Neural Network Patient Selection for Clinical Analysis

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Solution Overview

Problem

Electronic health records (EHRs) often contain inaccurate data, making it challenging to analyze clinical outcomes effectively, as they lack contextual relevance, such as subject patients, clinical outcomes of interest, risk factors, and health indicators, which complicates the identification of representative patients for specific clinical contexts.

Innovation Solution

A system utilizing neural networks to select representative patients based on phenotyping features, grouping patients according to outcomes of interest, and determining a representative patient by analyzing phenotyping feature values, which includes a grouping component, a filtering component, and a neural network component to classify and weight phenotyping features for accurate representation.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Measurement precision

If neural networks are used to select representative patients based on phenotyping features, then the accuracy of clinical analysis is improved, but the device complexity increases

Engineering Contradiction:
Improveaccuracy of clinical analysisVSAvoiddevice complexity
Core Design Contradiction:
Measurement precisionVSDevice complexity

Solution Approach 1:

The system segments the patient population into distinct groups based on phenotyping features (e.g., age groups, disease severity categories). This segmentation allows the neural network to process and analyze specific characteristic sets for each group, improving measurement precision while managing complexity through structured data organization

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The phenotyping features serve as an intermediary layer between raw EHR data and clinical outcome analysis. By transforming raw data into standardized phenotypic representations, the system simplifies the neural network's processing task and improves accuracy without proportionally increasing device complexity

Inventive Principle:
Principle #24Intermediary (Mediator)

2Quantity of substance

If EHR data is analyzed without contextual relevance, then the quantity of data processed is increased, but the reliability of clinical outcomes decreases

Engineering Contradiction:
Improvequantity of data processedVSAvoidreliability of clinical outcomes
Core Design Contradiction:
Quantity of substanceVSReliability

Solution Approach 1:

The system applies local quality by weighting and selecting phenotyping features based on their specific relevance to particular clinical outcomes. Different features are emphasized differently depending on the outcome being analyzed, ensuring that only contextually relevant data contributes to reliability while still processing comprehensive datasets

Inventive Principle:
Principle #3Local quality

Solution Approach 2:

The neural network dynamically adjusts the importance weights of different phenotyping features based on the specific clinical outcome being studied. This parameter change allows the system to maintain high reliability by focusing on relevant features while still processing large quantities of EHR data through the learned feature transformations

Inventive Principle:
Principle #35Parameter changes

3Measurement precision

If patients are grouped by phenotyping features, then the identification of representative patients is improved, but the time required for analysis increases

Engineering Contradiction:
Improveidentification of representative patientsVSAvoidtime required for analysis
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary action by pre-processing and transforming EHR data into standardized phenotyping features before the neural network analysis. This pre-transformation of data into meaningful phenotypic representations enables faster and more accurate representative patient identification without requiring time-consuming real-time analysis of raw EHR data

Inventive Principle:
Principle #10Preliminary action

Data Source

PatentUS11335460B2Neural network based selection of representative patients
Publication Date: 2022.05.17 INTERNATIONAL BUSINESS MACHINE CORPORATION
  • US11335460B2 patent drawing
  • US11335460B2 patent drawing
  • US11335460B2 patent drawing

AI summary

Techniques for identifying representative patients from a patient group are provided. Based on an outcome of interest, one or more patients can be grouped according to phenotyping features associated with the outcome of interest. Additionally, in response to grouping the one or more patients, a representative patient of the one or more patients can be determined based on values associated with the phenotyping features.