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jekyll-site/_config.yml

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overview:
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permalink: /:collection/:path/
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output: true
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databases:
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docs:
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permalink: /:collection/:path/
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output: true
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tutorials:
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overview:
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name: "Overview"
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nav_order: 1
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databases:
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docs:
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name: "Databases"
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nav_order: 2
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tutorials:
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nav_exclude: false
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- scope:
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path: ""
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type: "databases"
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type: "docs"
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values:
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layout: "default"
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nav_exclude: false

jekyll-site/_docs/cxr/index.md

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---
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title: "Chest X-Ray (CXR)"
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layout: default
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nav_order: 24
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has_children: true
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permalink: /docs/cxr/
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---
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# Chest X-Ray Module
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MIMIC-CXR provides chest X-ray images and radiology reports for a subset of patients admitted to the emergency department. This module contains:
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- High-resolution chest X-ray images
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- Associated radiology reports
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- Study metadata and timing
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- Image processing information
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## Tables in this Module
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The CXR module contains tables for:
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- **mimic_cxr_studies** - Study-level metadata
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- **mimic_cxr_metadata** - Image metadata
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- **mimic_cxr_reports** - Radiology reports
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- **mimic_cxr_sectioned** - Sectioned radiology reports
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- **mimic_cxr_chexpert** - CheXpert labels
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- **mimic_cxr_negbio** - NegBio labels
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This module enables research combining medical imaging with clinical data from the same patients.

jekyll-site/_docs/ed/index.md

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---
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title: "Emergency Department (ED)"
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layout: default
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nav_order: 25
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has_children: true
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permalink: /docs/ed/
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---
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# Emergency Department Module
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The Emergency Department (ED) module contains data for emergency department patients including:
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- Triage assessments
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- Nurse-validated vital signs
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- Medicine reconciliation
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- Treatment information
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- Disposition and discharge planning
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## Tables in this Module
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The ED module contains tables for:
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- **edstays** - Emergency department stay information
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- **triage** - Triage assessment data
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- **vitalsign** - Vital signs recorded in the ED
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- **medrecon** - Medication reconciliation
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- **diagnosis** - ED diagnoses
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- **pyxis** - Medication dispensing information
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Each table is documented with structure details, data definitions, and usage examples.

