Digital healthcare systems have enabled the collection of mass healthcare data in electronic healthcare records (EHRs), allowing artificial intelligence solutions for various healthcare prediction tasks. However, existing studies often focus on isolated components of EHR data, limiting their predictive performance and interpretability. To address this gap, we propose ProtoEHR, an interpretable hierarchical prototype learning framework that fully exploits the rich, multi-level structure of EHR data to enhance healthcare predictions. More specifically, ProtoEHR models relationships within and across three hierarchical levels of EHRs: medical codes, hospital visits, and patients. We first leverage large language models to extract semantic relationships among medical codes and construct a medical knowledge graph as the knowledge source. Building on this, we design a hierarchical representation learning framework that captures contextualized representations across three levels, while incorporating prototype information within each level to capture intrinsic similarities and improve generalization. To perform a comprehensive assessment, we evaluate ProtoEHR in two public datasets on five clinically significant tasks, including prediction of mortality, prediction of readmission, prediction of length of stay, drug recommendation, and prediction of phenotype. The results demonstrate the ability of ProtoEHR to make accurate, robust, and interpretable predictions compared to baselines in the literature. Furthermore, ProtoEHR offers interpretable insights on code, visit, and patient levels to aid in healthcare prediction.

Timely anomaly detection of multivariate time series (MTS) is of vital importance for managing large-scale software systems. However, many deep learning-based MTS anomaly detection models require long-term MTS training data to achieve optimal performance, which often conflicts with the frequent pattern changes observed in software systems. Moreover, the training overhead of vast MTS in large-scale software systems is unacceptably high. To address these issues, we design OmniTransfer , a model-agnostic framework that combines weighted hierarchical agglomerative clustering with an adaptive transfer learning strategy, making many state-of-the-art (SOTA) MTS anomaly detection models efficient and effective. Extensive experiments using real-world data from a large web content service provider and a network operator show that OmniTransfer significantly reduces the model initialization time by 46.49% and the training cost by 74.51%, while maintaining high accuracy in detecting anomalies.

In the rapidly changing healthcare landscape, the implementation of offline reinforcement learning (RL) in dynamic treatment regimes (DTRs) presents a mix of unprecedented opportunities and challenges. This position paper offers a critical examination of the current status of offline RL in the context of DTRs. We argue for a reassessment of applying RL in DTRs, citing concerns such as inconsistent and potentially inconclusive evaluation metrics, the absence of naive and supervised learning baselines, and the diverse choice of RL formulation in existing research. Through a case study with more than 17,000 evaluation experiments using a publicly available Sepsis dataset, we demonstrate that the performance of RL algorithms can significantly vary with changes in evaluation metrics and Markov Decision Process (MDP) formulations. Surprisingly, it is observed that in some instances, RL algorithms can be surpassed by random baselines subjected to policy evaluation methods and reward design. This calls for more careful policy evaluation and algorithm development in future DTR works. Additionally, we discussed potential enhancements toward more reliable development of RL-based dynamic treatment regimes and invited further discussion within the community. Code is available at https://github.com/GilesLuo/ReassessDTR.