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Designing interoperable health information systems using Enterprise Architecture approach in resource-limited countries: A literature review

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Enterprise Architecture (EA) integrates business and technical processes in health information systems (HIS). Low-income and middle-income countries (LMIC) use EA to combine management components with disease tracking and health care service monitoring.

Using an EA approach differs by country, addressing specific needs. Articles in this review referenced EA, were peer-reviewed or gray literature reports published in 2010 to 2016 in English, and were identified using PubMed, Scopus, Web of Science, and Google Scholar.

Four themes emerged: the importance of multiple sectors and data sources, the need for interoperability, the ability to incorporate system flexibility, and the desirability of open group models, data standards, and software. Themes mapped to EA frameworks and operational components and to health system building blocks and goals. Most articles focused on processes rather than outcomes, as countries are engaged in implementation.

Authors: Susan Higman, Vikas Dwivedi, Alpha Nsaghurwe, Moses Busiga, Hermes Sotter Rulagirwa, Dasha Smith
Chris Wright, Ssanyu Nyinondi, Edwin Nyella

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