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This research introduces Level-of-Individual Time Transformation (LITT), a data-driven framework that treats timing as a computable dimension to overcome the limitations of group-level trajectory models in clinical settings. By enabling individualized temporal features and counterfactual timing deduction without prior domain knowledge, the method facilitates automatic discovery of patient trajectories and improves survival analysis on longitudinal EHR data. The approach represents a significant methodological shift toward capturing individual-level complexity in healthcare AI applications.
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Capture Timing-Attention of Events in Clinical Time Series

arXiv2 min read

arXiv:2602.10385v5 Announce Type: replace Abstract: The contemporary paradigm of trajectory learning operates fundamentally at the level of group dynamics, systematically reducing individual-level complexity to fit group-level models, thus rendering effective patient subtyping difficult and individual-level modeling largely out of reach. We propose a data-driven paradigm that introduces a dedicated individual-level temporal variable to capture \emph{Timing Attention} (i.e., the degree of concentration of an event's timing distribution across the patient cohort), thereby rendering timing a \emph{computable dimension} that enables individualized temporal features in trajectory learning. Instantiated as the Level-of-Individual Time Transformation (LITT) and applied to longitudinal EHR data from 3,276 breast cancer patients, the proposed paradigm demonstrates, for the first time to our knowledge: (1) automatic discovery of clinically significant patient trajectories, and (2) counterfactual timing deduction, that is, a \emph{What-If Machine}. Both results are purely data-driven, requiring no prior domain knowledge. LITT further achieves strong performance on timing prediction and survival analysis tasks.

Abstract:The contemporary paradigm of trajectory learning operates fundamentally at the level of group dynamics, systematically reducing individual-level complexity to fit group-level models, thus rendering effective patient subtyping difficult and individual-level modeling largely out of reach. We propose a data-driven paradigm that introduces a dedicated individual-level temporal variable to capture \emph{Timing Attention} (i.e., the degree of concentration of an event's timing distribution across the patient cohort), thereby rendering timing a \emph{computable dimension} that enables individualized temporal features in trajectory learning. Instantiated as the Level-of-Individual Time Transformation (LITT) and applied to longitudinal EHR data from 3,276 breast cancer patients, the proposed paradigm demonstrates, for the first time to our knowledge: (1) automatic discovery of clinically significant patient trajectories, and (2) counterfactual timing deduction, that is, a \emph{What-If Machine}. Both results are purely data-driven, requiring no prior domain knowledge. LITT further achieves strong performance on timing prediction and survival analysis tasks.

Machine Learning (cs.LG); Artificial Intelligence (cs.AI)

arXiv:2602.10385 [cs.LG]

(or arXiv:2602.10385v5 [cs.LG] for this version)

Full text under the publisher's open licence · 162 words

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