Patient-Centric Healthcare Service Systems: Evidence-Based Medicine as Architecturally Significant Requirement

Healthcare Service Systems may use and support evidence-based medicine, and to accomplish that, their design has to be patient-centered focusing on quality of evidence and strength of recommendation. Hence, this paper intends to promote the debate on the design of Healthcare Service Systems. We propose a framework that attempts to systematize the design and development of Healthcare Service Systems, especially in terms of software engineering. The framework is intended to support the design of Healthcare Service Systems by understanding a complex health treatment as a project, which would provide naturally patient-centeredness, and by considering Evidence-Based Medicine guidelines and recommendations as architecturally significant requirements in the design of Healthcare Service Systems, which would provide focus on quality of evidence and strength of recommendation. Therefore, we would have a SOA user-centric approach and a systematic service design.