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Self-Supervised Representation Learning for Healthcare Operations Events Using Timestamped Orders, Patient Transfers, Staff Actions, Queue Transitions, System Interaction Logs, and Unit-Level Workflow Signals
Hospitals generate dense streams of timestamped operational events, including orders, transfers, staff actions, queue changes, and system interactions. These events describe how care actually unfolds, yet much of their value remains unused because they are rarely labeled for prediction tasks. Existing operational predictive models often depend on task-specific labels, handcrafted features, and local workflow assumptions. This limits their ability to scale across hospitals, departments, and evolving operational conditions. This manuscript designs a self-supervised representation learning model that pre-trains on diverse healthcare operations event streams. The goal is to learn a generalizable embedding of hospital operational state that can be adapted to multiple downstream prediction tasks. The proposed model uses a transformer-based architecture trained with masked event modeling and temporal contrastive learning. Timestamped orders, transfers, staff actions, queue transitions, system interaction logs, and unit-level workflow signals are represented as time-aware event sequences, and the pre-trained backbone is later fine-tuned for specific operational tasks. Conceptually, the model could learn semantic and temporal regularities of hospital workflow, such as common discharge sequences, clustered STAT order activity, and operational precursors to bottlenecks. These representations would be expected to support downstream tasks such as delay forecasting, anomaly detection, and resource demand estimation when labeled data are limited. Self-supervised learning could unlock the latent value of healthcare operations logs by creating reusable representations of hospital workflow. Such a model could become a foundation for operational analytics, enabling faster and more adaptable development of predictive tools.
Journal of Health Informatics and Digital Systems
Original Research | Open access | 20 July 2026 | Article: 138
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AI-driven Diagnostics Artificial Intelligence in Health Informatics Artificial Intelligence in Healthcare Big Data in Healthcare Clinical Data Mining Clinical Decision Support Systems Clinical Informatics Computer Vision Connected Health Systems Deep Learning Digital Health Digital Healthcare Innovation Digital Transformation in Healthcare Electronic Health Records Ethical AI in Healthcare Explainable AI Health Data Analytics Health Data Privacy Health Informatics Health Information Management Health Information Systems Health System Optimization Health Technology Assessment Healthcare Data Science Healthcare Informatics Healthcare Information Security Healthcare Management Healthcare Management Information Systems Intelligent Medical Systems Internet of Medical Things (IoMT) Interoperability in Healthcare Systems Machine Learning Medical Data Analytics Medical Data Management Medical Imaging Mobile Health (mHealth) Natural Language Processing Precision Medicine Predictive Analytics Remote Patient Monitoring Smart Healthcare Systems Telemedicine Wearable Health Technologies e-Health




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