Abstract
Since the emergence of the Evidence-Based Medicine paradigm, the formalization of medical processes is one of the big aims for the standardization of healthcare. In the literature, there are different approaches to the definition of these processes. On one hand, knowledge-based Clinical Decision-Making technologies provide tools for formalizing specialized knowledge as described in clinical guidelines and textbooks, or stated by clinical experts. On the other hand, Clinical Process Management technologies, rely on a data-driven approach that can infer medical processes from data available in healthcare databases. This chapter aims to analyse these two prominent approaches for supporting clinical experts in the representation of medical processes, in search of a solution that takes advantage of both, and towards a new way of building formalized medical processes in a more efficient, precise, and usable way.
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References
Aho AV, Sethi R, Ullman JD. Compilers, principles, techniques. Addison Wesley. 1986;7(8):9.
Benson T. Care pathways. Technical report, NHS National Programme for Information Technology (NPfIT), 2005.
Conca T, Saint-Pierre C, Herskovic V, Sepúlveda M, Capurro D, Prieto F, Fernandez-Llatas C. Multidisciplinary collaboration in the treatment of patients with type 2 diabetes in primary care: analysis using process mining. J Med Internet Res. 2018;20(4).
Concaro S, Sacchi L, Cerra C, Fratino P, Bellazzi R. Mining healthcare data with temporal association rules: improvements and assessment for a practical use. In: Conference on artificial intelligence in medicine in Europe. Springer; 2009. p. 16–25.
de Clercq PA, Blom JA, Korsten HHM, Hasman A. Approaches for creating computer-interpretable guidelines that facilitate decision support. Artif Intell Med. 2004;31(1):1–27.
Du G, Jiang Z, Diao X, Yao Y. Knowledge extraction algorithm for variances handling of cp using integrated hybrid genetic double multi-group cooperative pso and dpso. J Med Syst. 2012;36(2):979–94.
Dumas M, La Rosa M, Mendling J, Reijers HA, et al. Fundamentals of business process management, vol. 1. Springer; 2013.
Eisenberg F. Chapter 4 – the role of quality measurement and reporting feedback as a driver for care improvement. In: Greenes RA, editor. Clinical decision support. The road to broad adoption. 2nd ed. Oxford: Academic; 2014. p. 145–64.
Fernandez-Llatas C, Lizondo A, Monton E, Benedi J-M, Traver V. Process mining methodology for health process tracking using real-time indoor location systems. Sensors. 2015;15(12):29821–40.
Fernandez-Llatas C, Pileggi SF, Traver V, Benedi JM. Timed parallel automaton: a mathematical tool for defining highly expressive formal workflows. In: 2011 Fifth Asia modelling symposium. IEEE; 2011. p. 56–61.
Fernandez-Llatas C, Valdivieso B, Traver V, Benedi JM. Using process mining for automatic support of clinical pathways design. In: Data mining in clinical medicine. Springer; 2015. p. 79–88.
Fernández-Llatas C, Meneu T, Traver V, Benedi J-M. Applying evidence-based medicine in telehealth: an interactive pattern recognition approximation. Int J Environ Res Public Health. 2013;10(11):5671–82.
Fox J, Black E, Chronakis I, Dunlop R, Patkar V, South M, Thomson R. From guidelines to careflows: modelling and supporting complex clinical processes. Stud Health Technol Inform. 2008;139:44–62.
Gatta R, Vallati M, Fernandez-Llatas C, Martinez-Millana A, Orini S, Sacchi L, Lenkowicz J, Marcos M, Munoz-Gama J, Cuendet M, et al. Clinical guidelines: a crossroad of many research areas. Challenges and opportunities in process mining for healthcare. In: International conference on business process management. Springer; 2019. p. 545–56.
Graham R, Mancher M, Miller Wolman D, Greenfield S, Steinberg E. Clinical practice guidelines we can trust. Washington, DC: The National Academies Press; 2011.
Hollingsworth D, Hampshire UK. Workflow management coalition: the workflow reference model. Workflow Management Coalition. Document Number TC00-1003. 1995;19:16.
Huang Z, Lu X, Duan H. On mining clinical pathway patterns from medical behaviors. Artif Intell Med. 2012;56(1):35–50.
Huang Z, Lu X, Duan H, Fan W. Summarizing clinical pathways from event logs. J Biomed Inform. 2013;46(1):111–27.
Kaiser K, Marcos M. Leveraging workflow control patterns in the domain of clinical practice guidelines. BMC Med Inform Decis Mak. 2016;16:20.
