The MIMIC II Database
Overview: MIMIC II Data Sources and Repositories
The MIMIC II Database is being created by an ongoing NIH-sponsored
Bioengineering Research Partnership (NIBIB BRP 5RO1EB001659) including
investigators at MIT, Philips Medical Systems, and Boston's Beth
Israel Deaconess Medical Center. The MIMIC II project is aimed at integrating data,
models, and reasoning in critical care.
The project gathers and edits data from
- intensive care unit (ICU) medical information systems
(records of observations, measurements, and interventions
performed in the ICU);
- hospital medical information systems (laboratory test results,
medications ordered, and admission and discharge summaries); and
- bedside ICU monitors (physiologic signals such as ECG, blood pressure
waveforms, and respiration; time series of physiologic parameters
such as heart and respiration rates; and annotations that mark a subset
of events of clinical significance, such as tachycardia
and apnea).
These data are deidentified, reformatted, and placed into two databases:
- the MIMIC II Clinical Database, based upon data obtained from
the ICU and hospital medical information systems
- the MIMIC II Waveform Database, based upon data obtained from the
bedside monitors of a subset of the MIMIC II Clinical Database patients.
As of October 2008, the project had collected about 30,000 patient
records (from about 26,000 patients) for the MIMIC II Clinical
Database, and data from bedside ICU monitors for about 4,000 of these
patients for the MIMIC II Waveform Database. Each record typically
covers a patient's entire stay in an intensive care unit (typically a
few days, but in many cases a week or more).
The MIMIC II Clinical Database
The first significant portion of the MIMIC II Clinical
Database will be made available in early 2009.
The MIMIC II Waveform Database
The first 2769 records of the MIMIC II Waveform Database are available
now. The currently available records in the MIMIC II Waveform
Database include up to four signals digitized at 125 Hz with 8-bit
resolution, and (usually) 10 or more time series of numerics sampled
once per minute. (Records to be posted in 2009 include up to seven
signals digitized at 125 Hz with 10-bit resolution, and numerics
sampled once per second.) The waveform records vary in length; some
are several weeks in duration. It is common for the signals to be
interrupted or changed occasionally during recordings of such long
duration. These records have been constructed so that all signals
available at any time during the record are listed in a "layout
header" file (see the discussion of variable-layout records
in the WFDB Programmer's Guide). When
using a viewer such as the Chart-O-Matic,
all of these signals will be listed although in most cases only a
subset of them will be visible at any given time.
Within this directory, all files associated with each record are
gathered in a subdirectory named after the record. For example, the
files associated with record a40001 are all located within the
directory named a4001 (at the top of the listing
below). The files associated with the high-resolution (125
samples/second) signals are the master header
(a40001.hea) in which all of the
segments and their lengths are listed, the (binary) event annotation
file (a40001.al), the layout header
(a40001_layout.hea) in which
all of the available signals are listed, and the segment header (.hea)
and signal (.dat) files with names beginning with "a40001_". In
addition, the low-resolution trend data header
(a40001n.hea) and its associated binary trend
data file (a40001n.dat) are included, as are a low-resolution signal quality
index header (a40001T.hea) and its binary
data file (a40001T).
The ".alarms" annotation files contain information about some of the alarms
(alerts) gathered by this project. The
timestamp associated with each alert indicates when the definition for
the corresponding alert is satisfied (not the time of onset of the condition).
The aux field of each annotation is the text of
the alert, and the subtyp field
indicates the severity of the detected event (3: "red", most critical;
2: "yellow", less critical). The chan and num
fields of these annotations are unused, and the anntyp field
in these files is
always NOTE.
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Although the ".alarms" annotation files contain information as gathered
from the ICU monitor alerts, this information has been edited by the MIMIC
II project. Users are encouraged to contribute additional information about
events in these records for possible inclusion in future revisions of these
files.
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An additional .alM annotation file is available for the 498 records listed in
RECORDS.a1M. These .alM files contain the
"red" arrhythmia alerts from the corresponding .alarm annotation
files, but the chan field has been used to indicate if the
alarm was judged to be true (3) or false (1) by expert human review.
For further information about the .alM annotations, see
Reducing false alarm rates for critical arrhythmias
using the arterial blood pressure waveform; these are the
"gold standard" alarms on which that study is based, as described in
section 2.3 of the paper. It is
important to note that the .a1M annotation files are not complete
tallies of all critical arrhythmias in these 498 records, since
they include only detected events (true positives and false
positives) but not any missed events (false negatives).
Name Last modified Size Description
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Parent Directory -
![[ ]](/icons/index.gif)
ANNOTATORS 04-Nov-2008 13:49 73 list of annotators
RECORDS 02-Aug-2007 16:58 38K list of record names
![[ ]](/icons/unknown.gif)
RECORDS.alM 11-Feb-2008 09:32 3.4K list of record names
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