Most of the existing medicine recommendation systems that are mainly based on electronic medical records (EMRs) are significantly assisting doctors to make better clinical decisions benefiting both patients and caregivers. Even though the growth of EMRs is at a lighting fast speed in the era of big data, content limitations in EMRs restrain the existed recommendation systems to reflect relevant medical facts, such as drug-drug interactions. Many medical knowledge graphs that contain drug-related information, such as DrugBank, may give hope for the recommendation systems. However, the direct use of these knowledge graphs in the systems suffers from robustness caused by the incompleteness of the graphs. To address these challenges, we stand on recent advances in graph embedding learning techniques and propose a novel framework, called Safe Medicine Recommendation (SMR), in this paper. Specifically, SMR first constructs a high-quality heterogeneous graph by bridging EMRs (MIMIC-III) and medical knowledge graphs (ICD-9 ontology and DrugBank). Then, SMR jointly embeds diseases, medicines, patients, and their corresponding relations into a shared lower dimensional space. Finally, SMR uses the embeddings to decompose the medicine recommendation into a link prediction process while considering the patient's diagnoses and adverse drug reactions. To our best knowledge, SMR is the first to learn embeddings of a patient-disease-medicine graph for medicine recommendation in the world. Extensive experiments on real datasets are conducted to evaluate the effectiveness of proposed framework.
翻译:大部分现有医学建议系统主要以电子医疗记录为基础,这些现有医学建议系统主要以电子医疗记录为基础,这些现有医学建议系统在很大程度上帮助医生作出有利于病人和护理人员的更好的临床决定。尽管在海量数据时代,EMR的增长速度非常快,但EMR的内容限制限制了现有的反映相关医疗事实的建议系统,如药物-药物相互作用等,许多含有药物相关信息的医疗知识图,如毒品银行,可能给建议系统带来希望。然而,这些系统中直接使用这些知识图的工作因图表不完整而变得稳健。为了应对这些挑战,我们坚持在图表嵌入学习技术方面的最新进展,并在本文中提出了一个称为“安全医学建议”的新框架。具体地说,SMR首先通过连接EMR(MI-III)和医学知识图(ICD-9肿瘤和毒品银行)来构建一个高质量的综合图表。然后,SMR将疾病、药物、病人及其相应关系联合嵌入一个共同的较低维面空间。最后,SMR利用嵌入式医学建议,同时将我们关于病理病理反应的深度预测与医学建议联系起来。