The following tables describe a patient for Pulse to simulate
Patient
Data used to configure the patient.
| Property Name | Type | Definition |
| Age | SEScalarTime | Patient age. |
| AlveoliSurfaceArea | SEScalarArea | The surface area of the alveoli for gas diffusion. |
| BasalMetabolicRate | SEScalarPower | The life-sustaining metabolic rate. |
| BloodVolumeBaseline | SEScalarVolume | The total volume of fluid within the cardiovascular system. |
| BodyDensity | SEScalarMassPerVolume | The mass of the body divided by the volume of the body. |
| BodyFatFraction | SEScalar0To1 | Total mass of fat divided by total body mass; body fat includes essential body fat and storage body fat. |
| BodyMassIndex | SEScalar | Broadly categorize a person as underweight, normal weight, overweight, or obese based on tissue mass and height. |
| DiastolicArterialPressureBaseline | SEScalarPressure | The starting minimum pressure in the aorta over the course of a cardiac cycle. |
| ExpiratoryReserveVolume | SEScalarVolume | The maximum amount of air that can be exhaled from the end-expiratory position. |
| FunctionalResidualCapacity | SEScalarVolume | The volume of air remaining in the lungs after a passive expiration. |
| HeartRateBaseline | SEScalarFrequency | The resting heart rate. |
| HeartRateMaximum | SEScalarFrequency | The maximum heart rate the patient can withstand. |
| HeartRateMinimum | SEScalarFrequency | The minimum heart rate the patient can withstand. |
| Height | SEScalarLength | Patient height. |
| IdealBodyWeight | SEScalarMass | Ideal patient weight based only on sex and height. |
| InspiratoryCapacity | SEScalarVolume | The sum of IRV and TV. |
| InspiratoryReserveVolume | SEScalarVolume | The maximal volume that can be inhaled from the end-inspiratory level. |
| LeanBodyMass | SEScalarMass | Component of body composition after subtracting body fat weight. |
| MeanArterialPressureBaseline | SEScalarPressure | The resting mean arterial pressure. |
| Name | String | Patient Identifier. |
| PulsePressureBaseline | SEScalarPressure | The difference between the systolic and diastolic pressures. |
| ResidualVolume | SEScalarVolume | The volume of air remaining in the lungs after a maximal exhalation. |
| RespirationRateBaseline | SEScalarFrequency | The resting respiration rate. |
| RightLungRatio | SEScalar0To1 | The ratio of total lung surface area that is associated with the right lung. |
| Sex | Enum | PatientData_eSexTable |
| SkinSurfaceArea | SEScalarArea | The surface area of the skin surface of the body. |
| SystolicArterialPressureBaseline | SEScalarPressure | The starting maximum pressure in the aorta over the course of a cardiac cycle. |
| TidalVolumeBaseline | SEScalarVolume | The starting volume of air moved into or out of the lungs during normal respiration. |
| TotalLungCapacity | SEScalarVolume | The volume of air in the lungs at maximal inflation. |
| VitalCapacity | SEScalarVolume | The maximum amount of air a person can expel from their lungs after a maximum inhalation. |
| Weight | SEScalarMass | Patient weight. |
PatientData_eSex
Enumeration for patient sex.
| Property Name | Type | Definition |
| Male | Enum | Male patient. |
| Female | Enum | Female patient. |
The following tables describe the physiologic and equipment states Pulse supports.
eEvent
| Property Name | Type | Definition |
| Antidiuresis | Enum | Low urine flow. |
| Bradycardia | Enum | The heart rate is slowed to below 60 beats per minute. |
| Bradypnea | Enum | The state at which the respiratory rate has fallen 10 breaths per minute. |
| BrainOxygenDeficit | Enum | A lack of oxygen in the brain. Death will occur ~30min. |
| CardiacArrest | Enum | Sudden, unexpected loss of heart function, breathing, and consciousness. |
| CardiogenicShock | Enum | Inadequate blood circulation due to failure of the heart ventricles (Cardiac Index < 2.2 L/min m2). |
| CardiovascularCollapse | Enum | Not enough pressure in the veins/arteries to keep inflated. |
| CriticalBrainOxygenDeficit | Enum | A critical lack of oxygen in the brain. Death in under 10min. |
| Diuresis | Enum | High urine flow. |
| Fasciculation | Enum | Brief spontaneous contractions of muscle fibers. |
| Fatigue | Enum | The body is using energy above the Basal Metabolic Rate. |
| FunctionalIncontinence | Enum | Uncontrolled bladder release due to a full bladder. |
| Hypercapnia | Enum | State at which the arterial carbon dioxide partial pressure has exceeded 60 mmHg. |
| Hyperglycemia | Enum | An excess of glucose in the bloodstream (> 200 mg/dL). |
| Hypernatremia | Enum | An excess of sodium in the bloodstream (> 295 mOsm/kg). |
| Hyperthermia | Enum | The condition of having a body temperature greatly above normal (> 38 C). |
| Hypoglycemia | Enum | Low glucose in the bloodstream (< 70 mg/dL). |
| Hyponatremia | Enum | Low sodium in the bloodstream (< 135 mEq/L). |
| Hypothermia | Enum | The condition of having a body temperature greatly below normal (< 35 C). |
| Hypoxia | Enum | State at which the arterial oxygen partial pressure has fallen below 65 mmHg. |
| HypovolemicShock | Enum | The blood volume has dropped below 65% of its normal value. |
| IntracranialHypertension | Enum | Intracranial pressure is greater than 25 mmHg. |
| IntracranialHypotension | Enum | Intracranial pressure is lower than 7 mmHg. |
| IrreversibleState | Enum | An unrecoverable patient state. The engine will cease calculating when this event occurs. |
| Ketoacidosis | Enum | A form of metabolic acidosis where the anion gap is driven by the rise in ketones. |
| LacticAcidosis | Enum | A form of metabolic acidosis where the blood lactate concentration rises. |
| MassiveHemothorax | Enum | Intrapleural blood drainage (> 1000mL). |
| MaximumPulmonaryVentilationRate | Enum | The maximum pulmonary ventilation rate has been reached. |
| MediumHemothorax | Enum | Intrapleural blood drainage (> 400mL, < 1000 mL). |
| MetabolicAcidosis | Enum | A condition where the body is producing excess acids. (pH < 7.35). |
| MetabolicAlkalosis | Enum | A condition where the body is producing excess bases. (pH > 7.45). |
| MildDehydration | Enum | A loss of more fluid than is taken in (More than 3% loss of healthy/initial fluid mass). |
| MinimalHemothorax | Enum | Intrapleural blood drainage (< 400mL). |
| ModerateDehydration | Enum | A loss of more fluid than is taken in (More than 5% loss of healthy/initial fluid mass). |
| ModerateHyperoxemia | Enum | State at which the arterial oxygen partial pressure has risen above 120 mmHg. |
| ModerateHypocapnia | Enum | State at which the arterial carbon dioxide partial pressure has fallen below 30 mmHg. |
| MyocardiumOxygenDeficit | Enum | The myocardium oxygen level has decreased below 5 mmHg. |
| Natriuresis | Enum | Sodium excretion above normal levels. |
| NutritionDepleted | Enum | The stomach is empty. |
| RenalHypoperfusion | Enum | Low blood flow to the kidneys. |
| RespiratoryAcidosis | Enum | An increase of CO2 concentration in the bloodstream and a decrease in blood pH. |
| RespiratoryAlkalosis | Enum | An decrease of CO2 concentration in the bloodstream and a increase in blood pH. |
| SevereDehydration | Enum | A loss of more fluid than is taken in (More than 10% loss of healthy/initial fluid mass). |
| SevereHyperoxemia | Enum | State at which the arterial oxygen partial pressure has risen above 200 mmHg. |
| SevereHypocapnia | Enum | State at which the arterial carbon dioxide partial pressure has fallen below 15 mmHg. |
| Stabilizing | Enum | The engine is stabilizing to a new homeostasis state, its not recommended to add any actions when active. |
| StartOfCardiacCycle | Enum | The Patient is starting a new heart beat. |
| StartOfExhale | Enum | Patient is starting to exhale. |
| StartOfInhale | Enum | Patient is starting to inhale. |
| Tachycardia | Enum | The heart rate is elevated above 100 beats per minute. |
| Tachypnea | Enum | A breathing rate above 20 breaths per minute. |
| AnesthesiaMachineOxygenBottleOneExhausted | Enum | Anesthesia machine oxygen bottle one has been exhausted. |
| AnesthesiaMachineOxygenBottleTwoExhausted | Enum | Anesthesia machine oxygen bottle two has been exhausted. |
| AnesthesiaMachineReliefValveActive | Enum | Anesthesia machine relief valve is active. |
| MechanicalVentilatorReliefValveActive | Enum | Mechanical ventilator relief valve is active. |
| SupplementalOxygenBottleExhausted | Enum | The supplemental oxygen bottle is exhausted. There is no longer any oxygen to provide. |
| NonRebreatherMaskOxygenBagEmpty | Enum | The non rebreather mask oxygen bag is empty. Oxygen may need to be provided at a faster rate. |
The following tables describe the conditions that can be applied to the patient before starting the simulation
AcuteRespiratoryDistressSyndrome
A type of respiratory failure characterized by rapid onset of widespread inflammation in the lungs.
ChronicAnemia
Condition characterized by reduced red blood cells, which leads to reduced oxygen carrying capacity. Implemented by reducing the amount of hemoglobin in the blood.
| Property Name | Type | Definition |
| ReductionFactor | SEScalar0To1 | The fraction to reduce the amount of hemoglobin by. |
ChronicObstructivePulmonaryDisease
Chronic Obstructive Pulmonary Disease (COPD) is an obstructive lung disease characterized by chronically reduced airflow into the lungs. Unlike asthma, the reduction in airflow does not generally improve with medication. When tissue damage occurs primarily in the airways, the condition is called chronic bronchitis. When tissue destruction is focused in the alveoli, the condition is called emphysema. COPD is a manifestation of both conditions, although one condition may dominate.
| Property Name | Type | Definition |
| BronchitisSeverity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
ChronicPericardialEffusion
Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production andre-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. Normal levels of pericardial fluid are from 15 to 50 mL.
| Property Name | Type | Definition |
| AccumulatedVolume | SEScalarVolume | The amount of fluid in the pericardial cavity. |
ChronicRenalStenosis
Narrowing of the renal artery.
| Property Name | Type | Definition |
| LeftKidneySeverity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
| RightKidneySeverity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
ChronicVentricularSystolicDysfunction
Impairment of the ventricular contraction, reducing the ability of the heart to pump blood.
