BPMN4CP: Design and implementation of a BPMN extension for clinical pathways

The Business Process Model and Notation (BPMN) is a standard for business process modeling that is very common in professional practice due to its expressiveness, the well defined meta model and the possibility of workflow integration. This research article aims to apply the BPMN for the representation of clinical pathways in order to utilize its benefits in the clinical context. BPMN provides a set of generic process modeling elements what makes it necessary to extend the language by domain-specific concepts from the field of clinical pathways (e.g., evidence indicators). Therefore, the extension method of Stroppi et al. (2011) was applied and extended in order to facilitate a systematic design and development. This research article provides the analysis of requirements and relevant concepts for modeling clinical pathways. Based on a domain ontology, need for extension is identified and the valid BPMN extension meta model is designed by the construction of a conceptional domain model and the corresponding BPMN extension model. The evolved extension ”BPMN4CP” is demonstrated by an example process of wisdom tooth treatment.

[1]  Fu-Ren Lin,et al.  Mining time dependency patterns in clinical pathways , 2001, Int. J. Medical Informatics.

[2]  Omar Chiotti,et al.  Extending BPMN 2.0: Method and Tool Support , 2011, BPMN.

[3]  Ulrich Frank,et al.  Rekonstruktion eines klinischen Behandlungspfads mithilfe domänenspezifischer Erweiterungen einer Geschäftsprozessmodellierungssprache: Anwendungsfall und Sprachkonzepte , 2010 .

[4]  Werner Esswein,et al.  Modeling Clinical Pathways - Design and Application of a Domain-Specific Modeling Language , 2013, Wirtschaftsinformatik.

[5]  Omolola Ogunyemi,et al.  GLIF3: a representation format for sharable computer-interpretable clinical practice guidelines , 2004, J. Biomed. Informatics.

[6]  Stefan Seedorf,et al.  Applications of Ontologies in Software Engineering , 2006 .

[7]  Katharina Kaiser,et al.  How can information extraction ease formalizing treatment processes in clinical practice guidelines?: A method and its evaluation , 2007, Artif. Intell. Medicine.

[8]  Julius T. Tou,et al.  Information Systems , 1973, GI Jahrestagung.

[9]  Alan R. Hevner,et al.  The Information Systems Research Cycle , 2003, Computer.

[10]  Peter Loos,et al.  Klassifikation von Sprachen zur Modelling medizinischer Behandlungspfade , 2004, MobIS.

[11]  M. Hess,et al.  Modellierung komplexer Entscheidungssituationen in Prozessmodellen – Anwendung am Beispiel der Tumorklassifikation bei Weichteilsarkomen , 2013 .

[12]  Omar Chiotti,et al.  A BPMN 2.0 Extension to Define the Resource Perspective of Business Process Models , 2011, CIbSE.

[13]  Martin Bichler,et al.  Design science in information systems research , 2006, Wirtschaftsinf..

[14]  Samson W. Tu,et al.  Modeling Data and Knowledge in the EON Guideline Architecture , 2001, MedInfo.

[15]  Pedro R. Falcone Sampaio,et al.  Extending BPMN for Supporting Customer-Facing Service Quality Requirements , 2010, 2010 IEEE International Conference on Web Services.

[16]  Richard Müller,et al.  BPMN for Healthcare Processes , 2011, ZEUS.

[17]  D. Sackett,et al.  Evidence based medicine: what it is and what it isn't , 1996, BMJ.

[18]  Mor Peleg,et al.  Computer-interpretable clinical guidelines: A methodological review , 2013, J. Biomed. Informatics.

[19]  Alberto Trombetta,et al.  BPMN: An introduction to the standard , 2012, Comput. Stand. Interfaces.

[20]  Hannes Schlieter Ableitung von Klinischen Pfaden aus Medizinischen Leitlinien – Ein Modellbasierter Ansatz , 2012 .

[21]  Ron Weber,et al.  Research Commentary: Information Systems and Conceptual Modeling - A Research Agenda , 2002, Inf. Syst. Res..

[22]  Peter Loos,et al.  Einsatz von Ereignisgesteuerten Prozessketten zur Modellierung von Prozessen in der Krankenhausdomäne , 2005, EPK.

[23]  D L Sackett,et al.  Evidence-based medicine. , 1997, Seminars in perinatology.

[24]  Ulrich Frank,et al.  Conceptual Modelling as the Core of the Information Systems Discipline - Perspectives and Epistemological Challenges , 1999 .

[25]  Abdul V. Roudsari,et al.  Computerization of workflows, guidelines, and care pathways: a review of implementation challenges for process-oriented health information systems , 2011, J. Am. Medical Informatics Assoc..

[26]  Bob J. Wielinga,et al.  Using explicit ontologies in KBS development , 1997, Int. J. Hum. Comput. Stud..

[27]  Boris Otto,et al.  Relevance through Consortium Research? Findings from an Expert Interview Study , 2010, DESRIST.