# Transfer Learning in Electronic Health Records through Clinical Concept Embedding

arXiv: https://arxiv.org/abs/2107.12919 · HTML: https://mlsanity.com/paper/2107.12919/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 26 of its 70 references that are in the map.
- First posted on arXiv 27 Jul 2021.

## Builds on (most cited first, 26 of 26)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [Efficient Estimation of Word Representations in Vector Space](https://mlsanity.com/paper/1301.3781/) (2013)
- [Distributed Representations of Words and Phrases and their Compositionality](https://mlsanity.com/paper/1310.4546/) (2013)
- [Enriching Word Vectors with Subword Information](https://mlsanity.com/paper/1607.04606/) (2016)
- [Inception-v4, Inception-ResNet and the Impact of Residual Connections on Learning](https://mlsanity.com/paper/1602.07261/) (2016)
- [Show, Attend and Tell: Neural Image Caption Generation with Visual Attention](https://mlsanity.com/paper/1502.03044/) (2015)
- [Neural Collaborative Filtering](https://mlsanity.com/paper/1708.05031/) (2017)
- [Effective Approaches to Attention-based Neural Machine Translation](https://mlsanity.com/paper/1508.04025/) (2015)
- [Speech Recognition with Deep Recurrent Neural Networks](https://mlsanity.com/paper/1303.5778/) (2013)
- [Med-BERT: pre-trained contextualized embeddings on large-scale structured electronic health records for disease prediction](https://mlsanity.com/paper/2005.12833/) (2020)
- [RETAIN: An Interpretable Predictive Model for Healthcare using Reverse Time Attention Mechanism](https://mlsanity.com/paper/1608.05745/) (2016)
- [BEHRT: Transformer for Electronic Health Records](https://mlsanity.com/paper/1907.09538/) (2019)
- [Doctor AI: Predicting Clinical Events via Recurrent Neural Networks](https://mlsanity.com/paper/1511.05942/) (2015)
- [GRAM: Graph-based Attention Model for Healthcare Representation Learning](https://mlsanity.com/paper/1611.07012/) (2016)
- [Deep EHR: A Survey of Recent Advances in Deep Learning Techniques for Electronic Health Record (EHR) Analysis](https://mlsanity.com/paper/1706.03446/) (2017)
- [word2vec Explained: deriving Mikolov et al.'s negative-sampling word-embedding method](https://mlsanity.com/paper/1402.3722/) (2014)
- [Multi-layer Representation Learning for Medical Concepts](https://mlsanity.com/paper/1602.05568/) (2016)
- [Deepr: A Convolutional Net for Medical Records](https://mlsanity.com/paper/1607.07519/) (2016)
- [Massive Exploration of Neural Machine Translation Architectures](https://mlsanity.com/paper/1703.03906/) (2017)
- [Clinical Concept Embeddings Learned from Massive Sources of Multimodal Medical Data](https://mlsanity.com/paper/1804.01486/) (2018)
- [A Comparison of Word Embeddings for the Biomedical Natural Language Processing](https://mlsanity.com/paper/1802.00400/) (2018)
- [Medical Concept Embedding with Time-Aware Attention](https://mlsanity.com/paper/1806.02873/) (2018)
- [Learning Multimorbidity Patterns from Electronic Health Records Using Non-negative Matrix Factorisation](https://mlsanity.com/paper/1907.08577/) (2019)
- [Can Embeddings Adequately Represent Medical Terminology? New Large-Scale Medical Term Similarity Datasets Have the Answer!](https://mlsanity.com/paper/2003.11082/) (2020)

## Built on by (most cited first, 1 of 1)

- [Clinical Decision Transformer: Intended Treatment Recommendation through Goal Prompting](https://mlsanity.com/paper/2302.00612/) (2023)

## Abstract (arXiv)

Deep learning models have shown tremendous potential in learning representations, which are able to capture some key properties of the data. This makes them great candidates for transfer learning: Exploiting commonalities between different learning tasks to transfer knowledge from one task to another. Electronic health records (EHR) research is one of the domains that has witnessed a growing number of deep learning techniques employed for learning clinically-meaningful representations of medical concepts (such as diseases and medications). Despite this growth, the approaches to benchmark and assess such learned representations (or, embeddings) is under-investigated; this can be a big issue when such embeddings are shared to facilitate transfer learning. In this study, we aim to (1) train some of the most prominent disease embedding techniques on a comprehensive EHR data from 3.1 million patients, (2) employ qualitative and quantitative evaluation techniques to assess these embeddings, and (3) provide pre-trained disease embeddings for transfer learning. This study can be the first comprehensive approach for clinical concept embedding evaluation and can be applied to any embedding techniques and for any EHR concept.
