Hmmm, I wonder if it is applicable to treat the valve as a pure double differentiator? My argument is that the valve has so small interval where it is linear due to the construction with a tiny hole that opens and closes. I would rather see the valve like something of bang-bang type which is either open or closed. However, I agree that the piston is acting like an integrator. Note that I call the valve a double differentiator since (as you have explained) P=C1*m/A*d2x/dt2 and opposite (double integrator) with the piston. Moreover, multiplication with 's' usually means differentiation since if L{f(t)}=F(s), then L{f'(t)}=sF(s)-f(0-) (however, we can ignore the initial value), i.e. multiplication of the Laplace transform F(s) with s. In the same way, multiplication with '1/s' usually means integration. The mathematical details are anyway not important, what is more important is if the valve of your CVP is lying so "on the edge" that it is only operating in the linear part of the valve characteristics?