Data Standards, Device Interfaces, and Interoperability
In this chapter, we discuss challenges to standardizing data acquisition and interoperability in the neurocritical care realm. Currently, neurocritical care practitioners are limited in the scope and depth of the data that can be acquired and analyzed in real time or retrospectively because the devices, equipment, and applications are not well integrated or designed for those purposes. We provide a brief background pertinent to critical care data standards and an overview of the current “state of the art.” Specifically, we summarize the current data standards—both formally defined and de facto—as well as provide an overview of the software and hardware interfaces typically found on critical care instrumentation. Next, we discuss the challenges that must be overcome to provide hardware and software interoperability within neurocritical care facilities. Finally, we provide examples of successful standards development and deployment in other fields with suggestions for neurocritical care practitioners to adopt into their current workflow. Overcoming the challenges to interoperability of medical devices will help to expand the diagnostic and prognostic tools available in neurocritical care.
KeywordsMonitors Medical device Plug and play Interoperability Data format
The authors would like to thank Jan Wittenber for his thoughtful review and comments to this chapter.
- 1.HIMSS. iHIT study—final report. https://www.himss.org/library/clinical-informatics/2013-ihit-studyfull-report (2013).
- 10.Mason CE, Zumbo P, Sanders S, Folk M, Robinson D, Aydt R, Gollery M, Welsh M, Olson NE, Smith TM. Standardizing the next generation of bioinformatics software development with BioHDF (HDF5). Adv Exp Med Biol. 2010;680:693–700. https://doi.org/10.1007/978-1-4419-5913-3_77.CrossRefPubMedGoogle Scholar
- 11.Chesnut RM, Temkin N, Carney N, Dikmen S, Rondina C, Videtta W, Petroni G, Lujan S, Pridgeon J, Barber J, Machamer J, Chaddock K, Celix JM, Cherner M, Hendrix T, Global Neurotrauma Research G. A trial of intracranial-pressure monitoring in traumatic brain injury. N Engl J Med. 2012;367(26):2471–81. https://doi.org/10.1056/NEJMoa1207363.CrossRefPubMedPubMedCentralGoogle Scholar
- 17.Bezroukov N. Open source software development as a special type of academic research: critique of vulgar Raymondism. First Monday. 1999;4(10)Google Scholar
- 18.Raymond ES. The cathedral & the bazaar. Sebastopol, CA: O’Reilly Media Inc.; 2001.Google Scholar
- 19.Jurney R. Agile data science. 1st ed. Sebastopol, CA: O’Reilly Media Inc.; 2013.Google Scholar
- 20.O’Neil C, Schutt R. Doing data science: straight talk from the frontline. 1st ed. Sebastopol, CA: O’Reilly Media Inc.; 2013.Google Scholar