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Agreement Technologies refer to open computer systems in which autonomous software agents interact with one another, typically on behalf of humans, in order to come to mutually acceptable agreements. With the advance of AI systems in recent years, it has become apparent that such agreements, in order to be acceptable to the involved parties, must remain aligned with ethical principles and moral values. However, this is notoriously difficult to ensure, especially as different human users (and their software agents) may hold different value systems, i.e. they may differently weigh the importance of individual moral values. Furthermore, it is often hard to specify the precise meaning of a value in a particular context in a computational manner. Methods to estimate value systems based on human-engineered specifications, e.g. based on value surveys, are limited in scale due to the need for intense human moderation. In this article, we propose a novel method to automatically \emph{learn} value systems from observations and human demonstrations. In particular, we propose a formal model of the \emph{value system learning} problem, its instantiation to sequential decision-making domains bas

This review underscores the vital role of interoperability in digital health, advocating for a standardized framework. It focuses on implementing a Fast Healthcare Interoperability Resources (FHIR) server, addressing technical, semantic, and process challenges. FHIR's adaptability ensures uniformity within Primary Care Health Information Systems, fostering interoperability. Patient data management complexities highlight the pivotal role of semantic interoperability in seamless patient care. FHIR standards enhance these efforts, offering multiple pathways for data search. The ADR-guided FHIR server implementation systematically addresses challenges related to patient identity, biometrics, and data security. The detailed development phases emphasize architecture, API integration, and security. The concluding stages incorporate forward-looking approaches, including HHIMS Synthetic Dataset testing. Envisioning FHIR integration as transformative, it anticipates a responsive healthcare environment aligned with the evolving digital health landscape, ensuring comprehensive, dynamic, and interconnected systems for efficient data exchange and access.

Since 2006, deep learning (DL) has become a rapidly growing research direction, redefining state-of-the-art performances in a wide range of areas such as object recognition, image segmentation, speech recognition and machine translation. In modern manufacturing systems, data-driven machine health monitoring is gaining in popularity due to the widespread deployment of low-cost sensors and their connection to the Internet. Meanwhile, deep learning provides useful tools for processing and analyzing these big machinery data. The main purpose of this paper is to review and summarize the emerging research work of deep learning on machine health monitoring. After the brief introduction of deep learning techniques, the applications of deep learning in machine health monitoring systems are reviewed mainly from the following aspects: Auto-encoder (AE) and its variants, Restricted Boltzmann Machines and its variants including Deep Belief Network (DBN) and Deep Boltzmann Machines (DBM), Convolutional Neural Networks (CNN) and Recurrent Neural Networks (RNN). Finally, some new trends of DL-based machine health monitoring methods are discussed.

A primary motivation for the development and implementation of structural health monitoring systems, is the prospect of gaining the ability to make informed decisions regarding the operation and maintenance of structures and infrastructure. Unfortunately, descriptive labels for measured data corresponding to health-state information for the structure of interest are seldom available prior to the implementation of a monitoring system. This issue limits the applicability of the traditional supervised and unsupervised approaches to machine learning in the development of statistical classifiers for decision-supporting SHM systems. The current paper presents a risk-based formulation of active learning, in which the querying of class-label information is guided by the expected value of said information for each incipient data point. When applied to structural health monitoring, the querying of class labels can be mapped onto the inspection of a structure of interest in order to determine its health state. In the current paper, the risk-based active learning process is explained and visualised via a representative numerical example and subsequently applied to the Z24 Bridge benchmark. The

While the applications and demands of Machine learning (ML) systems in mental health are growing, there is little discussion nor consensus regarding a uniquely challenging aspect: building security methods and requirements into these ML systems, and keep the ML system usable for end-users. This question of usable security is very important, because the lack of consideration in either security or usability would hinder large-scale user adoption and active usage of ML systems in mental health applications. In this short paper, we introduce a framework of four pillars, and a set of desired properties which can be used to systematically guide and evaluate security-related designs, implementations, and deployments of ML systems for mental health. We aim to weave together threads from different domains, incorporate existing views, and propose new principles and requirements, in an effort to lay out a clear framework where criteria and expectations are established, and are used to make security mechanisms usable for end-users of those ML systems in mental health. Together with this framework, we present several concrete scenarios where different usable security cases and profiles in ML-sy

Electronic health record (EHR) data is collected by individual institutions and often stored across locations in silos. Getting access to these data is difficult and slow due to security, privacy, regulatory, and operational issues. We show, using ICU data from 58 different hospitals, that machine learning models to predict patient mortality can be trained efficiently without moving health data out of their silos using a distributed machine learning strategy. We propose a new method, called Federated-Autonomous Deep Learning (FADL) that trains part of the model using all data sources in a distributed manner and other parts using data from specific data sources. We observed that FADL outperforms traditional federated learning strategy and conclude that balance between global and local training is an important factor to consider when design distributed machine learning methods , especially in healthcare.

