Using Clinical Notes with Time Series Data for ICU Management
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Abstract (arXiv)
Monitoring patients in ICU is a challenging and high-cost task. Hence, predicting the condition of patients during their ICU stay can help provide better acute care and plan the hospital's resources. There has been continuous progress in machine learning research for ICU management, and most of this work has focused on using time series signals recorded by ICU instruments. In our work, we show that adding clinical notes as another modality improves the performance of the model for three benchmark tasks: in-hospital mortality prediction, modeling decompensation, and length of stay forecasting that play an important role in ICU management. While the time-series data is measured at regular intervals, doctor notes are charted at irregular times, making it challenging to model them together. We propose a method to model them jointly, achieving considerable improvement across benchmark tasks over baseline time-series model. Our implementation can be found at urlhttps://github.com/kaggarwal/ClinicalNotesICU.
Key facts. Cited by 38 papers in the map (data through 7 Oct 2026). First posted on arXiv 12 Sep 2019.
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Citing papers per year: 2021: 3; 2022: 5; 2023: 9; 2024: 9; 2025: 6; 2026: 6.
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- 2024FuseMoE: Mixture-of-Experts Transformers for Fleximodal Fusioncited by 67
- 2022A Multimodal Transformer: Fusing Clinical Notes with Structured EHR Data for Interpretable In-Hospital Mortality Predictioncited by 48
- 2021Clinical Outcome Prediction from Admission Notes using Self-Supervised Knowledge Integrationcited by 43
- 2022Improving Medical Predictions by Irregular Multimodal Electronic Health Records Modelingcited by 33
- 2025Multi-modal Time Series Analysis: A Tutorial and Surveycited by 24
- 2024REALM: RAG-Driven Enhancement of Multimodal Electronic Health Records Analysis via Large Language Modelscited by 21
- 2024EMERGE: Enhancing Multimodal Electronic Health Records Predictive Modeling with Retrieval-Augmented Generationcited by 16
- 2022Multimodal data matters: language model pre-training over structured and unstructured electronic health recordscited by 13
- 2022On the Importance of Clinical Notes in Multi-modal Learning for EHR Datacited by 10
- 2023FineEHR: Refine Clinical Note Representations to Improve Mortality Predictioncited by 9
- 2021What Do You See in this Patient? Behavioral Testing of Clinical NLP Modelscited by 6
- 2023MedLens: Improve Mortality Prediction Via Medical Signs Selecting and Regressioncited by 6
26 more
- 2024CTPD: Cross-Modal Temporal Pattern Discovery for Enhanced Multimodal Electronic Health Records Analysiscited by 6
- 2023On the Importance of Step-wise Embeddings for Heterogeneous Clinical Time-Seriescited by 5
- 2024Next Visit Diagnosis Prediction via Medical Code-Centric Multimodal Contrastive EHR Modelling with Hierarchical Regularisationcited by 5
- 2024BadCLM: Backdoor Attack in Clinical Language Models for Electronic Health Recordscited by 5
- 2025Massively Multimodal Foundation Models: A Framework for Capturing Interactions with Specialized Mixture-of-Expertscited by 4
- 2023Knowledge Graph Representations to enhance Intensive Care Time-Series Predictionscited by 3
- 2025Benchmarking and Improving LVLMs on Event Extraction from Multimedia Documentscited by 3
- 2023MVMTnet: A Multi-variate Multi-modal Transformer for Multi-class Classification of Cardiac Irregularities Using ECG Waveforms and Clinical Notescited by 2
- 2023Clinical Note Owns its Hierarchy: Multi-Level Hypergraph Neural Networks for Patient-Level Representation Learningcited by 2
- 2023Multi-modal Graph Learning over UMLS Knowledge Graphscited by 2
- 2024Contrastive Learning on Multimodal Analysis of Electronic Health Recordscited by 2
- 2024Multi-Modal Contrastive Learning for Online Clinical Time-Series Applicationscited by 2
