Discovering Hierarchy-Grounded Domains with Adaptive Granularity for Clinical Domain Generalization
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Abstract (arXiv)
Domain generalization has become a critical challenge in predictive healthcare, where different patient groups exhibit shifting data distributions that degrade model performance. Still, regular domain generalization approaches often struggle in clinical settings due to (1) the absence of domain labels and (2) the lack of clinical insight integration. To address these challenges in healthcare, we aim to explore how medical ontologies can be used to discover dynamic yet hierarchy-grounded patient domains, a partitioning strategy that remains under-explored in prior work. Hence, we introduce UdonCare, a hierarchy-pruning method that iteratively divides patients into latent domains and retrieves domain-invariant (label) information from patient data. On public datasets (MIMIC-III, MIMIC-IV, and eICU), UdonCare shows superiority over eight generalization baselines across four representative clinical prediction tasks with substantial domain gaps, highlighting the potential of medical knowledge for enhancing model generalization.
Key facts. Cited by 3 papers in the map (data through 14 Oct 2026). Builds on 34 of its 76 references that are in the map. First posted on arXiv 8 Jun 2025.
Builds on
34 of 76 references.
References · 34
- 2017Attention Is All You Needcited by 60,361
- 2017Model-Agnostic Meta-Learning for Fast Adaptation of Deep Networkscited by 4,897
- 2016Image-to-Image Translation with Conditional Adversarial Networkscited by 4,527
- 2015Domain-Adversarial Training of Neural Networkscited by 3,044
- 2018UMAP: Uniform Manifold Approximation and Projection for Dimension Reductioncited by 2,898
- 2019Invariant Risk Minimizationcited by 1,854
- 2020WILDS: A Benchmark of in-the-Wild Distribution Shiftscited by 1,375
- 2021Domain Generalization: A Surveycited by 764
- 2017Learning to Generalize: Meta-Learning for Domain Generalizationcited by 763
- 2013Domain Generalization via Invariant Feature Representationcited by 623
- 2019ClinicalBERT: Modeling Clinical Notes and Predicting Hospital Readmissioncited by 493
- 2021SWAD: Domain Generalization by Seeking Flat Minimacited by 434
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- 2019Domain Generalization via Model-Agnostic Learning of Semantic Featurescited by 407
- 2016Domain Separation Networkscited by 320
- 2015Doctor AI: Predicting Clinical Events via Recurrent Neural Networkscited by 208
- 2021SelfReg: Self-supervised Contrastive Regularization for Domain Generalizationcited by 189
- 2020Adaptive Risk Minimization: Learning to Adapt to Domain Shiftcited by 183
- 2019Domain Generalization Using a Mixture of Multiple Latent Domainscited by 170
- 2021Reviving Iterative Training with Mask Guidance for Interactive Segmentationcited by 163
- 2019Pre-training of Graph Augmented Transformers for Medication Recommendationcited by 127
- 2020Domain Generalization for Medical Imaging Classification with Linear-Dependency Regularizationcited by 123
- 2018Unsupervised domain adaptation for medical imaging segmentation with self-ensemblingcited by 94
- 2021Towards Principled Disentanglement for Domain Generalizationcited by 91
- 2018GAMENet: Graph Augmented MEmory Networks for Recommending Medication Combinationcited by 83
- 2022Connect, Not Collapse: Explaining Contrastive Learning for Unsupervised Domain Adaptationcited by 67
- 2023GraphCare: Enhancing Healthcare Predictions with Personalized Knowledge Graphscited by 58
- 2021Feature Stylization and Domain-aware Contrastive Learning for Domain Generalizationcited by 40
- 2021An Empirical Framework for Domain Generalization in Clinical Settingscited by 32
- 2021Collaborative Graph Learning with Auxiliary Text for Temporal Event Prediction in Healthcarecited by 30
- 2022Domain Generalization by Learning and Removing Domain-specific Featurescited by 28
- 2023ManyDG: Many-domain Generalization for Healthcare Applicationscited by 23
- 2021Variational Disentanglement for Domain Generalizationcited by 18
- 2025No Black Boxes: Interpretable and Interactable Predictive Healthcare with Knowledge-Enhanced Agentic Causal Discoverycited by 5
- 2024MPLite: Multi-Aspect Pretraining for Mining Clinical Health Recordscited by 1
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