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Inference of Dependency Knowledge Graph for Electronic Health Records

2023/12/25 by Zhiwei Xu, Xu, Zhiwei, Gan, Ziming +8 · 1 citation
Computer Science · Environmental Science · Mathematics · #FOS: Computer and information sciences #Health, Environment, Cognitive Aging #Machine Learning (stat.ML) #Machine Learning in Healthcare #Methodology (stat.ME) #Statistical Methods and Inference

paper · pdf · doi:10.48550/arxiv.2312.15611

openalex publication_date 2023/12/25 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/28

Abstract

The effective analysis of high-dimensional Electronic Health Record (EHR) data, with substantial potential for healthcare research, presents notable methodological challenges. Employing predictive modeling guided by a knowledge graph (KG), which enables efficient feature selection, can enhance both statistical efficiency and interpretability. While various methods have emerged for constructing KGs, existing techniques often lack statistical certainty concerning the presence of links between entities, especially in scenarios where the utilization of patient-level EHR data is limited due to privacy concerns. In this paper, we propose the first inferential framework for deriving a sparse KG with statistical guarantee based on the dynamic log-linear topic model proposed by \citearora2016latent. Within this model, the KG embeddings are estimated by performing singular value decomposition on the empirical pointwise mutual information matrix, offering a scalable solution. We then establish entrywise asymptotic normality for the KG low-rank estimator, enabling the recovery of sparse graph edges with controlled type I error. Our work uniquely addresses the under-explored domain of statistical inference about non-linear statistics under the low-rank temporal dependent models, a critical gap in existing research. We validate our approach through extensive simulation studies and then apply the method to real-world EHR data in constructing clinical KGs and generating clinical feature embeddings.

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