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Block Diffusion for Longitudinal EHR: Accuracy, Efficiency, and Representation Trade-offs

Autoregressive (AR) models have proved effective for zero-shot prediction from longitudinal electronic health records, but impose strictly sequential generation on trajectories containing temporally clustered and interdependent clinical events. We investigate block-based masked diffusion (BD) as an alternative on MIMIC-IV under matched tokenisation, context length, model capacity, and evaluation…

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