consequently, we propose MDPG, a diagnosis prediction model based on patient knowledge graphs. Initially, we represent the electronic visit records of patients as a patient-centered temporal knowledge graph, capturing the local spatial structure and temporal characteristics of the visit information. Subsequently, we design the spatial graph convolution block, temporal self-attention block, and spatial-temporal synchronous graph convolution block to capture the spatial, temporal, and spatial-temporal correlations embedded in them, respectively. Ultimately, we accomplish the prediction of patients' future states through multi-label classification. We conduct comprehensive experiments on two real-world datasets independently and evaluate the results using visit-level precisionk and code-level accuracy@k metrics. The experimental results demonstrate that MDPG outperforms all baseline models, yielding the best performance.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Health information science and systems - 12(2024), 1 vom: 30. März, Seite 15

Sprache:

Englisch

Beteiligte Personen:

Wang, Weiguang [VerfasserIn]
Feng, Yingying [VerfasserIn]
Zhao, Haiyan [VerfasserIn]
Wang, Xin [VerfasserIn]
Cai, Ruikai [VerfasserIn]
Cai, Wei [VerfasserIn]
Zhang, Xia [VerfasserIn]

Links:

Volltext

Themen:

Diagnosis prediction
Healthcare representation learning
Journal Article
Medical knowledge graphs
Patient knowledge graphs
Patient risk prediction

Anmerkungen:

Date Revised 06.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1007/s13755-024-00278-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36929968X