#5743. Implementation and evaluation of a multivariate abstraction-based, interval-based dynamic time-warping method as a similarity measure for longitudinal medical records

July 2026publication date
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Journal’s subject area:
Computer Science Applications;
Health Informatics;
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Abstract:
Objectives: A common prerequisite for tasks such as classification, prediction, clustering and retrieval of longitudinal medical records is a clinically meaningful similarity measure that considers both [multiple] variable (concept) values and their time. Currently, most similarity measures focus on raw, time-stamped data as these are stored in a medical record. However, clinicians think in terms of clinically meaningful temporal abstractions, such as “decreasing renal functions”, enabling them to ignore minor time and value variations and focus on similarities among the clinical trajectories of different patients. Our objective was to define an abstraction- and interval-based methodology for matching longitudinal, multivariate medical records, and rigorously assess its value, versus the option of using just the raw, time-stamped data. Methods: We have developed a new methodology for determination of the relative distance between a pair of longitudinal records, by extending the known dynamic time warping (DTW) method into an interval-based dynamic time warping (iDTW) methodology.
Keywords:
Classification; Dynamic time warping; Interval-based similarity measure; Knowledge representation; Temporal abstraction; Temporal data mining

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