The healthcare sector is becoming more dependent on electronic health records (EHR) for disease forecasting, risk evaluation, and mortality analysis. Although AI-driven models have enhanced disease prediction, they frequently focus on common diseases and face difficulties with new or rare diseases. Furthermore, these models require large datasets for better accuracy, posing challenges in diverse or limited-data scenarios. To solve these issues, this research proposes a novel Long Short-Term Memory (LSTM)-Attention network-based meta-learning framework for prediction tasks using time-series data from EHRs. The framework is designed to address challenges such as limited sample sizes, imbalanced labels, and the ability to predict unseen diseases. The proposed model is capable of handling multiple tasks related to irregular patterns and anomalies in time-series signals. The meta-learning approach enables the system to leverage knowledge from previous tasks, enhancing its ability to predict new and previously unseen diseases from ECG data. The proposed LSTM-Attention model is evaluated against conventional models like Support Vector Machine (SVM), Random Forest (RF), and XGBoost. Experimental results demonstrate that the proposed model outperforms these models, achieving superior performance in predicting HRV, arrhythmia, and abnormalities from ECG signals. The LSTM-Attention model achieves the highest accuracy (0.92), precision (0.90), recall (0.91), F1 score (0.91), and ROC-AUC (0.93). Moreover, the prediction time for the proposed model is 95 seconds, significantly faster than other models.
Keywords
Electronic Health Record, Meta-Learning, Electrocardiogram, LSTM With Attention, Disease Prediction, Accuracy.
J. F. J. Vos, A. Boonstra, A. Kooistra, M. Seelen, and M. van Offenbeek, “The influence of electronic health record use on collaboration among medical specialties,” BMC Health Services Research, vol. 20, no. 1, Jul. 2020, doi: 10.1186/s12913-020-05542-6.
T. Poongodi, D. Sumathi, P. Suresh, and B. Balusamy, “Deep Learning Techniques for Electronic Health Record (EHR) Analysis,” Bio-inspired Neurocomputing, pp. 73–103, Jul. 2020, doi: 10.1007/978-981-15-5495-7_5.
M. Tayefi et al., “Challenges and opportunities beyond structured data in analysis of electronic health records,” WIREs Computational Statistics, vol. 13, no. 6, Feb. 2021, doi: 10.1002/wics.1549.
Y. Cheng, F. Wang, P. Zhang, and J. Hu, “Risk Prediction with Electronic Health Records: A Deep Learning Approach,” Proceedings of the 2016 SIAM International Conference on Data Mining, Jun. 2016, doi: 10.1137/1.9781611974348.49.
S. Jiang, Y. Gu, and E. Kumar, “Stroke Risk Prediction Using Artificial Intelligence Techniques Through Electronic Health Records,” Artificial Intelligence Evolution, pp. 88–98, May 2023, doi: 10.37256/aie.4120232744.
J. G, S. R, G. H L, V. Ravi, M. Almeshari, and Y. Alzamil, “Electronic Health Record (EHR) System Development for Study on EHR Data-based Early Prediction of Diabetes Using Machine Learning Algorithms,” The Open Bioinformatics Journal, vol. 16, no. 1, Oct. 2023, doi: 10.2174/18750362-v16-e230906-2023-15.
E. Tsien, D. Wu, and A. L.-D. Fede, “Developing Multi-Task Learning Methods to Aid in Electronic Healthcare Prediction,” 2023 IEEE 11th International Conference on Healthcare Informatics (ICHI), pp. 486–487, Jun. 2023, doi: 10.1109/ichi57859.2023.00077.
Q. Suo et al., “Personalized disease prediction using a CNN-based similarity learning method,” 2017 IEEE International Conference on Bioinformatics and Biomedicine (BIBM), Nov. 2017, doi: 10.1109/bibm.2017.8217759.
K. Liu et al., “Development and Validation of a Personalized Model With Transfer Learning for Acute Kidney Injury Risk Estimation Using Electronic Health Records,” JAMA Network Open, vol. 5, no. 7, p. e2219776, Jul. 2022, doi: 10.1001/jamanetworkopen.2022.19776.