Latoszek-Berendsen A, Tange H, van den Herik HJ, Hasman A. From clinical practice guidelines to computer-interpretable guidelines. A literature overview. Methods Inf Med. 2010;49(6):550–70.
Lozano E, Marcos M, Martínez-Salvador B, Alonso A, Alonso JR. Experiences in the development of electronic care plans for the management of comorbidities. In: Riaño D, Teije A, Miksch S, Peleg M, editors. Knowledge representation for health-care. Data, processes and guidelines. Berlin/Heidelberg: Springer; 2010. p. 113–23.
Mahulea C, Mahulea L, García-Soriano J-M, Colom J-M. Petri nets with resources for modeling primary healthcare systems. In: 2014 18th International conference on system theory, control and computing (ICSTCC). IEEE; 2014. p. 639–44.
Marcos M, Campos C, Martínez-Salvador B. A practical exercise on re-engineering clinical guideline models using different representation languages. In: Marcos M, Juarez JM, Lenz R, Nalepa GJ, Nowaczyk S, Peleg M, Stefanowski J, Stiglic G, editors. Artificial intelligence in medicine: knowledge representation and transparent and explainable systems. Springer International Publishing; 2019.
Martin N, Martinez-Millana A, Valdivieso B, Fernández-Llatas C. Interactive data cleaning for process mining: a case study of an outpatient clinic’s appointment system. In: International conference on business process management. Springer; 2019. p. 532–44.
Martínez-Salvador B, Marcos M. Supporting the refinement of clinical process models to computer-interpretable guideline models. Bus Inform Syst Eng. 2016;58(5):355–66.
Mesner O, Davis A, Casman E, Simhan H, Shalizi C, Keenan-Devlin L, Borders A, Krishnamurti T. Using graph learning to understand adverse pregnancy outcomes and stress pathways. PloS One. 2019;14(9):e0223319.
Müller R, Rogge-Solti A. Bpmn for healthcare processes. In: Proceedings of the 3rd central-European workshop on services and their composition (ZEUS 2011), Karlsruhe, vol. 1, 2011.
Patkar V, Fox J. Clinical guidelines and care pathways: a case study applying proforma decision support technology to the breast cancer care pathway. Stud Health Technol Inform. 2008;139:233–42.
Peleg M. Computer-interpretable clinical guidelines: a methodological review. J Biomed Inform. 2013;46(4):744–63.
Peleg M, González-Ferrer A. Chapter 16 – guidelines and workflow models. In: Greenes RA, editor. Clinical decision support. The road to broad adoption. 2nd ed. Oxford: Academic; 2014. p. 435–64.
Peleg M, Tu S, Bury J, Ciccarese P, Fox J, Greenes RA, Hall R, Johnson PD, Jones N, Kumar A, Silvia Miksch, Quaglini S, Seyfang A, Shortliffe EH, Stefanelli M. Comparing computer-interpretable guideline models: a case-study approach. J Am Med Inform Assoc. 2003;10(1):52–68.
Rebuge Á, Ferreira DR. Business process analysis in healthcare environments: a methodology based on process mining. Inf Syst. 2012;37(2):99–116.
Roser M, Ritchie H, Ortiz-Ospina E. World population growth. Our world in data, 2013.
Russell N, Van Der Aalst W, Ter Hofstede A. Workflow patterns: the definitive guide. MIT Press, 2016. https://ieeexplore.ieee.org/book/7453725.
Sackett DL, Rosenberg WMC, Gray MJA, Haynes BR, Richardson SW. Evidence based medicine: what it is and what it isn’t. BMJ. 1996;312(7023):71–2.
Schrijvers G, van Hoorn A, Huiskes N. The care pathway: concepts and theories: an introduction. Int J Integr Care. 2012;12(Spec Ed Integrated Care Pathways):e192.
Sheth A. Internet of things to smart iot through semantic, cognitive, and perceptual computing. IEEE Intell Syst. 2016;31(2):108–12.
Van Der Aalst W. Process mining. Data science in action. Springer; 2016.
Yang W, Su Q. Process mining for clinical pathway: literature review and future directions. In: 2014 11th international conference on service systems and service management (ICSSSM). IEEE; 2014. p. 1–5.
Yoo I, Alafaireet P, Marinov M, Pena-Hernandez K, Gopidi R, Chang J-F, Hua L. Data mining in healthcare and biomedicine: a survey of the literature. J Med Syst. 2012;36(4):2431–48.
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Fernandez-Llatas, C., Marcos, M. (2021). Towards a Knowledge and Data-Driven Perspective in Medical Processes. In: Fernandez-Llatas, C. (eds) Interactive Process Mining in Healthcare. Health Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-53993-1_3
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