Skip to main content
Log in

The anaesthetic report: custom-made printouts from anaesthesia-information-management-systems using extensible stylesheet language transformation

  • Published:
Journal of Clinical Monitoring and Computing Aims and scope Submit manuscript

Abstract

Objective

Today many anaesthetic departments use electronic Anaesthesia-Information-Management-Systems (AIMS). Although these systems retain clinical information electronically, a printed report is still essential for a systematic patient-handover and as a part of the patient’s records. As the printouts produced by common AIMS usually do not fit in the department’s document system, we searched for a method to generate our own automatic anaesthetic reports.

Methods

As the AIMS we use provides all data in XML-format (Extensible Markup Language), we designed a postoperative report using Extensible Stylesheet Language—Transformation (XSLT). The result was encouraging enough to develop further applications for this platform. These are demonstrated in the present paper.

Results/Conclusion

XSLT proved to be a very satisfactory technique to create different printouts and is therefore a feasible technique to enhance any AIMS. As XML turns out to be one of the most important formats for medical data, we call for the development of an international anaesthetic XML-standard and its adoption to AIMS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ellis RH, editor. The case books of John Snow. London: Wellcome Institute for the History of Medicine; 1994.

    Google Scholar 

  2. Epstein RH, Vigoda MM, Feinstein DM. Anaesthesia information management systems: a survey of current implementation policies and practices. Anaesth Analg. 2007;105:405–11.

    Article  Google Scholar 

  3. Feldman JM. Do anaesthesia information systems increase malpractice exposure? Results of a survey. Anaesth Analg. 2004;99:840–3.

    Article  Google Scholar 

  4. Powers MJ. Record-keeping in anaesthesia: what the law requires. Br J Anaesth. 1994;73:22–4.

    Article  CAS  PubMed  Google Scholar 

  5. Kay M. XSL Transformations (XSLT) Version 2.0. http://www.w3.org/TR/xslt20. Accessed 14 May 2009.

  6. Fisher JA, Bromberg IL, Eisen LB. On the design of anaesthesia record forms. Can J Anaesth. 1994;41:973–83.

    Article  CAS  PubMed  Google Scholar 

  7. Shephard DAE. Harvey cushing and anaesthesia. Can Anaesth Soc J. 1965;12:431–42.

    Article  CAS  PubMed  Google Scholar 

  8. Le Gall JR, Lemeshow S, Saulnier F. A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA. 1993;270:2957–63.

    Article  PubMed  Google Scholar 

  9. Bray T, Paoli J, Sperberg-McQueen CM, Maler E, Yergeau F. Extensible markup language (XML) 1.0. 5th edn. http://www.w3.org/TR/xml/. Accessed 14 May 2009.

  10. Sokolowski RA, Dudeck J. XML and its impact on content and structure in electronic health care documents. In: AMIA annual symposium proceedings. 1999. pp. 147–151.

  11. Dolin RH, Alschuler L, Boyer S, Beebe C, Behlen FM, Biron PV, et al. HL7 clinical document architecture, release 2. J AHIMA. 2006;13:30–9.

    Google Scholar 

  12. Schweiger R, Hoelzer S, Heitmann KU, Dudeck J. DTDs go XML schema—a tools perspective. Med Inform Internet Med. 2001;26:297–308.

    Article  CAS  PubMed  Google Scholar 

  13. Watson R. XML-standards in der Medizin. Berlin: XML-Clearinghouse. Available from: http://www.xml-clearinghouse.de (in German). Accessed 14 May 2009.

  14. Gardner M, Peachey T. A standard XML Schema for computerized anaesthetic records. Anaesthesia. 2002;57:1174–82.

    Article  CAS  PubMed  Google Scholar 

  15. Hammond E. Health level 7 (HL7), work group genera tion of anaesthetic standards. http://www.hl7.org/Special/committees/gas/index.cfm. Accessed 14 May 2009.

  16. Bludau HB, Wolff A, Hochlehnert AJ. Presenting XML-based medical discharge letters according to CDA. Methods Inf Med. 2003;42:552–6.

    CAS  PubMed  Google Scholar 

  17. Simonaitidis L, Belsito A, Warvel J, Hui S, McDonald CJ. Extensible stylesheet language formatting objects (XSL-FO): a tool to transform patient data into attractive clinical reports. In: AMIA annual symposium proceedings. 2006. pp. 719–723.

Download references

Acknowledgments

The authors wish to thank the staff of IMESO Ltd (Hüttenberg, Germany), who rendered assistance to our XSL-project whenever we needed support. We thank especially Mr. Jan Carmans, computer scientist and HTLM-specialist at IMESO, who encoded a couple of sections when our XSL-knowledge was overstrained.

The authors declare that they have no conflicts of interest and there was no financial funding of the work presented in this paper.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andreas Meyer-Bender.

Additional information

Meyer-Bender A, Spitz R, Pollwein B. The anaesthetic report: custom-made printouts from anaesthesia-information-management-systems using extensible stylesheet language transformation.

Parts of this paper were presented as a poster at the German Anaesthetic Congress (“Deutscher Anästhesiecongress—DAC”) in 2008 in Nuremberg.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Meyer-Bender, A., Spitz, R. & Pollwein, B. The anaesthetic report: custom-made printouts from anaesthesia-information-management-systems using extensible stylesheet language transformation. J Clin Monit Comput 24, 51–60 (2010). https://doi.org/10.1007/s10877-009-9209-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10877-009-9209-5

Keywords

Navigation