Advancements in sensing and computing technologies, the development of human and computer interaction frameworks, big data storage capabilities, and the emergence of cloud storage and could computing have resulted in an abundance of data in the modern industry. This data availability has encouraged researchers and industry practitioners to rely on data-based machine learning, especially deep learning, models for fault diagnostics and prognostics more than ever. These models provide unique advantages, however, their performance is heavily dependent on the training data and how well that data represents the test data. This issue mandates fine-tuning and even training the models from scratch when there is a slight change in operating conditions or equipment. Transfer learning is an approach that can remedy this issue by keeping portions of what is learned from previous training and transferring them to the new application. In this paper, a unified definition for transfer learning and its different types is provided, Prognostics and Health Management (PHM) studies that have used transfer learning are reviewed in detail, and finally, a discussion on transfer learning application conside

Accurate structural response prediction forms a main driver for structural health monitoring and control applications. This often requires the proposed model to adequately capture the underlying dynamics of complex structural systems. In this work, we utilize a learnable Extended Kalman Filter (EKF), named the Neural Extended Kalman Filter (Neural EKF) throughout this paper, for learning the latent evolution dynamics of complex physical systems. The Neural EKF is a generalized version of the conventional EKF, where the modeling of process dynamics and sensory observations can be parameterized by neural networks, therefore learned by end-to-end training. The method is implemented under the variational inference framework with the EKF conducting inference from sensing measurements. Typically, conventional variational inference models are parameterized by neural networks independent of the latent dynamics models. This characteristic makes the inference and reconstruction accuracy weakly based on the dynamics models and renders the associated training inadequate. In this work, we show that the structure imposed by the Neural EKF is beneficial to the learning process. We demonstrate the

Leveraging real-world health data for machine learning tasks requires addressing many practical challenges, such as distributed data silos, privacy concerns with creating a centralized database from person-specific sensitive data, resource constraints for transferring and integrating data from multiple sites, and risk of a single point of failure. In this paper, we introduce a federated learning framework that can learn a global model from distributed health data held locally at different sites. The framework offers two levels of privacy protection. First, it does not move or share raw data across sites or with a centralized server during the model training process. Second, it uses a differential privacy mechanism to further protect the model from potential privacy attacks. We perform a comprehensive evaluation of our approach on two healthcare applications, using real-world electronic health data of 1 million patients. We demonstrate the feasibility and effectiveness of the federated learning framework in offering an elevated level of privacy and maintaining utility of the global model.

Clinical diagnosis guidelines aim at specifying the steps that may lead to a diagnosis. Inspired by guidelines, we aim to learn the optimal sequence of actions to perform in order to obtain a correct diagnosis from electronic health records. We apply various deep reinforcement learning algorithms to this task and experiment on a synthetic but realistic dataset to differentially diagnose anemia and its subtypes and particularly evaluate the robustness of various approaches to noise and missing data. Experimental results show that the deep reinforcement learning algorithms show competitive performance compared to the state-of-the-art methods with the added advantage that they enable the progressive generation of a pathway to the suggested diagnosis, which can both guide and explain the decision process.

The past decade has seen an explosion in the amount of digital information stored in electronic health records (EHR). While primarily designed for archiving patient clinical information and administrative healthcare tasks, many researchers have found secondary use of these records for various clinical informatics tasks. Over the same period, the machine learning community has seen widespread advances in deep learning techniques, which also have been successfully applied to the vast amount of EHR data. In this paper, we review these deep EHR systems, examining architectures, technical aspects, and clinical applications. We also identify shortcomings of current techniques and discuss avenues of future research for EHR-based deep learning.

Electronic health record (EHR) data is an essential data source for machine learning for health, but researchers and clinicians face steep barriers in extracting and validating EHR data for modeling. Existing tools incur trade-offs between expressivity and usability and are typically specialized to a single data standard, making it difficult to write temporal queries that are ready for modern model-building pipelines and adaptable to new datasets. This paper introduces TempoQL, a Python-based toolkit designed to lower these barriers. TempoQL provides a simple, human-readable language for temporal queries; support for multiple EHR data standards, including OMOP, MEDS, and others; and an interactive notebook-based query interface with optional large language model (LLM) authoring assistance. Through a performance evaluation and two use cases on different datasets, we demonstrate that TempoQL simplifies the creation of cohorts for machine learning while maintaining precision, speed, and reproducibility.

Latent linear dynamical systems with Bernoulli observations provide a powerful modeling framework for identifying the temporal dynamics underlying binary time series data, which arise in a variety of contexts such as binary decision-making and discrete stochastic processes (e.g., binned neural spike trains). Here we develop a spectral learning method for fast, efficient fitting of probit-Bernoulli latent linear dynamical system (LDS) models. Our approach extends traditional subspace identification methods to the Bernoulli setting via a transformation of the first and second sample moments. This results in a robust, fixed-cost estimator that avoids the hazards of local optima and the long computation time of iterative fitting procedures like the expectation-maximization (EM) algorithm. In regimes where data is limited or assumptions about the statistical structure of the data are not met, we demonstrate that the spectral estimate provides a good initialization for Laplace-EM fitting. Finally, we show that the estimator provides substantial benefits to real world settings by analyzing data from mice performing a sensory decision-making task.

