title: Service oriented architecture for clinical decision support: a systematic review and future directions.
abstract: The use of a service-oriented architecture (SOA) has been identified as a promising approach for improving health care by facilitating reliable clinical decision support (CDS). A review of the literature through October 2013 identified 44 articles on this topic. The review suggests that SOA related technologies such as Business Process Model and Notation (BPMN) and Service Component Architecture (SCA) have not been generally adopted to impact health IT systems' performance for better care solutions. Additionally, technologies such as Enterprise Service Bus (ESB) and architectural approaches like Service Choreography have not been generally exploited among researchers and developers. Based on the experience of other industries and our observation of the evolution of SOA, we found that the greater use of these approaches have the potential to significantly impact SOA implementations for CDS.
authors.affiliation: School of Engineering and Informatics, University of Sussex, Shawcross building, Falmer, Brighton, East Sussex, BN1 9QT, UK, s.rodriguez-loya@sussex.ac.uk.
authors.forename: Salvador Rodriguez
authors.initials: SR
authors.lastname: Loya
authors.forename: Kensaku
authors.initials: K
authors.lastname: Kawamoto
authors.forename: Chris
authors.initials: C
authors.lastname: Chatwin
authors.forename: Vojtech
authors.initials: V
authors.lastname: Huser
mesh_terms: D003199:Computer Systems; D016206:Databases, Bibliographic; D020000:Decision Support Systems, Clinical / Q000458:organization & administration / Q000592:standards* / Q000639:trends; D063025:Health Information Management / Q000379:methods / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D008492:Medical Informatics Computing / Q000592:standards / Q000639:trends