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To achieve timely response and treatment of life threatening injury or illness in mass gatherings, it is imperative to establish effective communication and coordination between emergency agencies and teams and provide them with ready access to real-time information. The service-oriented paradigm presents an elegant solution for developing a general and scalable architecture where emergency teams can utilize services for situational-awareness and collaboration. In this paper we propose an ontology-based service-oriented architecture for mass gathering health services that can be implemented using stationary servers or peer-to-peer models. We describe the preliminary implementation of the service-oriented system using an Android phone.