ConsumeMeal
Consume nutrients into the body along with a time elapsed since this meal.
| Property Name | Type | Definition |
| Meal | SEMeal | MealTable |
| MealFile | String | File containing a meal objet with properties to initialize the system with. |
Dehydration
A lack of total body water. This model is nearly isotonic as if fluid was lost through excessive sweating.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
ImpairedAlveolarExchange
Generic way to specify the effectiveness of alveolar exchange.
| Property Name | Type | Definition |
| ImpairedFraction | SEScalar0To1 | Surface Area Fraction of the impaired alveoli. |
| ImpairedSurfaceArea | SEScalarArea | Surface Area of the impaired alveoli. |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
Pneumonia
pneumonia is a form of pneumonia that affects one or more lobes of the lungs. As fluid fills portions of the lung it becomes more difficult to breath and the gas diffusion surface area in the alveoli is reduced.
PulmonaryFibrosis
Pulmonary Fibrosis is a restrictive lung disease that results in increase in the connective tissue of the lung. This reduces the lung compliance making it difficult to expand the lung during inspiration.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
PulmonaryShunt
Pulmonary shunt is when the alveoli of the lungs are perfused with blood as normal, but ventilation (the supply of air) fails to supply the perfused region.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
Sepsis
A potentially life-threatening condition caused by the body's response to an infection.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
The following tables describe the system data that is calculated each time step
BloodChemistrySystem
| Property Name | Type | Definition |
| ArterialCarbonDioxidePressure | SEScalarPressure | Partial pressure of carbon dioxide in the aorta. |
| ArterialOxygenPressure | SEScalarPressure | Partial pressure of oxygen in the aorta. |
| BaseExcess | SEScalarAmountPerVolume | Excess or deficit, respectively, in the amount of base present in the blood. |
| BloodDensity | SEScalarMassPerVolume | Mass per unit volume of the blood. |
| BloodPH | SEScalar | Measure of acidity or basicity of the blood. |
| BloodSpecificHeat | SEScalarHeatCapacitancePerMass | The amount of energy required to raise one kilogram of blood by one degree Celsius. |
| BloodUreaNitrogenConcentration | SEScalarMassPerVolume | The BUN concentration in the blood. |
| CarbonDioxideSaturation | SEScalar0To1 | The fraction of hemoglobin that is carbon dioxide bound. |
| CarbonMonoxideSaturation | SEScalar0To1 | The fraction of hemoglobin that is carbon monoxide bound. |
| Hematocrit | SEScalar0To1 | Volume percentage of red blood cells in the blood. |
| HemoglobinContent | SEScalarMass | The total amount of hemoglobin in the blood. |
| OxygenSaturation | SEScalar0To1 | The fraction of hemoglobin that is oxygen bound. |
| Phosphate | SEScalarAmountPerVolume | Sum of all inorganic phosphate in the blood. |
| PlasmaOsmolality | SEScalarOsmolality | The osmolar pressure contributions of the sodium, urea and glucose divided by the mass of the fluid. |
| PlasmaOsmolarity | SEScalarOsmolarity | The osmolar pressure contributions of the sodium, urea and glucose divided by the volume of the fluid. |
| PlasmaVolume | SEScalarVolume | Volume of the plasma. |
| PulmonaryArterialCarbonDioxidePressure | SEScalarPressure | Partial pressure of carbon dioxide in the pulmonary arteries. |
| PulmonaryArterialOxygenPressure | SEScalarPressure | Partial pressure of oxygen in the pulmonary arteries. |
| PulmonaryVenousCarbonDioxidePressure | SEScalarPressure | Partial pressure of carbon dioxide in the pulmonary veins. |
| PulmonaryVenousOxygenPressure | SEScalarPressure | Partial pressure of oxygen in the pulmonary veins. |
| PulseOximetry | SEScalar0To1 | The fraction of hemoglobin with bound oxygen as measured optically, which can include Carbon Monoxide. |
| RedBloodCellCount | SEScalarAmountPerVolume | Total number of red blood cells in the blood. |
| ShuntFraction | SEScalar0To1 | Fraction of the blood flow that bypasses the alveoli; therefore, does not engage is gas exchange. |
| StrongIonDifference | SEScalarAmountPerVolume | Difference between the positive and negative strong ion concentrations in the blood. |
| TotalProteinConcentration | SEScalarMassPerVolume | The concentration of urea in the blood. |
| VenousCarbonDioxidePressure | SEScalarPressure | Partial pressure of carbon dioxide in the vena cava. |
| VenousOxygenPressure | SEScalarPressure | Partial pressure of oxygen in the vena cava. |
| VolumeFractionNeutralLipidInPlasma | SEScalar0To1 | Fraction of the plasma that is made up of neutral lipids. |
| VolumeFractionNeutralPhospholipidInPlasma | SEScalar0To1 | Fraction of the plasma that is made up of neutral phospholipids. |
| WhiteBloodCellCount | SEScalarAmountPerVolume | Total number of white blood cells in the blood. |
CardiovascularMechanicsModifiers
Partial pressure of oxygen in the vena cava.
| Property Name | Type | Definition |
| ArterialComplianceMultiplier | SEScalarUnsigned | Updates the aorta compliance. |
| ArterialResistanceMultiplier | SEScalarUnsigned | Updates the aorta resistance. |
| HeartRateMultiplier | SEScalarUnsigned | Updates the heart driver frequency. |
| PulmonaryComplianceMultiplier | SEScalarUnsigned | Updates the pulmonary veins, capillaries, and arteries compliances. |
| PulmonaryResistanceMultiplier | SEScalarUnsigned | Updates the pulmonary veins, capillaries, and arteries resistances. |
| StrokeVolumeMultiplier | SEScalarUnsigned | Updates the heart driver amplitude. |
| SystemicComplianceMultiplier | SEScalarUnsigned | Updates the the entire systemic vasculature compliances, excluding pulmonary. |
| SystemicResistanceMultiplier | SEScalarUnsigned | Updates the the entire systemic vasculature resistances, excluding pulmonary. |
| VenousComplianceMultiplier | SEScalarUnsigned | Updates the vena cava compliance. |
CardiovascularSystem
| Property Name | Type | Definition |
| ArterialPressure | SEScalarPressure | The current arterial pressure. |
| BloodVolume | SEScalarVolume | The total volume of fluid within the cardiovascular system. |
| CardiacIndex | SEScalarVolumePerTimeArea | Relates heart performance to the size of the individual. |
| CardiacOutput | SEScalarVolumePerTime | The volume of blood being pumped from the heart in a given time interval.
It is defined as the heart rate multiplied by the stroke volume. |
| CentralVenousPressure | SEScalarPressure | The instantaneous pressure of the venus return. |
| CerebralBloodFlow | SEScalarVolumePerTime | The rate of blood flow into the skull, thus supplying the brain. |
| CerebralPerfusionPressure | SEScalarPressure | The difference between the mean arterial pressure and the cerebral blood pressure. Defines the hydrostatic diffusion gradient. |
| DiastolicArterialPressure | SEScalarPressure | The minimum pressure in the aorta over the course of a cardiac cycle. |
| DiastolicLeftHeartPressure | SEScalarPressure | The minimum pressure in the left heart over the course of a cardiac cycle. |
| DiastolicRightHeartPressure | SEScalarPressure | The minimum pressure in the right heart over the course of a cardiac cycle. |
| HeartEjectionFraction | SEScalar0To1 | The current pressure in the aorta. |
| HeartRate | SEScalarFrequency | The fraction of the blood that is pumped out of the ventricle during a cardiac cycle. |
| HeartRhythm | Enum | eHeartRhythmTable |
| HeartStrokeVolume | SEScalarVolume | The volume of blood pumped from the left ventricle in one contraction. |
| IntracranialPressure | SEScalarPressure | The pressure inside the skull. Equal to the cerebral blood pressure with the cerebrospinal fluid pressure being assumed equal. |
| MeanArterialCarbonDioxidePartialPressure | SEScalarPressure | The mean of the partial pressure of carbon dioxide in the aorta over a cardiac cycle. |
| MeanArterialCarbonDioxidePartialPressureDelta | SEScalarPressure | The change of the the mean of the partial pressure of carbon dioxide in the aorta from the previous cardiac cycle. |
| MeanArterialPressure | SEScalarPressure | The average arterial pressure throughout each cardiac cycle. |
| MeanCentralVenousPressure | SEScalarPressure | The average pressure in the vena cava over the course of a cardiac cycle. |
| MeanSkinFlow | SEScalarVolumePerTime | The blood flow to the skin averaged over the current cardiac cycle time. |
| PeripheralPerfusionIndex | SEScalar0To1 | The ratio of pulsatile blood flow to non-pulsatile blood flow in the peripheral tissue. |
| PulmonaryArterialPressure | SEScalarPressure | The current pressure in the pulmonary arteries. |
| PulmonaryCapillariesWedgePressure | SEScalarPressure | The pressure within the pulmonary capillaries. |
| PulmonaryDiastolicArterialPressure | SEScalarPressure | The minimum pressure that occurs in the pulmonary arteries over the course of a cardiac cycle. |
| PulmonaryMeanArterialPressure | SEScalarPressure | The average pressure that occurs in the pulmonary arteries over the course of a cardiac cycle. |
| PulmonaryMeanCapillaryFlow | SEScalarVolumePerTime | The average blood flow in the pulmonary capillaries over the course of a cardiac cycle. |
| PulmonaryMeanShuntFlow | SEScalarVolumePerTime | The average blood flow diverted from the pulmonary capillaries (not oxygenated) over the course of a cardiac cycle. |
| PulmonarySystolicArterialPressure | SEScalarPressure | The maximum pressure in the pulmonary arteries over the course of a cardiac cycle. |
| PulmonaryVascularResistance | SEScalarPressureTimePerVolume | The resistance offered by the pulmonary circulation. |
| PulmonaryVascularResistanceIndex | SEScalarPressureTimePerVolumeArea | Relates pulmonary circulation performance to the size of the individual. |
| PulsePressure | SEScalarPressure | The difference between the systolic and diastolic pressures. |
| SystemicVascularResistance | SEScalarPressureTimePerVolume | The resistance to blood flow through the entire systemic vasculature, not including the pulmonary circulation. |
| SystolicArterialPressure | SEScalarPressure | The maximum pressure in the aorta over the course of a cardiac cycle. |
| SystolicLeftHeartPressure | SEScalarPressure | The maximum pressure in the aorta over the course of a cardiac cycle. |
| SystolicRightHeartPressure | SEScalarPressure | The maximum pressure in the aorta over the course of a cardiac cycle. |
| TotalHemorrhageRate | SEScalarVolumePerTime | The total rate of blood loss due to all active hemorrhages. |
