Hierarchical Semantic Correspondence Learning for Post-Discharge Patient Mortality Prediction
This addresses mortality prediction for ICU patients, but it is incremental as it builds on existing embedding techniques with hierarchical integration.
The paper tackles the problem of predicting post-discharge patient mortality by learning semantically-plausible distributed representations from unstructured clinical notes and structured semantic frames, showing effectiveness in benchmarks compared to methods that ignore semantic interactions.
Predicting patient mortality is an important and challenging problem in the healthcare domain, especially for intensive care unit (ICU) patients. Electronic health notes serve as a rich source for learning patient representations, that can facilitate effective risk assessment. However, a large portion of clinical notes are unstructured and also contain domain specific terminologies, from which we need to extract structured information. In this paper, we introduce an embedding framework to learn semantically-plausible distributed representations of clinical notes that exploits the semantic correspondence between the unstructured texts and their corresponding structured knowledge, known as semantic frame, in a hierarchical fashion. Our approach integrates text modeling and semantic correspondence learning into a single model that comprises 1) an unstructured embedding module that makes use of self-similarity matrix representations in order to inject structural regularities of different segments inherent in clinical texts to promote local coherence, 2) a structured embedding module to embed the semantic frames (e.g., UMLS semantic types) with deep ConvNet and 3) a hierarchical semantic correspondence module that embeds by enhancing the interactions between text-semantic frame embedding pairs at multiple levels (i.e., words, sentence, note). Evaluations on multiple embedding benchmarks on post discharge intensive care patient mortality prediction tasks demonstrate its effectiveness compared to approaches that do not exploit the semantic interactions between structured and unstructured information present in clinical notes.