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Continuous diagnosis prediction based on multi-modal electronic health records (EHRs) of patients is a promising yet challenging task for AI in healthcare. Existing studies ignore abundant domain knowledge of diseases (e.g., specific medical terms and their interrelations) in textual EHRs, which fails to accurately predict disease progression and assist in sequential diagnosis prediction. To this end, we first propose an Expert enhanced neural Ordinary Differential Equations (ExpertODE) framework for continuous diagnosis prediction. In particular, we first propose a novel Mixture of Language Experts (MoLE) module to enhance disease embeddings with domain knowledge. Furthermore, we propose a Contrastive Neural Ordinary Differential Equation (CNODE) module to continuously model temporal correlations of disease progression, and implement a unified contrastive learning framework to jointly optimize the domain-based MoLE module and the temporal-based CNODE module. Extensive experiments on two real-world textual EHR datasets show significant performance gains brought by our ExpertODE, yielding average improvements of 3.91% for diagnosis prediction over state-of-the-art competitors. © 2024 IEEE.
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ISSN: 1945-7871
Year: 2024
Language: English
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