Development of a Knowledge Graph Embeddings Model for Pain

TL;DR

This paper develops a knowledge graph embedding model for pain by integrating electronic health records and external medical knowledge bases like SNOMED CT, enabling better semantic reasoning and prediction in healthcare data.

Contribution

It introduces a novel method for constructing and evaluating knowledge graph embeddings of pain concepts from health records and external sources.

Findings

Model outperforms baseline in link prediction tasks

Effective integration of health records and external knowledge

Enables improved semantic reasoning about pain

Abstract

Pain is a complex concept that can interconnect with other concepts such as a disorder that might cause pain, a medication that might relieve pain, and so on. To fully understand the context of pain experienced by either an individual or across a population, we may need to examine all concepts related to pain and the relationships between them. This is especially useful when modeling pain that has been recorded in electronic health records. Knowledge graphs represent concepts and their relations by an interlinked network, enabling semantic and context-based reasoning in a computationally tractable form. These graphs can, however, be too large for efficient computation. Knowledge graph embeddings help to resolve this by representing the graphs in a low-dimensional vector space. These embeddings can then be used in various downstream tasks such as classification and link prediction. The various relations associated with pain which are required to construct such a knowledge graph can be obtained from external medical knowledge bases such as SNOMED CT, a hierarchical systematic nomenclature of medical terms. A knowledge graph built in this way could be further enriched with real-world examples of pain and its relations extracted from electronic health records. This paper describes the construction of such knowledge graph embedding models of pain concepts, extracted from the unstructured text of mental health electronic health records, combined with external knowledge created from relations described in SNOMED CT, and their evaluation on a subject-object link prediction task. The performance of the models was compared with other baseline models.