Uma arquitetura de ecossistemas de software para hospitais universitários da Rede EBSERH

• Ano de defesa: 2019
• Autor(a) principal: Frades, André Teixeira de
• Orientador(a): Oliveira, Adicinéia Aparecida de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Programa de Pós-Graduação: Pós-Graduação em Ciência da Computação
• Palavras-chave em Português: Arquitetura de software; Ecossistemas de software; Interoperabilidade; EBSERH
• Palavras-chave em Inglês: Software ecosystem; Interoperability; University hospitals
• Área do conhecimento CNPq: CIENCIAS EXATAS E DA TERRA::CIENCIA DA COMPUTACAO
• Link de acesso: https://ri.ufs.br/jspui/handle/riufs/14163

Promoting interoperability among systems of organizations involved in an ecosystem enables better performance, and reduction of costs and operational errors. University Hospitals (UH) are complex nature organizations because there are several specificities related to their processes, protocols, legislation, systems, among others. These factors make fundamental the interoperability among these elements, being a distant and diligent goal. Software Ecosystem (SECO) Architecture can facilitate the management of complex environments, characterized by the high heterogeneity of systems and process.In this scenario, the objective of this work is propose a SECO Architecture, to promote future improvements in the interoperability of the developed systems, from the point of view of the various actors in the context of the UH Network of the Brazilian Hospital Services Company (EBSERH). Initially, a Systematic Mapping Study was performed, with the assumption of identifying applications of ecosystem architectures in the field of health. Then, a survey was applied to hospital managers of the EBSERH network, to characterize the current scenario of UH about the aspects of SECO.Finally, a SECO architecture and a deployment guide were developed, followed by two SECO health assessments in two hospitals of the EBSERH network. For the state of the art, it was identified that the proposed architectures have as main objective the semantic interoperability, being the message exchange the main approach.The standards or technologies are HL7, XML, and SNOMED. The results of the survey showed low interoperability between systems and organizations, because of high system fragmentation, insufficient use of standards and a high discrepancy among hospitals, especially concerning the number of employees, the installed Information Technology infrastructure, and often lack of software development. The proposed SECO Architecture has presented potential to promote SECO interoperability of EBSERH network hospitals, considering the current legislation and scenario of hospitals. However, overcoming barriers to the implementation of this architecture is essential, requiring the commitment of actors involved.