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Main Authors: Wang, Jing, Niu, Xing, Zhang, Tong, Shen, Jie, Kim, Juyong, Weiss, Jeremy C.
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2505.00827
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author Wang, Jing
Niu, Xing
Zhang, Tong
Shen, Jie
Kim, Juyong
Weiss, Jeremy C.
author_facet Wang, Jing
Niu, Xing
Zhang, Tong
Shen, Jie
Kim, Juyong
Weiss, Jeremy C.
contents A crucial component for clinical risk prediction is developing a reliable prediction model is collecting high-quality time series clinical events. In this work, we release such a dataset that consists of 22,588,586 Clinical Time Series events, which we term MIMIC-\RNum{4}-Ext-22MCTS. Our source data are discharge summaries selected from the well-known yet unstructured MIMIC-IV-Note \cite{Johnson2023-pg}. The general-purpose MIMIC-IV-Note pose specific challenges for our work: it turns out that the discharge summaries are too lengthy for typical natural language models to process, and the clinical events of interest often are not accompanied with explicit timestamps. Therefore, we propose a new framework that works as follows: 1) we break each discharge summary into manageably small text chunks; 2) we apply contextual BM25 and contextual semantic search to retrieve chunks that have a high potential of containing clinical events; and 3) we carefully design prompts to teach the recently released Llama-3.1-8B \cite{touvron2023llama} model to identify or infer temporal information of the chunks. The obtained dataset is informative and transparent that standard models fine-tuned on the dataset achieves significant improvements in healthcare applications. In particular, the BERT model fine-tuned based on our dataset achieves 10\% improvement in accuracy on medical question answering task, and 3\% improvement in clinical trial matching task compared with the classic BERT. The dataset is available at https://physionet.org/content/mimic-iv-ext-22mcts/1.0.0. The codebase is released at https://github.com/JingWang-RU/MIMIC-IV-Ext-22MCTS-Temporal-Clinical-Time-Series-Dataset.
format Preprint
id arxiv_https___arxiv_org_abs_2505_00827
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MIMIC-\RNum{4}-Ext-22MCTS: A 22 Millions-Event Temporal Clinical Time-Series Dataset with Relative Timestamp for Risk Prediction
Wang, Jing
Niu, Xing
Zhang, Tong
Shen, Jie
Kim, Juyong
Weiss, Jeremy C.
Artificial Intelligence
A crucial component for clinical risk prediction is developing a reliable prediction model is collecting high-quality time series clinical events. In this work, we release such a dataset that consists of 22,588,586 Clinical Time Series events, which we term MIMIC-\RNum{4}-Ext-22MCTS. Our source data are discharge summaries selected from the well-known yet unstructured MIMIC-IV-Note \cite{Johnson2023-pg}. The general-purpose MIMIC-IV-Note pose specific challenges for our work: it turns out that the discharge summaries are too lengthy for typical natural language models to process, and the clinical events of interest often are not accompanied with explicit timestamps. Therefore, we propose a new framework that works as follows: 1) we break each discharge summary into manageably small text chunks; 2) we apply contextual BM25 and contextual semantic search to retrieve chunks that have a high potential of containing clinical events; and 3) we carefully design prompts to teach the recently released Llama-3.1-8B \cite{touvron2023llama} model to identify or infer temporal information of the chunks. The obtained dataset is informative and transparent that standard models fine-tuned on the dataset achieves significant improvements in healthcare applications. In particular, the BERT model fine-tuned based on our dataset achieves 10\% improvement in accuracy on medical question answering task, and 3\% improvement in clinical trial matching task compared with the classic BERT. The dataset is available at https://physionet.org/content/mimic-iv-ext-22mcts/1.0.0. The codebase is released at https://github.com/JingWang-RU/MIMIC-IV-Ext-22MCTS-Temporal-Clinical-Time-Series-Dataset.
title MIMIC-\RNum{4}-Ext-22MCTS: A 22 Millions-Event Temporal Clinical Time-Series Dataset with Relative Timestamp for Risk Prediction
topic Artificial Intelligence
url https://arxiv.org/abs/2505.00827