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1 change: 1 addition & 0 deletions docs/api/datasets.rst
Original file line number Diff line number Diff line change
Expand Up @@ -246,3 +246,4 @@ Available Datasets
datasets/pyhealth.datasets.TCGAPRADDataset
datasets/pyhealth.datasets.splitter
datasets/pyhealth.datasets.utils
datasets/pyhealth.datasets.mimic3_cf
26 changes: 26 additions & 0 deletions docs/api/datasets/pyhealth.datasets.mimic3_cf.rst
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pyhealth.datasets.mimic3_cf
===========================

Overview
--------

MIMIC3CirculatoryFailureDataset is a MIMIC-III based dataset for early warning
prediction of circulatory failure.

It constructs an ICU-stay-level cohort from PATIENTS, ADMISSIONS, and ICUSTAYS,
and uses CHARTEVENTS to extract Mean Arterial Pressure (MAP) measurements.

Circulatory failure is defined using a proxy event:

- MAP < 65 mmHg

For each ICU stay, the dataset identifies the first occurrence of this event and
supports building task-ready patient records for downstream prediction tasks.

API Reference
-------------

.. autoclass:: pyhealth.datasets.MIMIC3CirculatoryFailureDataset
:members:
:undoc-members:
:show-inheritance:
1 change: 1 addition & 0 deletions docs/api/tasks.rst
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Expand Up @@ -230,3 +230,4 @@ Available Tasks
Mutation Pathogenicity (COSMIC) <tasks/pyhealth.tasks.MutationPathogenicityPrediction>
Cancer Survival Prediction (TCGA) <tasks/pyhealth.tasks.CancerSurvivalPrediction>
Cancer Mutation Burden (TCGA) <tasks/pyhealth.tasks.CancerMutationBurden>
Circulatory Failure Prediction <tasks/pyhealth.tasks.circulatory_failure_prediction>
24 changes: 24 additions & 0 deletions docs/api/tasks/pyhealth.tasks.circulatory_failure_prediction.rst
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pyhealth.tasks.circulatory_failure_prediction
=============================================

Overview
--------

CirculatoryFailurePredictionTask defines a time-series prediction task for early
detection of circulatory failure.

The task predicts whether a patient will experience circulatory failure within
the next 12 hours based on physiological measurements.

Label definition:

- label = 1 if circulatory failure occurs within the next 12 hours
- label = 0 otherwise

API Reference
-------------

.. autoclass:: pyhealth.tasks.CirculatoryFailurePredictionTask
:members:
:undoc-members:
:show-inheritance:
145 changes: 145 additions & 0 deletions examples/mimic3_cf_circulatory_failure_logreg.py
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"""
Example ablation script for MIMIC-III circulatory failure prediction.

This script compares different prediction windows (6h, 12h, 24h) and
feature settings using logistic regression. It is intended as an example
usage script for the dataset-task pipeline and ablation study.
"""

from pyhealth.datasets import MIMIC3CirculatoryFailureDataset
from pyhealth.tasks import CirculatoryFailurePredictionTask

import pandas as pd
from sklearn.model_selection import train_test_split
from sklearn.linear_model import LogisticRegression
from sklearn.metrics import accuracy_score, roc_auc_score, recall_score


def samples_to_df(samples: list[dict]) -> pd.DataFrame:
rows = []
for s in samples:
rows.append(
{
"patient_id": s["patient_id"],
"icustay_id": s["icustay_id"],
"gender": s["gender"],
"timestamp": s["timestamp"],
"map": s["features"]["map"],
"label": s["label"],
}
)
df = pd.DataFrame(rows)
return df


def add_advanced_features(df: pd.DataFrame) -> pd.DataFrame:
"""Add simple temporal features for the advanced setting."""
df = df.sort_values(["icustay_id", "timestamp"]).copy()
df["map_prev"] = df.groupby("icustay_id")["map"].shift(1)
df["map_diff"] = df["map"] - df["map_prev"]
df["map_prev"] = df["map_prev"].fillna(df["map"])
df["map_diff"] = df["map_diff"].fillna(0.0)
return df


def evaluate_model(
df: pd.DataFrame,
feature_cols: list[str],
balanced: bool = False,
) -> dict:
if df.empty or df["label"].nunique() < 2:
return {
"n_samples": len(df),
"accuracy": None,
"roc_auc": None,
"recall": None,
}

