PORTER introduces a language-grounded structured EHR foundation model that represents clinical events via descriptions instead of fixed vocabularies. It achieves superior performance across 74 pediatric prediction tasks and transfers effectively to new vocabularies without retraining, recovering 97.1% of target AUROC and outperforming fixed-vocabulary models on MIMIC, with 329-fold lower compute than text serialization approaches.
PORTER: Language-Grounded Event Representations for Portable EHR Foundation Models
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