General-Purpose Retrieval-Enhanced Medical Prediction Model Using Near-Infinite History
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Abstract (arXiv)
Machine learning (ML) has recently shown promising results in medical predictions using electronic health records (EHRs). However, since ML models typically have a limited capability in terms of input sizes, selecting specific medical events from EHRs for use as input is necessary. This selection process, often relying on expert opinion, can cause bottlenecks in development. We propose Retrieval-Enhanced Medical prediction model (REMed) to address such challenges. REMed can essentially evaluate unlimited medical events, select the relevant ones, and make predictions. This allows for an unrestricted input size, eliminating the need for manual event selection. We verified these properties through experiments involving 27 clinical prediction tasks across four independent cohorts, where REMed outperformed the baselines. Notably, we found that the preferences of REMed align closely with those of medical experts. We expect our approach to significantly expedite the development of EHR prediction models by minimizing clinicians' need for manual involvement.
Key facts. Cited by 12 papers in the map (data through 14 Oct 2026). Builds on 25 of its 40 references that are in the map. First posted on arXiv 31 Oct 2023.
Builds on
25 of 40 references.
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13 more
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Built on by
Citing papers per year: 2024: 3; 2025: 4; 2026: 5.
12 papers.
- 2024Context Clues: Evaluating Long Context Models for Clinical Prediction Tasks on EHRscited by 39
- 2025A Collection of Innovations in Medical AI for patient records in 2024cited by 7
- 2025LabTOP: A Unified Model for Lab Test Outcome Prediction on Electronic Health Recordscited by 5
- 2025EHR2Path: Comprehensive Pathway-Level Modeling of Longitudinal Patient Trajectories from Multimodal Electronic Health Recordscited by 3
- 2025Time-Aware Attention for Enhanced Electronic Health Records Modelingcited by 3
- 2024Towards Predicting Temporal Changes in a Patient's Chest X-ray Images based on Electronic Health Recordscited by 2
- 2026Multi-lingual Multi-institutional Electronic Health Record based Predictive Modelcited by 1
- 2024LML-DAP: Language Model Learning a Dataset for Data-Augmented Predictioncited by 0
- 2026ReToP: Learning to Rewrite Electronic Health Records for Clinical Predictioncited by 0
- 2026EHR-RAGp: Retrieval-Augmented Prototype-Guided Foundation Model for Electronic Health Recordscited by 0
- 2026Learning to Select Source-Traceable Evidence for Language-Model Prediction from Irregular Clinical Time Seriescited by 0
- 2026EviGen: Predictive Evidence Scaffolding for Verifiable Clinical Rationale Generationcited by 0
- 2026EviGen: Predictive Evidence Scaffolding for Verifiable Clinical Rationale Generation16 Sep 2026
- 2026Learning to Select Source-Traceable Evidence for Language-Model Prediction from Irregular Clinical Time Series19 May 2026
- 2026EHR-RAGp: Retrieval-Augmented Prototype-Guided Foundation Model for Electronic Health Records12 May 2026
- 2026Multi-lingual Multi-institutional Electronic Health Record based Predictive Model11 Mar 2026
- 2026ReToP: Learning to Rewrite Electronic Health Records for Clinical Prediction27 Jan 2026
- 2025Time-Aware Attention for Enhanced Electronic Health Records Modeling20 Jul 2025
- 2025EHR2Path: Comprehensive Pathway-Level Modeling of Longitudinal Patient Trajectories from Multimodal Electronic Health Records5 Jun 2025
- 2025A Collection of Innovations in Medical AI for patient records in 202425 Feb 2025
- 2025LabTOP: A Unified Model for Lab Test Outcome Prediction on Electronic Health Records20 Feb 2025
- 2024Context Clues: Evaluating Long Context Models for Clinical Prediction Tasks on EHRs9 Dec 2024
- 2024LML-DAP: Language Model Learning a Dataset for Data-Augmented Prediction27 Sep 2024
- 2024Towards Predicting Temporal Changes in a Patient's Chest X-ray Images based on Electronic Health Records11 Sep 2024