The Health Gym: Synthetic Health-Related Datasets for the Development of Reinforcement Learning Algorithms
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Abstract (arXiv)
In recent years, the machine learning research community has benefited tremendously from the availability of openly accessible benchmark datasets. Clinical data are usually not openly available due to their highly confidential nature. This has hampered the development of reproducible and generalisable machine learning applications in health care. Here we introduce the Health Gym - a growing collection of highly realistic synthetic medical datasets that can be freely accessed to prototype, evaluate, and compare machine learning algorithms, with a specific focus on reinforcement learning. The three synthetic datasets described in this paper present patient cohorts with acute hypotension and sepsis in the intensive care unit, and people with human immunodeficiency virus (HIV) receiving antiretroviral therapy in ambulatory care. The datasets were created using a novel generative adversarial network (GAN). The distributions of variables, and correlations between variables and trends over time in the synthetic datasets mirror those in the real datasets. Furthermore, the risk of sensitive information disclosure associated with the public distribution of the synthetic datasets is estimated to be very low.
Key facts. Cited by 19 papers in the map (data through 7 Oct 2026). Builds on 24 of its 105 references that are in the map. First posted on arXiv 12 Mar 2022.
Builds on
24 of 105 references.
References · 24
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12 more
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Citing papers per year: 2022: 2; 2023: 5; 2024: 3; 2025: 4; 2026: 5.
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- 2023Deep Imputation of Missing Values in Time Series Health Data: A Review with Benchmarkingcited by 29
- 2024Can I trust my fake data -- A comprehensive quality assessment framework for synthetic tabular data in healthcarecited by 17
- 2022Generating Synthetic Clinical Data that Capture Class Imbalanced Distributions with Generative Adversarial Networks: Example using Antiretroviral Therapy for HIVcited by 12
- 2024D5RL: Diverse Datasets for Data-Driven Deep Reinforcement Learningcited by 11
- 2023Synthetic Health-related Longitudinal Data with Mixed-type Variables Generated using Diffusion Modelscited by 9
- 2025Transfer Learning of Tabular Data by Finetuning Large Language Modelscited by 4
- 2025Generating Clinically Realistic EHR Data via a Hierarchy- and Semantics-Guided Transformercited by 4
- 2022Mitigating Health Data Poverty: Generative Approaches versus Resampling for Time-series Clinical Datacited by 2
- 2024Masked Clinical Modelling: A Framework for Synthetic and Augmented Survival Data Generationcited by 2
- 2023Methods for generating and evaluating synthetic longitudinal patient data: a systematic reviewcited by 1
- 2025Attention-Based Synthetic Data Generation for Calibration-Enhanced Survival Analysis: A Case Study for Chronic Kidney Disease Using Electronic Health Recordscited by 1
- 2026PRIME-CVD: A Parametrically Rendered Informatics Medical Environment for Education in Cardiovascular Risk Modellingcited by 1
7 more
- 2023Joint Distributional Learning via Cramer-Wold Distancecited by 0
- 2023Balanced Marginal and Joint Distributional Learning via Mixture Cramer-Wold Distancecited by 0
- 2025Critical Challenges and Guidelines in Evaluating Synthetic Tabular Data: A Systematic Reviewcited by 0
- 2026Evaluation metrics for temporal preservation in synthetic longitudinal patient datacited by 0
- 2026Counterfactually Safe Reinforcement Learningcited by 0
- 2026Synthetic but Not Realistic: The Evaluation Challenge in Generative Modelling for Structured Electronic Medical Recordscited by 0
- 2026Insulin4RL: Real-Time Insulin Management in the Intensive Care Unit for Offline Reinforcement Learningcited by 0
- 2026Insulin4RL: Real-Time Insulin Management in the Intensive Care Unit for Offline Reinforcement Learning17 Jun 2026
- 2026Synthetic but Not Realistic: The Evaluation Challenge in Generative Modelling for Structured Electronic Medical Records8 Jun 2026
- 2026Counterfactually Safe Reinforcement Learning24 May 2026
- 2026PRIME-CVD: A Parametrically Rendered Informatics Medical Environment for Education in Cardiovascular Risk Modelling11 Mar 2026
