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4、tml.Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-IEEE P1073.1.3.9 / D3.0Draft Standard forMedical Device Communications -Medical Device Data Language (MD
5、DL)Virtual Medical Device, Specialized Airway FlowPrepared byVital Signs Monitoring Working Group of the IEEE 1073 CommitteeSponsor:Engineering in Medicine and Biology Society (EMBS)Abstract: This standard establishes a model for the implementation of the Airway Flow VirtualMedical Device. It establ
6、ishes a Design Model and specifies how this Model should beimplemented. It also provides guidance concerning bandwidth requirements as well as how tospecify conformance with this standard.Keywords: bedside, VMD, Channel, medical device, medical device communications, MIB,patient, Airway Flow, Fluid
7、Pressure, Non-Invasive Airway Flow, Invasive Airway Flow, PulseRateNOTE: This draft is for review only and should not be distributed without permission of theeditor.Copyright 1999 by the Institute of Electrical and Electronics Engineers, Inc.345 East 47th StreetNew York, NY 10017, USAAll Rights Rese
8、rved.This is an unapproved draft of a proposed IEEE Standard, subject to change. Permission is hereby granted for IEEEStandards Committee participants to reproduce this document for purposes of IEEE standardization activities. If thisdocument is to be submitted to ISO or IEC, notification shall be g
9、iven to the IEEE Copyright Administrator.Permission is also granted for member bodies and technical committees of ISO and IEC to reproduce this documentfor purposes of developing a national position. Other entities seeking permission to reproduce portions of thisdocument for these or other uses must
10、 contact the IEEE Standards Department for the appropriate license. Use ofinformation contained in this unapproved draft is at your own risk.IEEE Standards DepartmentCopyright and Permissions445 Hoes Lane, P.O. Box 1331Piscataway, NJ 08855-1331, USACopyright The Institute of Electrical and Electroni
11、cs Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT ONLYDraft 3 - P1073.1.3.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All Rights Reserved.This is an
12、unapproved IEEE Standards Draft, subject to change.2IntroductionThis is a draft copy of the IEEE 1073 Airway Flow VMD Standard. The information and datapresented here is intended to provide a foundation on which the final document can be built.The subcommittee currently working on the development of
13、 this standard consists of:Ken Fuchs, ChairDan Nowicki GE Marquette Medical SystemsJan Wittenber AgilentWard Silver Medtronic Physio-ControlKen Fuchs Siemens Medical SystemsDennis Harding SpacelabsKen Hall SpacelabsTodd Cooper RealsoftPop Tufty Protocol SystemsJohn Villaire Protocol SystemsRick Schr
14、enker Massachusetts General HospitalSpecial thanks to Kai Hassing of Agilent, Boeblingen Germany for his input into this document.All parts of this document are subject to further discussion and may be changed significantly inthe future as the associated IEEE 1073 upper layer documents are revised,
15、and new upper layerdocuments are generated.Review and Feedback on the content of this is document is solicited and should be addressed tothe Editor:Ken FuchsSiemens Medical Systems16 Electronics Ave.,Danvers, MA 01923Phone: 978/907-7686Fax: 978/774-8342Email: ken.fuchsieee.orgCopyright The Institute
16、 of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT ONLYDraft 3 - P1073.1.3.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All
17、 Rights Reserved.This is an unapproved IEEE Standards Draft, subject to change.3Revision HistoryRevisionNumberDate RemarksDraft 1 December 13, 1998 Initial Draft FormatDraft 2 February 1, 1999 Incorporate comments from Orlando meeting,add attribute guidelinesDraft 3 Oct. 31, 1999 Incorporate comment
18、s from Toronto meetingand Vital Signs Meeting.Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT ONLYDraft 3 - P1073.1.3
19、.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All Rights Reserved.This is an unapproved IEEE Standards Draft, subject to change.4Table of Contents1 GENERAL .81.1 SCOPE81.2 PURPOSE 81.3 APPLICABILITY.91.4 AUDIENCE .91.5 ORGANIZATION.91.6 CONVENTIONS92 NORMATIVE REFERENCES93 DEFINI
