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Application of Modular Architectures in the Medical Domain - a Scoping Review
Franziska Bathelt1,2, Stephan Lorenz3, Jens Weidner3
1Thiem-Research GmbH, Thiemstraße 111, 03048, Cottbus, Brandenburg, Germany. f.bathelt@mul-ct.de.
Modular systems, like microservices, are increasingly used in healthcare for better data interoperability. Implementation requires standards like HL7 FHIR and attention to performance challenges.
Area of Science:
- Health Informatics
- Software Engineering
- Information Systems
Background:
- Healthcare systems often use isolated information systems, creating data silos.
- Increasing demands for documentation, quality assurance, and data research necessitate flexible, maintainable, and interoperable solutions.
Purpose of the Study:
- To review the adoption and effectiveness of modular systems in healthcare.
- To analyze service-oriented and microservice architectures in medical data management.
Main Methods:
- Scoping review of modular systems in the medical field.
- Analysis of implementation challenges and lessons learned from productive use cases.
Main Results:
- A notable increase in microservice adoption, indicating a trend towards encapsulated, autonomous functions.
- Recommendations include using HL7 FHIR, RESTful interfaces, standard protocols, and HIPAA security rules.
Conclusions:
- Modular architectures offer flexibility and scalability for healthcare information systems.
- Performance issues, such as high communication demand in microservices, require solutions like cloud integration.
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