Neuro-Symbolic Federated Learning over Heterogeneous Data-Views: A Structured Approach to Distributive EHR Modelling

Federated learning (FL) enables privacy-preserving model training across distributed Electronic Health Records (EHRs), but its deployment remains limited by data-view heterogeneity, where institutions maintain incompatible local schemas. Most existing methods address this by enforcing flat, aligned data views, which require extensive cross-site preprocessing and manual harmonisation that often discards client-specific features, or by projecting inputs into a shared latent space, which sacrifices interpretability. We propose a modelling shift from conventional FL with vectorised inputs to a symbolic, relation-centric framework, where each client or-ganises its EHR data as a structured, type-aware relational graph. This enables client-specific inference without requiring schema alignment and supports FL across heterogeneous data views. To model over these symbolic structures, we introduce an architecture that combines relation-aware message passing with a learnable feature relevance mechanism, jointly enabling accurate local predictions and client-specific interpretability while supporting parameter sharing across clients. Beyond strong performance on three real-world EHR datasets exhibiting data-view heterogeneity, we further show that our framework supports multimodal FL under modality-level heterogeneity. Using MC-MED, a publicly available multimodal emergency department dataset, we demonstrate that our method accommodates clients with partially missing modalities, highlighting its robustness and scalability in real-world clinical settings.