Causal Inference with Unstructured Outcomes

Causal inference usually concerns a scalar treatment, yet in many problems the treatment is unstructured: a text, an image, or a sequence of clinical decisions. Consider an instructor writing a course description to attract more students: the treatment is the course description, and the outcome is enrollment. The standard target, the average treatment effect of fixing the treatment to one exact value versus another, runs into two problems. It cannot be estimated, because almost no exact description recurs across courses, leaving no comparable group from which to measure its effect; and it would be of little use even if it could, since no one wants every course to carry the same description. What the instructor actually wants to know is which features of a description raise enrollment, and which of those features can be acted on across many courses. To this end, we propose a causal query for unstructured treatments: the maximally influential feature (MIF), the feature of the treatment that most strongly influences the outcome. We formalize the MIF as a binary feature of the treatment, defined by a feature-scoring function, constrained so that both of its values stay well populated, and chosen to maximize the causal effect it induces. Turning the feature on shifts the distribution of treatments toward those that display it, turning it off shifts away, and the MIF effect contrasts the two average potential outcomes. We study identification conditions for the MIF, develop algorithms to estimate it, and make it actionable through a nudging algorithm that revises a treatment along the MIF into an outcome-improving version. We illustrate the MIF algorithm across applications in text, image, and dynamic treatment sequences.

We introduce TabPFN-CFM, a causal foundation model that can handle multiple causal problems. TabPFN-CFM predicts both causal structure and outcomes from observational data, supports queries on all three levels of Pearl's Causal Hierarchy and uses known graph structure when available to improve predictions. TabPFN-CFM is trained on synthetic datasets, and generalises to real datasets, demonstrating improved performance over both structural and outcome prediction baselines.

AI and large language models can recover clinically meaningful features from electronic health records (EHRs), but predictive usefulness does not establish admissibility for causal inference. We introduce information set emulation: an AI typed lift attaches source evidence, clinical and recording times, decision-time availability, representation version, proposed causal roles, and unresolved ambiguity to extracted features under a locked target trial. Causal certificates record auditable evidence for those roles. Features with unresolved downstream roles are routed to compatible reporting or separate analyses. Typed evidence defines an observational fiber of causal worlds consistent with the observed law. The locked scalar estimand maps this fiber to a compatible image whose squared Chebyshev radius equals the residual minimax mean squared error when the image is nonempty and compact. This classical identity provides a target-specific measure of information ambiguity. The contribution is its integration with a joint EHR observation map and an auditable certificate architecture. Under explicit exchangeability, positivity, and nuisance-consistency conditions, we give identification and cross-fitted augmented inverse probability weighted estimation, distinguishing empirical and population targets. An EHR compression-drift identity separates the roles of frame presence, treatment assignment, and outcome observation. Artificial simulations and a common-law finite-world example illustrate estimation failures and information-radius reduction. Synthetic Phase 0 notes demonstrate audit diagnostics; a separate role-specific analysis spread illustrates routing and is not an exact fiber radius. All experiments are synthetic. The framework specifies when reconstructed information can support a point claim and when compatible reporting is required.