A key challenge for machine intelligence is to learn new visual concepts without forgetting the previously acquired knowledge. Continual learning is aimed towards addressing this challenge. However, there is a gap between existing supervised continual learning and human-like intelligence, where human is able to learn from both labeled and unlabeled data. How unlabeled data affects learning and catastrophic forgetting in the continual learning process remains unknown. To explore these issues, we formulate a new semi-supervised continual learning method, which can be generically applied to existing continual learning models. Specifically, a novel gradient learner learns from labeled data to predict gradients on unlabeled data. Hence, the unlabeled data could fit into the supervised continual learning method. Different from conventional semi-supervised settings, we do not hypothesize that the underlying classes, which are associated to the unlabeled data, are known to the learning process. In other words, the unlabeled data could be very distinct from the labeled data. We evaluate the proposed method on mainstream continual learning, adversarial continual learning, and semi-supervised

We study the problem of allocating limited supply of medical resources in developing countries, in particular, Sierra Leone. We address this problem by combining machine learning (to predict demand) with optimization (to optimize allocations). A key challenge is the need to align the loss function used to train the machine learning model with the decision loss associated with the downstream optimization problem. Traditional solutions have limited flexibility in the model architecture and scale poorly to large datasets. We propose a decision-aware learning algorithm that uses a novel Taylor expansion of the optimal decision loss to derive the machine learning loss. Importantly, our approach only requires a simple re-weighting of the training data, ensuring it is both flexible and scalable, e.g., we incorporate it into a random forest trained using a multitask learning framework. We apply our framework to optimize the distribution of essential medicines in collaboration with policymakers in Sierra Leone; highly uncertain demand and limited budgets currently result in excessive unmet demand. Out-of-sample results demonstrate that our end-to-end approach can significantly reduce unmet

Users can be supported to adopt healthy behaviors, such as regular physical activity, via relevant and timely suggestions on their mobile devices. Recently, reinforcement learning algorithms have been found to be effective for learning the optimal context under which to provide suggestions. However, these algorithms are not necessarily designed for the constraints posed by mobile health (mHealth) settings, that they be efficient, domain-informed and computationally affordable. We propose an algorithm for providing physical activity suggestions in mHealth settings. Using domain-science, we formulate a contextual bandit algorithm which makes use of a linear mixed effects model. We then introduce a procedure to efficiently perform hyper-parameter updating, using far less computational resources than competing approaches. Not only is our approach computationally efficient, it is also easily implemented with closed form matrix algebraic updates and we show improvements over state of the art approaches both in speed and accuracy of up to 99% and 56% respectively.

The breadth, scale, and temporal granularity of modern electronic health records (EHR) systems offers great potential for estimating personalized and contextual patient health trajectories using sequential deep learning. However, learning useful representations of EHR data is challenging due to its high dimensionality, sparsity, multimodality, irregular and variable-specific recording frequency, and timestamp duplication when multiple measurements are recorded simultaneously. Although recent efforts to fuse structured EHR and unstructured clinical notes suggest the potential for more accurate prediction of clinical outcomes, less focus has been placed on EHR embedding approaches that directly address temporal EHR challenges by learning time-aware representations from multimodal patient time series. In this paper, we introduce a dynamic embedding and tokenization framework for precise representation of multimodal clinical time series that combines novel methods for encoding time and sequential position with temporal cross-attention. Our embedding and tokenization framework, when integrated into a multitask transformer classifier with sliding window attention, outperformed baseline a

For the past two decades, the discussion regarding the effect of ICT on health systems is becoming apparent. However, past studies have mainly focused on ICT impact on specific social-economic phenomena. Little empirical research on ICT and health systems exists. Many African countries have invested in ICT and there is a need to examine if such investments have impacted on health system of these countries. Using a multi-method approach, data for 27 African countries were analysed. We employed Data Envelopment Analysis, Cluster Analysis and Partial Least Squares to examine the impact. The findings indicate that the 27 countries can be grouped into three clusters based on their relative efficiency scores of ICT and health systems. More compelling, the findings indicate that countries that performed efficiently in ICT inputs also do so in their health systems. Further, findings indicate that ICT significantly improves life expectancy at birth and reduces infant mortality rate. African countries must significantly invest in ICT to improve their health systems so as to achieve socio-economic development. The current study has theoretical, methodological and policy implications.

Online active learning is a paradigm in machine learning that aims to select the most informative data points to label from a data stream. The problem of minimizing the cost associated with collecting labeled observations has gained a lot of attention in recent years, particularly in real-world applications where data is only available in an unlabeled form. Annotating each observation can be time-consuming and costly, making it difficult to obtain large amounts of labeled data. To overcome this issue, many active learning strategies have been proposed in the last decades, aiming to select the most informative observations for labeling in order to improve the performance of machine learning models. These approaches can be broadly divided into two categories: static pool-based and stream-based active learning. Pool-based active learning involves selecting a subset of observations from a closed pool of unlabeled data, and it has been the focus of many surveys and literature reviews. However, the growing availability of data streams has led to an increase in the number of approaches that focus on online active learning, which involves continuously selecting and labeling observations as