ArticleNPJ digital medicine2025
Clinical decision support using pseudo-notes from multiple streams of EHR data.
Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Large language models are powerful electronic health record encoders.NPJ digital medicine · 2026Article
- Article
- Smart assistive technologies for neurodisorders: A review on AI, IoT, and wearable systems for enhanced patient care.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Review
- Large language models improve transferability of electronic health record-based predictions across countries and coding systems.NPJ digital medicine · 2026Article
- A method to enable clinical and translational research teams with custom real-world data from electronic health record systems.Journal of clinical and translational science · 2026Article
- A large language model for delirium prediction in the intensive care unit using structured electronic health records.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Electronic health records (EHR) contain data from disparate sources, spanning various biological and temporal scales. In this work, we introduce the Multiple Embedding Model for EHR (MEME), a deep learning framework for clinical decision support that operates over heterogeneous EHR. MEME first converts tabular EHR into "pseudo-notes", reducing the need for concept harmonization across EHR systems and allowing the use of any state-of-the-art, open source language foundation models. The model separately embeds EHR domains, then uses a self-attention mechanism to learn the contextual importance of these multiple embeddings. In a study of 400,019 emergency department visits, MEME successfully predicted emergency department disposition, discharge location, intensive care requirement, and mortality. It outperformed traditional machine learning models (Logistic Regression, Random Forest, XGBoost, MLP), EHR foundation models (EHR-shot, MC-BEC, MSEM), and GPT-4 prompting strategies. Due to text serialization, MEME also exhibited strong few-shot learning performance in an external, unstandardized EHR database.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.