Journal of Medical Systems

, Volume 36, Issue 3, pp 1403–1416

Design and Evaluation of a Service Oriented Architecture for Paperless ICU Tarification

  • Kristof Steurbaut
  • Kirsten Colpaert
  • Sofie Van Hoecke
  • Sabrina Steurbaut
  • Chris Danneels
  • Johan Decruyenaere
  • Filip De Turck


The computerization of Intensive Care Units provides an overwhelming amount of electronic data for both medical and financial analysis. However, the current tarification, which is the process to tick and count patients’ procedures, is still a repetitive, time-consuming process on paper. Nurses and secretaries keep track manually of the patients’ medical procedures. This paper describes the design methodology and implementation of automated tarification services. In this study we investigate if the tarification can be modeled in service oriented architecture as a composition of interacting services. Services are responsible for data collection, automatic assignment of records to physicians and application of rules. Performance is evaluated in terms of execution time, cost evaluation and return on investment based on tracking of real procedures. The services provide high flexibility in terms of maintenance, integration and rules support. It is shown that services offer a more accurate, less time-consuming and cost-effective tarification.


Tarification Intensive care Service oriented architecture 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Kristof Steurbaut
    • 1
  • Kirsten Colpaert
    • 2
  • Sofie Van Hoecke
    • 1
  • Sabrina Steurbaut
    • 1
  • Chris Danneels
    • 2
  • Johan Decruyenaere
    • 2
  • Filip De Turck
    • 1
  1. 1.Department of Information Technology (INTEC)Ghent University—IBBTGentBelgium
  2. 2.Department of Intensive CareGhent University HospitalGentBelgium

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