Using Knowledge Graphs to Plausibly Infer Missing Associations in EMR Data
Bibliographic record
Abstract
Electronic Medical Records (EMRs) are increasingly being deployed at primary points of care and clinics for digital record keeping, increasing productivity and improving communication. In practice, however, there still exists an often incomplete picture of patient profiles, not only because of disconnected EMR systems but also due to incomplete EMR data entry - often caused by clinician time constraints and lack of data entry restrictions. To complete a patient's partial EMR data, we plausibly infer missing causal associations between medical EMR concepts, such as diagnoses and treatments, for situations that lack sufficient raw data to enable machine learning methods. We follow a knowledge-based approach, where we leverage open medical knowledge sources such as SNOMED-CT and ICD, combined with knowledge-based reasoning with explainable inferences, to infer clinical encounter information from incomplete medical records. To bootstrap this process, we apply a semantic Extract-Transform-Load process to convert an EMR database into an enriched domain-specific Knowledge Graph.
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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 | 0.004 | 0.019 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.005 | 0.005 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.003 | 0.006 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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".