| TotalHemorrhagedVolume | SEScalarVolume | The total amount of blood lost due to all hemorrhages. |
DrugSystem
EndocrineSystem
EnergySystem
| Property Name | Type | Definition |
| AchievedExerciseLevel | SEScalar0To1 | The fraction of how much of the requested exercise the patient is able to achieve. 1.0 means the the patient is performing at the requested level. Nan is the patient is not exercising (no Action) |
| CoreTemperature | SEScalarTemperature | The internal body temperature. |
| CreatinineProductionRate | SEScalarAmountPerTime | The generation of creatinine in the muscle tissue per. |
| ExerciseMeanArterialPressureDelta | SEScalarPressure | The pressure delta that occurs during exercise. Used to modify the baroreceptor set-point. |
| FatigueLevel | SEScalar0To1 | The exhaustion level of the body, or inability to perform physical exercise. |
| KetoneProductionRate | SEScalarAmountPerTime | The molar amount of ketones generated in the liver. |
| LactateProductionRate | SEScalarAmountPerTime | The molar amount of lactate generated on the tissue level from anaerobic metabolism. |
| SkinTemperature | SEScalarTemperature | The skin surface temperature. |
| SweatRate | SEScalarMassPerTime | Mass of sweat generated per unit time due to elevated core temperature. |
| TotalMetabolicRate | SEScalarPower | The basal metabolic rate plus additional energy expenditure rates due to activity. |
| TotalWorkRateLevel | SEScalar0To1 | The current patient work rate above basal over the maximum work rate capable by the patient. |
GastrointestinalSystem
HepaticSystem
NervousSystem
| Property Name | Type | Definition |
| BaroreceptorComplianceScale | SEScalar | Cardiovascular compliance multiplier used to scale the heart rate due to baroreceptor feedback |
| BaroreceptorHeartElastanceScale | SEScalar | Heart elastance multiplier used to scale the heart rate due to baroreceptor feedback. |
| BaroreceptorHeartRateScale | SEScalar | Heart rate multiplier used to scale the heart rate due to baroreceptor feedback. |
| BaroreceptorResistanceScale | SEScalar | Cardiovascular resistance multiplier used to scale the heart rate due to baroreceptor feedback |
| ChemoreceptorHeartElastanceScale | SEScalar | Heart elastance multiplier used to scale the heart rate due to baroreceptor feedback. |
| ChemoreceptorHeartRateScale | SEScalar | Heart rate multiplier used to scale the heart rate due to baroreceptor feedback. |
| LeftEyePupillaryResponse | SEPupillaryResponse | PupillaryResponseTable |
| RightEyePupillaryResponse | SEPupillaryResponse | PupillaryResponseTable |
PhysiologySystem
PupillaryResponse
| Property Name | Type | Definition |
| ReactivityModifier | SEScalarNegative1To1 | Change in pupil reaction time -1 complete reduction/no response, 0 is normal, and 1 is the fastest reaction time. |
| ShapeModifier | SEScalarNegative1To1 | Percentage change in pupil shape from normal. Positive is vertical ovoid. Negative is horizontal ovoid. |
| SizeModifier | SEScalarNegative1To1 | Pupil size change from normal. -1 is fully constricted, 0 is no change, +1 is fully dilated. |
RenalSystem
| Property Name | Type | Definition |
| FiltrationFraction | SEScalar0To1 | Scalar used to compute reabsorption for substances. |
| GlomerularFiltrationRate | SEScalarVolumePerTime | Flow rate of filtrate into the tubules. |
| LeftAfferentArterioleResistance | SEScalarPressureTimePerVolume | resistance to flow going into the glomerular capillaries in the left Kidney |
| LeftBowmansCapsulesHydrostaticPressure | SEScalarPressure | Pressure generated from fluid in the bowmans capsules in the left Kidney. |
| LeftBowmansCapsulesOsmoticPressure | SEScalarPressure | Pressure generated from substances in the bowmans capsules in the left Kidney. |
| LeftEfferentArterioleResistance | SEScalarPressureTimePerVolume | Resistance to flow into the peritubular capillaries in the left Kidney. |
| LeftFiltrationFraction | SEScalar0To1 | Scalar used to compute reabsorption for substances in left Kidney. |
| LeftGlomerularCapillariesHydrostaticPressure | SEScalarPressure | Pressure generated from fluid in the glomerular capillaries in the left Kidney. |
| LeftGlomerularCapillariesOsmoticPressure | SEScalarPressure | Pressure generated from substances in the capillaries in the left Kidney. |
| LeftGlomerularFiltrationCoefficient | SEScalarVolumePerTimePressure | Calculated for each substance to determine ease of transport into the tubules in the left Kidney. |
| LeftGlomerularFiltrationRate | SEScalarVolumePerTime | Flow rate of filtrate into the tubules in left Kidney. |
| LeftGlomerularFiltrationSurfaceArea | SEScalarArea | Surface area of glomerular capillaries that experiance filtration in the left Kidney. |
| LeftGlomerularFluidPermeability | SEScalarVolumePerTimePressureArea | Permeability coefficient of the capillary tissue in the left Kidney. |
| LeftNetFiltrationPressure | SEScalarPressure | Total pressure directed into the tubules in the left Kidney. |
| LeftNetReabsorptionPressure | SEScalarPressure | Total pressure directed into the peritubular capillaries in the left Kidney. |
| LeftPeritubularCapillariesHydrostaticPressure | SEScalarPressure | Pressure generated by the fluid in the peritubular capillaries in the left Kidney. |
| LeftPeritubularCapillariesOsmoticPressure | SEScalarPressure | Pressure generated by the substance concentration in the peritubular capillaries in the left Kidney. |
| LeftReabsorptionFiltrationCoefficient | SEScalarVolumePerTimePressure | Value which determines how much of a substance is reabsorbed into the blood stream in the left Kidney. |
| LeftReabsorptionRate | SEScalarVolumePerTime | Rate at which fluid or a substance is transported into the peritubular capillaries in the left Kidney. |
| LeftTubularHydrostaticPressure | SEScalarPressure | Pressure generated by the fluid in the tubules in the left Kidney. |
| LeftTubularOsmoticPressure | SEScalarPressure | Pressure generated by substances in the tubules in the left Kidney. |
| LeftTubularReabsorptionFiltrationSurfaceArea | SEScalarArea | Surface ares of the tubules which is subject to fluid transport (reabsorption) in the left Kidney. |
| LeftTubularReabsorptionFluidPermeability | SEScalarVolumePerTimePressureArea | Permeability of the tissue in the tubules, influencing resistance to flow into peritubular capillaries in the left Kidney. |
| RenalBloodFlow | SEScalarVolumePerTime | Blood flow into the kidney that is not filtered into the tubules. |
| RenalPlasmaFlow | SEScalarVolumePerTime | Plasma flow into the kidney that is not filtered into the tubules. |
| RenalVascularResistance | SEScalarPressureTimePerVolume | Total resistance o f the kidney vasculature. |
| RightAfferentArterioleResistance | SEScalarPressureTimePerVolume | resistance to flow going into the glomerular capillaries in the right Kidney |
| RightBowmansCapsulesHydrostaticPressure | SEScalarPressure | Pressure generated from fluid in the bowmans capsules in the right Kidney. |
| RightBowmansCapsulesOsmoticPressure | SEScalarPressure | Pressure generated from substances in the bowmans capsules in the right Kidney. |
| RightEfferentArterioleResistance | SEScalarPressureTimePerVolume | Resistance to flow into the peritubular capillaries in the left Kidney. |
| RightFiltrationFraction | SEScalar0To1 | Scalar used to compute reabsorption for substances in left Kidney. |
| RightGlomerularCapillariesHydrostaticPressure | SEScalarPressure | Pressure generated from fluid in the glomerular capillaries in the left Kidney. |
| RightGlomerularCapillariesOsmoticPressure | SEScalarPressure | Pressure generated from substances in the capillaries in the left Kidney. |
| RightGlomerularFiltrationCoefficient | SEScalarVolumePerTimePressure | Calculated for each substance to determine ease of transport into the tubules in the left Kidney. |
| RightGlomerularFiltrationRate | SEScalarVolumePerTime | Flow rate of filtrate into the tubules in left Kidney. |
| RightGlomerularFiltrationSurfaceArea | SEScalarArea | Surface area of glomerular capillaries that experiance filtration in the left Kidney. |
| RightGlomerularFluidPermeability | SEScalarVolumePerTimePressureArea | Permeability coefficient of the capillary tissue in the left Kidney. |
| RightNetFiltrationPressure | SEScalarPressure | Total pressure directed into the tubules in the left Kidney. |
| RightNetReabsorptionPressure | SEScalarPressure | Total pressure directed into the peritubular capillaries in the left Kidney. |
| RightPeritubularCapillariesHydrostaticPressure | SEScalarPressure | Pressure generated by the fluid in the peritubular capillaries in the left Kidney. |
| RightPeritubularCapillariesOsmoticPressure | SEScalarPressure | Pressure generated by the substance concentration in the peritubular capillaries in the left Kidney. |
| RightReabsorptionFiltrationCoefficient | SEScalarVolumePerTimePressure | Value which determines how much of a substance is reabsorbed into the blood stream in the left Kidney. |
| RightReabsorptionRate | SEScalarVolumePerTime | Rate at which fluid or a substance is transported into the peritubular capillaries in the left Kidney. |
| RightTubularHydrostaticPressure | SEScalarPressure | Pressure generated by the fluid in the tubules in the left Kidney. |
| RightTubularOsmoticPressure | SEScalarPressure | Pressure generated by substances in the tubules in the left Kidney. |
| RightTubularReabsorptionFiltrationSurfaceArea | SEScalarArea | Surface ares of the tubules which is subject to fluid transport (reabsorption) in the left Kidney. |
| RightTubularReabsorptionFluidPermeability | SEScalarVolumePerTimePressureArea | Permeability of the tissue in the tubules, influencing resistance to flow into peritubular capillaries in the left Kidney. |
| UrinationRate | SEScalarVolumePerTime | Rate that fluid exits the bladder. |
| UrineOsmolality | SEScalarOsmolality | The osmolar pressure contributions of the sodium, urea and glucose divided by the mass of the fluid. |
| UrineOsmolarity | SEScalarOsmolarity | The osmolar pressure contributions of the sodium, urea and glucose divided by the volume of the fluid. |
| UrineProductionRate | SEScalarVolumePerTime | The rate of fluid flow to the bladder. |
| UrineSpecificGravity | SEScalar | The density of the fluid relative to water. |
| UrineUreaNitrogenConcentration | SEScalarMassPerVolume | Scaled concentration of Urea in the bladder. |
| UrineVolume | SEScalarVolume | The volume of the urine in the bladder. |
RespiratoryMechanics
A set of properties to specify and customize the respiratory circuit and driver.
