Learning Collective Medication Effects via Multi-level Abstraction for Medication Recommendation

Fuente: arXiv
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Autores principales: Wang, Yanda, Chen, Weitong, Tan, Chao, Nabney, Ian, Yue, Lin, Ji, Genlin
Formato: Preprint
Publicado: 2026
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author Wang, Yanda
Chen, Weitong
Tan, Chao
Nabney, Ian
Yue, Lin
Ji, Genlin
author_facet Wang, Yanda
Chen, Weitong
Tan, Chao
Nabney, Ian
Yue, Lin
Ji, Genlin
contents Historical prescriptions and selected candidate drugs relevant to the current visit serve as important references for medication recommendation. However, in the absence of explicit intrinsic principles for semantic composition, existing methods treat synergistic drugs as independent entities and fail to capture their collective therapeutic effects, resulting in a mismatch between medication-level references and longitudinal patient representations. In this paper, we propose MSAM, a novel medication recommendation model that bridges the gap via multi-level medication abstraction. The model introduces a multi-head graph reasoning mechanism to organize flat daily medication sets into clinically meaningful semantic units, serving as intermediate abstraction results to propagate features from individual drugs to higher-level representations. Building on these units, MSAM performs two-stage abstraction over historical prescriptions and selected candidates via intra- and inter-level feature propagation across heterogeneous clinical structures, capturing collective therapeutic effects aligned with patient conditions. Experiments on two real-world clinical datasets show that MSAM consistently outperforms state-of-the-art methods, validating the effectiveness of structural medication abstraction for recommendation.
format Preprint
id arxiv_https___arxiv_org_abs_2601_19259
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Learning Collective Medication Effects via Multi-level Abstraction for Medication Recommendation
Wang, Yanda
Chen, Weitong
Tan, Chao
Nabney, Ian
Yue, Lin
Ji, Genlin
Computational Engineering, Finance, and Science
Historical prescriptions and selected candidate drugs relevant to the current visit serve as important references for medication recommendation. However, in the absence of explicit intrinsic principles for semantic composition, existing methods treat synergistic drugs as independent entities and fail to capture their collective therapeutic effects, resulting in a mismatch between medication-level references and longitudinal patient representations. In this paper, we propose MSAM, a novel medication recommendation model that bridges the gap via multi-level medication abstraction. The model introduces a multi-head graph reasoning mechanism to organize flat daily medication sets into clinically meaningful semantic units, serving as intermediate abstraction results to propagate features from individual drugs to higher-level representations. Building on these units, MSAM performs two-stage abstraction over historical prescriptions and selected candidates via intra- and inter-level feature propagation across heterogeneous clinical structures, capturing collective therapeutic effects aligned with patient conditions. Experiments on two real-world clinical datasets show that MSAM consistently outperforms state-of-the-art methods, validating the effectiveness of structural medication abstraction for recommendation.
title Learning Collective Medication Effects via Multi-level Abstraction for Medication Recommendation
topic Computational Engineering, Finance, and Science
url https://arxiv.org/abs/2601.19259