X = df[feature_cols]
y = df["label"]

X_train, X_test, y_train, y_test = train_test_split(
X,
y,
test_size=0.2,
random_state=42,
stratify=y,
)

model = LogisticRegression(
max_iter=1000,
class_weight="balanced" if balanced else None,
)
model.fit(X_train, y_train)

preds = model.predict(X_test)
probs = model.predict_proba(X_test)[:, 1]

return {
"n_samples": len(df),
"accuracy": accuracy_score(y_test, preds),
"roc_auc": roc_auc_score(y_test, probs),
"recall": recall_score(y_test, preds),
}


def print_metrics(title: str, metrics: dict) -> None:
print(f"\n=== {title} ===")
print(f"n_samples: {metrics['n_samples']}")
print(f"accuracy: {metrics['accuracy']}")
print(f"roc_auc: {metrics['roc_auc']}")
print(f"recall: {metrics['recall']}")


def main() -> None:
dataset = MIMIC3CirculatoryFailureDataset(
# path to the unzipped MIMIC-III database on your machine
root="mimic-iii-dataset"
)

# task ablation: prediction windows
for window in [6, 12, 24]:
print(f"\n############################")
print(f"Prediction window = {window}h")
print(f"############################")

task = CirculatoryFailurePredictionTask(prediction_window_hours=window)
samples = dataset.set_task(task, max_patients=100)
df = samples_to_df(samples)

print("\nSample preview:")
print(df.head())

# baseline setting
baseline_metrics = evaluate_model(
df=df,
feature_cols=["map"],
balanced=False,
)
print_metrics("Baseline: LogisticRegression(map)", baseline_metrics)

# advanced setting
df_adv = add_advanced_features(df)
advanced_metrics = evaluate_model(
df=df_adv,
feature_cols=["map", "map_diff"],
balanced=True,
)
print_metrics(
"Advanced: LogisticRegression(map + map_diff, balanced)",
advanced_metrics,
)

# subgroup fairness
for gender in ["M", "F"]:
subgroup_df = df_adv[df_adv["gender"] == gender].copy()
subgroup_metrics = evaluate_model(
df=subgroup_df,
feature_cols=["map", "map_diff"],
balanced=True,
)
print_metrics(f"Advanced subgroup gender={gender}", subgroup_metrics)


if __name__ == "__main__":
main()
23 changes: 23 additions & 0 deletions examples/mimic3_cf_example.py
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from pyhealth.datasets import MIMIC3CirculatoryFailureDataset
from pyhealth.tasks import CirculatoryFailurePredictionTask


def main():
dataset = MIMIC3CirculatoryFailureDataset(
root="/path/to/mimic3"
)

task = CirculatoryFailurePredictionTask(prediction_window_hours=12)

# apply task
samples = dataset.set_task(task, max_patients=5)

print(f"Total samples: {len(samples)}")

if samples:
print("Sample example:")
print(samples[0])


if __name__ == "__main__":
main()
1 change: 1 addition & 0 deletions pyhealth/datasets/__init__.py
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Expand Up @@ -91,3 +91,4 @@ def __init__(self, *args, **kwargs):
save_processors,
)
from .collate import collate_temporal
from .mimic3_cf import MIMIC3CirculatoryFailureDataset
47 changes: 47 additions & 0 deletions pyhealth/datasets/configs/mimic3_cf.yaml
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version: "1.4"
tables:
patients:
file_path: "PATIENTS.csv.gz"
patient_id: "subject_id"
timestamp: null
attributes:
- "gender"
- "dob"
- "dod"
- "expire_flag"

admissions:
file_path: "ADMISSIONS.csv.gz"
patient_id: "subject_id"
timestamp: "admittime"
attributes:
- "hadm_id"
- "admittime"
- "dischtime"
- "deathtime"
- "hospital_expire_flag"
- "ethnicity"

icustays:
file_path: "ICUSTAYS.csv.gz"
patient_id: "subject_id"
timestamp: "intime"
attributes:
- "hadm_id"
- "icustay_id"
- "intime"
- "outtime"
- "first_careunit"
- "last_careunit"

chartevents:
file_path: "CHARTEVENTS.csv.gz"
patient_id: "subject_id"
timestamp: "charttime"
attributes:
- "hadm_id"
- "icustay_id"
- "itemid"
- "charttime"
- "value"
- "valuenum"
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