| Property Name | Type | Definition |
| Active | Enum | Turn on or off the use of this structure in the physiology implementation. |
| ExpiratoryHoldTime | SEScalarTime | Spontaneous hold period length at bottom of breath. |
| ExpiratoryPeakPressure | SEScalarPressure | The maximum positive pressure during spontaneous expiration (usually 0). |
| ExpiratoryReleaseTime | SEScalarTime | Spontaneous inspiration release period length back to 0 pressure. |
| ExpiratoryRiseTime | SEScalarTime | Spontaneous expiration rise period length. |
| InspiratoryHoldTime | SEScalarTime | Spontaneous hold period length at top of breath. |
| InspiratoryPeakPressure | SEScalarPressure | The maximum negative pressure during spontaneous inspiration. |
| InspiratoryReleaseTime | SEScalarTime | Spontaneous inspiration release period length back to 0 pressure. |
| InspiratoryRiseTime | SEScalarTime | Spontaneous inspiration rise period length. |
| InspiratoryToExpiratoryPauseTime | SEScalarTime | Spontaneous hold period length between inspiration and expiration. |
| LeftComplianceCurve | SECurve | CurveTable |
| LeftExpiratoryResistance | SEScalarPressureTimePerVolume | Left lung airway resistance during expiration. |
| LeftInspiratoryResistance | SEScalarPressureTimePerVolume | Left lung airway resistance during inspiration. |
| ResidueTime | SEScalarTime | Spontaneous breathing remaining time at 0 pressure after completed waveform. |
| RightComplianceCurve | SECurve | CurveTable |
| RightExpiratoryResistance | SEScalarPressureTimePerVolume | Right lung airway resistance during expiration. |
| RightInspiratoryResistance | SEScalarPressureTimePerVolume | Right lung airway resistance during inspiration. |
| UpperExpiratoryResistance | SEScalarPressureTimePerVolume | Upper airway respiratory resistance during expiration. |
| UpperInspiratoryResistance | SEScalarPressureTimePerVolume | Upper airway respiratory resistance during inspiration. |
RespiratoryMechanicsModifiers
Spontaneous breathing remaining time at 0 pressure after completed waveform.
| Property Name | Type | Definition |
| LeftComplianceMultiplier | SEScalarUnsigned | Updates the left lung static compliance. |
| LeftExpiratoryResistanceMultiplier | SEScalarUnsigned | Updates the left lung resistance during expiration. |
| LeftInspiratoryResistanceMultiplier | SEScalarUnsigned | Updates the left lung resistance during inspiration. |
| RespirationRateMultiplier | SEScalarUnsigned | Updates the spontaneous inspiration period. |
| RightComplianceMultiplier | SEScalarUnsigned | Updates the right lung static compliance. |
| RightExpiratoryResistanceMultiplier | SEScalarUnsigned | Updates the right lung resistance during expiration. |
| RightInspiratoryResistanceMultiplier | SEScalarUnsigned | Updates the right lung resistance during inspiration. |
| TidalVolumeMultiplier | SEScalarUnsigned | Updates the maximum negative pressure during spontaneous inspiration. |
| UpperExpiratoryResistanceMultiplier | SEScalarUnsigned | Updates the upper airway resistance during expiration. |
| UpperInspiratoryResistanceMultiplier | SEScalarUnsigned | Updates the upper airway resistance during inspiration. |
RespiratorySystem
| Property Name | Type | Definition |
| AirwayPressure | SEScalarPressure | Instantaneous pressure applied during positive-pressure mechanical ventilation. |
| AlveolarArterialGradient | SEScalarPressure | Measure of the difference between the alveolar concentration of oxygen and the arterial concentration of oxygen to assess the integrity of the alveolar capillary unit. |
| AlveolarDeadSpace | SEScalarVolume | The volume of unperfused alveoli. |
| AnatomicDeadSpace | SEScalarVolume | The total volume of the conducting airways from the nose or mouth down to the level of the terminal bronchioles that does not participate in gas exchange. |
| ChestWallCompliance | SEScalarVolumePerPressure | The static relationship between the transmural pressure across the chest wall compared with the chest cavity's volume. |
| ElasticWorkOfBreathing | SEScalarEnergy | The work (generally during the inhalation phase) that is stored as potential energy which is recovered during exhalation. |
| EndTidalCarbonDioxideFraction | SEScalar0To1 | The fraction of gas in the mouth/nose that is carbon dioxide at the end of each respiratory cycle. |
| EndTidalCarbonDioxidePressure | SEScalarPressure | The pressure of gas in the mouth/nose that is carbon dioxide at the end of each respiratory cycle. |
| EndTidalOxygenFraction | SEScalar0To1 | The fraction of gas in the mouth/nose that is oxygen at the end of each respiratory cycle. |
| EndTidalOxygenPressure | SEScalarPressure | The pressure of gas in the mouth/nose that is oxygen at the end of each respiratory cycle. |
| ExpiratoryFlow | SEScalarVolumePerTime | Instantaneous airflow out of the lungs (negative value when inhaling). |
| ExpiratoryRespiratoryResistance | SEScalarPressureTimePerVolume | The total resistance to airflow through the lungs during exhalation. |
| ExpiratoryTidalVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal expiration. |
| ExtrinsicPositiveEndExpiratoryPressure | SEScalarPressure | The positive pressure intentionally applied to the airways at the end of expiration (i.e., the PEEP setting). |
| FractionOfInspiredOxygen | SEScalar0To1 | Fraction of Oxygen being taking into the body. |
| HorowitzIndex | SEScalarPressure | (AKA P/F Ratio) The ratio of arterial partial pressure O2 and the inspired O2. O2 level in blood vs. Concentration of O2 in a breath. |
| ImposedPowerOfBreathing | SEScalarPower | Externally imposed work of breathing (e.g., from a ventilator). |
| ImposedWorkOfBreathing | SEScalarEnergy | Externally imposed power of breathing (e.g., from a ventilator). |
| InspiratoryExpiratoryRatio | SEScalar | The ratio of the length of time of inspiration to the length of time of expiration. |
| InspiratoryFlow | SEScalarVolumePerTime | The instantaneous airflow into the lungs (negative value when exhaling). |
| InspiratoryRespiratoryResistance | SEScalarPressureTimePerVolume | The total resistance to airflow through the lungs during inhalation. |
| InspiratoryTidalVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal inspiration. |
| IntrapleuralPressure | SEScalarPressure | The pressure difference across the whole lung. |
| IntrapulmonaryPressure | SEScalarPressure | The total respiratory recoil pressure relative to body surface. |
| IntrinsicPositiveEndExpiratoryPressure | SEScalarPressure | The alveolar pressure at the end of expiration - also known as auto-PEEP, air trapping, or dynamic hyperinflation. |
| LungCompliance | SEScalarVolumePerPressure | The static measure of the lung's ability to stretch and expand. |
| MaximalInspiratoryPressure | SEScalarPressure | The strength of inspiratory muscles. |
| MeanAirwayPressure | SEScalarPressure | Mean pressure applied during positive-pressure mechanical ventilation. |
| Mechanics | SERespiratoryMechanics | RespiratoryMechanicsTable |
| OxygenSaturationIndex | SEScalarPressure | Usage of oxygen within the body and predict outcomes. |
| OxygenationIndex | SEScalar | Used in intensive care medicine to measure the usage of oxygen within the body and predict outcomes. A lower oxygenation index is better. |
| PatientPowerOfBreathing | SEScalarPower | Internally imposed work of breathing from the respiratory muscles. |
| PatientWorkOfBreathing | SEScalarEnergy | Internally imposed power of breathing from the respiratory muscles. |
| PeakInspiratoryPressure | SEScalarPressure | The highest pressure applied to the lungs (alveolar pressure) above atmospheric pressure during inhalation. |
| PhysiologicDeadSpace | SEScalarVolume | The sum of the anatomic and alveolar dead space. |
| PhysiologicDeadSpaceTidalVolumeRatio | SEScalar | (AKA VD/VT Ratio) The ratio of dead-space ventilation (VD) to tidal ventilation (VT). |
| RelativeTotalLungVolume | SEScalarVolume | The total volume of air within the lungs at any given time above the functional residual capacity. |
| ResistiveExpiratoryWorkOfBreathing | SEScalarEnergy | The work to overcome the frictional resistance to gas flow due to viscosity during exhalation. |
| ResistiveInspiratoryWorkOfBreathing | SEScalarEnergy | The work to overcome the frictional resistance to gas flow due to viscosity during inhalation. |
| RespirationRate | SEScalarFrequency | The frequency of the respiratory cycle. |
| RespiratoryCompliance | SEScalarVolumePerPressure | The total static compliance of the respiratory system. |
| RespiratoryElastance | SEScalarPressurePerVolume | The inverse of respiratory static compliance. |
| RespiratoryMusclePressure | SEScalarPressure | Pressure of the muscles that contribute to inhalation and exhalation, by aiding in the expansion and contraction of the thoracic cavity. |
| SaturationAndFractionOfInspiredOxygenRatio | SEScalar | A noninvasive surrogate for PiO2/FiO2 ratio (horowitz index). |
| SpecificVentilation | SEScalar | The ratio of the volume of gas entering a region of the lung following an inspiration and the end-expiratory volume of that same lung region. |
| TidalVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal respiration. |
| TotalAlveolarVentilation | SEScalarVolumePerTime | The air flow to the alveoli. |
| TotalDeadSpaceVentilation | SEScalarVolumePerTime | The air flow to the dead space. |
| TotalLungVolume | SEScalarVolume | The total volume of air within the lungs at any given time. |
| TotalPositiveEndExpiratoryPressure | SEScalarPressure | The overall pressure in the alveoli at the end of expiration above atmospheric pressure. |
| TotalPowerOfBreathing | SEScalarPower | The sum of the imposed and patient power of breathing. |
| TotalPulmonaryVentilation | SEScalarVolumePerTime | The amount of air that enters the lungs as a function of time - can be used for minute ventilation. |
| TotalWorkOfBreathing | SEScalarEnergy | The sum of the imposed and patient work of breathing. |
| TransChestWallPressure | SEScalarPressure | The pressure difference between the pleural space and body surface. |
| TransMusclePressure | SEScalarPressure | The respiratory muscle driver pressure relative to body surface. |
| TransairwayPressure | SEScalarPressure | The pressure difference between the airway opening and alveoli. |
| TransalveolarPressure | SEScalarPressure | The pressure difference between the alveoli and pleural space. |
| TranspulmonaryPressure | SEScalarPressure | The pressure difference between the alveoli and the intrapleural space. |
| TransrespiratoryPressure | SEScalarPressure | The pressure difference between the airway opening and body surface. |
| TransthoracicPressure | SEScalarPressure | The pressure difference between the alveoli and body surface. |
| VentilationPerfusionRatio | SEScalar | (AKA V/Q Ratio) The ratio of the air that reaches the alveoli (ventilation) to the blood that reaches the alveoli via the capillaries (perfusion). |
TissueSystem
Provides data pertaining to the extracellular and intracelluar space.
