To Use AI as Dice of Possibilities with Timing Computation

The contemporary paradigm of trajectory learning operates fundamentally at the level of group dynamics, systematically reducing individual-level complexity to fit group-level models, thus rendering effective patient subtyping difficult and individual-level modeling largely out of reach. We propose a data-driven paradigm that introduces a dedicated individual-level temporal variable to capture \emph{Timing Attention} (i.e., the degree of concentration of an event's timing distribution across the patient cohort), thereby rendering timing a \emph{computable dimension} that enables individualized temporal features in trajectory learning. Instantiated as the Level-of-Individual Time Transformation (LITT) and applied to longitudinal EHR data from 3,276 breast cancer patients, the proposed paradigm demonstrates, for the first time to our knowledge: (1) automatic discovery of clinically significant patient trajectories, and (2) counterfactual timing deduction, that is, a \emph{What-If Machine}. Both results are purely data-driven, requiring no prior domain knowledge. LITT further achieves strong performance on timing prediction and survival analysis tasks.

Structural causal models are the standard language for reasoning about interventions and counterfactuals, but they describe static variables, typically measured once, and usually forbid cyclic dependencies. Many systems we care about, such as patients, climates, and economies, instead evolve continuously in time, are observed at irregular time points, and contain feedback loops. We argue that neural operator learning provides a natural foundation for causal reasoning in this setting, and propose Orca, a framework in which each node of the causal graph is a function of time and each mechanism is a learned map between function spaces. We extend existing neural operator architectures to express causal mechanisms: a mechanism computes the function value of a node from its parent nodes by taking several parent functions as input, respects the arrow of time, and treats latent exogenous noise as a function that can be inferred and reused for counterfactuals. We formalize the model class and demonstrate counterfactual reasoning on synthetic continuous-time examples. Code is available at https://github.com/gerritgr/orca

Most benchmarks for causal inference over time series are observational, small, or domain-specific, leaving interventional and counterfactual estimation under-served exactly where it matters most, such as in healthcare, policy evaluation, and climate science. We introduce \textbf{DoTime}, an open, scalable, and theoretically grounded generator of multivariate temporal structural causal models (TSCMs) with interventions, released as the \code{dotime} PyPI package together with four frozen evaluation suites. Beyond existing work, it adds capabilities absent from prior generators: continuous-time intervention \emph{windows}, counterfactual sampling modes with a positivity guard, regime-switching SCMs as a strict generalization of interrupted time series, non-stationary dynamics by construction with switching SCM parameters, and deterministic ramp and sinusoidal intervention profiles that place trends and structural breaks \emph{inside} the evaluation window. Moreover, it demonstrates the suitability of the generator as a prior for a causal foundation model reference implementation. The released suites span a training-scale snapshot of $100{,}000$ trajectories and eight named identification structures, each with exact ground truth: paired interventional trajectories from the same SCM throughout, and shared-noise counterfactuals in the continuous-time suite. We ship reference baseline implementations with an evaluation harness, and pose a falsifiable claim: interventional training buys a measurable direction-accuracy advantage over an observational model of identical capacity. It is tested across three training seeds per arm. Under structure-matched evaluation on held-out episodes, the interventional prior-fitted network's (PFN) gap is positive in every structure, trajectory length, and seed tested.