Synthesizing Multimodal Electronic Health Records via Predictive Diffusion Models

Fuente: arXiv
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Main Authors: Zhong, Yuan, Wang, Xiaochen, Wang, Jiaqi, Zhang, Xiaokun, Wang, Yaqing, Huai, Mengdi, Xiao, Cao, Ma, Fenglong
Format: Preprint
Published: 2024
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author Zhong, Yuan
Wang, Xiaochen
Wang, Jiaqi
Zhang, Xiaokun
Wang, Yaqing
Huai, Mengdi
Xiao, Cao
Ma, Fenglong
author_facet Zhong, Yuan
Wang, Xiaochen
Wang, Jiaqi
Zhang, Xiaokun
Wang, Yaqing
Huai, Mengdi
Xiao, Cao
Ma, Fenglong
contents Synthesizing electronic health records (EHR) data has become a preferred strategy to address data scarcity, improve data quality, and model fairness in healthcare. However, existing approaches for EHR data generation predominantly rely on state-of-the-art generative techniques like generative adversarial networks, variational autoencoders, and language models. These methods typically replicate input visits, resulting in inadequate modeling of temporal dependencies between visits and overlooking the generation of time information, a crucial element in EHR data. Moreover, their ability to learn visit representations is limited due to simple linear mapping functions, thus compromising generation quality. To address these limitations, we propose a novel EHR data generation model called EHRPD. It is a diffusion-based model designed to predict the next visit based on the current one while also incorporating time interval estimation. To enhance generation quality and diversity, we introduce a novel time-aware visit embedding module and a pioneering predictive denoising diffusion probabilistic model (PDDPM). Additionally, we devise a predictive U-Net (PU-Net) to optimize P-DDPM.We conduct experiments on two public datasets and evaluate EHRPD from fidelity, privacy, and utility perspectives. The experimental results demonstrate the efficacy and utility of the proposed EHRPD in addressing the aforementioned limitations and advancing EHR data generation.
format Preprint
id arxiv_https___arxiv_org_abs_2406_13942
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Synthesizing Multimodal Electronic Health Records via Predictive Diffusion Models
Zhong, Yuan
Wang, Xiaochen
Wang, Jiaqi
Zhang, Xiaokun
Wang, Yaqing
Huai, Mengdi
Xiao, Cao
Ma, Fenglong
Machine Learning
Synthesizing electronic health records (EHR) data has become a preferred strategy to address data scarcity, improve data quality, and model fairness in healthcare. However, existing approaches for EHR data generation predominantly rely on state-of-the-art generative techniques like generative adversarial networks, variational autoencoders, and language models. These methods typically replicate input visits, resulting in inadequate modeling of temporal dependencies between visits and overlooking the generation of time information, a crucial element in EHR data. Moreover, their ability to learn visit representations is limited due to simple linear mapping functions, thus compromising generation quality. To address these limitations, we propose a novel EHR data generation model called EHRPD. It is a diffusion-based model designed to predict the next visit based on the current one while also incorporating time interval estimation. To enhance generation quality and diversity, we introduce a novel time-aware visit embedding module and a pioneering predictive denoising diffusion probabilistic model (PDDPM). Additionally, we devise a predictive U-Net (PU-Net) to optimize P-DDPM.We conduct experiments on two public datasets and evaluate EHRPD from fidelity, privacy, and utility perspectives. The experimental results demonstrate the efficacy and utility of the proposed EHRPD in addressing the aforementioned limitations and advancing EHR data generation.
title Synthesizing Multimodal Electronic Health Records via Predictive Diffusion Models
topic Machine Learning
url https://arxiv.org/abs/2406.13942