CNS Reader: Introduction and How To
Citrix CNS Reader
In order to remotely view live MMM data from your patients, Moberg CNS Reader has now been installed on Citrix. Login to Citrix just as you would for Epic Hyperspace or Natus for EEG and you should see the CNS Reader icon.
Click on the icon to open the CNS Reader software
Once you are in the software, you will open a hospital-based server that contains the live-archived Moberg CNS data in order to see your patient. In order to do this, go to File -> Recent Location and click “uch-minerva.healthall.com [network]”
This will bring up the list of folders:
01 – Moberg Archived Data.These are older files and use an encoded ID (these are not deidentified data however and are there for academic purposes only)
02 – SDII Archived Data
These are research-level data used for an ongoing clinical trial; this folder and other research folders may appear from time to time
03 – Neuromonitoring Reporting Tools:
Here you will find the Neuromonitoring Reporting Template document for your reference and some snippets of R code. This file may be updated with new tools over time.
Patient_XXXX_Mon_X_Time (circled below)
Each of these folders represents a LIVE PATIENT RECORDING. Select the folder of your patient based on when monitoring began. Files will be archived once they are no longer recording.
Once you select a folder, double-click on the “Patient.info” file to open the data and review
Default Display (MMM + Trend, Display 3 & 4)
The trend screen shows all data over the specified interval (1 hour above); right-click a value or a panel to change the y-axis height as needed to view the data you want to see.
The threshold screen shows the average values over the ‘Shift’ (7a-7a; 24-hr); the pie chart shows the % outside of normal. For instance, for this record, the ICP averaged 17.8 mmHg since 7AM (579 minutes-worth of data ago) and 8.5% of the record was > 22 mmHg.
Feel free to make annotations, adjust the layout based on the information you’d like to see (see below for instructions). Please be aware that layout changes will be temporary and will disappear when you close Citrix CNS Reader. If there are changes you would like to see made permanently, email foremabo@ucmail.uc.edu.
Navigating Data in CNS Reader (Z.00.25)
Opening a File
a. File -> Recent Locations -> “uch-minerva.healthall.com [network]”
b. Moberg File Structure:
Select the Folder named ‘Patient_XXXX_Mon_X_Time’ that corresponds to your patients recording session and double click the
File named ‘Patient.info’
2. Navigating Layouts
a. Once a CNS Reader file is open, the default Layout is opened, called “UC NSICU Layout”
b. On the left side of the screen, select MMM + Trend, MMM + SD, MMM + cEEG, or MMM + CMD to select between different Pages
c. In each page, select View or press the Display Control buttons to toggle:
i. Display 1: Waveform display
ii. Display 2: Raw EEG display
iii. Display 3: MMM data trends display
iv. Display 4: page specific threshold or EEG display
d. Select the Notepad icon to toggle annotations on and off; selecting any event in the annotations pane will sync all visible
displays to that event
b. Select the Camera icon to toggle video camera on and off (no video is recorded at UC)
c. On the right side of the menu bar, select Show Events toggle to turn event highlighting on or off
3. Exploring Data
a. CTRL+click to sync all visible displays (shown as a solid vertical red line)
b. Slide the horizontal scroll bar or click directly on the display to explore; for waveform data, press the “Play” triangle button in the
Data Playback Controls for continuous streaming
c. Each trend window has a duration button that can zoom in or zoom out to display 15 minutes to 1 full week; waveform windows
have trace speeds between 5-120 mm/s
4.. Adjusting Data Visualization
a. Right-click on any trend to either “Annotate” or adjust “Measurement Settings” including the label and the Y axis.
b. Select Layouts -> Edit Layouts and select Edit to adjust the contents of a given Page or its Displays in order to examine specific
details as desired
c. Each Layout, its Pages, and their Displays are fully customizable although changes will be lost through the Citrix CNS Reader.