- 2026MILM: Large Language Models for Multimodal Irregular Time Series with Informative Samplingcited by 2
- 2021Using Clinical Drug Representations for Improving Mortality and Length of Stay Predictionscited by 1
- 2024LETS-C: Leveraging Text Embedding for Time Series Classificationcited by 1
- 2025CURENet: Combining Unified Representations for Efficient Chronic Disease Predictioncited by 1
- 2025Transparent Early ICU Mortality Prediction with Clinical Transformer and Per-Case Modality Attributioncited by 1
- 2022Natural Language Processing Methods to Identify Oncology Patients at High Risk for Acute Care with Clinical Notescited by 0
- 2023Length of Stay prediction for Hospital Management using Domain Adaptationcited by 0
- 2023XAI for In-hospital Mortality Prediction via Multimodal ICU Datacited by 0
- 2025Integrating Text and Time-Series into (Large) Language Models to Predict Medical Outcomescited by 0
- 2026Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant carecited by 0
- 2026A Clinical Point Cloud Paradigm for In-Hospital Mortality Prediction from Multi-Level Incomplete Multimodal EHRscited by 0
- 2026Large Language Models as Unified Multimodal Learners for Clinical Predictioncited by 0
- 2026Backdoor Learning in Language Models and Vision-Language Modelscited by 0
- 2026NeuroECG: ECGFounder-Based Deep ECG Representation for EEG-Free Neurological Prognostication After Cardiac Arrestcited by 0
- 2026Large Language Models as Unified Multimodal Learners for Clinical Prediction16 Jul 2026
- 2026NeuroECG: ECGFounder-Based Deep ECG Representation for EEG-Free Neurological Prognostication After Cardiac Arrest13 Jul 2026
- 2026Backdoor Learning in Language Models and Vision-Language Models8 Jun 2026
- 2026MILM: Large Language Models for Multimodal Irregular Time Series with Informative Sampling13 May 2026
- 2026A Clinical Point Cloud Paradigm for In-Hospital Mortality Prediction from Multi-Level Incomplete Multimodal EHRs6 Apr 2026
- 2026Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant care13 Jan 2026
- 2025Transparent Early ICU Mortality Prediction with Clinical Transformer and Per-Case Modality Attribution19 Nov 2025
- 2025CURENet: Combining Unified Representations for Efficient Chronic Disease Prediction14 Nov 2025
- 2025Massively Multimodal Foundation Models: A Framework for Capturing Interactions with Specialized Mixture-of-Experts30 Sep 2025
- 2025Integrating Text and Time-Series into (Large) Language Models to Predict Medical Outcomes17 Sep 2025
- 2025Benchmarking and Improving LVLMs on Event Extraction from Multimedia Documents16 Sep 2025
- 2025Multi-modal Time Series Analysis: A Tutorial and Survey17 Mar 2025
26 more
- 2024CTPD: Cross-Modal Temporal Pattern Discovery for Enhanced Multimodal Electronic Health Records Analysis1 Nov 2024
- 2024LETS-C: Leveraging Text Embedding for Time Series Classification9 Jul 2024
- 2024BadCLM: Backdoor Attack in Clinical Language Models for Electronic Health Records6 Jul 2024
- 2024EMERGE: Enhancing Multimodal Electronic Health Records Predictive Modeling with Retrieval-Augmented Generation27 May 2024
- 2024Multi-Modal Contrastive Learning for Online Clinical Time-Series Applications27 Mar 2024
- 2024Contrastive Learning on Multimodal Analysis of Electronic Health Records22 Mar 2024
- 2024REALM: RAG-Driven Enhancement of Multimodal Electronic Health Records Analysis via Large Language Models10 Feb 2024
- 2024FuseMoE: Mixture-of-Experts Transformers for Fleximodal Fusion5 Feb 2024
- 2024Next Visit Diagnosis Prediction via Medical Code-Centric Multimodal Contrastive EHR Modelling with Hierarchical Regularisation22 Jan 2024
- 2023XAI for In-hospital Mortality Prediction via Multimodal ICU Data29 Dec 2023
- 2023On the Importance of Step-wise Embeddings for Heterogeneous Clinical Time-Series15 Nov 2023
- 2023Knowledge Graph Representations to enhance Intensive Care Time-Series Predictions13 Nov 2023
- 2023Multi-modal Graph Learning over UMLS Knowledge Graphs10 Jul 2023
- 2023Length of Stay prediction for Hospital Management using Domain Adaptation29 Jun 2023
