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Designing a reference architecture for health information systems.

Joep Tummers1, Hilde Tobi2, Cagatay Catal3

  • 1Information technology, Wageningen University & Research, Hollandseweg 1, 6701KN, Wageningen, The Netherlands. joep.tummers@wur.nl.

BMC Medical Informatics and Decision Making
|July 9, 2021
PubMed
Summary
This summary is machine-generated.

Developing a reference architecture (RA) for health information systems (HISs) addresses design flaws. This study shows established software architecture methods effectively improve HIS design for healthcare providers.

Keywords:
Electronic patient dossierHealth information systemsReference architectureSoftware architectureUnified modeling language

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Area of Science:

  • Health Informatics
  • Software Architecture
  • Systems Engineering

Background:

  • Health information systems (HISs) are crucial for healthcare delivery and reimbursement.
  • Improper HIS architecture design leads to significant challenges for healthcare providers.
  • A reference architecture (RA) can guide the development of HISs that address diverse stakeholder needs.

Purpose of the Study:

  • To develop and analyze a reference architecture (RA) for health information systems (HISs).
  • To ensure the RA meets the concerns of various HIS stakeholders.
  • To apply established architecture design methods within the healthcare domain.

Main Methods:

  • Domain analysis was conducted to define the scope and model the HIS domain.
  • The "views and beyond" approach was utilized for architecture design.
  • The RA was developed using stakeholder and feature information from the domain analysis.
  • A case study was employed to evaluate the developed RA.

Main Results:

  • Four key architecture views for HISs were derived: context diagram, decomposition view, layered view, and deployment view.
  • Each view offers a distinct perspective of the HIS architecture, catering to different stakeholders.
  • The RA was applied to a Japanese hospital information system, resulting in a derived application architecture.

Conclusions:

  • The study demonstrates the effective application of software architecture design methods in the healthcare sector.
  • The developed reference architecture (RA) proved its applicability and utility for designing health information systems (HISs).
  • This work validates the use of architectural approaches to overcome HIS design challenges.