# Integrated Convolutional and Recurrent Neural Networks for Health Risk Prediction using Patient Journey Data with Many Missing Values

arXiv: https://arxiv.org/abs/2211.06045 · HTML: https://mlsanity.com/paper/2211.06045/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 13 of its 32 references that are in the map.
- First posted on arXiv 11 Nov 2022.

## Builds on (most cited first, 13 of 13)

- [Learning Phrase Representations using RNN Encoder-Decoder for Statistical Machine Translation](https://mlsanity.com/paper/1406.1078/) (2014)
- [Modeling Long- and Short-Term Temporal Patterns with Deep Neural Networks](https://mlsanity.com/paper/1703.07015/) (2017)
- [Recurrent Neural Networks for Multivariate Time Series with Missing Values](https://mlsanity.com/paper/1606.01865/) (2016)
- [Multitask learning and benchmarking with clinical time series data](https://mlsanity.com/paper/1703.07771/) (2017)
- [BRITS: Bidirectional Recurrent Imputation for Time Series](https://mlsanity.com/paper/1805.10572/) (2018)
- [Interpolation-Prediction Networks for Irregularly Sampled Time Series](https://mlsanity.com/paper/1909.07782/) (2019)
- [Deep Representation Learning of Patient Data from Electronic Health Records (EHR): A Systematic Review](https://mlsanity.com/paper/2010.02809/) (2020)
- [Benchmarking machine learning models on multi-centre eICU critical care dataset](https://mlsanity.com/paper/1910.00964/) (2019)
- [AttDMM: An Attentive Deep Markov Model for Risk Scoring in Intensive Care Units](https://mlsanity.com/paper/2102.04702/) (2021)
- [Inpatient2Vec: Medical Representation Learning for Inpatients](https://mlsanity.com/paper/1904.08558/) (2019)
- [A Knowledge Distillation Ensemble Framework for Predicting Short and Long-term Hospitalisation Outcomes from Electronic Health Records Data](https://mlsanity.com/paper/2011.09361/) (2020)
- [Modeling Long-term Dependencies and Short-term Correlations in Patient Journey Data with Temporal Attention Networks for Health Prediction](https://mlsanity.com/paper/2207.06414/) (2022)
- [ELMV: an Ensemble-Learning Approach for Analyzing Electrical Health Records with Significant Missing Values](https://mlsanity.com/paper/2006.14942/) (2020)

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

- [The Taxonomies, Training, and Applications of Event Stream Modelling for Electronic Health Records](https://mlsanity.com/paper/2603.14003/) (2026)

## Abstract (arXiv)

Predicting the health risks of patients using Electronic Health Records (EHR) has attracted considerable attention in recent years, especially with the development of deep learning techniques. Health risk refers to the probability of the occurrence of a specific health outcome for a specific patient. The predicted risks can be used to support decision-making by healthcare professionals. EHRs are structured patient journey data. Each patient journey contains a chronological set of clinical events, and within each clinical event, there is a set of clinical/medical activities. Due to variations of patient conditions and treatment needs, EHR patient journey data has an inherently high degree of missingness that contains important information affecting relationships among variables, including time. Existing deep learning-based models generate imputed values for missing values when learning the relationships. However, imputed data in EHR patient journey data may distort the clinical meaning of the original EHR patient journey data, resulting in classification bias. This paper proposes a novel end-to-end approach to modeling EHR patient journey data with Integrated Convolutional and Recurrent Neural Networks. Our model can capture both long- and short-term temporal patterns within each patient journey and effectively handle the high degree of missingness in EHR data without any imputation data generation. Extensive experimental results using the proposed model on two real-world datasets demonstrate robust performance as well as superior prediction accuracy compared to existing state-of-the-art imputation-based prediction methods.