- 2023MedLens: Improve Mortality Prediction Via Medical Signs Selecting and Regression19 May 2023
- 2023Clinical Note Owns its Hierarchy: Multi-Level Hypergraph Neural Networks for Patient-Level Representation Learning16 May 2023
- 2023FineEHR: Refine Clinical Note Representations to Improve Mortality Prediction24 Apr 2023
- 2023MVMTnet: A Multi-variate Multi-modal Transformer for Multi-class Classification of Cardiac Irregularities Using ECG Waveforms and Clinical Notes21 Feb 2023
- 2022On the Importance of Clinical Notes in Multi-modal Learning for EHR Data6 Dec 2022
- 2022Improving Medical Predictions by Irregular Multimodal Electronic Health Records Modeling18 Oct 2022
- 2022Natural Language Processing Methods to Identify Oncology Patients at High Risk for Acute Care with Clinical Notes28 Sep 2022
- 2022A Multimodal Transformer: Fusing Clinical Notes with Structured EHR Data for Interpretable In-Hospital Mortality Prediction9 Aug 2022
- 2022Multimodal data matters: language model pre-training over structured and unstructured electronic health records25 Jan 2022
- 2021What Do You See in this Patient? Behavioral Testing of Clinical NLP Models30 Nov 2021
- 2021Using Clinical Drug Representations for Improving Mortality and Length of Stay Predictions17 Oct 2021
- 2021Clinical Outcome Prediction from Admission Notes using Self-Supervised Knowledge Integration8 Feb 2021
- 2022A Multimodal Transformer: Fusing Clinical Notes with Structured EHR Data for Interpretable In-Hospital Mortality Predictioncited by 48
- 2021Clinical Outcome Prediction from Admission Notes using Self-Supervised Knowledge Integrationcited by 43
- 2022Improving Medical Predictions by Irregular Multimodal Electronic Health Records Modelingcited by 33
- 2025Multi-modal Time Series Analysis: A Tutorial and Surveycited by 24
- 2024REALM: RAG-Driven Enhancement of Multimodal Electronic Health Records Analysis via Large Language Modelscited by 21
- 2022Multimodal data matters: language model pre-training over structured and unstructured electronic health recordscited by 13
- 2022On the Importance of Clinical Notes in Multi-modal Learning for EHR Datacited by 10
- 2023FineEHR: Refine Clinical Note Representations to Improve Mortality Predictioncited by 9
- 2021What Do You See in this Patient? Behavioral Testing of Clinical NLP Modelscited by 6
- 2023MedLens: Improve Mortality Prediction Via Medical Signs Selecting and Regressioncited by 6
- 2024CTPD: Cross-Modal Temporal Pattern Discovery for Enhanced Multimodal Electronic Health Records Analysiscited by 6
- 2023On the Importance of Step-wise Embeddings for Heterogeneous Clinical Time-Seriescited by 5
12 most cited of 33 All 33 (JSON)
- 2026Large Language Models as Unified Multimodal Learners for Clinical Prediction16 Jul 2026
- 2026NeuroECG: ECGFounder-Based Deep ECG Representation for EEG-Free Neurological Prognostication After Cardiac Arrest13 Jul 2026
- 2026MILM: Large Language Models for Multimodal Irregular Time Series with Informative Sampling13 May 2026
- 2026A Clinical Point Cloud Paradigm for In-Hospital Mortality Prediction from Multi-Level Incomplete Multimodal EHRs6 Apr 2026
- 2026Temporal Fusion Nexus: A task-agnostic multi-modal embedding model for clinical narratives and irregular time series in post-kidney transplant care13 Jan 2026
- 2025Transparent Early ICU Mortality Prediction with Clinical Transformer and Per-Case Modality Attribution19 Nov 2025
- 2025CURENet: Combining Unified Representations for Efficient Chronic Disease Prediction14 Nov 2025
- 2025Integrating Text and Time-Series into (Large) Language Models to Predict Medical Outcomes17 Sep 2025
- 2025Benchmarking and Improving LVLMs on Event Extraction from Multimedia Documents16 Sep 2025
- 2025Multi-modal Time Series Analysis: A Tutorial and Survey17 Mar 2025
- 2024CTPD: Cross-Modal Temporal Pattern Discovery for Enhanced Multimodal Electronic Health Records Analysis1 Nov 2024
- 2024LETS-C: Leveraging Text Embedding for Time Series Classification9 Jul 2024
12 newest of 33 All 33 (JSON)