MIMIC-IV Clinical Database Demo on FHIR

Interoperability of healthcare data has become increasingly important given the increase in deployment of data driven algorithms in clinical settings. The Fast Healthcare Interoperability Resources (FHIR) standard has emerged as a promising mechanism to share healthcare data across vendors in real-time and batch settings. Real-world datasets available in FHIR would accelerate research and development of data-driven algorithms. Existing datasets in FHIR are primarily synthetic, and cover a limited number of resources. To address this gap, we have reformatted the Medical Information Mart for Intensive Care (MIMIC)-IV Clinical Database Demo into FHIR. The MIMIC clinical databases have received wide adoption and the constituent data are understood by the community. As much as possible, we adhered to the base resources with minimal extensions. Alongside the dataset, we publish openly available code allowing researchers to quickly build upon our work. Translating MIMIC-IV into FHIR provides a benchmark dataset for institutions to experiment with FHIR based tools, and we hope this resource supports adoption and use of FHIR. 

鉴于临床环境中数据驱动算法部署的增加，医疗健康数据的互操作性变得愈发重要。快速医疗健康互操作性资源（Fast Healthcare Interoperability Resources，简称FHIR）标准已崭露头角，成为在实时和批量设置中跨供应商共享医疗健康数据的有力机制。在FHIR中可获得的现实世界数据集将加速数据驱动算法的研究与开发。现有的FHIR数据集主要集中于合成数据，且涵盖的资源种类有限。为填补这一空白，我们将重症监护医疗信息市场（Medical Information Mart for Intensive Care，简称MIMIC-IV）临床数据库演示进行了重新格式化，以符合FHIR标准。MIMIC临床数据库已得到广泛的应用，其构成数据为社区所熟知。在尽可能的情况下，我们遵循了基础资源，并进行了最小程度的扩展。与数据集一同发布的，是公开可用的代码，供研究人员快速构建于我们的工作之上。将MIMIC-IV转化为FHIR，为机构提供了一个基于FHIR工具进行实验的基准数据集，我们希望这一资源能够支持FHIR的采纳和使用。

搜集汇总

背景与挑战

背景概述

该数据集是MIMIC-IV临床数据库的FHIR标准格式演示版本，通过将真实世界医疗数据转换为FHIR资源，以促进数据互操作性和研究应用。它覆盖了患者、就诊、观察、药物等多个临床资源类型，为FHIR工具测试和算法开发提供了基准数据集。