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Register a new userHeterogeneous Similarity Graph Neural Network on Electronic Health Records
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Zheng Liu
Publication date
2021
fields
Informatics Engineering
and research's language is
English
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Mining Electronic Health Records (EHRs) becomes a promising topic because of the rich information they contain. By learning from EHRs, machine learning models can be built to help human experts to make medical decisions and thus improve healthcare quality. Recently, many models based on sequential or graph models are proposed to achieve this goal. EHRs contain multiple entities and relations and can be viewed as a heterogeneous graph. However, previous studies ignore the heterogeneity in EHRs. On the other hand, current heterogeneous graph neural networks cannot be simply used on an EHR graph because of the existence of hub nodes in it. To address this issue, we propose Heterogeneous Similarity Graph Neural Network (HSGNN) analyze EHRs with a novel heterogeneous GNN. Our framework consists of two parts: one is a preprocessing method and the other is an end-to-end GNN. The preprocessing method normalizes edges and splits the EHR graph into multiple homogeneous graphs while each homogeneous graph contains partial information of the original EHR graph. The GNN takes all homogeneous graphs as input and fuses all of them into one graph to make a prediction. Experimental results show that HSGNN outperforms other baselines in the diagnosis prediction task.
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Computational prediction of in-hospital mortality in the setting of an intensive care unit can help clinical practitioners to guide care and make early decisions for interventions. As clinical data are complex and varied in their structure and components, continued innovation of modeling strategies is required to identify architectures that can best model outcomes. In this work, we train a Heterogeneous Graph Model (HGM) on Electronic Health Record data and use the resulting embedding vector as additional information added to a Convolutional Neural Network (CNN) model for predicting in-hospital mortality. We show that the additional information provided by including time as a vector in the embedding captures the relationships between medical concepts, lab tests, and diagnoses, which enhances predictive performance. We find that adding HGM to a CNN model increases the mortality prediction accuracy up to 4%. This framework serves as a foundation for future experiments involving different EHR data types on important healthcare prediction tasks.
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