| Property Name | Type | Definition |
| CarbonDioxideProductionRate | SEScalarVolumePerTime | The carbon dioxide generated on the tissue level from aerobic metabolism. |
| ExtracellularFluidVolume | SEScalarVolume | Volume of fluid outside of cells AND outside of the blood vessels. |
| ExtravascularFluidVolume | SEScalarVolume | Total fluid volume outside of the blood vessels. |
| IntracellularFluidPH | SEScalar | The acidity or alkalinity of the extravascular intercellular fluid. |
| IntracellularFluidVolume | SEScalarVolume | Volume of fluid in the cells outside of the blood vessels. |
| OxygenConsumptionRate | SEScalarVolumePerTime | The oxygen consumed on the tissue level from aerobic metabolism. |
| RespiratoryExchangeRatio | SEScalar | The true ratio of carbon dioxide produced to oxygen consumed. |
| TotalFluidVolume | SEScalarVolume | Sum of extravascular and intravascular/blood volumes. |
eHeartRhythm
| Property Name | Type | Definition |
| NormalSinus | Enum | Normal electical signal and mechanical function. |
| SinusBradycardia | Enum | Normal electical signal with reduced heart rate. |
| SinusTachycardia | Enum | Normal electical signal and increased heart rate. |
| SinusPulselessElectricalActivity | Enum | Electical signal, but no mechanical function. |
| Asystole | Enum | No electrical signal or mechanical function. |
| CoarseVentricularFibrillation | Enum | Unorganized electrical signal, no mechanical function. |
| FineVentricularFibrillation | Enum | Unorganized electrical signal, reduced amplitude compared to coarse VF, no mechanical function. |
| PulselessVentricularTachycardia | Enum | Ventricular tachycardia electrical signal with reduced amplitude, but no mechanical function. |
| StableVentricularTachycardia | Enum | Ventricular tachycardia electrical signal with increased heart rate. |
| UnstableVentricularTachycardia | Enum | Ventricular tachycardia electrical signal with increased heart rate, reduced heart elastance. |
eBreathState
Enumeration for equipment to inform about what and how the current breath is.
| Property Name | Type | Definition |
| NoBreath | Enum | |
| PatientInitiatedInhale | Enum | |
| PatientInitiatedPause | Enum | |
| PatientInitiatedExhale | Enum | |
| EquipmentInitiatedInhale | Enum | |
| EquipmentInitiatedPause | Enum | |
| EquipmentInitiatedExhale | Enum | |
| ExpiratoryHold | Enum | |
| InspiratoryHold | Enum | |
eDriverWaveform
Enumeration for driver shapes.
| Property Name | Type | Definition |
| NullDriverWaveform | Enum | |
| Square | Enum | |
| AscendingRamp | Enum | |
| DescendingRamp | Enum | |
| ExponentialGrowth | Enum | |
| ExponentialDecay | Enum | |
| SinusoidalRise | Enum | |
| SinusoidalFall | Enum | |
| SigmoidalRise | Enum | |
| SigmoidalFall | Enum | |
The following tables describe the are actions that may be performed on the patient
AcuteRespiratoryDistressSyndromeExacerbation
ePatientAssessmentTypeTable
AcuteStress
Fight or flight. The body prepares to defend itself.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
AirwayObstruction
A blockage of the Airway leading to no respiration/air flow in or out of the body.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
Arrhythmia
AsthmaAttack
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
BrainInjury
A non-localized traumatic brain injury.
Bronchoconstriction
Constriction of the airways in the lungs due to tightening of surrounding smooth muscle.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
CardiovascularMechanicsModification
Modify the Cardiovascular mechanics.
ChestCompression
A single CPR compression to the chest cavity in order to pump blood through the heart.
| Property Name | Type | Definition |
| CompressionPeriod | SEScalarTime | The length of time the compression force is to be applied. |
| Depth | SEScalarLength | Amount of force applied to the chest. |
| Force | SEScalarForce | Amount of force applied to the chest. |
ChestCompressionAutomated
Reoccuring CPR chest compressions to pump blood through the heart.
| Property Name | Type | Definition |
| AppliedForceFraction | SEScalar0To1 | OPTIONAL The fraction of the derived compression period to apply the given force for each compression. |
| CompressionFrequency | SEScalarFrequency | Compression rate, translates to heart rate. |
| Depth | SEScalarLength | Amount of force applied to the chest. |
| Force | SEScalarForce | Amount of force applied to the chest. |
ChestCompressionInstantaneous
CPR action to be used when connecting to hardware sensors or specifying your own waveform. Force will remain constant until explicitly changed.
| Property Name | Type | Definition |
| Depth | SEScalarLength | Amount of force applied to the chest. |
| Force | SEScalarForce | Amount of force applied to the chest. |
ChestOcclusiveDressing
Applies an occlusive dressing to either the left or right side of the chest. An occlusive dressing is an air and water-tight trauma dressing that provides immediate control of pressure and bleeding that occurs with an open pneumothorax.
ChronicObstructivePulmonaryDiseaseExacerbation
Worsen the effects of the Chronic Obstructive Pulmonary Disease condition.
| Property Name | Type | Definition |
| BronchitisSeverity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
ConsciousRespiration
An ordered list of conscious breath commands for the patient to preform.
ConsumeNutrients
Consume nutrients into the body.
| Property Name | Type | Definition |
| Nutrition | SENutrition | NutritionTable |
| NutritionFile | String | External file containing a NutritionData definition. |
Dyspnea
Reduction of achieved respiration rate and/or tidal volume by inhibiting the respiratory breathing mechanism (i.e., muscles of respiration). Maximum severity of either will stop breathing completely.
| Property Name | Type | Definition |
| RespirationRateSeverity | SEScalar0To1 | Scale of affect for frequency of spontaneous breathing. |
| TidalVolumeSeverity | SEScalar0To1 | Scale of affect for amplitude of spontaneous breathing. |
Exercise
Increase the patient's metabolic rate leading to an increase in core temperature, cardiac output, respiration rate and tidal volume.
| Property Name | Type | Definition |
| Intensity | SEScalar0To1 | Fractional representation of the maximum patient exertion. |
Hemorrhage
A hemorrhage is the loss of blood escaping from the circulatory system. Typically, a healthy person can endure a loss of 10 to 15 percent of the total blood volume without serious medical difficulties.
Hemothorax
A hemothorax is an abnormal collection of blood in the pleural space that separates the lung from the chest wall.
ImpairedAlveolarExchangeExacerbation
Generic way to specify the effectivness of alveolar exchange.
| Property Name | Type | Definition |
| ImpairedFraction | SEScalar0To1 | Surface Area Fraction of the impaired alveoli. |
| ImpairedSurfaceArea | SEScalarArea | Surface Area of the impaired alveoli. |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
Intubation
Insertion of tube or adjuct into the patient's airway.
MechanicalVentilation
Mechanically breathing for the patient, such as with a squeeze bag or other equipment.
NeedleDecompression
A 14-16G intravenous caninula is inserted into the second rib-space in the mid-clavcular line. The needle is advanced until air can be aspirated into a connecting syringe. The needle is withdrawn and the caninula is left to allow air flow out of the pleural space. This effectively converts the closed pneumothorax into an open pneumothorax.
| Property Name | Type | Definition |
| Side | Enum | eSideTable |
PatientAssessmentRequest
PericardialEffusion
Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production andre-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. Normal levels of pericardial fluid are from 15 to 50 mL.
| Property Name | Type | Definition |
| EffusionRate | SEScalarVolumePerTime | Rate at which fluid is filling the pericardial cavity. |
PneumoniaExacerbation
Worsen the effects of the Pneumonia condition.
PulmonaryShuntExacerbation
Pulmonary shunt is when the alveoli of the lungs are perfused with blood as normal, but ventilation (the supply of air) fails to supply the perfused region.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 being none, 1 being the highest possible. |
RespiratoryFatigue
Respiratory muscle weakness caused by excessive effort relative to the strength and endurance of the muscles.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Scale of affect, 0 no dyspnea, 1 having dyspnea. |
RespiratoryMechanicsConfiguration
Update the parameters of the Respiratory mechanics.
RespiratoryMechanicsModification
Modify the Respiratory mechanics.
SubstanceBolus
An administration of a substance that is given all at one time to raise its concentration in blood to an effective level.
SubstanceCompoundInfusion
Continuous injection of a compound.
| Property Name | Type | Definition |
| BagVolume | SEScalarVolume | Amount of substance in bag. |
| Rate | SEScalarVolumePerTime | Flow rate of the infusion into the body. |
| SubstanceCompound | String | |
SubstanceInfusion
Continuous injection of a specific substance.
SupplementalOxygen
Extra Oxygen provided to the patient.
TensionPneumothorax
A pneumothorax is an abnormal collection of air or gas in the pleural space that separates the lung from the chest wall. Like pleural effusion (liquid buildup in that space), pneumothorax may interfere with normal breathing.
TubeThoracostomy
Tube thoracostomy is the insertion of a tube (chest tube) into the pleural cavity to drain air, blood, bile, pus, or other fluids.
Urinate
Empty the bladder of its contents.
ForcedPause
Pause breathing at 0 pressure. There will be no inflow or out flow of air during the specified period.
| Property Name | Type | Definition |
| Period | SEScalarTime | Duration of the breath hold. |
UseInhaler
Administer a substance through an Inhaler. This command will represent a single press of an Inhaler.
