---

name: m4-api description: Use the M4 Python API to query clinical datasets (MIMIC-IV, eICU) programmatically. Triggers on "M4 API", "query MIMIC with Python", "clinical data analysis", "EHR data", "execute SQL on MIMIC", or when writing code to access clinical databases.

M4 Python API

The M4 Python API provides programmatic access to clinical datasets for code execution environments. It mirrors the MCP tools but returns native Python types (DataFrames, dicts) instead of formatted strings.

When to Use the API vs MCP Tools

Use the Python API when:

• Complex clinical analysis - Multi-step analyses that require intermediate results, joins across queries, or statistical computations
• Large result sets - Query results with thousands of rows can be stored in DataFrames without dumping into context
• Mathematical operations - Aggregations, percentile calculations, statistical tests, and counting that benefit from pandas/numpy
• Iterative exploration - Building up analysis through multiple queries where each step informs the next

Use MCP tools when:

• Simple one-off queries where the result fits comfortably in context
• Interactive exploration where you want to see results immediately

Required Workflow

You must follow this sequence:

1. set_dataset() - Select which dataset to query (REQUIRED FIRST)
2. get_schema() / get_table_info() - Explore available tables
3. execute_query() - Run SQL queries

from m4 import set_dataset, get_schema, get_table_info, execute_query

# Step 1: Always set dataset first
set_dataset("mimic-iv")  # or "mimic-iv-demo", "eicu", "mimic-iv-note"

# Step 2: Explore schema
schema = get_schema()
print(schema['tables'])  # List of table names

# Step 3: Inspect specific tables before querying
info = get_table_info("mimiciv_hosp.patients")
print(info['schema'])  # DataFrame with column names, types
print(info['sample'])  # DataFrame with sample rows

# Step 4: Execute queries
df = execute_query("SELECT gender, COUNT(*) as n FROM mimiciv_hosp.patients GROUP BY gender")
# Returns pd.DataFrame - use pandas operations freely

API Reference

Dataset Management

Function	Returns	Description
list_datasets()	list[str]	Available dataset names
set_dataset(name)	str	Set active dataset (confirmation message)
get_active_dataset()	str	Get current dataset name

Tabular Data (requires TABULAR modality)

Function	Returns	Description
get_schema()	dict	{'backend_info': str, 'tables': list[str]}
get_table_info(table, show_sample=True)	dict	{'schema': DataFrame, 'sample': DataFrame}
execute_query(sql)	DataFrame	Query results as pandas DataFrame

Clinical Notes (requires NOTES modality)

Function	Returns	Description
search_notes(query, note_type, limit, snippet_length)	dict	{'results': dict[str, DataFrame]}
get_note(note_id, max_length)	dict	{'text': str, 'subject_id': int, ...}
list_patient_notes(subject_id, note_type, limit)	dict	{'notes': dict[str, DataFrame]}

Error Handling

M4 uses a hierarchy of exceptions. Catch specific types to handle errors appropriately:

M4Error (base)
├── DatasetError      # Dataset doesn't exist or not configured
├── QueryError        # SQL syntax error, table not found, query failed
└── ModalityError     # Tool incompatible with dataset (e.g., notes on tabular-only)

Recovery patterns:

from m4 import execute_query, set_dataset, DatasetError, QueryError, ModalityError

try:
    df = execute_query("SELECT * FROM mimiciv_hosp.patients")
except DatasetError as e:
    # No dataset selected, or dataset not found
    # Recovery: call set_dataset() first, or check list_datasets()
    set_dataset("mimic-iv")
    df = execute_query("SELECT * FROM mimiciv_hosp.patients")
except QueryError as e:
    # SQL error or table not found
    # Recovery: check table name with get_schema(), fix SQL syntax
    print(f"Query failed: {e}")
except ModalityError as e:
    # Tried notes function on tabular-only dataset
    # Recovery: switch to dataset with NOTES modality
    set_dataset("mimic-iv-note")

Dataset State

Important: Dataset selection is module-level state that persists across function calls.

set_dataset("mimic-iv")
df1 = execute_query("SELECT COUNT(*) FROM mimiciv_hosp.patients")  # Uses mimic-iv

set_dataset("eicu")
df2 = execute_query("SELECT COUNT(*) FROM patient")        # Uses eicu

MCP Tool Equivalence

The Python API mirrors MCP tools but with better return types:

MCP Tool	Python Function	MCP Returns	Python Returns
execute_query	execute_query()	Formatted string	pd.DataFrame
get_database_schema	get_schema()	Formatted string	dict with tables list
get_table_info	get_table_info()	Formatted string	dict with schema/sample DataFrames

Use the Python API when you need to:

• Chain queries in analysis pipelines
• Perform pandas operations on results
• Avoid parsing formatted output

NOTE: All queries use canonical schema.table names (e.g., mimiciv_hosp.patients, mimiciv_icu.icustays). These names work on both the local DuckDB backend and the BigQuery backend — no need to adjust table names per backend.