mimic-urine-output-rate

Reference SQL (matched-content control)

The following block is the public reference SQL used to construct the ground truth for this task. It is provided verbatim, without procedural prose, to test whether matched task-relevant content alone explains the WITH-SKILL gain.

-- ------------------------------------------------------------------
-- Title: Urine Output Rate
-- Calculates rolling urine output rates (mL/kg/hr) over 6, 12, and
-- 24-hour windows, normalized by patient weight. Used for KDIGO AKI
-- staging and SOFA renal component.
-- ------------------------------------------------------------------

-- Reference:
--    KDIGO Clinical Practice Guideline for Acute Kidney Injury.
--    Kidney Int Suppl. 2012;2(1):1-138.

-- Adapted from mimic-code urine_output_rate.sql
-- Uses self-join for rolling window aggregation.

WITH tm AS (
  SELECT
    ie.stay_id,
    MIN(charttime) AS intime_hr,
    MAX(charttime) AS outtime_hr
  FROM mimiciv_icu.icustays AS ie
  INNER JOIN mimiciv_icu.chartevents AS ce
    ON ie.stay_id = ce.stay_id
    AND ce.itemid = 220045
    AND ce.charttime > ie.intime - INTERVAL '1' MONTH
    AND ce.charttime < ie.outtime + INTERVAL '1' MONTH
  GROUP BY
    ie.stay_id
), uo_tm AS (
  SELECT
    tm.stay_id,
    CASE
      WHEN LAG(charttime) OVER w IS NULL
      THEN DATE_DIFF('microseconds', intime_hr, charttime)/60000000.0
      ELSE DATE_DIFF('microseconds', LAG(charttime) OVER w, charttime)/60000000.0
    END AS tm_since_last_uo,
    uo.charttime,
    uo.urineoutput
  FROM tm
  INNER JOIN mimiciv_derived.urine_output AS uo
    ON tm.stay_id = uo.stay_id
  WINDOW w AS (PARTITION BY tm.stay_id ORDER BY charttime NULLS FIRST)
), ur_stg AS (
  SELECT
    io.stay_id,
    io.charttime,
    SUM(DISTINCT io.urineoutput) AS uo,
    SUM(
      CASE
        WHEN DATE_DIFF('microseconds', iosum.charttime, io.charttime)/3600000000.0 <= 5
        THEN iosum.urineoutput
        ELSE NULL
      END
    ) AS urineoutput_6hr,
    SUM(
      CASE
        WHEN DATE_DIFF('microseconds', iosum.charttime, io.charttime)/3600000000.0 <= 5
        THEN iosum.tm_since_last_uo
        ELSE NULL
      END
    ) / 60.0 AS uo_tm_6hr,
    SUM(
      CASE
        WHEN DATE_DIFF('microseconds', iosum.charttime, io.charttime)/3600000000.0 <= 11
        THEN iosum.urineoutput
        ELSE NULL
      END
    ) AS urineoutput_12hr,
    SUM(
      CASE
        WHEN DATE_DIFF('microseconds', iosum.charttime, io.charttime)/3600000000.0 <= 11
        THEN iosum.tm_since_last_uo
        ELSE NULL
      END
    ) / 60.0 AS uo_tm_12hr,
    SUM(iosum.urineoutput) AS urineoutput_24hr,
    SUM(iosum.tm_since_last_uo) / 60.0 AS uo_tm_24hr
  FROM uo_tm AS io
  LEFT JOIN uo_tm AS iosum
    ON io.stay_id = iosum.stay_id
    AND io.charttime >= iosum.charttime
    AND io.charttime <= (
      iosum.charttime + INTERVAL '23' HOUR
    )
  GROUP BY
    io.stay_id,
    io.charttime
)
SELECT
  ur.stay_id,
  ur.charttime,
  wd.weight,
  ur.uo,
  ur.urineoutput_6hr,
  ur.urineoutput_12hr,
  ur.urineoutput_24hr,
  CASE
    WHEN uo_tm_6hr >= 6
    THEN ROUND(TRY_CAST((
      ur.urineoutput_6hr / wd.weight / uo_tm_6hr
    ) AS DECIMAL), 4)
  END AS uo_mlkghr_6hr,
  CASE
    WHEN uo_tm_12hr >= 12
    THEN ROUND(TRY_CAST((
      ur.urineoutput_12hr / wd.weight / uo_tm_12hr
    ) AS DECIMAL), 4)
  END AS uo_mlkghr_12hr,
  CASE
    WHEN uo_tm_24hr >= 24
    THEN ROUND(TRY_CAST((
      ur.urineoutput_24hr / wd.weight / uo_tm_24hr
    ) AS DECIMAL), 4)
  END AS uo_mlkghr_24hr,
  ROUND(TRY_CAST(uo_tm_6hr AS DECIMAL), 2) AS uo_tm_6hr,
  ROUND(TRY_CAST(uo_tm_12hr AS DECIMAL), 2) AS uo_tm_12hr,
  ROUND(TRY_CAST(uo_tm_24hr AS DECIMAL), 2) AS uo_tm_24hr
FROM ur_stg AS ur
LEFT JOIN mimiciv_derived.weight_durations AS wd
  ON ur.stay_id = wd.stay_id
  AND ur.charttime > wd.starttime
  AND ur.charttime <= wd.endtime
  AND wd.weight > 0