Learning Phenotypes and Dynamic Patient Representations via RNN Regularized Collective Non-Negative Tensor Factorization
Bibliographic record
Abstract
Non-negative Tensor Factorization (NTF) has been shown effective to discover clinically relevant and interpretable phenotypes from Electronic Health Records (EHR). Existing NTF based computational phenotyping models aggregate data over the observation window, resulting in the learned phenotypes being mixtures of disease states appearing at different times. We argue that by separating the clinical events happening at different times in the input tensor, the temporal dynamics and the disease progression within the observation window could be modeled and the learned phenotypes will correspond to more specific disease states. Yet how to construct the tensor for data samples with different temporal lengths and properly capture the temporal relationship specific to each individual data sample remains an open challenge. In this paper, we propose a novel Collective Non-negative Tensor Factorization (CNTF) model where each patient is represented by a temporal tensor, and all of the temporal tensors are factorized collectively with the phenotype definitions being shared across all patients. The proposed CNTF model is also flexible to incorporate non-temporal data modality and RNN-based temporal regularization. We validate the proposed model using MIMIC-III dataset, and the empirical results show that the learned phenotypes are clinically interpretable. Moreover, the proposed CNTF model outperforms the state-of-the-art computational phenotyping models for the mortality prediction task.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.006 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".