MIMIC Implementation Guide
1.3.0 - Draft

MIMIC Implementation Guide - Local Development build (v1.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Index

Official URL: http://mimic.mit.edu/fhir/mimic/ImplementationGuide/kindlab.fhir.mimic Version: 1.3.0
Draft as of 2024-02-08 Computable Name: MIMIC

Introduction

The MIMIC-IV Implementation Guide captures the Medical Information Mart for Intensive Care (MIMIC)-IV clinical care database in FHIR. These MIMIC-IV Profiles are based on FHIR R4 and are heavily influenced by US Core STU4.

What is MIMIC-IV?

MIMIC-IV is a database of deidentified critical care records of ~300,000 patients admitted to Beth Israel Deaconess Medical Center (Boston, MA). MIMIC-IV is released publicly on PhysioNet, a repository for medical research data, as a set of tabular CSV files. This real-world, deidentified, and freely available database should advance and enable a multitude of research applications. MIMIC-IV has gained traction in the community due to its transparent mechanism of data access, reasonably large sample size, and authentic capture of a real-world electronic health record database. MIMIC-IV has been utilized in over 3000 publications, exploring retrospective analyses and research application development.

Data from three in-hospital information systems together form MIMIC-IV, namely: a custom hospital wide electronic health record, an intensive care unit (ICU) specific clinical information system, and an emergency department information system (MIMIC-IV-ED). A total of five modules facilitate both individual and combined use of the data in MIMIC-IV.

General overview of MIMIC-IV
mimic-modules-overview.jpg

Usage of the MIMIC-IV Profiles

A great deal of interest exists around FHIR development using real world FHIR stores. The MIMIC-IV Profiles have been used as the foundation to create MIMIC-IV-on-FHIR as one of the first openly accessible real-world FHIR stores. The data is open access thanks to deidentification efforts carried out in the initial MIMIC-IV database.

The MIMIC-IV IG is an early stage implementation guide. As usage of the MIMIC-IV IG and the MIMIC-IV-on-FHIR datastore increase, the IG will be extended and refined. Future plans for the MIMIC-IV Profiles can be found on the [Roadmap] page.

Intended Audience

The MIMIC-IV Profiles and the resulting datastore MIMIC-IV-on-FHIR are meant for use in research and development. The audience then breaks into two categories:

  1. Researchers: The MIMIC-IV-on-FHIR datastore can be used to test and explore novel FHIR applications
  2. Developers: The datastore can be used to test the robustness of applications to real-world data.

Walkthrough of Implementation Guide

  • Home: This page provides an introduction, background, and walkthrough for the MIMIC-IV Profiles.
  • Background:
  • Guidance: These pages provide guidance on how best to use and understand this IG.
    • General Guidance: This page walks through the general guidance for using MIMIC-IV-on-FHIR.
    • Terminology Guide: This page walks through the decisions and usage of terminology.
    • Applications: This page lists out potential applciations for the MIMIC-IV-on-FHIR datastore.
    • Tutorials: This page details tutorials that were developed to accelerate adoption of the data.
    • Future Work: This page includes the future direction for this IG.
  • Subsets: These pages detail subsets of the IG that can be explored.
    • Microbiology Subset: This page guide the user through the microbiology workflows found in MIMIC-IV-on-FHIR.
    • Medication Subset: This page guide the user through the different medication workflows found in MIMIC-IV-on-FHIR.
    • ED Subset: This page guide the user through the different ED workflows found in MIMIC-IV-on-FHIR.
    • ICU Subset: This page guide the user through the different ICU workflows found in MIMIC-IV-on-FHIR.
  • Artifacts: This pages list out the profiles, extensions and terminology used in the IG.
  • Examples: This page includes lists of examples for each of the MIMIC IG profiles.
  • Downloads: This page provides links to download MIMIC-IV IG artifacts and MIMIC-IV-on-FHIR data.
  • Change Log: This page documents versioning changes.

MIMIC Profiles

Authors

Name Organization
Alex M. Bennett The Hospital for Sick Children
Philip van Damme Amsterdam UMC
Alistair E. W. Johnson The Hospital for Sick Children
Hannes Ulrich Kiel University
Joshua Wiedekopf University of Lübeck