PCD RTM 2009-04-01 WebEx

(Vent TG Main Page)

Meeting Purpose

IHE PCD Rosetta Terminology Mapping (RTM) Ventilator Task Group regular discussion meeting. See the Proposed Agenda below for specific topics.

WebEx Information

Topic: IHE PCD RTM Vent TG

Date: Wednesday, April 1, 2009

Time: 12:00 pm, Eastern Time (GMT -05:00, New York)

Duration: 120 Minutes

Note: Specific web & phone informaiton will be provided via e-mail to group members.

Contact Manny Furst for more information.

Proposed Agenda

1 Review Status

2 Term Definition Model Update

3 Modes Discussion Update

4 Open Discussion

Attachments / Materials

• Breath Mode Discussion Spreadsheet from Respironics / Philips F2F workshops

Minutes

Participants

Chair/Host: Todd Cooper (Breakthrough Solutions Foundry)

Participants: Dr. Dain (ISO TC121/SC4), Pete Goulding (Cardinal/VIASYS), Fernando Isaza (Philips/Respironics), Ken Marks (GE), John Rhoads (Philips), Paul Schluter (GE), Jan Wittenber (Philips)

Discussion

Item	Topic	Discussion
1	Introductions & Agenda Review - Chair	Status/Discussion: Decisions/Issues: Agenda reviewed & approved Action(s):
2	Discussion Summary Review - Chair	Status/Discussion: No discussion summaries reviewed during this session Decisions/Issues: Action(s):
3	Term Definition Update - Group	Status/Discussion: Jan has been mapping & correlating the terms from marks/Schluter + the Modes Discussion May End up with both a MindMap + a spreadsheet Focus will be on a spreadsheet representation Jan will have separate worksheets for each area and then a summarization sheet that shows how they tie together. Spreadsheet sections (or worksheets): - Numerics - Events / Alarms - Modes Decisions/Issues: Action(s): ACTION: (Jan) Present Jan's Updated Spreadsheet @ next meeting 2009.04.15
4	Mode Discussions Update - Group	Status/Discussion: Reviewed the :* Breath Mode Discussion Spreadsheet from Respironics / Philips. General Discussion: - (Dain) Some "modes" allow various types of breaths, and you cannot truly know the breath type until after delivery. - Question: Should the group focus on Rows 12 day vs. 11 & up? IOW - There was a concern that the group not get sidetracked on yet another mode discussion, but use this to drive to a concrete deliverable. - Need to allow for generalization/specialization; need to be able to specify at a high level of abstraction and then add detail as needed. - NOTE: Focus of this exercise was the clinician's perspective / clinical intent - (Schluter) We should recognize that there are multiple "levels" of describing respiratory rhythm / control / mode. Waveforms with BTB annotations & monitored parameters + model & control settings will capture this. - Moving this toward a "graphical paradigm" (e.g., full disclosure picture) along the lines of what was done in cardiology for ECG data would be beneficial. - Graphic representation could be a series of waveform snippets, each with annotations (symbols, colors, etc) - Need to break into concurrent states (machine states & patient states & therapeutic objectives) - Could also include control parameter changes as annotations (e.g., as an event to the waveform) Decisions/Issues: Action(s): ACTION: (Pete & Fernando) Meet again to update the document reviewed above, focusing on p;articular breath types (vs. mode names), column naming (pure mechanical - machine controled, pure spontaneous - patient controlled, & other), fill in more of the cells. If there is time, also address maneuvers. ACTION: (Jan) Add concurrent content to the spreadsheet; add in real data for graphing examples.
5	Next Meeting - Chair	Status/Discussion: Decisions/Issues: Next meeting ''TBD 2009-04-15 Vent WebEx Session'' Action(s):

Next Meeting

TBD 2009-04-15 Vent WebEx Session

(Reviewed & approved by PCD RTM Vent TG <tbd>)">

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