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Interplay between Clinical Guidelines and Organizational Workflow Systems
| Content Provider | Scilit |
|---|---|
| Author | Shabo, Amnon Parimbelli, Enea Quaglini, Silvana Napolitano, Carlo Peleg, Mor |
| Copyright Year | 2016 |
| Description | Summary Background: Implementing a decision-support system within a healthcare organization requires integration of clinical domain knowledge with resource constraints. Computer-interpretable guidelines (CIG) are excellent instruments for addressing clinical aspects while business process management (BPM) languages and Workflow (Wf) engines manage the logistic organizational constraints. Objectives: Our objective is the orchestra -tion of all the relevant factors needed for a successful execution of patient’s care pathways, especially when spanning the contin -uum of care, from acute to community or home care. Methods: We considered three strategies for integrating CIGs with organizational work-flows: extending the CIG or BPM languages and their engines, or creating an interplay between them. We used the interplay approach to implement a set of use cases arising from a CIG implementation in the domain of Atrial Fibrillation. To provide a more scalable and standards-based solution, we explored the use of Cross-Enterprise Document Workflow Integration Profile. Results: We describe our proof-of-concept implementation of five use cases. We utilized the Personal Health Record of the MobiGuide project to implement a loosely-coupled approach between the Activiti BPM engine and the Picard CIG engine. Changes in the PHR were detected by polling. IHE profiles were used to develop workflow documents that orchestrate cross-enterprise execution of cardioversion. Conclusions: Interplay between CIG and BPM engines can support orchestration of care flows within organizational settings. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.3414/ME16-01-0006.pdf |
| Ending Page | 494 |
| Page Count | 7 |
| Starting Page | 488 |
| ISSN | 00261270 |
| e-ISSN | 2511705X |
| DOI | 10.3414/me16-01-0006 |
| Journal | Methods of Information in Medicine |
| Issue Number | 06 |
| Volume Number | 55 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2016-01-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Methods of Information in Medicine Nutrition and Dietetics Clinical Guidelines Business Processes Computer-interpretable Guidelines Interoperability Standards Workflow Management Systems |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Information Management Advanced and Specialized Nursing Health Informatics |
