Accurate prediction of patients’ ICU transfer events is of great significance for improving ICU treatment efficiency. ICU transition prediction task based on Electronic Health Records (EHR) is a temporal mining task like many other health informatics mining tasks. In the EHR-based temporal mining task, existing approaches are usually unable to mine and exploit patterns used to improve model performance. This article proposes a network based on Interval Pattern-Aware, Multi-Scale Interval Pattern-Aware (MSIPA) network. MSIPA mines different interval patterns in temporal EHR data according to the short, medium, and long intervals. MSIPA utilizes the Scaled Dot-Product Attention mechanism to query the contexts corresponding to the three scale patterns. Furthermore, Transformer will use all three types of contextual information simultaneously for ICU transfer prediction. Extensive experiments on real-world data demonstrate that an MSIPA network outperforms state-of-the-art methods.

In China, with the continuous development of national health insurance policies, more and more people have joined the health insurance. How to accurately predict patients future medical treatment behavior becomes a hotspot issue. The biggest challenge in this issue is how to improve the prediction performance by modeling health insurance data with high-dimensional time characteristics. At present, most of the research is to solve this issue by using Recurrent Neural Networks (RNNs) to construct an overall prediction model for the medical visit sequences. However, RNNs can not effectively solve the long-term dependence, and RNNs ignores the importance of time interval of the medical visit sequence. Additionally, the global model may lose some important content to different groups. In order to solve these problems, we propose a Grouping and Global Attention based Time-aware Bidirectional Long Short-Term Memory (GGATB-LSTM) model to achieve medical treatment behavior prediction. The model first constructs a heterogeneous information network based on health insurance data, and uses a tensor CANDECOMP/PARAFAC decomposition method to achieve similarity grouping. In terms of group prediction, a global attention and time factor are introduced to extend the bidirectional LSTM. Finally, the proposed model is evaluated by using real dataset, and conclude that GGATB-LSTM is better than other methods.