SOA Governance - Governance refers to the management of SOA services includes but is not limited to the search for services, testing of applications for interoperability, tracking of their dependencies and how the services are used in unanticipated ways, and quality team support.
"SOA brings change across people, processes and technology. SOA agility comes with many more moving parts to manage. To get a handle on SOA and speed adoption, you must address visibility, trust, consistency and control.
SOA Governance delivers the best practices and automated software to address these SOA challenges. It delivers a proven way to manage services and their dependencies as they go through their lifecycles. "
For more, see HP.com Solutions -SOA
Also see Intel's Fully Integrated SOA Appliance for Healthcare called SOA Expressway for Healthcare which has built in Health Information Exchange solutions.
Mr. Mulrooney attended the August 2011 Open Health Tools Board meeting in CA. The vision of OHT is moving forward quite successfully as membership grows. An academic collaboration with Georgia Tech and other universities is being implemented. International interest continues to grow as other countries have discovered that we face the same architectural problems. Fortunately, a fundamental business model shift is going on to remove the barrier of terminology problems. The establishment of medical data standards is now more crucial than ever for SOA to be effective. 
"'Service-oriented architecture is a term that represents a model in which automation logic is decomposed into smaller, distinct units of logic. Collectively, these units comprise a larger piece of business automation logic. Individually, these units can be distributed." Thomas Erl