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Increased availability of electronic health records (EHR) has enabled researchers to study various medical questions. Cohort selection for the hypothesis under investigation is one of the main consideration for EHR analysis. For uncommon diseases, cohorts extracted from EHRs contain very limited number of records - hampering the robustness of any analysis. Data augmentation methods have been successfully applied in other domains to address this issue mainly using simulated records. In this paper, we present ODVICE, a data augmentation framework that leverages the medical concept ontology to systematically augment records using a novel ontologically guided Monte-Carlo graph spanning algorithm. The tool allows end users to specify a small set of interactive controls to control the augmentation process. We analyze the importance of ODVICE by conducting studies on MIMIC-III dataset for two learning tasks. Our results demonstrate the predictive performance of ODVICE augmented cohorts, showing ~30% improvement in area under the curve (AUC) over the non-augmented dataset and other data augmentation strategies.
Despite the large number of patients in Electronic Health Records (EHRs), the subset of usable data for modeling outcomes of specific phenotypes are often imbalanced and of modest size. This can be attributed to the uneven coverage of medical concept
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