Tracing the Heart: An Evidence-Linked Pipeline for Heart-Failure Feature Engineering
Authors:
Soorya Ram Shimgekar,
Michelle Hu,
Dorisa Shehi,
Daniel Kang,
Roy Ka-Wei Lee,
Koustuv Saha,
Christian Poellabauer,
Christopher Lee,
Sajeev Singh,
Piyum Zonooz,
Navin Kumar,
Zeeshan Ahmed,
Priyadarshini Kachroo
Abstract:
Electronic health record (EHR) feature engineering is a major bottleneck in clinical research and AI, accounting for 39-45% of data scientists' workload. This is especially pronounced in heart failure, which affects an estimated 6.7 million U.S. adults and requires integrating fragmented EHR data with disease-specific, guideline-based clinical reasoning. Existing rule-based and large language mode…
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Electronic health record (EHR) feature engineering is a major bottleneck in clinical research and AI, accounting for 39-45% of data scientists' workload. This is especially pronounced in heart failure, which affects an estimated 6.7 million U.S. adults and requires integrating fragmented EHR data with disease-specific, guideline-based clinical reasoning. Existing rule-based and large language model (LLM)-based approaches offer only partial automation with limited maintainability and evidence traceability. We developed the Nimblemind Multi-Agent System (nMAS), an evidence-linked, rubric-grounded pipeline for automated heart-failure feature engineering, and evaluated it on 500 dummy patient records from nine EHR source tables. nMAS generated 132 structured and 70 rubric-scored aggregated features, verified for structural integrity, rubric compliance, and provenance, and audited by a restricted LLM. Adding the aggregated features improved held-out AUROC from 0.895 to 0.963 for HFrEF and 0.870 to 0.910 for HFpEF phenotyping, and an independent LLM-based rubric assessment of evidence support and methodological soundness scored the features at 81.5% of maximum points. These results demonstrate the feasibility of automated, auditable feature engineering for complex cardiovascular EHR data, though evaluation was limited to a single-institution cohort and external validation is needed.
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Submitted 6 August, 2026;
originally announced August 2026.
Toward Quantum Utility in Finance: A Robust Data-Driven Algorithm for Asset Clustering
Authors:
Shivam Sharma,
Supreeth Mysore Venkatesh,
Pushkin Kachroo
Abstract:
Clustering financial assets based on return correlations is a fundamental task in portfolio optimization and statistical arbitrage. However, classical clustering methods often fall short when dealing with signed correlation structures, typically requiring lossy transformations and heuristic assumptions such as a fixed number of clusters. In this work, we apply the Graph-based Coalition Structure G…
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Clustering financial assets based on return correlations is a fundamental task in portfolio optimization and statistical arbitrage. However, classical clustering methods often fall short when dealing with signed correlation structures, typically requiring lossy transformations and heuristic assumptions such as a fixed number of clusters. In this work, we apply the Graph-based Coalition Structure Generation algorithm (GCS-Q) to directly cluster signed, weighted graphs without relying on such transformations. GCS-Q formulates each partitioning step as a QUBO problem, enabling it to leverage quantum annealing for efficient exploration of exponentially large solution spaces. We validate our approach on both synthetic and real-world financial data, benchmarking against state-of-the-art classical algorithms such as SPONGE and k-Medoids. Our experiments demonstrate that GCS-Q consistently achieves higher clustering quality, as measured by Adjusted Rand Index and structural balance penalties, while dynamically determining the number of clusters. These results highlight the practical utility of near-term quantum computing for graph-based unsupervised learning in financial applications.
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Submitted 13 September, 2025; v1 submitted 9 September, 2025;
originally announced September 2025.