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Architecture

  • Sachin Kheterpal
Part of the Health Informatics book series (HI)

As described in previous chapters, AIMS have evolved from stand-alone physiologic parameter recorders to complex, cross-departmental information management systems. 1–4 As the role of the AIMS has changed, so too has the technical architecture. Clearly, users’ demands for increasingly comprehensive functionality have driven technical innovation, but technical advancement has undoubtedly allowed for functional innovation and maturation of AIMS.

The original anesthesia record keepers performed a local function. Data from anesthesia and monitoring equipment were downloaded to a nearby computer and stored there. A paper printout served as the lasting output of these systems; local data were purged. 3 Early AIMS development reflected the functional requirements and technical opportunities of that time. The original systems had localized architecture with minimal networking to centralized servers and little interfacing with other information systems. In contrast, more recent models reflect a technical and functional environment that requires reliable uptime networking, stringent medical record keeping, and integration with other perioperative information management systems (OR management systems, inventory systems, etc.) and hospital information systems (admission/discharge/transfer systems, laboratory information systems, etc.). The newer AIMS offer distributed storage systems, data redundancy options, and interfaces. However, they come with a concomitant complexity that may require robust IT support and management tools.

Keywords

Hospital Information System Clinical Information System Disaster Preparedness Anesthesia Machine Anesthesia Record 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag London Limited 2008

Authors and Affiliations

  • Sachin Kheterpal
    • 1
  1. 1.University of Michigan Medical SchoolAnn ArborUSA

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