What's new in MIMIC-IV?
Many users will be familiar with MIMIC-III, the predecessor of MIMIC-IV. A number of improvements have been made, including simplifying the structure, adding new data elements, and improving the usability of previous data elements.
The structure of MIMIC-IV is necessarily different than MIMIC-III. In MIMIC-III, the set of tables were given as one large set, with no obvious differentiation between them. In MIMIC-IV, we explicitly state the source database of each table. Not only does this clarify the data provenance, but it answers many questions regarding data coverage. For example, as the CHARTEVENTS table is sourced from the ICU clinical information system, it will only provide data for patients while they are in an ICU. Conversely, the LABEVENTS table is sourced from the hospital database, and consequently contains information for a patient’s entire hospital stay.
MIMIC-IV contains data from 2008 - 2019 (inclusive). Biomarkers which have been more recently introduced (e.g. procalcitonin) will be available.
Years are included
The date-shift strategy in MIMIC has changed. Instead of releasing the day of the week and the season, we have released the approximate year of patient admission. This allows studying patients over time as care practices change.
Chest x-ray data
Imaging data is also an entirely new addition to MIMIC. The MIMIC-CXR database is publicly available. Notably, the
subject_id identifier used in the MIMIC-CXR database is consistent with the
subject_id used in MIMIC-IV. Therefore, all chest x-rays in MIMIC-CXR are linkable to patient stays in MIMIC-IV.
Table-wise improvements over MIMIC-III
A number of enhancements have been made to tables which may be familiar to you from MIMIC-III. Entirely new tables have also been added.
- Reference ranges are now available.
- A specimen identifier (
specimen_id) allows users to group all measurements made for a single specimen (e.g. all blood gas measurements from the same sample of blood).
- A priority column indicates the priority level of the laboratory measure.
- Now contains the name of the test performed.
EMAR and EMAR_DETAIL
Two entirely new tables are made available, sourced from the relatively newly installed electronic Medicine Administration Record (eMAR) system. Bedside staff will scan barcodes for each individual formulary unit of a medication when administering it. This allows for a granular, high resolution record of when a medication was given.
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