ForcedInhale
Force air out of the lungs.
| Property Name | Type | Definition |
| HoldPeriod | SEScalarTime | Duration to hold at the end of inhale. |
| InhalePeriod | SEScalarTime | Duration of the inhale. |
| InspiratoryCapacityFraction | SEScalar0To1 | The fraction of the Inspiratory capacity that will be filled by the breath. |
| ReleasePeriod | SEScalarTime | Duration to get back to equilibrium/FRC. |
ForcedExhale
Force air into the lungs.
| Property Name | Type | Definition |
| ExhalePeriod | SEScalarTime | Duration of the exhale. |
| ExpiratoryReserveVolumeFraction | SEScalar0To1 | The fraction of the Expiratory Reserve Volume that is forced out of the body. |
| HoldPeriod | SEScalarTime | Duration to at the end of exhale. |
| ReleasePeriod | SEScalarTime | Duration to get back to equilibrium/FRC. |
BrainInjuryData_eType
Types of Brain Injury that provided different nervous responses.
| Property Name | Type | Definition |
| Diffuse | Enum | A brain injury dilating both eye pupils. |
| LeftFocal | Enum | A brain injury dilating the left eye pupil. |
| RightFocal | Enum | A brain injury dilating the right eye pupil. |
HemorrhageData_eCompartment
Compartments Supporting External Hemorrhages.
| Property Name | Type | Definition |
| None | Enum | |
| Aorta | Enum | |
| Brain | Enum | |
| Muscle | Enum | |
| LargeIntestine | Enum | |
| LeftArm | Enum | |
| LeftKidney | Enum | |
| LeftLeg | Enum | |
| Liver | Enum | |
| RightArm | Enum | |
| RightKidney | Enum | |
| RightLeg | Enum | |
| Skin | Enum | |
| SmallIntestine | Enum | |
| Splanchnic | Enum | |
| Spleen | Enum | |
| VenaCava | Enum | |
HemorrhageData_eType
| Property Name | Type | Definition |
| External | Enum | |
| Internal | Enum | |
IntubationData_eType
Enumeration Types of Intubation/Airway Adjuncts.
| Property Name | Type | Definition |
| Off | Enum | Remove intubation. |
| Esophageal | Enum | Insert into the Esophagus. |
| LeftMainstem | Enum | Insert into the left main stem inflating only the left lung. |
| RightMainstem | Enum | Insert into the right main stem inflating only the right lung. |
| Tracheal | Enum | Insert into the Trachea. |
| Oropharyngeal | Enum | Oropharyngeal Adjunct. |
| Nasopharyngeal | Enum | Nasopharyngeal Adjunct. |
SubstanceBolusData_eRoute
Types of Substance Administration means.
| Property Name | Type | Definition |
| Intravenous | Enum | Injection into a vein. |
| Epidural | Enum | Injection into a epidural space. |
| Intraosseous | Enum | Injection into the bone marrow. |
| Intraarterial | Enum | Injection into an artery. |
| Intracardiac | Enum | Injection into the heart. |
| Intracerebral | Enum | Injection into the brain. |
| Intracerebroventricular | Enum | Injection into the cerebral ventricles. |
| Intradermal | Enum | Injection into the skin. |
| Intramuscular | Enum | Injection into the muscle. |
| Subcutaneous | Enum | Injection under the skin. |
SupplementalOxygenData_eDevice
| Property Name | Type | Definition |
| None | Enum | device is removed. |
| NasalCannula | Enum | Nasal Cannula. |
| SimpleMask | Enum | Simple Mask. |
| NonRebreatherMask | Enum | Non-Rebreather Mask. |
ePatientAssessmentType
Nutrition
Nutritional information for eating.
Meal
Specify an amount of time to digest the specified nutrition information.
The following tables describe the assessments that may be performed on the patient
CompleteBloodCount
ComprehensiveMetabolicPanel
| Property Name | Type | Definition |
| ALP | SEScalarMassPerVolume | Alkaline phosphatase (ALP) is a protein found in all body tissues. Tissues with higher amounts of ALP include the liver, bile ducts, and bone. |
| ALT | SEScalarMassPerVolume | Alanine transaminase (ALT) is an enzyme found in the highest amounts in the liver. Injury to the liver results in release of the substance into the blood. |
| AST | SEScalarMassPerVolume | AST (aspartate aminotransferase) is an enzyme found in high amounts in liver, heart, and muscle cells. It is also found in lesser amounts in other tissues. |
| Albumin | SEScalarMassPerVolume | Albumin is a protein made by the liver. A serum albumin test measures the amount of this protein in the clear liquid portion of the blood. |
| BUN | SEScalarMassPerVolume | BUN stands for blood urea nitrogen. Urea nitrogen is what forms when protein breaks down. |
| CO2 | SEScalarAmountPerVolume | Most of the CO2 is in the form of a substance called bicarbonate (HCO3-). Therefore, the CO2 blood test is really a measure of your blood bicarbonate level. |
| Calcium | SEScalarMassPerVolume | About half of the calcium in the blood is attached to proteins, mainly albumin. For this reason, the calcium blood test can be misleading, and sometimes needs tests to confirm the result. |
| Chloride | SEScalarAmountPerVolume | Chloride is a type of electrolyte. It works with other electrolytes such as potassium, sodium, and carbon dioxide (CO2). These substances help keep the proper balance of body fluids and maintain the body's acid-base balance. |
| Creatinine | SEScalarMassPerVolume | Measures the level of creatinine in the blood. This test is done to see how well your kidneys work. |
| Glucose | SEScalarMassPerVolume | Measures the amount of a sugar called glucose in a sample of your blood. |
| Potassium | SEScalarAmountPerVolume | Measures the amount of potassium in the fluid portion (serum) of the blood. Potassium (K+) helps nerves and muscles communicate. It also helps move nutrients into cells and waste products out of cells. |
| Sodium | SEScalarAmountPerVolume | Measures the amount of sodium in the blood. |
| TotalBilirubin | SEScalarMassPerVolume | Bilirubin is a yellowish pigment found in bile, a fluid made by the liver. A small amount of older red blood cells are replaced by new blood cells every day. Bilirubin is left after these older blood cells are removed. The liver helps break down bilirubin so that it can be removed from the body in the stool. |
| TotalProtein | SEScalarMassPerVolume | Measures the total amount of two classes of proteins found in the fluid portion of your blood. These are albumin and globulin. |
ArterialBloodGasTest
| Property Name | Type | Definition |
| Bicarbonate | SEScalarEquivalentWeightPerVolume | A chemical that helps prevent the pH of blood from becoming too acidic or too basic. |
| BloodPH | SEScalar | The amount of hydrogen ions in blood indicating the acidity or basicity of the blood. |
| OxygenSaturation | SEScalar | The amount of oxygen being carried by the hemoglobin in the red blood cells. |
| PartialPressureOfCarbonDioxide | SEScalarPressure | The pressure of carbon dioxide dissolved in the blood. It determines how well carbon dioxide is able to flow out of the body.. |
| PartialPressureOfOxygen | SEScalarPressure | The pressure of oxygen dissolved in the blood. It determines how well oxygen is able to flow from the lungs into the blood. |
Urinalysis
Amount of yeasts viewed.
| Property Name | Type | Definition |
| Appearance | Enum | Clarity of the urine. |
| Bilirubin | SEScalar | Bilirubin is not present in the urine of normal, healthy individuals. Bilirubin is a waste product that is produced by the liver from the hemoglobin of RBCs that are removed from circulation. |
| Blood | Enum | This test is used to detect hemoglobin in the urine (hemoglobinuria). Hemoglobin is an oxygen-transporting protein found inside red blood cells (RBCs). Its presence in the urine indicates blood in the urine (known as hematuria). |
| Color | Enum | Color of the urine. |
| Glucose | Enum | Glucose is normally not present in urine. When glucose is present, the condition is called glucosuria. |
| Ketone | Enum | Ketones are not normally found in the urine. They are intermediate products of fat metabolism. They can form when a person does process enough carbohydrates. |
| LeukocyteEsterase | Enum | Leukocyte esterase is an enzyme present in most white blood cells (WBCs). Normally, a few white blood cells (see microscopic examination) are present in urine and this test is negative. When the number of WBCs in urine increases significantly, this screening test will become positive. |
| Microscopic | SEUrinalysisMicroscopic | UrinalysisMicroscopicTable |
| Nitrite | Enum | This test detects nitrite and is based upon the fact that many bacteria can convert nitrate to nitrite in the urine. |
| PH | SEScalar | |
| Protein | Enum | The protein test pad measures the amount of albumin in the urine. Normally, there will not be detectable quantities. |
| SpecificGravity | SEScalar | A measure of urine concentration that can be determined using a chemical test. |
| Urobilinogen | SEScalarMassPerVolume | Urobilinogen is normally present in urine in low concentrations. It is formed in the intestine from bilirubin, and a portion of it is absorbed back into the bloodstream. |
ePatientAssessmentType
eUrinalysis_ePresenceIndicator
| Property Name | Type | Definition |
| NullPresence | Enum | |
| Positive | Enum | |
| Negative | Enum | |
eUrinalysis_eClarityIndicator
| Property Name | Type | Definition |
| NullClarity | Enum | |
| Translucent | Enum | |
| SlightlyCloudy | Enum | |
| Cloudy | Enum | |
| Turbid | Enum | |
eUrinalysis_eUrineColor
| Property Name | Type | Definition |
| NullColor | Enum | |
| PaleYellow | Enum | |
| Yellow | Enum | |
| DarkYellow | Enum | |
eUrinalysis_eObservationType
| Property Name | Type | Definition |
| NullObservationType | Enum | |
| LowPowerField | Enum | |
| HighPowerField | Enum | |
eUrinalysis_eObservationAmount
| Property Name | Type | Definition |
| NullObservationAmount | Enum | |
| Few | Enum | |
| Moderate | Enum | |
| Many | Enum | |
The following tables describe the external environment that surrounds the patient
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EnvironmentalConditions
The environmental conditions surrounding the patient.
AppliedTemperature
Equipment or clothing activly changing the skin temperature of the patient.
| Property Name | Type | Definition |
| SurfaceArea | SEScalarArea | SurfaceArea of the patient that the temperature is being appllied to. |
| SurfaceAreaFraction | SEScalar0To1 | SurfaceArea Fraction of the body that the temperature is being appllied to. |
| Temperature | SEScalarTemperature | Temperature of an object held on the patient. |
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ActiveConditioning
Equipment or clothing activly changing the surounding environment of the patient.
| Property Name | Type | Definition |
| Power | SEScalarPower | Heat sink/source power. Set to zero to turn off conditioning. |
| SurfaceArea | SEScalarArea | SurfaceArea of the body that is being affected. |
| SurfaceAreaFraction | SEScalar0To1 | SurfaceArea Fraction of the body that is being affected. |
Environment
The overall environment of the patient.
ChangeEnvironmentalConditions
The environment conditions to change.
ThermalApplication
Create an external heat source.
InitialEnvironmentalConditions
The configuration of the environment to use during stabilization.
EnvironmentalConditionsData_eSurroundingType
| Property Name | Type | Definition |
| NullSurrounding | Enum | |
| Air | Enum | |
| Water | Enum | |
The following tables describe the anesthesia machine
AnesthesiaMachine
Amount of oxygen in the bottle.
AnesthesiaMachineChamber
A vaporization chamber that can be filled with a particular substance for inhalation.
| Property Name | Type | Definition |
| Substance | String | The name of the substance. |
| SubstanceFraction | SEScalar0To1 | The fraction of the substance supplied by the vaporizer chamber. |
AnesthesiaMachineOxygenBottle
A bottle of Oxygen.
| Property Name | Type | Definition |
| Volume | SEScalarVolume | Amount of oxygen in the bottle. |
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AnesthesiaMachineVaporizerFailure
The vaporizer fails.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the failure from 0 to 1. |
AnesthesiaMachineConfiguration
The configuration of the anesthesia machine to use.
| Property Name | Type | Definition |
| Configuration | SEAnesthesiaMachine | AnesthesiaMachineTable |
| ConfigurationFile | String | File containing an anesthesia machine objet with properties to set in the system anesthesia machine. |
AnesthesiaMachineOxygenTankPressureLoss
The active oxygen tank losses pressure.
