Difference between revisions of "PCD RTM Ventilator"

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[[PCD_RTM_2008-05-15_WebEx | 2008-05-15 Vent WebEx Session]]
 
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[[PCD_RTM_2008-05-29_WebEx | 2008-05-29 Vent WebEx Session]]
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[[PCD_RTM_2008-06-12_WebEx | 2008-06-12 Vent WebEx Session]]
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[[PCD_RTM_2008-06-26_WebEx | 2008-06-26 Vent WebEx Session]]
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[[PCD_RTM_2008-07-10_WebEx | 2008-07-10 Vent WebEx Session]]
  
 
==Ventilator Operational Mode Semantic Model==
 
==Ventilator Operational Mode Semantic Model==

Revision as of 17:34, 20 May 2008


Rosetta Terminology Mapping [RTM] Ventilator Task Group

In mapping ventilator / respiratory related terms for the IHE PCD RTM profile, quite a few gaps were identified. To address this issue, a task group was formed within the RTM profile group to address these needs and come up with proposals for how they should be addressed. This includes

  • Establishing a more comprehensive framework or paradigm for representing ventilator operational modes
  • Defining a mechanism for representing breath-to-breath annotations
  • Proposing new terms & formal defintions for the remaining "gaps"

Once this analysis is complete and proposals completed, they shall be forwarded to the appropriate SDOs for further action.

Basic RTM information is located on the main RTM page.


Ventilator Task Group Participants

Mark Berryhill (Mark.Berryhill@viasyshc.com)
Todd Cooper (t.cooper@ieee.org)
Steven Dain (sdain@rogers.com)
Robert Flanders (Robert.Flanders@med.ge.com)
William "Chip" Furniss (William.Furniss@respironics.com)
Manny Furst (efurst@comcast.net)
Joel Halle (Joel.Halle@viasyshc.com)
Ken Marks (Kenneth.Marks@med.ge.com)
Terri Monk (terri.monk@duke.edu)
Andrew Norton (andrew.norton@tiscali.co.uk)
Paul Schluter (Paul.Schluter@med.ge.com)
Dieter Weismann (Dieter.Weismann@draeger.com)
Jan Wittenber (Jan.Wittenber@Philips.com)


List server: To send a message to the task group e-mail ihe-pcd-rtm-vent@googlegroups.com

Ventilator Task Group Meetings

2008-04-11 Vent WebEx Session

2008-04-16 Vent WebEx Session

2008-04-24 & 25 Vent Face-to-Face @ CIMIT in Cambridge

2008-05-15 Vent WebEx Session

2008-05-29 Vent WebEx Session

2008-06-12 Vent WebEx Session

2008-06-26 Vent WebEx Session

2008-07-10 Vent WebEx Session

Ventilator Operational Mode 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/SC3. 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.

The following table illustrates the current model being proposed:

Vent Mode Semantic Components Table


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(TBD-...):
...
Breathing Pattern <general semantic attribute description>
Option(TBD-...):
...
Breath Shape <general semantic attribute description>
Option(TBD-...):
...
Adaptive Targets <general semantic attribute description>
Option(TBD-...):
...
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).

Ventilator Terminology Background Materials

Note: Files also available on IHE.net FTP site.

ISO/IEEE 11073 Vent Specialization Documents

11073 Vent Specialization Info Model
11073 Vent Specialization Breath-to-Breath Annotations Example
11073-10101 Ventilator Terminology Excerpt / Summary
11073-10101 Ventilator Terminology Analysis - Dr. Michael Kraemer
2007-05/Cologne Functional Residual Capacity (FRC) Proposal(Marks/GE)
2007-05/Cologne Spiro Dynamic Compliance Proposal (Marks/GE)

Vent Operational Mode Background & Proposal Documents

2008-04-15 (Marks/GE) Vent Mode Classification Proposal
2008-04-15 (Marks/GE) Vent Mode Proposal Applied to GE
Ventilation Mode Proposal (Marks) <from F2F>
Ventilator State Machine Overview (Weismann)

Suggested References List

(Note: Please correct & update this list including any URLs for documents that are located on-line)

1 Branson R, Chatburn RL, Hess D. Respiratory care equipment. 2nd ed., Lippincott, 1999
2 Branson RD, Chatburn RL, Technical Description and Classification of Modes of Ventilator Operation. Respiratory Care Sep 92 vol 37 no 9 pp 1026-1044
3 BS 5724-3.12:1991 Method of declaring parameters for lung ventilators
4 Chatburn RL, Classification of Ventilator Modes: Update and Proposal for Implementation. Respiratory Care March 07 vol 52 no 3 pp 301 – 323
5 EN ISO 4135 Anaesthetic and respiratory equipment: vocabulary
6 Kacmarek, Robert and Hess, Dean, Essentials of Mechanical Ventilation
7 MacIntyre, Neal and Branson, Richard, Mechanical Ventilation
8 Pilbeam, Susan P. & Cairo, J.M., Mechanical Ventilation: Physiological and Clinical Applications (Mechanical Ventilation)
9 Pilbeam, Susan P., Workbook for Mechanical Ventilation: Physiological and Clinical Applications
10 Tobin, Martin J., et. Al, Principles & Practice of Mechanical Ventilation (2nd Edition)
11 Waugh, Jonathan B., et. Al, Rapid Interpretation of Ventilator Waveforms (2nd Edition)