Configure Hypoxemia classification
Configure the Hypoxemia classification for use in interpretation reports. Hypoxemia provides an ICSD-3-based classification that uses the total time that SpO2 remains below the applicable threshold. Somnoware applies the configured duration values and displays the applicable impression for physician review.
The Hypoxemia classification is supported in NPSG, CPAP and HST PAT studies across Adult, Pediatric and Infant templates.
Hypoxemia uses the following default SpO2 thresholds:
Adult: Below 88%
Pediatric and infant: Below 90%
The default duration values are:
Not significant: Less than 5 minutes
Significant: 5 minutes or greater
Users can configure the duration values used for the Not Significant and Significant classifications.
The Oxygen Saturation (Nadir) classifications remains available. Hypoxemia is an additional ICSD-3-based classification and does not replace Oxygen Saturation (Nadir). Users can choose which classification to display in their interpretation reports.
Existing physician profiles continue to use the Oxygen Saturation (Nadir) classification by default. Physicians can enable the Hypoxemia classification when they are want to use it. For new physician profiles and profiles that are reset, the Hypoxemia classification is enabled by default and Oxygen Saturation (Nadir) is disabled.
Hypoxemia threshold values are synchronized across related physician preference settings. When a user updates a threshold in one configuration location, Somnoware updates the corresponding value in the related settings.
For split-night studies, Somnoware applies the configured Hypoxemia criteria to the appropriate study segments. The physician can review the resulting information when interpreting the study.
Enable Hypoxemia for existing physicians
Use these steps to configure which Hypoxemia information displays in an existing physician's interpretation reports.
In the Configuration module (
), click Physicians.From the Actions column next to the physician whose parameters you want to configure, click the Preferences icon (
).From the Parameters tab, scroll to the Oxygen Saturation (Nadir) section.
Turn off Show in report.
Scroll to the Hypoxemia section.
Turn on Show in report.
For more information on setting the Hypoxemia criteria, impressions and recommendations, see Set Hypoxemia criteria.
Set Hypoxemia criteria
Configure the duration values used for the Hypoxemia classification. Hypoxemia uses the total time that SpO2 remains below the applicable threshold.
The default SpO2 thresholds are are:
Adult: Below 88%
Pediatric and infant: Below 90%
By default, a duration of less than 5 minutes below the default SpO2 threshold is Not Significant and a duration of 5 minutes or greater is Significant. Users can review and change these values based on their preferences. For existing physicians, see Enable Hypoxemia for existing physicians.
Note
Hypoxemia threshold values are synchronized across related physician preference settings. When a user updates a threshold in one location, Somnoware updates the corresponding value in the related settings.
In the Configuration module (
), click Physicians.From the Actions column next to the physician whose parameters you want to configure, click the Preferences icon (
).From the Parameters tab, select the study type and patient age group to configure.
Expand the Respiratory Parameters section.
In the Hypoxemia section, configure duration values for the Not Significant and Significant classifications.
Ensure Show in report is enabled to include the criteria in the report.
Configure the Hypoxemia impression
Configure the impression text that displays based on the Hypoxemia criteria.
Open the Report Builder tab.
Click Impressions and scroll to the Hypoxemia section.
Review or update the impression text for Not Significant and If Significant.
Turn on Show in report to include the hypoxemia impression in the interpretation report.
The physician can review and edit the impression when interpreting the study.