AnesthesiaMachineTubeCuffLeak
A leak in the tube cuff.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the leak from 0 to 1. |
AnesthesiaMachineExpiratoryValveObstruction
An obstruction in the expiritory valve.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the obstruction from 0 to 1. |
AnesthesiaMachineInspiratoryValveLeak
A leak in the inspiratory valve.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the leak from 0 to 1. |
AnesthesiaMachineSodaLimeFailure
A soda lime failure.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the failure from 0 to 1. |
AnesthesiaMachineExpiratoryValveLeak
A leak in the expiritory valve.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the leak from 0 to 1. |
AnesthesiaMachineInspiratoryValveObstruction
An obstruction in the inspiritory valve.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the obstruction from 0 to 1. |
AnesthesiaMachineOxygenWallPortPressureLoss
The wall port losses oxygen pressure.
AnesthesiaMachineMaskLeak
A leak in the mask.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the leak from 0 to 1. |
AnesthesiaMachineVentilatorPressureLoss
The ventilator losses pressure.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the loss from 0 to 1. |
AnesthesiaMachineYPieceDisconnect
The Y Piece becomes disconnected.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the leak from 0 to 1. |
AnesthesiaMachineData_eOxygenSource
| Property Name | Type | Definition |
| NullSource | Enum | |
| NoSource | Enum | |
| Wall | Enum | |
| BottleOne | Enum | |
| BottleTwo | Enum | |
AnesthesiaMachineData_ePrimaryGas
| Property Name | Type | Definition |
| NullGas | Enum | |
| NoGas | Enum | |
| Air | Enum | |
| Nitrogen | Enum | |
The following tables describe the bag valve mask
BagValveMask
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BagValveMaskAutomated
Specify a single squeeze cycle of the bag. Repeat as needed. Newly added actions will override a previous unfinished squeeze cycle.
| Property Name | Type | Definition |
| BreathFrequency | SEScalarFrequency | Bag squeeze rate, translates to respiration rate. |
| InspiratoryExpiratoryRatio | SEScalar | The ratio of the length of time of inspiration to the length of time of expiration. |
| SqueezePressure | SEScalarPressure | Maximum extrinsic pressure above atmosphere during inhalation. |
| SqueezeVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal respiration. |
BagValveMaskConfiguration
The configuration of the bag valve mask to use.
| Property Name | Type | Definition |
| Configuration | SEBagValveMask | BagValveMaskTable |
| ConfigurationFile | String | File containing a BVM object with properties to set in the system object. |
BagValveMaskSqueeze
Specify a single squeeze cycle of the bag. Repeat as needed. Newly added actions will override a previous unfinished squeeze cycle.
| Property Name | Type | Definition |
| ExpiratoryPeriod | SEScalarTime | Total length of expiration phase. |
| InspiratoryPeriod | SEScalarTime | Total length of inspiration phase. |
| SqueezePressure | SEScalarPressure | Maximum extrinsic pressure above atmosphere during inhalation. |
| SqueezeVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal respiration. |
BagValveMaskInstantaneous
BVM action to be used when connecting to hardware sensors or specifying your own waveform. Values will remain constant until explicitly changed.
The following tables describe the ECMO machine
ECMO
Set specific substance concentrations in the oxygenator.
ECMOSettings
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ECMOConfiguration
The configuration of the ECMO to use.
| Property Name | Type | Definition |
| Settings | SEECMOSettings | ECMOSettingsTable |
| SettingsFile | String | File containing a settings object with properties to set in the system object. |
The following tables describe the ECG
ElectroCardioGram
Generic ECG machine to assess the heart rhythm.
ElectroCardioGramWaveform
| Property Name | Type | Definition |
| Lead | Enum | Lead number of the waveform provided. |
| OriginalData | SEArrayElectricPotential | ArrayElectricPotentialTable |
| Type | Enum | Waveform type for an associated rhythm. |
The following tables describe the inhaler
Inhaler
Generic inhaler for substance administration.
| Property Name | Type | Definition |
| MeteredDose | SEScalarMass | Dosage of substance. |
| NozzleLoss | SEScalar0To1 | Fraction of substance lost from the inhaler. -. |
| SpacerVolume | SEScalarVolume | Volume of a spacer, if used. |
| Substance | String | Substance contained. |
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InhalerConfiguration
The configuration of the inhaler to use.
| Property Name | Type | Definition |
| Configuration | SEInhaler | InhalerTable |
| ConfigurationFile | String | File containing an inhaler objet with properties to set in the system inhaler. |
The following tables describe the mechanical ventilator
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MechanicalVentilator
Concentration of added aerosolized substances.
| Property Name | Type | Definition |
| AirwayPressure | SEScalarPressure | The instantaneous pressure applied during positive-pressure mechanical ventilation. |
| BreathState | Enum | eBreathStateTable |
| DynamicRespiratoryCompliance | SEScalarVolumePerPressure | The respiratory compliance during periods of gas flow. |
| EndTidalCarbonDioxideFraction | SEScalar0To1 | The fraction of gas in the mouth/nose that is carbon dioxide at the end of each respiratory cycle. |
| EndTidalCarbonDioxidePressure | SEScalarPressure | The pressure of gas in the mouth/nose that is carbon dioxide at the end of each respiratory cycle. |
| EndTidalOxygenFraction | SEScalar0To1 | The fraction of gas in the mouth/nose that is oxygen at the end of each respiratory cycle. |
| EndTidalOxygenPressure | SEScalarPressure | The pressure of gas in the mouth/nose that is oxygen at the end of each respiratory cycle. |
| ExpiratoryFlow | SEScalarVolumePerTime | Instantaneous airflow out of the lungs (negative value when inhaling). |
| ExpiratoryResistance | SEScalarPressureTimePerVolume | The total resistance to airflow through the lungs during expiration. |
| ExpiratoryTidalVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal expiration. |
| ExtrinsicPositiveEndExpiratoryPressure | SEScalarPressure | The positive pressure intentionally applied to the airways at the end of expiration (i.e., the PEEP setting). |
| InspiratoryExpiratoryRatio | SEScalar | The ratio of the length of time of inspiration to the length of time of expiration. |
| InspiratoryFlow | SEScalarVolumePerTime | The instantaneous airflow into the lungs (negative value when exhaling). |
| InspiratoryResistance | SEScalarPressureTimePerVolume | The total resistance to airflow through the lungs during inspiration. |
| InspiratoryTidalVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal inspiration. |
| IntrinsicPositiveEndExpiratoryPressure | SEScalarPressure | The alveolar pressure at the end of expiration above extrinsic - also known as auto-PEEP, air trapping, or dynamic hyperinflation. |
| LeakFraction | SEScalar0To1 | The fraction of gas volume lost during the ventilation cycle determined from the air volume in and out difference. |
| MeanAirwayPressure | SEScalarPressure | The mean pressure applied during positive-pressure mechanical ventilation. |
| PeakExpiratoryFlow | SEScalarVolumePerTime | The highest airflow during exhalation. |
| PeakInspiratoryFlow | SEScalarVolumePerTime | The highest airflow during inhalation. |
| PeakInspiratoryPressure | SEScalarPressure | The highest pressure applied to the lungs (alveolar pressure) above atmospheric pressure during inhalation. |
| PlateauPressure | SEScalarPressure | The pressure applied by the ventilator measured at end-inspiration with an inspiratory hold maneuver. |
| RespirationRate | SEScalarFrequency | The frequency of the respiratory cycle. |
| Settings | SEMechanicalVentilatorSettings | MechanicalVentilatorSettingsTable |
| StaticRespiratoryCompliance | SEScalarVolumePerPressure | The respiratory compliance during periods without gas flow. |
| TidalVolume | SEScalarVolume | The volume of air moved into or out of the lungs during normal respiration. |
| TotalLungVolume | SEScalarVolume | The total volume of air within the lungs at any given time. |
| TotalPositiveEndExpiratoryPressure | SEScalarPressure | The overall pressure in the alveoli at the end of expiration above atmospheric pressure. |
| TotalPulmonaryVentilation | SEScalarVolumePerTime | The amount of air that enters the lungs as a function of time - can be used for minute ventilation. |
MechanicalVentilatorSettings
| Property Name | Type | Definition |
| Compliance | SEScalarVolumePerPressure | Total compliance of the entire mechanical ventilator circuit. |
| ConcentrationInspiredAerosol | List of SESubstanceConcentration | SubstanceConcentrationTable |
| Connection | Enum | eSwitchTable |
| ConnectionVolume | SEScalarVolume | Dead space volume of the connection (i.e., mask/tube). |
| DriverDampingParameter | SEScalarFrequency | Fractional change parameter to prevent abrupt changes to the driver. |
| ExpirationCycleFlow | SEScalarVolumePerTime | Ventilator sensor flow value to trigger expiration phase. |
| ExpirationCyclePressure | SEScalarPressure | Ventilator sensor pressure value to trigger expiration phase. |
| ExpirationCycleRespiratoryModel | Enum | Trigger expiration phase from respiratory model event. |
| ExpirationCycleTime | SEScalarTime | Total length of inspiration phase to trigger expiration phase. |
| ExpirationCycleVolume | SEScalarVolume | Ventilator sensor volume change (i.e., tidal volume) to trigger expiration phase. |
| ExpirationLimbVolume | SEScalarVolume | Dead space volume of the expiratory limb. |
| ExpirationTubeResistance | SEScalarPressureTimePerVolume | Total resistance of expiratory limb tubing. |
| ExpirationValveResistance | SEScalarPressureTimePerVolume | Total resistance of expiratory valves. |
| ExpirationValveVolume | SEScalarVolume | Dead space volume of the expiratory valve. |
| ExpirationWaveform | Enum | MechanicalVentilatorData_eDriverWaveformTable |
| ExpirationWaveformPeriod | SEScalarTime | Time to reach minimum value. |
| FractionInspiredGas | List of SESubstanceFraction | SubstanceFractionTable |
| FunctionalResidualCapacity | SEScalarPressure | Total lung volume at the end of exhalation. |
| InspirationLimbVolume | SEScalarVolume | Dead space volume of the inspiratory limb. |
| InspirationLimitFlow | SEScalarVolumePerTime | Ventilator sensor flow cutoff/maximum. |
| InspirationLimitPressure | SEScalarPressure | Ventilator sensor pressure cutoff/maximum. |
| InspirationLimitVolume | SEScalarVolume | Total lung volume cutoff/maximum. |
| InspirationMachineTriggerTime | SEScalarTime | Total length of expiration phase to trigger inspiration phase. |
| InspirationPatientTriggerFlow | SEScalarVolumePerTime | Ventilator sensor volume change value to trigger inspiration phase. |
| InspirationPatientTriggerPressure | SEScalarPressure | Ventilator sensor pressure value to trigger inspiration phase. |
| InspirationPatientTriggerRespiratoryModel | Enum | Trigger inspiration phase from respiratory model event. |
| InspirationPauseTime | SEScalarTime | Time of plateau (i.e., constant driver pressure) between inspiration and expiration. |
| InspirationTargetFlow | SEScalarVolumePerTime | Air flow at end of inhalation. |
| InspirationTubeResistance | SEScalarPressureTimePerVolume | Total resistance of inspiratory limb tubing. |
| InspirationValveResistance | SEScalarPressureTimePerVolume | Total resistance of inspiratory valves. |
| InspirationValveVolume | SEScalarVolume | Dead space volume of the inspiratory valve. |
| InspirationWaveform | Enum | MechanicalVentilatorData_eDriverWaveformTable |
| InspirationWaveformPeriod | SEScalarTime | Time to reach maximum value. |
| PeakInspiratoryPressure | SEScalarPressure | Extrinsic pressure above atmosphere at the end of inhalation. |
| PositiveEndExpiratoryPressure | SEScalarPressure | Extrinsic pressure above atmosphere at the end of exhalation. |
| ReliefValveThreshold | SEScalarPressure | Pressure at which the relief valve opens. |
| YPieceVolume | SEScalarVolume | Dead space volume of the y-piece. |
MechanicalVentilatorConfiguration
The configuration of the mechanical ventilator to use.