20、TIONS 114 ABBREVIATIONS115 GENERAL VMD DOMAIN INFORMATION MODEL .125.1 MEDICAL SUBJECT MODEL .125.2 APPLICATION PROFILES AND THE GENERAL VMD126 AIRWAY FLOW VMD DOMAIN INFORMATION MODEL146.1 GENERAL OVERVIEW .146.2 EXTENDING THE AIRWAY FLOW VMD.146.3 AIRWAY FLOW VMD DOMAIN INFORMATION MODEL .146.4 VM
21、O ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.6.4.1 Type.Error! Bookmark not defined.6.4.2 Label StringError! Bookmark not defined.6.5 VMD ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.6.5.1 VMD Status Error! Bookmark not defined.6.5.2 VMD-Model.Error! Bookmark not defined.6.5.3 Instance Number Error! Bookmark
22、not defined.6.5.4 Product SpecificationError! Bookmark not defined.6.5.5 Compatibility ID.Error! Bookmark not defined.6.5.6 Parameter GroupError! Bookmark not defined.6.5.7 Position Error! Bookmark not defined.6.5.8 Operating Hours .Error! Bookmark not defined.6.5.9 Operating Cycles Error! Bookmark
23、not defined.6.5.10 Measurement PrincipleError! Bookmark not defined.7 AIRWAY FLOW CHANNEL.207.1 AIRWAY FLOW CHANNEL ATTRIBUTESERROR! BOOKMARK NOT DEFINED.Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or netw
24、orking permitted without license from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT ONLYDraft 3 - P1073.1.3.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All Rights Reserved.This is an unapproved IEEE Standards Draft, subject to change.57.1.1 Channel Status.Error! Bookmark not de
25、fined.7.1.2 Measurement PrincipleError! Bookmark not defined.7.2 AIRWAY FLOW CHANNEL METRIC ATTRIBUTESERROR! BOOKMARK NOT DEFINED.7.2.1 Metric Specification.Error! Bookmark not defined.7.2.2 Metric Status.Error! Bookmark not defined.7.2.3 Measurement Status.Error! Bookmark not defined.7.2.4 Metric I
26、dError! Bookmark not defined.7.2.5 Metric ID Extension.Error! Bookmark not defined.7.2.6 Unit Code .Error! Bookmark not defined.7.2.7 Airway Flow Channel Metrics - Remaining AttributesError! Bookmark not defined.7.3 AIRWAY FLOW NUMERIC ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.7.3.1 Observed ValueError
27、! Bookmark not defined.7.3.2 Measurement Range Error! Bookmark not defined.7.4 AIRWAY FLOW SAMPLE ARRAY ATTRIBUTES ERROR! BOOKMARK NOT DEFINED.7.4.1 Sample Array Specification .Error! Bookmark not defined.7.4.2 Scale and Range Specification.Error! Bookmark not defined.7.4.3 Remaining Attributes.Erro
28、r! Bookmark not defined.7.4.4 Airway Flow Real-Time Sample Array AttributesError! Bookmark not defined.8 AIRWAY VOLUME CHANNEL288.1 AIRWAY VOLUME CHANNEL ATTRIBUTESERROR! BOOKMARK NOT DEFINED.8.1.1 Channel Status.Error! Bookmark not defined.8.1.2 Measurement PrincipleError! Bookmark not defined.8.2
29、AIRWAY VOLUME CHANNEL METRIC ATTRIBUTES ERROR! BOOKMARK NOT DEFINED.8.2.1 Metric Specification.Error! Bookmark not defined.8.2.2 Metric Status.Error! Bookmark not defined.8.2.3 Measurement Status.Error! Bookmark not defined.8.2.4 Metric IdError! Bookmark not defined.8.2.5 Metric ID Extension.Error!
30、Bookmark not defined.8.2.6 Unit Code .Error! Bookmark not defined.8.2.7 Airway Volume Channel Metrics - Remaining Attributes .Error! Bookmark not defined.8.3 AIRWAY VOLUME NUMERIC ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.8.3.1 Observed ValueError! Bookmark not defined.8.3.2 Measurement Range Error! Bo
31、okmark not defined.8.4 AIRWAY VOLUME SAMPLE ARRAY ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.8.4.1 Sample Array Specification .Error! Bookmark not defined.8.4.2 Scale and Range Specification.Error! Bookmark not defined.8.4.3 Remaining Attributes.Error! Bookmark not defined.8.4.4 Airway Volume Real-Time
32、Sample Array Attributes .Error! Bookmark not defined.Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT ONLYDraft 3 - P1
33、073.1.3.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All Rights Reserved.This is an unapproved IEEE Standards Draft, subject to change.69 AIRWAY PRESSURE CHANNEL369.1 AIRWAY PRESSURE CHANNEL ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.9.1.1 Channel Status.Error! Bookmark not defined.9
34、.1.2 Measurement PrincipleError! Bookmark not defined.9.2 AIRWAY PRESSURE CHANNEL METRIC ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.9.2.1 Metric Specification.Error! Bookmark not defined.9.2.2 Metric Status.Error! Bookmark not defined.9.2.3 Measurement Status.Error! Bookmark not defined.9.2.4 Metric IdE
35、rror! Bookmark not defined.9.2.5 Metric ID Extension.Error! Bookmark not defined.9.2.6 Unit Code .Error! Bookmark not defined.9.2.7 Airway Pressure Channel Metrics - Remaining Attributes .Error! Bookmark not defined.9.3 AIRWAY PRESSURE NUMERIC ATTRIBUTESERROR! BOOKMARK NOT DEFINED.9.3.1 Observed Val
