Difference between revisions of "PCD RTM Vent Modes"

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==Ventilator Operational Mode Semantic Model==
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==Ventilator Operational Configuration Semantic Model==
A key item in the Vent TG's discussion is to identify the core semantic components that make up a ventilator's operational modality.  This in turn can be used to organize a device's settings, waveform annotations, etc.  It is understood that the actual labels associated to a given mode will vary from vendor's device to device, and should eventually be harmonized with related activities such as the work being done within [http://www.iso.org/iso/standards_development/technical_committees/list_of_iso_technical_committees/iso_technical_committee.htm?commid=52012 ISO TC121/SC 3/JWG 1 (Joint with IEC/SC62D) Critical Care Ventilators].  Component semantics should be flexible enough to support all of these usages, though.
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A key item in the Vent TG's discussion is to identify the core semantic components that make up a ventilator's operational modality.  This in turn can be used to organize a device's settings, waveform annotations, etc.  It is understood that the actual labels associated to a given mode will vary from vendor's device to device, and should eventually be harmonized with related activities such as the work being done within [http://www.iso.org/iso/standards_development/technical_committees/list_of_iso_technical_committees/iso_technical_committee.htm?commid=52024 ISO TC121/SC 4 (Joint with IEC/SC62D) Critical Care Ventilators].  Component semantics should be flexible enough to support all of these usages, though.
  
Note:  This is also intended to result in an update to the existing ventilator operational modality terminology standard contained in ''ISO/IEEE 11073-10101 Health informatics - Point-of-care medical device communication - Nomenclature document''.
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Note:  This is also intended to result in an update to the existing ventilator operational modality terminology standard contained in ''ISO/IEEE 11073-10101 Health informatics - Point-of-care medical device communication - Nomenclature document'', as well as a mapping to any "glossary" developed within ISO TC121/SC4.
  
The following table illustrates the current model being proposed:
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Instead of trying to build all concepts into a single Operational Mode term, a set of operational configuration semantics have been proposed as follows:
  
[[Image:IHE_PCD_RTM_Vent_Modes_Proposal_Table_r1.png|center|Vent Mode Semantic Components Table]]
 
  
  

Revision as of 19:56, 25 June 2008

Ventilator Operational Configuration Semantic Model

A key item in the Vent TG's discussion is to identify the core semantic components that make up a ventilator's operational modality. This in turn can be used to organize a device's settings, waveform annotations, etc. It is understood that the actual labels associated to a given mode will vary from vendor's device to device, and should eventually be harmonized with related activities such as the work being done within ISO TC121/SC 4 (Joint with IEC/SC62D) Critical Care Ventilators. Component semantics should be flexible enough to support all of these usages, though.

Note: This is also intended to result in an update to the existing ventilator operational modality terminology standard contained in ISO/IEEE 11073-10101 Health informatics - Point-of-care medical device communication - Nomenclature document, as well as a mapping to any "glossary" developed within ISO TC121/SC4.

Instead of trying to build all concepts into a single Operational Mode term, a set of operational configuration semantics have been proposed as follows:



Ventilatator Operational Mode Attributes
Atrribute Description Discussion
Patient Interface <general semantic attribute description>
Option(IV-Invasive):
Option(NIV-Non-Invasive):
...
Delivery Method <general semantic attribute description>
Option(PP-Positive Pressure):
Option(NP-Negative Pressure):
Option(HF-High Frequency):
...
Breathing Pattern <general semantic attribute description>
Option(CMV-Continuous Mandatory Ventilation):
Option(IMV-Intermittent Mandatory Ventilation):
Option(CSV-Continuous Spontaneous Ventilation):
...
Breath Shape <general semantic attribute description>
Option(P-Pressure):
Option(F-Flow):
Option(PF-Pressure transitioning to Flow):
Option(FP-Flow transitioning to Pressure):
Option(V-Volume...integral of flow):
Option(T-Time):
  • Is BreathShape::Time redundant since time is ALWAYS a component?
Adaptive Targets <general semantic attribute description>
Option(NOS-Not Otherwise Specified):
Option(MMV-Mandatory Minute Volume):
Option(V-Volume):
Option(FQ-Frequency):
Option(EtO2-Control for O2 content):
Option(EtCO2-Control for CO2 content):
...
Assist Augmentation <general semantic attribute description>
Option(TBD-...):
Note: During the 2008-05-15 WebEx it was decided to add another Attribute to this table - "Assist/Support Breath Augmentation" (final name TBD).

Reference Documents

RTM Vent Page Background Materials and Suggested References List
Initial mode table proposal from Cambridge Meetings
Aphorisms of Mode Classification (Chatburn, 2008.06.23)
Analysis of Aphorisms (Chatburn, 2008-06-02 tcon)
Breath Mode Taxonomy (Weismann, 2008.06.22)
Breath Model Taxonomy- Excel (Weismann, 2008.06.22 tcon)
Furniss ventilator mode discussion document

Mode Issues / Action Items List

The following table captures the current issues that need to be resolved regarding the above model:


Item Submitters Attr Topic Description Discussion/Disposition
1 Berryhill Breath Shape PF or is it really PV? Mark wanted to know if the BREATH SHAPE item should be classified as Pressure-Flow or Pressure-Volume. In his opinion, in a volume assured breath, you set the pressure, then maintain a flow until you reach the assured volume-Joel .
2 tbd . . . .

Mode Mapping Sandboxes

The table below may be used to try out mapping specific vent modes (real modes provided on real vents!) and to discuss issues with the model above - gaps, adjustments, etc.

NOTE: A sample table has been provided - copy that heading and table and then use it as a sandbox for your own mappings.

Mode Sandbox Table: (Sample)

Mode Name P/I D/M B/P B/S A/T B/M Description/Notes
High Freq IV HF n/a n/a n/a n/a ...
tbd tbd tbd . . . . ...