MechanicalVentilatorHold
How to apply provided configuration to internal data model.
MechanicalVentilatorMode
Severity of the Leak, 0 = Off.
MechanicalVentilatorLeak
When, in the respiratory cycle, to apply the hold. Not used if Switch is Off.
| Property Name | Type | Definition |
| Severity | SEScalar0To1 | Severity of the Leak, 0 = Off. |
MechanicalVentilatorVolumeControl
OPTIONAL Time to reach PIP.
| Property Name | Type | Definition |
| Flow | SEScalarVolumePerTime | Driver flow during inspiration. |
| FractionInspiredOxygen | SEScalar0To1 | FiO2. |
| InspirationPatientTriggerFlow | SEScalarVolumePerTime | OPTIONAL Ventilator sensor flow value to trigger inspiration phase. |
| InspirationPatientTriggerPressure | SEScalarPressure | OPTIONAL Ventilator sensor pressure value to trigger inspiration phase. |
| InspiratoryPeriod | SEScalarTime | OPTIONAL Time for inspiration part of the breathing cycle. |
| PositiveEndExpiratoryPressure | SEScalarPressure | Driver pressure during exhale. |
| RespirationRate | SEScalarFrequency | Driver minimum frequency. |
| Slope | SEScalarTime | OPTIONAL Time to reach tidal volume. |
| TidalVolume | SEScalarVolume | Volume target/limit. |
MechanicalVentilatorContinuousPositiveAirwayPressure
eSwitchTable
| Property Name | Type | Definition |
| DeltaPressureSupport | SEScalarPressure | Defines the driver pressure as the difference between PIP and PEEP. |
| ExpirationCycleFlow | SEScalarVolumePerTime | OPTIONAL Ventilator sensor flow value to trigger expiration phase. |
| ExpirationCyclePressure | SEScalarPressure | OPTIONAL Ventilator sensor pressure value to trigger expiration phase. |
| FractionInspiredOxygen | SEScalar0To1 | FiO2. |
| InspirationPatientTriggerFlow | SEScalarVolumePerTime | OPTIONAL Ventilator sensor flow value to trigger inspiration phase. |
| InspirationPatientTriggerPressure | SEScalarPressure | OPTIONAL Ventilator sensor pressure value to trigger inspiration phase. |
| PositiveEndExpiratoryPressure | SEScalarPressure | Driver pressure during exhale. |
| Slope | SEScalarTime | OPTIONAL Time to reach PIP. |
MechanicalVentilatorPressureControl
OPTIONAL Time to reach PIP.
| Property Name | Type | Definition |
| FractionInspiredOxygen | SEScalar0To1 | FiO2. |
| InspirationPatientTriggerFlow | SEScalarVolumePerTime | OPTIONAL Ventilator sensor flow value to trigger inspiration phase. |
| InspirationPatientTriggerPressure | SEScalarPressure | OPTIONAL Ventilator sensor pressure value to trigger inspiration phase. |
| InspiratoryPeriod | SEScalarTime | OPTIONAL Time for inspiration part of the breathing cycle. |
| InspiratoryPressure | SEScalarPressure | Driver pressure during inspiration. |
| PositiveEndExpiratoryPressure | SEScalarPressure | Driver pressure during exhale. |
| RespirationRate | SEScalarFrequency | Driver minimum frequency. |
| Slope | SEScalarTime | OPTIONAL Time to reach PIP. |
The following tables describe substances used in Pulse
Substance
The concentration of the substance.
SubstanceQuantity
Basic Substance Quantity.
SubstanceAerosolization
Data for if a substance was to be aerosolizized.
| Property Name | Type | Definition |
| BronchioleModifier | SEScalarNegative1To1 | Factor to characterize the localized bronchiole effects -1 is full constriction, 1 is full dilation. |
| InflammationCoefficient | SEScalar0To1 | Factor to characterize the inflamation of respiratory tract tissue caused by this substance. |
| ParticulateSizeDistribution | SEHistogramFractionVsLength | Histogram of Particle Fraction Vs. Size. |
SubstanceCompound
A compound made up of several substances.
| Property Name | Type | Definition |
| Components | List of SESubstanceCompoundComponent | SubstanceCompoundComponentTable |
| Name | String | The unique name of the compound. |
SubstancePharmacodynamics
SubstanceManager
SubstanceClearance
SubstanceFraction
A fractional amount associated with a substance.
| Property Name | Type | Definition |
| Amount | SEScalar0To1 | The fractional amount of the substance. |
| Substance | String | |
SubstanceConcentration
A concentration amount associated with a substance.
| Property Name | Type | Definition |
| Concentration | SEScalarMassPerVolume | The concentration of the substance. |
| Substance | String | |
SubstanceTissuePharmacokinetics
| Property Name | Type | Definition |
| Name | String | The tissue compartment/area/organ name impacted. |
| PartitionCoefficient | SEScalar | Represents the ability of a substance to diffuse across a membrane. Calculated using the physiochemical properties of a substance. |
SubstancePhysicochemicals
SubstancePharmacokinetics
Data associated with movement of drugs within the body.
LiquidSubstanceQuantity
The quantity of a solid,liquid, or gas substance in a liquid compartment.
| Property Name | Type | Definition |
| Concentration | SEScalarMassPerVolume | The concentration of a substance in the specified compartment. |
| Mass | SEScalarMass | The total mass of a substance in the specified compartment. |
| MassCleared | SEScalarMass | The total mass of a substance cleared in the specified compartment. |
| MassDeposited | SEScalarMass | The total mass of a substance deposited on the wall of the compartment. |
| MassExcreted | SEScalarMass | The total mass of a substance excreted in the specified compartment. |
| Molarity | SEScalarAmountPerVolume | The molarity of a substance in the specified compartment. |
| PartialPressure | SEScalarPressure | The partial pressure of a substance in the specified compartment. |
| Saturation | SEScalar0To1 | The saturation of a substance in the specified compartment. (if applicable, like O2 and CO2) |
GasSubstanceQuantity
The quantity of a gas substance in a gas compartment.
| Property Name | Type | Definition |
| PartialPressure | SEScalarPressure | The partial pressure of a substance in the specified compartment. |
| Volume | SEScalarVolume | The total volume of a substance in the specified compartment. |
| VolumeFraction | SEScalar0To1 | The amount of a substcane in the specified comparment as a fraction of all substance volume. |
SubstanceQuantity
Basic Substance Quantity.
LiquidSubstanceQuantity
The quantity of a solid,liquid, or gas substance in a liquid compartment.
| Property Name | Type | Definition |
| Concentration | SEScalarMassPerVolume | The concentration of a substance in the specified compartment. |
| Mass | SEScalarMass | The total mass of a substance in the specified compartment. |
| MassCleared | SEScalarMass | The total mass of a substance cleared in the specified compartment. |
| MassDeposited | SEScalarMass | The total mass of a substance deposited on the wall of the compartment. |
| MassExcreted | SEScalarMass | The total mass of a substance excreted in the specified compartment. |
| Molarity | SEScalarAmountPerVolume | The molarity of a substance in the specified compartment. |
| PartialPressure | SEScalarPressure | The partial pressure of a substance in the specified compartment. |
| Saturation | SEScalar0To1 | The saturation of a substance in the specified compartment. (if applicable, like O2 and CO2) |
GasSubstanceQuantity
The quantity of a gas substance in a gas compartment.
| Property Name | Type | Definition |
| PartialPressure | SEScalarPressure | The partial pressure of a substance in the specified compartment. |
| Volume | SEScalarVolume | The total volume of a substance in the specified compartment. |
| VolumeFraction | SEScalar0To1 | The amount of a substcane in the specified comparment as a fraction of all substance volume. |
SubstanceData_eState
| Property Name | Type | Definition |
| NullState | Enum | |
| Solid | Enum | |
| Liquid | Enum | |
| Gas | Enum | |
| Molecular | Enum | |
SubstancePhysicochemicalsData_eIonicState
Ionic state.
| Property Name | Type | Definition |
| NullIonicState | Enum | |
| Acid | Enum | |
| Base | Enum | |
| Neutral | Enum | |
| WeakBase | Enum | |
SubstancePhysicochemicalsData_eBindingProtein
Binding protien type.
| Property Name | Type | Definition |
| NullBindingProtein | Enum | |
| AAG | Enum | |
| Albumin | Enum | |
| Lipoprotein | Enum | |
The following tables describe anatomical compartments
ThermalCompartment
FluidCompartment
TissueCompartment
GasCompartment
LiquidCompartment
The following tables describe a simulation scenario
Scenario
| Property Name | Type | Definition |
| Description | String | |
| EngineState | String | |
| Name | String | |
| PatientConfiguration | SEPatientConfiguration | PatientConfigurationTable |
ScenarioExec
The following tables describe general enumerations
eSide
Enumeration for left/right side.
| Property Name | Type | Definition |
| NullSide | Enum | Not provided. |
| Left | Enum | Left side. |
| Right | Enum | Right side. |
eGate
Enumeration for an open/closed gate.
| Property Name | Type | Definition |
| NullGate | Enum | Not provided. |
| Open | Enum | Gate is open. |
| Closed | Enum | Gate is closed. |
eSwitch
Enumeration for a on/off switch.
| Property Name | Type | Definition |
| NullSwitch | Enum | Not provided. |
| Off | Enum | Switch is off. |
| On | Enum | Switch is on. |
eCharge
Enumeration for electrical charge.
| Property Name | Type | Definition |
| NullCharge | Enum | Not provided. |
| Negative | Enum | Charge is negative. |
| Neutral | Enum | Charge is neutral. |
| Positive | Enum | Charge is positive. |