jekyll-site/_docs/ii/index.md

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---
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title: "MIMIC-II"
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layout: default
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nav_order: 23
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has_children: true
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permalink: /docs/ii/
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---
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# MIMIC-II documentation
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MIMIC-II is an older version of the MIMIC database, now replaced by [MIMIC-III](/docs/iii/about/) and [MIMIC-IV](/docs/iv/about). The following information may still be helpful however:
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- MIMIC-II documentation: [mimic-ii-guide.pdf](mimic-ii-guide.pdf)
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- Introduction to MIMIC-II: [introduction-mimic-ii.pdf](introduction-mimic-ii.pdf)
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---
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title: MIMIC-II v2.6
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parent: MIMIC-II documentation
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nav_order: 2
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---
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# MIMIC-II v2.6
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## Changelog
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- Merge the last year of the ISM database
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The last year of ISM, through September 2008, has been added, including indications of matches to waveforms.
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- New dateshifts
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We have given all subjects a new, random dateshift.
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- Add overall SOFA score as total of each organ system's score
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The individual-system SOFA scores are in CHARTEVENTS, with itemids 20002 through 20007; a new itemid, 20009, has been added, and it s for the total score. The relevant columns in ICUSTAY\_DETAIL (sofa\_first, sofa\_min, sofa\_max) indicate this total score.
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- Add a column to ICUSTAY\_DETAIL indicating number of matched waveforms
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A new column, matched\_waveforms\_num, has been added to ICUSTAY\_DETAIL; it gives the number of waveforms matched to the patient.
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- Add waveform statistics
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Basic waveform statistics and metadata have been added to the database; these are essentially the organized output of what one would see by running the WFDB utility wfdbdesc (over all of the
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waveforms).
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- Add LOINC codes for hospital labs
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D\_LABITEMS contains two new columns, loinc\_code and loinc\_description, giving the LOINC codes and descriptions respectively.
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- Add diagnosis-related groups (DRGs)
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A new table, DRGEVENTS, maps subject IDs and hospital-admission IDs to DRG itemids, which are defined in D\_CODEDITEMS.
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- Add procedures
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PROCEDUREEVENTS contains indications of procedures performed on patients, for given hospital-admission IDs. The itemids for procedures are defined in D\_CODEDITEMS. Exact times for procedures
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are not given; however, their dates are given in the proc\_dt column, and the order in which a patient's procedures are performed, for a given day, are indicated by consecutive numbers (integers) in the sequence\_num column.
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- Add demographic information
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DEMOGRAPHICEVENTS contains indications of marital status, type and source of admission, ethnicity, overall payor group, and religion as recorded for each patient upon admission to the hospital. The
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definitions of the itemids are given in D\_CODEDITEMS.
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- Add microbiology information
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MICROBIOLOGYEVENTS contains information on microbiology tests performed on patients: specimen, organism, and antibacterium are indicate in the spec\_itemid, org\_itemid, and ab\_itemid columns
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respectively; these itemids are defined in D\_CODEDITEMS.
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- Remove duplicate mappings of waveform case IDs to subject IDs in PARAMETER\_MAPPING
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- Fix the icustay\_expire\_flg in ICUSTAY\_DETAIL
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icustay\_expire\_flg indicates whether the given patient died during the given ICU stay. For some patients, this column was 'Y' for all of his/her ICU stays, rather than just the last; this has been fixed.
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- Fix case of hospital admission ID not unique to subject ID
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Hospital admission 15449 was mapped to two different patients; this has been fixed.
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- Add Exlihauser comorbidity scores
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The Exlihauser comorbidity scores (calculated from DRG and ICD-9 codes) can be found in COMORBIDITY\_SCORES
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## Known limitations, bugs.
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- Missing data
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Newly added data: DRGs, Demographics, Microbiology tests and procedures were not available for all subjects. Therefore, you will find that this data is missing for some subjects.
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We were unable to complete the import of some of the text
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data. Radiology, Echo and ECG reports are missing from NOTEEVENTS.
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- Waveform dates
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The waveform metadata contains dates from the current waveforms available on PhysioNet:
