Towards Continuous-time Causal Foundation Models

Causal inference in continuous-time sequential decision problems is challenged by hidden confounders. We show that, in latent state-space models with time-varying interventions, observability of the latent dynamics from observed data is necessary for identifying dynamic treatment effects, linking control-theoretic observability to causal identifiability, even when hidden confounders affect both treatments and outcomes. We derive a continuous-time adjustment formula expressing potential outcome distributions under treatment trajectories via the measurement model, latent dynamics, and the filtering distribution over latent states given observed histories. We propose Observable Neural ODEs (ObsNODEs), Neural ODE models in observable normal form for causal forecasting. ObsNODEs learn continuous-time dynamics with states reconstructible from observations, enabling outcome prediction under alternative treatment paths. Experiments on synthetic cancer data, semi-synthetic data based on MIMIC-IV, and real-world sepsis data show strong performance over recent sequence models.

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

Causal inference, estimating causal effects from observational data, is a fundamental tool in many disciplines. Of particular importance across a variety of domains is the continuous treatment setting, where the variable of intervention has a continuous range. This setting is far less explored and represents a substantial shift from the binary treatment setting, with models needing to represent effects across a continuum of treatment values. In this paper, we present the first causal foundation model for the continuous treatment setting. Our model meta-learns the ability to predict causal effects across a wide variety of unseen tasks without additional training or fine-tuning. First, we design a novel prior over data-generating processes with continuous treatment variables in order to generate a rich causal training corpus. We then train a transformer to reconstruct individual treatment-response curves given only observational data, leveraging in-context learning to amortize expensive Bayesian posterior inference. Our model achieves state-of-the-art performance on individual treatment-response curve reconstruction tasks compared to causal models which are trained specifically for those tasks. Inference code (including trained model weights) can be found at https://github.com/layer6ai-labs/CCPFN-inference .