School of Information Engineering, Zhengzhou University, China.
Key Laboratory of Knowledge Engineering with Big Data (Hefei University of Technology), Ministry of Education, China; School of Computer Science and Information Engineering, Hefei University of Technology, Hefei 230000, China.
Neural Netw. 2020 Apr;124:109-116. doi: 10.1016/j.neunet.2020.01.001. Epub 2020 Jan 23.
In this paper, we present an effective deep prediction framework based on robust recurrent neural networks (RNNs) to predict the likely therapeutic classes of medications a patient is taking, given a sequence of diagnostic billing codes in their record. Accurately capturing the list of medications currently taken by a given patient is extremely challenging due to undefined errors and omissions. We present a general robust framework that explicitly models the possible contamination through overtime decay mechanism on the input billing codes and noise injection into the recurrent hidden states, respectively. By doing this, billing codes are reformulated into its temporal patterns with decay rates on each medical variable, and the hidden states of RNNs are regularized by random noises which serve as dropout to improved RNNs robustness towards data variability in terms of missing values and multiple errors. The proposed method is extensively evaluated on real health care data to demonstrate its effectiveness in suggesting medication orders from contaminated values.
在本文中,我们提出了一个有效的基于鲁棒循环神经网络(RNN)的深度预测框架,用于预测患者记录中的诊断计费代码序列所服用的药物的可能治疗类别。由于存在未定义的错误和遗漏,准确捕捉给定患者当前服用的药物列表极具挑战性。我们提出了一个通用的鲁棒框架,分别通过超时衰减机制和向递归隐藏状态中注入噪声来显式地对可能的污染进行建模。通过这样做,计费代码被重新制定为具有每个医疗变量的衰减率的时间模式,并且 RNN 的隐藏状态通过随机噪声正则化,随机噪声作为辍学操作来提高 RNN 对缺失值和多个错误的情况下数据可变性的鲁棒性。该方法在真实医疗保健数据上进行了广泛评估,以证明其在从污染值中建议药物订单方面的有效性。