菜单
Classify ventilation status into InvasiveVent, NonInvasiveVent, HFNC, SupplementalOxygen, Tracheostomy, or None from charting data. Use for ventilation duration analysis, respiratory support characterization, or as a component of severity scores (SOFA respiratory, OASIS).
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| name | ventilation-classification |
| description | Classify ventilation status into InvasiveVent, NonInvasiveVent, HFNC, SupplementalOxygen, Tracheostomy, or None from charting data. Use for ventilation duration analysis, respiratory support characterization, or as a component of severity scores (SOFA respiratory, OASIS). |
| tier | validated |
| category | clinical |
Classifies each ICU charting observation into a ventilation status category and groups consecutive observations into ventilation episodes. This concept is used directly by SOFA (respiratory component requires mechanical ventilation for scores 3-4), OASIS, and many other severity scores and research definitions.
In M4Bench, target concept tables listed in the task configuration are removed or unavailable in the agent database. Use this skill as procedural guidance and derive the requested output from available source or intermediate tables; do not rely on a precomputed target table or bundled SQL script.
| Category | Description | Examples |
|---|---|---|
| Tracheostomy | Patient has a tracheostomy tube | Tracheostomy tube, Trach mask |
| InvasiveVent | Invasive mechanical ventilation via endotracheal tube or ventilator mode | Endotracheal tube, CMV, SIMV, PRVC/AC, VOL/AC, etc. |
| NonInvasiveVent | Non-invasive positive pressure ventilation | BiPAP mask, CPAP mask, NIV modes |
| HFNC | High-flow nasal cannula | High flow nasal cannula |
| SupplementalOxygen | Low-flow or standard oxygen delivery | Nasal cannula, Non-rebreather, Face tent, Venti mask |
| None | No supplemental oxygen (room air) | None |
When multiple indicators are present simultaneously, the classification follows this priority (highest first):
o2_delivery_device_1 is 'Tracheostomy tube' or 'Trach mask 'o2_delivery_device_1 is 'Endotracheal tube' OR any invasive ventilator mode presento2_delivery_device_1 is 'Bipap mask ' or 'CPAP mask ' OR Hamilton NIV modeso2_delivery_device_1 is 'High flow nasal cannula'o2_delivery_device_1 is 'None'o2_delivery_device_1)| Device Value | Category |
|---|---|
'Tracheostomy tube' | Tracheostomy |
'Trach mask ' | Tracheostomy |
'Endotracheal tube' | InvasiveVent |
'Bipap mask ' | NonInvasiveVent |
'CPAP mask ' | NonInvasiveVent |
'High flow nasal cannula' | HFNC |
'Non-rebreather' | SupplementalOxygen |
'Face tent' | SupplementalOxygen |
'Aerosol-cool' | SupplementalOxygen |
'Venti mask ' | SupplementalOxygen |
'Medium conc mask ' | SupplementalOxygen |
'Ultrasonic neb' | SupplementalOxygen |
'Vapomist' | SupplementalOxygen |
'Oxymizer' | SupplementalOxygen |
'High flow neb' | SupplementalOxygen |
'Nasal cannula' | SupplementalOxygen |
'None' | None |
Note: Some device values have trailing spaces (e.g., 'Trach mask ', 'Bipap mask ', 'Venti mask '). These must be matched exactly.
ventilator_mode)All of these map to InvasiveVent:
'(S) CMV', 'APRV', 'APRV/Biphasic+ApnPress', 'APRV/Biphasic+ApnVol', 'APV (cmv)', 'Ambient', 'Apnea Ventilation', 'CMV', 'CMV/ASSIST', 'CMV/ASSIST/AutoFlow', 'CMV/AutoFlow', 'CPAP/PPS', 'CPAP/PSV', 'CPAP/PSV+Apn TCPL', 'CPAP/PSV+ApnPres', 'CPAP/PSV+ApnVol', 'MMV', 'MMV/AutoFlow', 'MMV/PSV', 'MMV/PSV/AutoFlow', 'P-CMV', 'PCV+', 'PCV+/PSV', 'PCV+Assist', 'PRES/AC', 'PRVC/AC', 'PRVC/SIMV', 'PSV/SBT', 'SIMV', 'SIMV/AutoFlow', 'SIMV/PRES', 'SIMV/PSV', 'SIMV/PSV/AutoFlow', 'SIMV/VOL', 'SYNCHRON MASTER', 'SYNCHRON SLAVE', 'VOL/AC'
ventilator_mode_hamilton)InvasiveVent: 'APRV', 'APV (cmv)', 'Ambient', '(S) CMV', 'P-CMV', 'SIMV', 'APV (simv)', 'P-SIMV', 'VS', 'ASV'
NonInvasiveVent: 'DuoPaP', 'NIV', 'NIV-ST'
Individual charting observations are grouped into ventilation episodes using these rules:
New episode starts when:
Episode boundaries:
starttime = earliest charttime in the episodeendtime = latest charttime in the episode (or the next observation's charttime if it's within 14 hours)14-hour gap rule: If two consecutive observations of the same ventilation status are more than 14 hours apart, they are treated as separate episodes. This prevents spanning overnight gaps where ventilation may have been discontinued and restarted.
Ventilator settings — itemids from mimiciv_icu.chartevents:
Oxygen delivery — itemids from mimiciv_icu.chartevents:
For classification, the critical itemids are:
Trailing Spaces in Device Names: Several o2_delivery_device_1 values have trailing spaces (e.g., 'Trach mask ', 'Bipap mask ', 'Venti mask ', 'Medium conc mask '). These must be matched exactly as stored in MIMIC-IV.
Priority of Device over Mode: Tracheostomy and Endotracheal tube (from o2_delivery_device_1) take priority over ventilator mode classification. A patient on a tracheostomy with a ventilator mode set is classified as Tracheostomy, not InvasiveVent.
CPAP/PSV Modes Are Invasive: In MIMIC-IV charting conventions, CPAP/PSV and related modes (CPAP/PPS, CPAP/PSV+ApnPres, etc.) are recorded as ventilator modes on patients with endotracheal tubes. These are classified as InvasiveVent, not NonInvasiveVent. Non-invasive CPAP is identified by the CPAP mask device, not the ventilator mode.
Hamilton vs Standard Modes: MIMIC-IV has two ventilator mode columns — ventilator_mode (standard ventilators) and ventilator_mode_hamilton (Hamilton ventilators). These are combined with COALESCE for classification purposes.
Single-Observation Episodes Excluded: Episodes where starttime equals endtime are filtered out. This removes transient or erroneous observations that don't represent sustained ventilation periods.
NULL Ventilation Status Excluded: Observations that don't match any classification rule produce NULL status and are excluded from episode detection.
LAG Partitioning: The gap detection LAG function partitions by (stay_id, ventilation_status) — not just stay_id. This means the 14-hour gap rule applies within each status category separately.