Enterprise Architecture Planning for ICU Nursing Information Systems: Integrating Trauma Assessment and SBAR into Service and Data Landscapes
DOI:
https://doi.org/10.58344/jii.v5i7.7966Keywords:
Enterprise Architecture Planning, TOGAF ADM, Service Landscape, Nursing Information System, Intensive Care Unit, Trauma Assessment, SBAR.Abstract
Healthcare information systems in Intensive Care Units (ICUs) are often developed by digitizing clinical documentation without sufficiently modeling the relationships among business services, data, and application components within an enterprise architecture. In addition, existing enterprise architecture studies in healthcare are frequently derived from organization-specific workflows, which may limit their adaptability across different healthcare institutions. This study develops a service landscape for ICU nursing information systems using the Enterprise Architecture Planning (EAP) approach and the TOGAF Architecture Development Method (ADM) up to Phase C. A qualitative case study was conducted through observation, interviews, shadowing, document analysis, and comparative analysis of enterprise architecture studies in healthcare. Business services were abstracted from comparable ICU nursing workflows, while Trauma Assessment and SBAR were used to identify information requirements and formulate the conceptual data structure. The proposed architecture comprises Business Architecture, Data Architecture, Application Architecture, and an Application Landscape that establishes traceability among business services, data entities, and application modules. The architecture was validated using the TOGAF Architecture Capability Maturity Model (ACMM), resulting in an average score of 4.03, which corresponds to Level 4 – Managed. This result indicates that the proposed blueprint is well structured, traceable, and suitable as a reference for developing ICU nursing information systems. The findings suggest that integrating business service abstraction, clinical assessment standards, and comparative enterprise architecture analysis can produce a more conceptual and adaptable architecture than approaches based solely on a single organizational case.
References
Akula, D. K., Mohammed, Y. S., Syed, A., Haque, G. M. M., & Arafat, Y. (2025). The Role of Information Systems in Enhancing Strategic Decision Making: A Review and Future Directions. The American Journal of Management and Economics Innovations, 7(08). https://doi.org/10.37547/tajmei/volume07issue08-07
Bernard, S. A. (2012). An Introduction to Enterprise Architecture: Third Edition. In PhD Proposal (Vol. 1).
El-Sheikh, E., Zimmermann, A., & Jain, L. C. (2016). Emerging Trends in the Evolution of Service-Oriented and Enterprise Architectures. In Intelligent Systems Reference Library (vol. 111).
Girsang, A. S., & Abimanyu, A. (2021). Development of an enterprise architecture for healthcare using togaf adm. Emerging Science Journal, 5(3). https://doi.org/10.28991/esj-2021-01278
Haghighathoseini, A., Bobarshad, H., Saghafi, F., Rezaei, M. S., & Bagherzadeh, N. (2018). Hospital enterprise Architecture Framework (Study of Iranian University Hospital Organization). International Journal of Medical Informatics, 114. https://doi.org/10.1016/j.ijmedinf.2018.03.009
Handayani, P. W., Pinem, A. A., Munajat, Q., Azzahro, F., Hidayanto, A. N., Ayuningtyas, D., & Sartono, A. (2019). Health referral enterprise architecture design in Indonesia. Healthcare Informatics Research, 25(1). https://doi.org/10.4258/hir.2019.25.1.3
Hellzén, O., Kjällman Alm, A., & Holmström Rising, M. (2022). Primary healthcare nurses’ views on digital healthcare communication and continuity of care: a deductive and inductive content analysis. Nursing Reports, 12(4), 945–957.
Jason, J., Sutanto, J., Angkasa, V., Darmana, V., & Maulana, A. (2025). Literature Study on Data and Application Architecture Design in Telecommunications Companies. JDMIS: Journal of Data Mining and Information Systems, 3(1). https://doi.org/10.54259/jdmis.v3i1.3004
Jonnagaddala, J., Guo, G. N., Batongbacal, S., Marcelo, A., & Liaw, S. T. (2020). Adoption of enterprise architecture for healthcare in AeHIN member countries. BMJ Health and Care Informatics, 27(1). https://doi.org/10.1136/bmjhci-2020-100136
Khatri, R., Endalamaw, A., Erku, D., Wolka, E., Nigatu, F., Zewdie, A., & Assefa, Y. (2023). Continuity and care coordination of primary health care: a scoping review. BMC Health Services Research, 23(1), 750.
Kiekkas, P., Tzenalis, A., Gklava, V., Stefanopoulos, N., Voyagis, G., & Aretha, D. (2022). Delayed Admission to the Intensive Care Unit and Mortality of Critically Ill Adults: Systematic Review and Meta-analysis. In BioMed Research International (Vol. 2022). https://doi.org/10.1155/2022/4083494
Malpass, H. C., Enfield, K. B., Keim-Malpass, J., & Verghese, G. M. (2015). The Interhospital Medical Intensive Care Unit Transfer Instrument Facilitates Early Implementation of Critical Therapies and Is Associated with Fewer Emergent Procedures Upon Arrival. Journal of Intensive Care Medicine, 30(6). https://doi.org/10.1177/0885066614521964
Mampilly, A. J., Selvan, C. P., & Midhunchakkaravarthy, D. (2026). A Theoretical Integration of Enterprise Architecture Frameworks for Business-It Alignment. Indian Journal of Information Sources and Services, 16(1), 554–567. https://doi.org/10.51983/ijiss-2026.16.1.58
Maris, A., Hoppenbrouwers, S., & Van Hillegersberg, J. (2023). Enterprise Architecture in Healthcare Networks: A Systematic Literature Review. Communications of the IIMA, 21(1). https://doi.org/10.58729/1941-6687.1446
Mohd Rahimi, N. I., Mat Yatya, S., & Abu Bakar, N. A. (2023). Enterprise Architecture: Enabling Digital Transformation for Healthcare Organization. Open International Journal of Informatics, 11(1). https://doi.org/10.11113/oiji2023.11n1.246
Noteboom, S. H., Kho, E., Galanty, M., Sánchez, C. I., ten Bookum, F. C. P., Veelo, D. P., Vlaar, A. P. J., & van der Ster, B. J. P. (2025). From intensive care monitors to cloud environments: a structured data pipeline for advanced clinical decision support. EBioMedicine, 111. https://doi.org/10.1016/j.ebiom.2024.105529
Sukartini, T., & Wahyuni, E. D. (2025). Nursing Assessment in Intensive Care Unit: A Systematic Review. Indonesian Journal of Global Health Research, 7(5).
The Open Group. (2022). TOGAF® Standard, 10th Edition – Architecture Development Method. Van Haren Publishing; The Open Group.
Thim, T., Krarup, N. H. V., Grove, E. L., Rohde, C. V., & Lofgren, B. (2012). Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. In International Journal of General Medicine (Vol. 5). https://doi.org/10.2147/IJGM.S28478
Wang, L., Ma, Y. J., Chen, X. T., Zhang, J., & Liu, T. (2022). The design and application of an intensive care unit point-of-care nursing handover checklist based on the situation, background, assessment, and recommendation technique. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1029573
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