基于多源信息结构化序列建模的药物推荐方法
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TP18

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国家自然科学基金(62076228); 中国地质大学(武汉)教学实验室开放基金(SKJ2023234)


Drug Recommendation Method Based on Structured Sequence Modeling with Multi-source Information
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    摘要:

    药物推荐旨在依据患者的临床问诊信息, 制定出最适宜的药物治疗方案. 然而, 现有的药物推荐方法往往缺少对患者问诊序列中纵向和结构化特征的有效挖掘. 针对这一问题, 提出了一种端到端的基于多源信息结构化序列建模的药物推荐方法. 具体地, 该方法首先构建了高效的压缩编码器来刻画细粒度的EHR编码信息; 然后, 设计了一个循环注意力网络, 在时间维度上通过掩码注意力机制来捕捉问诊序列中的全局依赖关系, 允许网络在学习时动态地调整历史问诊的权重, 从而更准确地捕获问诊序列的纵向依赖关系; 此外, 引入图对比学习策略和知识增强检索模块以提高模型的结构化表征能力, 帮助理解药物之间的结构关系并降低DDI风险. 在MIMIC-III和MIMIC-IV等真实世界数据集上的实验结果表明, 所提方法在多个性能指标上都优于对比方法.

    Abstract:

    Drug recommendation aims to formulate the most suitable medication treatment plan based on patients’ clinical consultation information. However, existing drug recommendation methods usually lack effective exploration of longitudinal and structured features in patient consultation sequences. To address this issue, this study proposes an end-to-end drug recommendation method based on structured sequence modelling with multi-source information. Specifically, this method first constructs an efficient compression encoder to depict fine-grained EHR-encoded information. Then, a recurrent attention network is designed, which captures the global dependencies in the consultation sequence through a masked attention mechanism on the temporal dimension, allowing the network to dynamically adjust the weight of historical visits during learning. This enhances the accuracy of capturing longitudinal dependencies in consultation sequences. Moreover, by introducing a graph contrastive learning strategy and a knowledge-enhanced retrieval module, the model’s capability for structured representation is improved, facilitating the understanding of the structural relationships among drugs and reducing the risk of DDI. Experimental results on real-world datasets (i.e., MIMIC-III and MIMIC-IV) demonstrate that the proposed method outperforms comparative methods across multiple performance metrics.

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邹鑫,唐厂,刘新旺,郑晓,刘袁缘,安山.基于多源信息结构化序列建模的药物推荐方法.软件学报,2026,37(3):1374-1392

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  • 收稿日期:2024-06-15
  • 最后修改日期:2025-02-20
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  • 在线发布日期: 2025-11-20
  • 出版日期: 2026-03-06
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