Alarms are essential for medical systems in order to ensure patient safety during deteriorating clinical situations and inevitable device malfunction. As medical devices are connected together to become interoperable, alarms become crucial part in making them high-assurance, in nature. Traditional alarm systems for interoperable medical devices have been patient-centric. In this paper, we introduce the need for an alarm system that focuses on the correct functionality of the interoperability architecture itself, along with several considerations and design challenges in enabling them.