It’s not everyday that medical researchers give the world access to 13+ years of dense, high-quality critical care data. Intensivist Paul Elbers describes the data set along with the clinical priorities in collecting the data. Paul covers a range of topics including protecting the patients’ interests and anonymity, a clinician’s priorities when selecting clinical performance metrics, and the stages of validating predictive algorithms up to the stage of an RTC. The work done to create AmsterdamUMCdb is an incredible feat and a huge boon to the medical science profession.