Structure-aware Hypergraph Transformer for Diagnosis Prediction in Electronic Health Records

Fuente: arXiv
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Auteurs principaux: Wang, Haiyan, Yuan, Ye
Format: Preprint
Publié: 2025
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author Wang, Haiyan
Yuan, Ye
author_facet Wang, Haiyan
Yuan, Ye
contents Electronic Health Records (EHR) systematically organize patient health data through standardized medical codes, serving as a comprehensive and invaluable source for predictive modeling. Graph neural networks (GNNs) have demonstrated effectiveness in modeling interactions between medical codes within EHR. However, existing GNN-based methods are inadequate due to: a) their reliance on pairwise relations fails to capture the inherent higher-order dependencies in clinical data, and b) the localized message-passing scheme limits representation power. To address these issues, this paper proposes a novel Structure-aware HyperGraph Transformer (SHGT) framework following three-fold ideas: a) employing a hypergraph structural encoder to capture higher-order interactions among medical codes, b) integrating the Transformer architecture to reason over the entire hypergraph, and c) designing a tailored loss function incorporating hypergraph reconstruction to preserve the hypergraph's original structure. Experiments on real-world EHR datasets demonstrate that the proposed SHGT outperforms existing state-of-the-art models on diagnosis prediction.
format Preprint
id arxiv_https___arxiv_org_abs_2508_20500
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Structure-aware Hypergraph Transformer for Diagnosis Prediction in Electronic Health Records
Wang, Haiyan
Yuan, Ye
Machine Learning
Electronic Health Records (EHR) systematically organize patient health data through standardized medical codes, serving as a comprehensive and invaluable source for predictive modeling. Graph neural networks (GNNs) have demonstrated effectiveness in modeling interactions between medical codes within EHR. However, existing GNN-based methods are inadequate due to: a) their reliance on pairwise relations fails to capture the inherent higher-order dependencies in clinical data, and b) the localized message-passing scheme limits representation power. To address these issues, this paper proposes a novel Structure-aware HyperGraph Transformer (SHGT) framework following three-fold ideas: a) employing a hypergraph structural encoder to capture higher-order interactions among medical codes, b) integrating the Transformer architecture to reason over the entire hypergraph, and c) designing a tailored loss function incorporating hypergraph reconstruction to preserve the hypergraph's original structure. Experiments on real-world EHR datasets demonstrate that the proposed SHGT outperforms existing state-of-the-art models on diagnosis prediction.
title Structure-aware Hypergraph Transformer for Diagnosis Prediction in Electronic Health Records
topic Machine Learning
url https://arxiv.org/abs/2508.20500