Uncertainty-Aware Foundation Models for Clinical Data

Fuente: arXiv
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Auteurs principaux: Zhou, Qian, Zhang, Yuanyun, Li, Shi
Format: Preprint
Publié: 2026
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author Zhou, Qian
Zhang, Yuanyun
Li, Shi
author_facet Zhou, Qian
Zhang, Yuanyun
Li, Shi
contents Healthcare foundation models have largely followed paradigms from natural language processing and computer vision, emphasizing large scale pretraining and deterministic representations over heterogeneous clinical data. However, clinical observations are inherently incomplete, reflecting sparse, irregular, and modality dependent measurements of an underlying physiologic state. In this work, we propose a framework for uncertainty aware foundation modeling that represents each patient not as a point embedding, but as a distribution over plausible latent states. By learning set valued representations and enforcing consistency across partial views of the same patient, the model captures what is invariantly inferable while explicitly encoding epistemic uncertainty. We integrate this formulation with multimodal encoders and scalable self supervised objectives, combining reconstruction, contrastive alignment, and distributional regularization. Across diverse clinical tasks, our approach improves predictive performance, robustness under missing data, and uncertainty calibration relative to strong baselines. These results suggest that modeling what is not observed rather than only what is constitutes a critical inductive bias for healthcare foundation models.
format Preprint
id arxiv_https___arxiv_org_abs_2604_04175
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Uncertainty-Aware Foundation Models for Clinical Data
Zhou, Qian
Zhang, Yuanyun
Li, Shi
Machine Learning
Healthcare foundation models have largely followed paradigms from natural language processing and computer vision, emphasizing large scale pretraining and deterministic representations over heterogeneous clinical data. However, clinical observations are inherently incomplete, reflecting sparse, irregular, and modality dependent measurements of an underlying physiologic state. In this work, we propose a framework for uncertainty aware foundation modeling that represents each patient not as a point embedding, but as a distribution over plausible latent states. By learning set valued representations and enforcing consistency across partial views of the same patient, the model captures what is invariantly inferable while explicitly encoding epistemic uncertainty. We integrate this formulation with multimodal encoders and scalable self supervised objectives, combining reconstruction, contrastive alignment, and distributional regularization. Across diverse clinical tasks, our approach improves predictive performance, robustness under missing data, and uncertainty calibration relative to strong baselines. These results suggest that modeling what is not observed rather than only what is constitutes a critical inductive bias for healthcare foundation models.
title Uncertainty-Aware Foundation Models for Clinical Data
topic Machine Learning
url https://arxiv.org/abs/2604.04175