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https://archive.physionet.org/physiobank/database/mimic2db/
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The dates found here will not match those found elsewhere in the
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database.
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# MIMIC-II v2.5
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## Changelog
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Major changes since version 2.4 :
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- Date of death after hospital discharge
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Patients have been matched against the Social Security death tapes, and the date of death has been imported into MIMIC-II. For patients who died in the hospital, their respective dates of discharge were used as their dates of death. Two additional columns have been added to the D\_PATIENTS table:
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- DOD = Date of Death
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- HOSPITAL\_EXPIRE\_FLG = Whether or not the patient deid in the hospital
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The column EXPIRE\_FLG in the ADMISSION table has been removed.
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- New Waveform case ID matches
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A first round of waveforms with up to 8 simultaneous channels have been matched to SUBJECT\_IDs. The matches can be found in the PARAMETER\_MAPPING table where CATEGORY is "SUBJECT\_ID\_TO\_CASE\_ID", the columns PARAM1\_NUM (for the SUBJECT\_ID) and PARAM2\_STR (for the waveform case ID).
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- Merge NOTEEVENTS into REPORTEVENTS
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REPORTEVENTS has been merged into NOTEEVENTS. Categories have been extracted into D\_REPORTITEMS, with the ITEMID column as the foreign key, but not completely; the D\_* tables will be combined into a complete dictionary in a later release.
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- New ICUSTAY\_DAYS materialized view
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The ICUSTAY\_DAYS materialized view was added to divide each ICU stays into daily periods. This greatly helps computation of cumulative queries.
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- Daily SOFA scores
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New entries in D\_CHARTITEMS were added to represent SOFA scores (itemid = 20002), and corresponding scores were added in CHARTEVENTS.
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- Daily SAPS I calculations
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For each ICU stay, a daily SAPS I was added into the CHARTEVENTS table, with ITEMID 20001.
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- Add a view for summarizing the D\_CHARTITEMS table
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It was somewhat troublesome for users of the database to collect statistics for the parameters (ITEMIDs) in D\_CHARTITEMS. Therefore, a summarizing materialized view, D\_CHARTITEMS\_DETAIL, was added as a first introduction of all charted parameters; it describes how many patients each parameter was charted from, and various statistics such as min., max., and average.
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- Clean "value1" and "value2" columns in CHARTEVENTS for numeric itemids
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Some ITEMIDs in the CHARTEVENTS table that are supposed to be only numeric (such as ABP, HR) had repeated values in columns VALUE1/VALUE2 (which are VARCHAR columns) and VALUE1NUM/VALUE2NUM (NUMBER columns); VALUE1 and VALUE2 were cleaned accordingly.
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- Reorganized ICUSTAY\_DETAIL materialized view
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The ICUSTAY\_DETAIL view has been used as a key component in many of computation for several researches. We added/changed some columns to reflect:
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- EXPIRE\_FLG = Flag to indicate if the paitent is dead, either in the hospital or after discharge
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- HOSPITAL\_EXPIRE\_FLG = If the patient deid in the hospital
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- ICUSTAY\_EXPIRE\_FLG = If the patient deid in the ICU
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- HEIGHT = Patient height
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- WEIGHT\_FIRST = The first measured weight for the patient in the ICU stay
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- WEIGHT\_MIN = The minimum weight for the ICU stay
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- WEIGHT\_MAX = The maximum weight for the ICU stay
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- SAPSI\_FIRST = The first measured SAPS-I score for the patient in the ICU stay
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- SAPSI\_MIN = The minimum SAPS-I score for the ICU stay
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- SAPSI\_MAX = The maximum SAPS-I score for the ICU stay
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- SOFA\_FIRST = The first measured SOFA score for the patient in the ICU stay
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- SOFA\_MIN = The minimum SOFA score for the ICU stay
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- SOFA\_MAX = The maximum SOFA score for the ICU stay
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- Add an ICUSTAY\_ID column to all event tables
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To facilitate queries and other computations, the ICUSTAY\_ID column has been added to event tables: CHARTEVENTS, IOEVENTS, MEDEVENTS, LABEVENTS and TOTALBALEVENTS.
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- Clean duplicates in D\_CAREUNITS
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There were duplicate names in the table D\_CAREUNITS that needed to be merged, and their foreign keys updated.
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- Remove entries from item tables which contain no records in event tables
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292 unused rows have been removed from D\_MEDITEMS; 3544 from D\_CHARTITEMS.
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- Fix problems with duplicate hospital admissions
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Six patients had hospital admissions with overlapping admission-to-discharge date intervals. These were fixed by examining the discharge summaries.
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- Add missing foreign key for POE\_ORDER
