arXiv:2412.10454cs.LGcs.AI2024-12NeurIPS被引 4

基于电子病历的儿童肥胖风险预测系统,支持无缝接入医院系统

An Interoperable Machine Learning Pipeline for Pediatric Obesity Risk Estimation

  • 构建端到端预测流程,仅用常规电子病历数据
  • 使用FHIR标准实现跨系统快速集成
  • 经多方专家验证,兼具准确性和实用性

可靠的儿童肥胖预测可为医护人员提供及时干预依据。尽管已有研究提出多种机器学习模型并取得高预测性能,但目前尚无通用的临床决策支持工具。本研究提出一种专为儿童肥胖风险预测设计的端到端流水线,支持数据提取、推理与结果交互,通过API或用户界面实现。该系统仅利用儿科电子病历中的常规记录数据,结合专家筛选的多类医疗概念,预测未来1-3年发展为肥胖的风险。设计中采用快速健康互操作性资源(FHIR)标准,旨在实现与不同电子病历系统的低门槛集成。实验验证了模型的有效性,并收集了包括机器学习科学家、临床医生、健康信息技术人员、卫生管理人员及患者代表在内的多方反馈,证明其在准确性与可用性上的良好平衡。

原文摘要 · Abstract (English)

Reliable prediction of pediatric obesity can offer a valuable resource to providers, helping them engage in timely preventive interventions before the disease is established. Many efforts have been made to develop ML-based predictive models of obesity, and some studies have reported high predictive performances. However, no commonly used clinical decision support tool based on existing ML models currently exists. This study presents a novel end-to-end pipeline specifically designed for pediatric obesity prediction, which supports the entire process of data extraction, inference, and communication via an API or a user interface. While focusing only on routinely recorded data in pediatric electronic health records (EHRs), our pipeline uses a diverse expert-curated list of medical concepts to predict the 1-3 years risk of developing obesity. Furthermore, by using the Fast Healthcare Interoperability Resources (FHIR) standard in our design procedure, we specifically target facilitating low-effort integration of our pipeline with different EHR systems. In our experiments, we report the effectiveness of the predictive model as well as its alignment with the feedback from various stakeholders, including ML scientists, providers, health IT personnel, health administration representatives, and patient group representatives.

肥胖预测电子病历FHIR

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