J. Tian, A. Xiang, Y. Feng, Q. Yang, and H. Liu, “Enhancing Disease Prediction with a Hybrid CNN-LSTM Framework in EHRs,” Journal of Theory and Practice of Engineering Science, vol. 4, no. 02, pp. 8–14, Feb. 2024, doi: 10.53469/jtpes.2024.04(02).02.
X. Dong et al., “An integrated LSTM-HeteroRGNN model for interpretable opioid overdose risk prediction,” Artificial Intelligence in Medicine, vol. 135, p. 102439, Jan. 2023, doi: 10.1016/j.artmed.2022.102439.
Kiser, Amber C., Karen Eilbeck, and Brian T. Bucher. "Developing an LSTM model to identify surgical site infections using electronic healthcare records." AMIA Summits on Translational Science Proceedings 2023 (2023): 330.
S. Liu et al., “New onset delirium prediction using machine learning and long short-term memory (LSTM) in electronic health record,” Journal of the American Medical Informatics Association, vol. 30, no. 1, pp. 120–131, Oct. 2022, doi: 10.1093/jamia/ocac210.
K. Jabir and A. Thirumurthi Raja, “Prediction of Lung Cancer from Electronic Health Records Using CNN Supported NLP,” Computational Intelligence for Clinical Diagnosis, pp. 549–560, 2023, doi: 10.1007/978-3-031-23683-9_40.
Zou, Lan. Meta-learning: Theory, algorithms and applications. Elsevier, 2022.
I Sutskever. "Sequence to Sequence Learning with Neural Networks." arXiv preprint arXiv:1409.3215 (2014).
MIMIC III dataset. Available Online: https://mimic.mit.edu/ (access date: 5 April, 2024).
F. R. Adi Pratama and S. I. Oktora, “Synthetic Minority Over-sampling Technique (SMOTE) for handling imbalanced data in poverty classification,” Statistical Journal of the IAOS, vol. 39, no. 1, pp. 233–239, Mar. 2023, doi: 10.3233/sji-220080.
C. Cortes and V. Vapnik, “Support-Vector Networks,” Machine Learning, vol. 20, no. 3, pp. 273–297, Sep. 1995, doi: 10.1023/a:1022627411411.
L. Breiman, “Random Forests,” Machine Learning, vol. 45, no. 1, pp. 5–32, Oct. 2001, doi: 10.1023/a:1010933404324.
T. Chen and C. Guestrin, “XGBoost,” Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, pp. 785–794, Aug. 2016, doi: 10.1145/2939672.2939785.
CRediT Author Statement
The authors confirm contribution to the paper as follows:
Conceptualization: Chitra G and Syed Muzamil Basha;
Writing- Original Draft Preparation: Chitra G and Syed Muzamil Basha;
Visualization: Srinivasa Rao Kunte R;
Investigation: Chitra G and Syed Muzamil Basha;
Supervision: Chitra G;
Validation: Syed Muzamil Basha;
Writing- Reviewing and Editing: Chitra G and Syed Muzamil Basha; All authors reviewed the results and approved the final version of the manuscript.
Acknowledgements
Author(s) thanks to Dr.Syed Muzamil Basha for this research completion and support.
Funding
No funding was received to assist with the preparation of this manuscript.
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to declare that are relevant to the content of this article.
Availability of data and materials
The dataset generated and/or analysed during the current study is available on MIMIC III dataset, https://mimic.mit.edu/.
Author information
Contributions
All authors have equal contribution in the paper and all authors have read and agreed to the published version of the manuscript.
Corresponding author
Chitra G
School of Computer Science and Engineering, REVA University, Bengaluru, Karnataka, India.
Open Access This article is licensed under a Creative Commons Attribution NoDerivs is a more restrictive license. It allows you to redistribute the material commercially or non-commercially but the user cannot make any changes whatsoever to the original, i.e. no derivatives of the original work. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
Cite this article
Chitra G and Syed Muzamil Basha, “Meta Learning for Enhanced Disease Prediction from EHR Data”, Journal of Machine and Computing, vol.5, no.4, pp. 2183-2195, October 2025, doi: 10.53759/7669/jmc202505169.