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For POE\_ORDER, columns SUBJECT\_ID and HADM\_ID were properly made to be foreign keys for the tables D\_PATIENTS and ADMISSIONS, respectively.
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## Database statistics (adult records summary)
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| | N* | #cases** (%unit) | mean ±std | median | IQR (Q1,Q3) |
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|---- | ---- | ---- | ---- | ---- | ---- |
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|Hospital admissions | 22,870 | | | | |
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|ICU Stays | 25,328 | | | | |
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|Age (years) | 25,328 | | 63.3 ±17.7 | 65.20 | 26.1 (51.3,77.4)|
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|Gender (male) | 25,328 | 14,259 (56.3%) | | | |
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|ICU Los (days) | 25,328 | | 4.7 ±11 | 2.20 | 3.3 (1.1,4.4)|
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|Hospital Los (days) | 22,870 | | 10.7 ±13 | 7.00 | 9 (4,13)|
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|SAPS I - day 1 *** | 20,142 | | 13.4 ±5.3 | 13.00 | 7 (10,17)|
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|Mechanical ventilation | 25,328 | 11,969 (47.3%) | | | |
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|Invasive Swan-Ganz hemodynamic monitoring | 25,328 | 5,637 (22.3%) | | | |
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|Invasive arterial blood pressure monitoring | 25,328 | 14,054 (55.5%) | | | |
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|Use of vaso-active medications | 25,328 | 8,693 (34.3%) | | | |
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|Hospital mortality | 22,870 | 2,666 (11.7%) | | | |
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\* N = The number of ICUStays or Hospitalizations. that were included in the calculation for the given ICU Unit.
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** #cases = The number of ICUStays orHospitalizations that match the category criteria. For example: In Gender, #cases will be the number of male ICUStays in a unit.
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*** Only ICUStays where they have all 14 SAPS parameters were included
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# MIMIC-II v2.4
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## Changelog
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- Bug #5: Fix problems with icustay generation
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- Bug #13: Fix in "Unknown" service type in icustay\_detail
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- Bug #21: Rename ORDER column in PARAMETER\_MAPPING table
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- Bug #26: Make event date fields consistent
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- Bug #27: Rename d\_labitems.lab\_category to category for consistency with other item tables
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- Bug #40: Modify SAPS I calculation to correctly account for ventilated patients
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- Feature #11: Delete the materialized view VITAL\_SIGNS\_RAW, because this was just a temporal data to be used by some statistics calculations.
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- Feature #12: Add indices on cgid, itemid to chartevents
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- Feature #14: Add AKI materialized view
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- Feature #15: Add organ system failure materialized view
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- Feature #16: Restore the Physionet 2009 challenge patients
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- Feature #34: Re-generate SAPS scores after fixing Icustay problems
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- Change request #36: Make the "Length Of Stay" columns consistent in minutes
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- Change request #37: Replace ICUSTAY materialized view with ICUSTAYEVENTS table
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- Change request #38: Make consistent some column names in ICUSTAY_DETAIL
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## Database statistics (adult records summary)
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| | N* | #cases** (%unit) | mean ±std | median | IQR (Q1,Q3) |
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|---- | ---- | ---- | ---- | ---- | ----|
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|Hospital admissions | 22,870 | | | | |
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|ICU Stays | 25,328 | | | | |
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|Age (years) | 25,328 | | 63.3 ±17.7 | 65.20 | 26.1 (51.3,77.4)|
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|Gender (male) | 25,328 | 14,259 (56.3%) | | | |
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|ICU Los (days) | 25,328 | | 4.7 ±11 | 2.20 | 3.3 (1.1,4.4)|
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|Hospital Los (days) | 22,870 | | 10.7 ±13 | 7.00 | 9 (4,13)|
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|SAPS I - day 1 *** | 20,142 | | 13.4 ±5.3 | 13.00 | 7 (10,17)|
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|SAPS I - day 2 *** | 13,495 | | 11.8 ±4.6 | 11.00 | 6 (9,15)|
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|SAPS I - day 3 *** | 9,070 | | 12.2 ±4.5 | 12.00 | 6 (9,15)|
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|Mechanical ventilation | 25,328 | 11,969 (47.3%) | | | |
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|Invasive Swan-Ganz hemodynamic monitoring | 25,328 | 5,637 (22.3%) | | ||
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|Invasive arterial blood pressure monitoring | 25,328 | 14,054 (55.5%) | | ||
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|Use of vaso-active medications | 25,328 | 8,693 (34.3%) | | ||
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|Hospital mortality | 22,870 | 2,666 (11.7%) | | ||
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\* N = The number of ICUStays or Hospitalizations. that were included in the calculation for the given ICU Unit.
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** #cases = The number of ICUStays orHospitalizations that match the category criteria. For example: In Gender, #cases will be the number of male ICUStays in a unit.
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*** Only ICUStays where they have all 14 SAPS parameters were included. 2nd and 3rd day data comes from version 2.5 of the database.

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