- 2026Evaluation metrics for temporal preservation in synthetic longitudinal patient data11 Feb 2026
- 2025Critical Challenges and Guidelines in Evaluating Synthetic Tabular Data: A Systematic Review10 Apr 2025
- 2025Attention-Based Synthetic Data Generation for Calibration-Enhanced Survival Analysis: A Case Study for Chronic Kidney Disease Using Electronic Health Records8 Mar 2025
- 2025Generating Clinically Realistic EHR Data via a Hierarchy- and Semantics-Guided Transformer28 Feb 2025
- 2025Transfer Learning of Tabular Data by Finetuning Large Language Models12 Jan 2025
- 2024Masked Clinical Modelling: A Framework for Synthetic and Augmented Survival Data Generation22 Oct 2024
- 2024D5RL: Diverse Datasets for Data-Driven Deep Reinforcement Learning15 Aug 2024
- 2024Can I trust my fake data -- A comprehensive quality assessment framework for synthetic tabular data in healthcare24 Jan 2024
7 more
- 2023Balanced Marginal and Joint Distributional Learning via Mixture Cramer-Wold Distance6 Dec 2023
- 2023Joint Distributional Learning via Cramer-Wold Distance25 Oct 2023
- 2023Methods for generating and evaluating synthetic longitudinal patient data: a systematic review21 Sep 2023
- 2023Synthetic Health-related Longitudinal Data with Mixed-type Variables Generated using Diffusion Models22 Mar 2023
- 2023Deep Imputation of Missing Values in Time Series Health Data: A Review with Benchmarking10 Feb 2023
- 2022Mitigating Health Data Poverty: Generative Approaches versus Resampling for Time-series Clinical Data25 Oct 2022
- 2022Generating Synthetic Clinical Data that Capture Class Imbalanced Distributions with Generative Adversarial Networks: Example using Antiretroviral Therapy for HIV18 Aug 2022
- 2023Deep Imputation of Missing Values in Time Series Health Data: A Review with Benchmarkingcited by 29
- 2024Can I trust my fake data -- A comprehensive quality assessment framework for synthetic tabular data in healthcarecited by 17
- 2022Generating Synthetic Clinical Data that Capture Class Imbalanced Distributions with Generative Adversarial Networks: Example using Antiretroviral Therapy for HIVcited by 12
- 2025Transfer Learning of Tabular Data by Finetuning Large Language Modelscited by 4
- 2025Generating Clinically Realistic EHR Data via a Hierarchy- and Semantics-Guided Transformercited by 4
- 2022Mitigating Health Data Poverty: Generative Approaches versus Resampling for Time-series Clinical Datacited by 2
- 2024Masked Clinical Modelling: A Framework for Synthetic and Augmented Survival Data Generationcited by 2
- 2023Methods for generating and evaluating synthetic longitudinal patient data: a systematic reviewcited by 1
- 2025Attention-Based Synthetic Data Generation for Calibration-Enhanced Survival Analysis: A Case Study for Chronic Kidney Disease Using Electronic Health Recordscited by 1
- 2026PRIME-CVD: A Parametrically Rendered Informatics Medical Environment for Education in Cardiovascular Risk Modellingcited by 1
- 2023Joint Distributional Learning via Cramer-Wold Distancecited by 0
- 2023Balanced Marginal and Joint Distributional Learning via Mixture Cramer-Wold Distancecited by 0
12 most cited of 16 All 16 (JSON)
- 2026Synthetic but Not Realistic: The Evaluation Challenge in Generative Modelling for Structured Electronic Medical Records8 Jun 2026
- 2026Counterfactually Safe Reinforcement Learning24 May 2026
- 2026PRIME-CVD: A Parametrically Rendered Informatics Medical Environment for Education in Cardiovascular Risk Modelling11 Mar 2026
- 2026Evaluation metrics for temporal preservation in synthetic longitudinal patient data11 Feb 2026
- 2025Critical Challenges and Guidelines in Evaluating Synthetic Tabular Data: A Systematic Review10 Apr 2025
- 2025Attention-Based Synthetic Data Generation for Calibration-Enhanced Survival Analysis: A Case Study for Chronic Kidney Disease Using Electronic Health Records8 Mar 2025
- 2025Generating Clinically Realistic EHR Data via a Hierarchy- and Semantics-Guided Transformer28 Feb 2025
- 2025Transfer Learning of Tabular Data by Finetuning Large Language Models12 Jan 2025
- 2024Masked Clinical Modelling: A Framework for Synthetic and Augmented Survival Data Generation22 Oct 2024
- 2024Can I trust my fake data -- A comprehensive quality assessment framework for synthetic tabular data in healthcare24 Jan 2024
- 2023Balanced Marginal and Joint Distributional Learning via Mixture Cramer-Wold Distance6 Dec 2023
- 2023Joint Distributional Learning via Cramer-Wold Distance25 Oct 2023
12 newest of 16 All 16 (JSON)