TAHDNet: Time-aware hierarchical dependency network for medication recommendation.

Journal: Journal of biomedical informatics
Published Date:

Abstract

Medication recommendation is a hot topic in the research of applying neural networks to the healthcare area. Although extensive progressions have been made, current researches still face the following challenges: (i). Existing methods are poor at efficiently capturing and leveraging local and global dependency information from patient visit records. (ii). Current time-aware models based on irregularly interval medical records tend to ignore periodic variability in patient conditions, which limits the representational learning capability of these models. Therefore, we propose a Dynamic Time-aware Hierarchical Dependency Network (TAHDNet) for the medication recommendation task to address these challenges. Firstly, we use a Transformer-based model to learn the global information of the whole patient record through a self-supervised pre-training process. Secondly, a 1D-CNN model is used to learn the local dependencies on visitation level. Thirdly, we propose a dynamic time-aware module with a fused temporal decay function to assign different weights among different time intervals dynamically through a key-value attention mechanism. Experimental results on real-world datasets demonstrate the effectiveness of the model proposed in this paper.

Authors

  • Yaqi Su
    School of Software, Shandong University, China. Electronic address: suyaqi@mail.sdu.edu.cn.
  • Yuliang Shi
    School of Software, Shandong University, China; Dareway Software Co., Ltd, China. Electronic address: shiyuliang@sdu.edu.cn.
  • Wu Lee
    School of Software, Shandong University, China. Electronic address: leewu@mail.sdu.edu.cn.
  • Lin Cheng
    Department of Radiology, Southwest Hospital, Third Military Medical University (Army Military Medical University), Chongqing, China.
  • Hongmei Guo
    Department of Periodontology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University, Shandong Key Laboratory of Oral Tissue Regeneration, Shandong Engineering Laboratory for Dental Materials and Oral Tissue Regeneration, China. Electronic address: guohm@sdu.edu.cn.