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Rule-augmented constraint learning for semantic error detection in MIMIC-III knowledge graph.

Özge Noben1, Ömer Durukan Kılıç1, Tjitze Rienstra1

  • 1Institute of Data Science, Maastricht University, Paul-Henri Spaaklaan 1, Maastricht, 6229 GT, Limburg, Netherlands.

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|January 22, 2026
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Summary
This summary is machine-generated.

This study introduces a new method for learning constraints in clinical knowledge graphs (KGs). It improves data quality for clinical decision support systems by identifying clinically relevant rules.

Keywords:
Clinical knowledge graphsConstraint discoveryData qualityKnowledge graphs (KGs)Large language models (LLMs)Literal clusteringMIMIC-IIINegative rulesRule miningSemantic validation

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Area of Science:

  • Clinical Informatics
  • Knowledge Representation and Reasoning
  • Data Mining and Machine Learning

Background:

  • High-quality data is crucial for reliable clinical decision support systems.
  • Clinical knowledge graphs (KGs) offer structured data but face challenges in consistency and correctness.
  • Existing rule mining methods often yield redundant or irrelevant constraints for clinical data.

Purpose of the Study:

  • To propose a novel framework for constraint learning in clinical KGs.
  • To transform high-confidence rules into clinically plausible constraints for semantic error detection.
  • To enhance the trustworthiness and clinical usability of KGs.

Main Methods:

  • Developed a framework for constraint learning in clinical KGs.
  • Employed two approaches: class disjointness and literal clustering combined with rule mining.
  • Validated clinical relevance using expert-curated constraints and large language models (LLMs).

Main Results:

  • Rule filtering effectively preserved clinically meaningful rules aligned with medical knowledge on the MIMIC-III dataset.
  • A clustering-based method achieved reliable value groupings for numeric data.
  • LLM validation confirmed the clinical relevance of a portion of the discovered rules.

Conclusions:

  • The proposed constraint learning framework offers interpretable and scalable solutions for semantic inconsistencies in clinical KGs.
  • This approach enhances KG trustworthiness and clinical utility for data-driven applications.
  • The methods contribute to improving the reliability of clinical decision support systems.