MIMIC3: ICU stays without physician notes

Prerequisites

• Put an X between the brackets on this line if you have done all of the following:
  • Checked the online documentation: https://mimic.mit.edu/
  • Checked that your issue isn't already addressed: https://github.com/MIT-LCP/mimic-code/issues?utf8=%E2%9C%93&q=

Description

In MIMIC-3, we are conducting an NLP task and have come across a rather large group of HADM_IDs that have no corresponding notes of CATEGORY=='Physician', despite a discharge summary that claims a long hospital stay and a long ICU stay (see, for example, HADM_ID==123032). We have attached a CSV with over 7000 examples, though there are likely more examples (these are just the examples relevant to the NLP task we are attempting).

hadmID-without-physician-notes.csv

We are concerned this may represent incomplete data in the MIMIC-III database, as it seems implausible that a patient would have a several day ICU stay without an admission note, progress notes, or nursing notes. Any insight appreciated

Start by reviewing the attached hadmID-without-physician-notes.csv and the MIMIC-III online documentation, using HADM_ID 123032 as an example. Compare the reported ICU and hospital stays with the available note categories, especially CATEGORY=='Physician'. Done means documenting whether these cases reflect incomplete data or an expected limitation of the database.