Medical confined environments are characterized by a very stringent set of standards and regulations, depending on a wide range of parameters. These are very difficult to handle because of the lack of appropriate tools to qualify before use, monitor during use and audit after use. Providing these tools requires to tackle the complexity of gathering all the different elements of the environment profile (building topology, standards and rules, instrumentation) in a single model which could be statically validated and dynamically checked against events. This article both focuses on introducing the context of medical confined environment regulation and issues faced when trying to design and implement qualification and monitoring tools, and on presenting the approach and work in progress.