@inbook{51, author = {Ryan Crichton and Deshen Moodley and Anban Pillay and Chris Seebregts}, title = {An Architecture and Reference Implementation of an Open Health Information Mediator: Enabling Interoperability in the Rwandan Health Information Exchange}, abstract = {Rwanda, one of the smallest and most densely populated countries in Africa, has made rapid and substantial progress towards designing and deploying a national health information system. One of the more challenging aspects of the system is the design of an architecture to support: interoperability between existing health information systems already in use in the country; incremental extension into a fully integrated national health information system without substantial re-engineering; and scaling, from a single district in the initial phase, to national level without requiring a fundamental change in technology or design paradigm. This paper describes the key requirements and the design of the current architecture using the ISO/IEC/IEEE 42010 standard architecture descriptions. The architecture takes an Enterprise Service Bus approach. A partial implementation and preliminary analysis of the architecture is given. Since these challenges are experienced by other developing African countries, the next steps involves creating a generic architecture that can be reused for health information exchange in other developing African countries.}, year = {2013}, journal = {Foundations of Health Information Engineering and Systems, Revised and Selected Papers, Lecture Notes in Computer Science Volume 7789}, chapter = {87-104}, publisher = {Springer Berlin Heidelberg}, isbn = {978-3-642-39087-6}, url = {http://link.springer.com/chapter/10.1007/978-3-642-39088-3_6}, }