Next Visit Diagnosis Prediction via Medical Code-Centric Multimodal Contrastive EHR Modelling with Hierarchical Regularisation
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Abstract (arXiv)
Predicting next visit diagnosis using Electronic Health Records (EHR) is an essential task in healthcare, critical for devising proactive future plans for both healthcare providers and patients. Nonetheless, many preceding studies have not sufficiently addressed the heterogeneous and hierarchical characteristics inherent in EHR data, inevitably leading to sub-optimal performance. To this end, we propose NECHO, a novel medical code-centric multimodal contrastive EHR learning framework with hierarchical regularisation. First, we integrate multifaceted information encompassing medical codes, demographics, and clinical notes using a tailored network design and a pair of bimodal contrastive losses, all of which pivot around a medical codes representation. We also regularise modality-specific encoders using a parental level information in medical ontology to learn hierarchical structure of EHR data. A series of experiments on MIMIC-III data demonstrates effectiveness of our approach.
Key facts. Cited by 5 papers in the map (data through 14 Oct 2026). Builds on 28 of its 40 references that are in the map. First posted on arXiv 22 Jan 2024.
Builds on
28 of 40 references.
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16 more
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Built on by
Citing papers per year: 2024: 2; 2025: 1; 2026: 2.
5 papers.
- 2024Global Contrastive Training for Multimodal Electronic Health Records with Language Supervisioncited by 4
- 2024Overcoming Uncertain Incompleteness for Robust Multimodal Sequential Diagnosis Prediction via Curriculum Data Erasing Guided Knowledge Distillationcited by 3
- 2025RuCCoD: Towards Automated ICD Coding in Russiancited by 1
- 2026Mitigating Stethoscope-Induced Shortcuts in Respiratory Sound Classification under Federated Domain Generalization with Causality-Inspired Interventionscited by 1
- 2026HyperANFIS: Enhancing Rule Representation and Interpretability in Adaptive Neuro-Fuzzy Systems via Hyperbolic Geometrycited by 0
- 2026HyperANFIS: Enhancing Rule Representation and Interpretability in Adaptive Neuro-Fuzzy Systems via Hyperbolic Geometry12 Aug 2026
- 2026Mitigating Stethoscope-Induced Shortcuts in Respiratory Sound Classification under Federated Domain Generalization with Causality-Inspired Interventions28 May 2026
- 2025RuCCoD: Towards Automated ICD Coding in Russian28 Feb 2025
- 2024Overcoming Uncertain Incompleteness for Robust Multimodal Sequential Diagnosis Prediction via Curriculum Data Erasing Guided Knowledge Distillation28 Jul 2024
- 2024Global Contrastive Training for Multimodal Electronic Health Records with Language Supervision10 Apr 2024