IntelliCare: Improving Healthcare Analysis with Variance-Controlled Patient-Level Knowledge from Large Language Models

While pioneering deep learning methods have made great strides in analyzing electronic health record (EHR) data, they often struggle to fully capture the semantics of diverse medical codes from limited data. The integration of external knowledge from Large Language Models (LLMs) presents a promising avenue for improving healthcare predictions. However, LLM analyses may exhibit significant variance due to ambiguity problems and inconsistency issues, hindering their effective utilization. To address these challenges, we propose IntelliCare, a novel framework that leverages LLMs to provide high-quality patient-level external knowledge and enhance existing EHR models. Concretely, IntelliCare identifies patient cohorts and employs task-relevant statistical information to augment LLM understanding and generation, effectively mitigating the ambiguity problem. Additionally, it refines LLM-derived knowledge through a hybrid approach, generating multiple analyses and calibrating them using both the EHR model and perplexity measures. Experimental evaluations on three clinical prediction tasks across two large-scale EHR datasets demonstrate that IntelliCare delivers significant performance improvements to existing methods, highlighting its potential in advancing personalized healthcare predictions and decision support systems.

SMART: Towards Pre-trained Missing-Aware Model for Patient Health Status Prediction

Electronic health record (EHR) data has emerged as a valuable resource for analyzing patient health status. However, the prevalence of missing data in EHR poses significant challenges to existing methods, leading to spurious correlations and suboptimal predictions. While various imputation techniques have been developed to address this issue, they often obsess unnecessary details and may introduce additional noise when making clinical predictions. To tackle this problem, we propose SMART, a Self-Supervised Missing-Aware RepresenTation Learning approach for patient health status prediction, which encodes missing information via elaborated attentions and learns to impute missing values through a novel self-supervised pre-training approach that reconstructs missing data representations in the latent space. By adopting missing-aware attentions and focusing on learning higher-order representations, SMART promotes better generalization and robustness to missing data. We validate the effectiveness of SMART through extensive experiments on six EHR tasks, demonstrating its superiority over state-of-the-art methods.

LoRA Dropout as a Sparsity Regularizer for Overfitting Control

Parameter-efficient fine-tuning methods, represented by LoRA, play an essential role in adapting large-scale pre-trained models to downstream tasks. However, fine-tuning LoRA-series models also faces the risk of overfitting on the training dataset, and yet there's still a lack of theoretical guidance and practical mechanism to control overfitting on LoRA-based PEFT methods. In this paper, we propose a LoRA Dropout mechanism for the LoRA-based methods by introducing random noises to the learnable low-rank matrices and increasing parameter sparsity. We then demonstrate the theoretical mechanism of our LoRA Dropout mechanism from the perspective of sparsity regularization by providing a generalization error bound under this framework. Theoretical results show that appropriate sparsity would help tighten the gap between empirical and generalization risks and thereby control overfitting. Furthermore, based on the LoRA Dropout framework, we introduce a test-time ensemble strategy and provide theoretical evidence demonstrating that the ensemble method can further compress the error bound, and lead to better performance during inference time. Extensive experiments on various NLP tasks provide practical validations of the effectiveness of our LoRA Dropout framework in improving model accuracy and calibration.

Domain Generalization through the Lens of Angular Invariance

Domain generalization (DG) aims at generalizing a classifier trained on multiple source domains to an unseen target domain with domain shift. A common pervasive theme in existing DG literature is domain-invariant representation learning with various invariance assumptions. However, prior works restrict themselves to a radical assumption for realworld challenges: If a mapping induced by a deep neural network (DNN) could align the source domains well, then such a mapping aligns a target domain as well. In this paper, we simply take DNNs as feature extractors to relax the requirement of distribution alignment. Specifically, we put forward a novel angular invariance and the accompanied norm shift assumption. Based on the proposed term of invariance, we propose a novel deep DG method called Angular Invariance Domain Generalization Network (AIDGN). The optimization objective of AIDGN is developed with a von-Mises Fisher (vMF) mixture model. Extensive experiments on multiple DG benchmark datasets validate the effectiveness of the proposed AIDGN method.