36、ueError! Bookmark not defined.9.3.2 Measurement Range Error! Bookmark not defined.9.4 AIRWAY PRESSURE SAMPLE ARRAY ATTRIBUTES .ERROR! BOOKMARK NOT DEFINED.9.4.1 Sample Array Specification .Error! Bookmark not defined.9.4.2 Scale and Range Specification.Error! Bookmark not defined.9.4.3 Remaining Att
37、ributes.Error! Bookmark not defined.9.4.4 Airway Pressure Real-Time Sample Array Attributes .Error! Bookmark not defined.10 RESP (FLOW) CHANNELERROR! BOOKMARK NOT DEFINED.10.1 RESP (FLOW) CHANNEL ATTRIBUTES.ERROR! BOOKMARK NOT DEFINED.10.1.1 Channel Status.Error! Bookmark not defined.10.1.2 Measurem
38、ent PrincipleError! Bookmark not defined.10.2 RESP (FLOW) CHANNEL METRIC ATTRIBUTES .ERROR! BOOKMARK NOT DEFINED.10.2.1 Metric Specification.Error! Bookmark not defined.10.2.2 Metric Status.Error! Bookmark not defined.10.2.3 Measurement Status.Error! Bookmark not defined.10.2.4 Metric IdError! Bookm
39、ark not defined.10.2.5 Metric ID Extension.Error! Bookmark not defined.10.2.6 Unit Code .Error! Bookmark not defined.10.2.7 Resp (Flow) Channel Metrics - Remaining AttributesError! Bookmark not defined.10.3 RESP (FLOW) NUMERIC ATTRIBUTESERROR! BOOKMARK NOT DEFINED.10.3.1 Measurement Range Error! Boo
40、kmark not defined.11 AIRWAY FLOW VMD ALERT STATUS.4511.1 VMD ALERT STATUS ATTRIBUTES.5211.1.1 Airway Flow VMD Physio Alert IDs52Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without l
41、icense from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT ONLYDraft 3 - P1073.1.3.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All Rights Reserved.This is an unapproved IEEE Standards Draft, subject to change.711.1.2 Airway Flow VMD Technical Alert IDs5212 AIRWAY FLOW VMD MODES
42、OF OPERATION .5612.1 AIRWAY FLOW VMD DEVICE MODES5612.2 AIRWAY FLOW VMD DEVICE FINITE STATE MACHINE5613 CONFORMANCE MODEL 5713.1 APPLICABILITY.5713.2 CONFORMANCE SPECIFICATION.5713.3 LEVELS OF CONFORMANCE.5713.3.1 Conformance Level 1.5713.3.2 Conformance Level 2.5713.3.3 Conformance Level 3.5813.4 I
43、MPLEMENTATION CONFORMANCE STATEMENTS.5813.4.1 General Format5813.4.2 General Implementation Conformance Statement5913.4.3 DIM MOC Implementation Conformance Statement5913.4.4 MOC Attribute Implementation Conformance Statement.6013.4.5 MOC Notification Implementation Conformance Statement.6114 DATA B
44、ANDWIDTH CONSIDERATIONS 6214.1 OVERVIEW.6214.2 AIRWAY FLOW SCENARIO.62Copyright The Institute of Electrical and Electronics Engineers, Inc. Provided by IHS under license with IEEENot for ResaleNo reproduction or networking permitted without license from IHS-,-,-UNAPPROVED DRAFT PUBLISHED FOR COMMENT
45、 ONLYDraft 3 - P1073.1.3.9 Medical Device Communications, Airway FlowCopyright 1999 IEEE. All Rights Reserved.This is an unapproved IEEE Standards Draft, subject to change.81 GeneralOne of the primary purposes of the IEEE 1073 series of standards is to provide a consistentobject model across the vas
46、t area of Medical Devices and Medical Systems. A major aim is toprovide adequate information and guidance in order to maximize the probability of successfulinteroperability of medical devices. To achieve this it is necessary to provide a detaileddescription of the various Medical Devices along with
47、specific object and data models. Theinteroperability of these medical devices in the patient bedside environment, primarily betweenthe bedside and the patient care information systems, will play a major part in the future ofmedical informatics.A general overview of the entire IEEE 1073 series of sta
48、ndards can be found in the IEEE 1073Standard for Medical Device Communications Overview and Framework document. The IEEE1073.1.3.9 standard (this document) concentrates specifically on the domain of the AirwayFlow VMD. The VMD represents the clinical/medical aspects of a complete medical device. Thi
49、sdocument focuses on those aspects, while other IEEE 1073.1.x standards demonstrate how toincorporate this and/or other VMDs to create compliant and complete medical devices.The structure and organization of the Airway Flow VMD is based on the Object Oriented Designand Modeling information contained in the Domain Information Model section of the Vital SignsInformation Representation document developed by the associated CEN/T
