Clinical Time Series Prediction with a Hierarchical Dynamical System

Multi-Task Time Series Forecasting Based on Graph Neural Networks

Accurate time series forecasting is of great importance in real-world scenarios such as health care, transportation, and finance. Because of the tendency, temporal variations, and periodicity of the time series data, there are complex and dynamic dependencies among its underlying features. In time series forecasting tasks, the features learned by a specific task at the current time step (such as predicting mortality) are related to the features of historical timesteps and the features of adjacent timesteps of related tasks (such as predicting fever). Therefore, capturing dynamic dependencies in data is a challenging problem for learning accurate future prediction behavior. To address this challenge, we propose a cross-timestep feature-sharing multi-task time series forecasting model that can capture global and local dynamic dependencies in time series data. Initially, the global dynamic dependencies of features within each task are captured through a self-attention mechanism. Furthermore, an adaptive sparse graph structure is employed to capture the local dynamic dependencies inherent in the data, which can explicitly depict the correlation between features across timesteps and tasks. Lastly, the cross-timestep feature sharing between tasks is achieved through a graph attention mechanism, which strengthens the learning of shared features that are strongly correlated with a single task. It is beneficial for improving the generalization performance of the model. Our experimental results demonstrate that our method is significantly competitive compared to baseline methods.

High-fidelity phenotyping: richness and freedom from bias

Electronic health record phenotyping is the use of raw electronic health record data to assert characterizations about patients. Researchers have been doing it since the beginning of biomedical informatics, under different names. Phenotyping will benefit from an increasing focus on fidelity, both in the sense of increasing richness, such as measured levels, degree or severity, timing, probability, or conceptual relationships, and in the sense of reducing bias. Research agendas should shift from merely improving binary assignment to studying and improving richer representations. The field is actively researching new temporal directions and abstract representations, including deep learning. The field would benefit from research in nonlinear dynamics, in combining mechanistic models with empirical data, including data assimilation, and in topology. The health care process produces substantial bias, and studying that bias explicitly rather than treating it as merely another source of noise would facilitate addressing it.

Prediction and imputation in irregularly sampled clinical time series data using hierarchical linear dynamical models

Clinical time series, comprising of repeated clinical measurements provide valuable information of the trajectory of patients' condition. Linear dynamical systems (LDS) are used extensively in science and engineering for modeling time series data. The observation and state variables in LDS are assumed to be uniformly sampled in time with a fixed sampling rate. The observation sequence for clinical time series is often irregularly sampled and LDS do not model such data well. In this paper, we develop two LDS-based models for irregularly sampled data. The key idea is to incorporate a temporal difference variable within the state equations of LDS whose parameters are estimated using observed data. Our models are evaluated on prediction and imputation tasks using real irregularly sampled clinical time series data and are found to outperform state-of-the-art techniques.

A Temporal Mining Framework for Classifying Un-Evenly Spaced Clinical Data: An Approach for Building Effective Clinical Decision-Making System

BACKGROUND

Clinical time-series data acquired from electronic health records (EHR) are liable to temporal complexities such as irregular observations, missing values and time constrained attributes that make the knowledge discovery process challenging.

OBJECTIVE

This paper presents a temporal rough set induced neuro-fuzzy (TRiNF) mining framework that handles these complexities and builds an effective clinical decision-making system. TRiNF provides two functionalities namely temporal data acquisition (TDA) and temporal classification.

METHOD

In TDA, a time-series forecasting model is constructed by adopting an improved double exponential smoothing method. The forecasting model is used in missing value imputation and temporal pattern extraction. The relevant attributes are selected using a temporal pattern based rough set approach. In temporal classification, a classification model is built with the selected attributes using a temporal pattern induced neuro-fuzzy classifier.

RESULT

For experimentation, this work uses two clinical time series dataset of hepatitis and thrombosis patients. The experimental result shows that with the proposed TRiNF framework, there is a significant reduction in the error rate, thereby obtaining the classification accuracy on an average of 92.59% for hepatitis and 91.69% for thrombosis dataset.

CONCLUSION

The obtained classification results prove the efficiency of the proposed framework in terms of its improved classification accuracy.

Parameterizing time in electronic health record studies

BACKGROUND

Fields like nonlinear physics offer methods for analyzing time series, but many methods require that the time series be stationary-no change in properties over time.Objective Medicine is far from stationary, but the challenge may be able to be ameliorated by reparameterizing time because clinicians tend to measure patients more frequently when they are ill and are more likely to vary.

METHODS

We compared time parameterizations, measuring variability of rate of change and magnitude of change, and looking for homogeneity of bins of temporal separation between pairs of time points. We studied four common laboratory tests drawn from 25 years of electronic health records on 4 million patients.

RESULTS

We found that sequence time-that is, simply counting the number of measurements from some start-produced more stationary time series, better explained the variation in values, and had more homogeneous bins than either traditional clock time or a recently proposed intermediate parameterization. Sequence time produced more accurate predictions in a single Gaussian process model experiment.

CONCLUSIONS

Of the three parameterizations, sequence time appeared to produce the most stationary series, possibly because clinicians adjust their sampling to the acuity of the patient. Parameterizing by sequence time may be applicable to association and clustering experiments on electronic health record data. A limitation of this study is that laboratory data were derived from only one institution. Sequence time appears to be an important potential parameterization.