Recommendations for Medical Treatment Processes: The PIGS Approach

  • Marcin HeweltEmail author
  • Aaron Kunde
  • Mathias Weske
  • Christoph Meinel
Conference paper
Part of the Lecture Notes in Business Information Processing book series (LNBIP, volume 202)


Medical treatment processes in hospitals are complex interactions of various actors, in the course of which treatment decisions have to be made.Clinical practice guidelines and clinical pathways provide guidance for practicioners for certain diseases. Especially for multi-morbid patients several guidelines and pathways might apply. Current process-oriented IT support in hospitals, however, does not consider multiple models for treatment recommendations.

In this contribution we define Treatment Cases (TCs) and give an operational semantics for their evolution based on Business Process Model and Notation (BPMN) models, which we use to model guidelines, pathways and standard operating procedures. This work is part of the Process Information and Guidance System (PIGS) approach, which aims at providing an overview of treatment history and give recommendations based on the current treatment state and multiple process models.


Operational Semantic Business Process Management Ward Round Emergency Ward Start Event 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Weske, M.: Business Process Management: Concepts, Languages, Architectures, 2nd edn. Springer, Heidelberg (2012)CrossRefGoogle Scholar
  2. 2.
    Grimshaw, J.M., Russel, I.T.: Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 342(8883), 1317–1322 (1993)CrossRefGoogle Scholar
  3. 3.
    Sutton, D.R., Fox, J.: The syntax and semantics of the PROforma guideline modeling language. J. Am. Med. Inform. Assoc. 10(5), 433–443 (2003)CrossRefGoogle Scholar
  4. 4.
    Boxwala, A.A., Peleg, M., Tu, S., Ogunyemi, O., Zeng, Q.T., Wang, D., Patel, V.L., Greenes, R.A., Shortliffe, E.H.: GLIF3: a representation format for sharable computer-interpretable CPGs. J. Biomed. Inform. 37(3), 147–161 (2004)CrossRefGoogle Scholar
  5. 5.
    Quaglini, S., Stefanelli, M., Cavallini, A., Micieli, G., Fassino, C., Mossa, C.: Guideline-based careflow systems. Artif. Intell. Med. 20(1), 5–22 (2000)CrossRefGoogle Scholar
  6. 6.
    Scheuerlein, H., Rauchfuss, F., Dittmar, Y., Molle, R., Lehmann, T., Pienkos, N., Settmacher, U.: New methods for clinical pathways - business process modeling notation (BPMN) and tangible business process modeling (t.BPM). Langenbecks. Arch. Surg. 397(5), 755–761 (2012)CrossRefGoogle Scholar
  7. 7.
    ISO/IEC: Information technology - object management group business process model and notation. Technical Report 19510, ISO/IEC, July 2013Google Scholar
  8. 8.
    Hewelt, M.: Process information and guidance systems in the hospital. In: KR4HC 2014 workshop proceedings (2014)Google Scholar
  9. 9.
    Milla-Millán, G., Fdez-Olivares, J., Sánchez-Garzón, I.: A common-recipe and conflict-solving MAP approach for care planning in comorbid patients. In: Bielza, C., Salmerón, A., Alonso-Betanzos, A., Hidalgo, J.I., Martínez, L., Troncoso, A., Corchado, E., Corchado, J.M. (eds.) CAEPIA 2013. LNCS, vol. 8109, pp. 178–187. Springer, Heidelberg (2013) CrossRefGoogle Scholar
  10. 10.
    Sánchez-Garzón, I., Fdez-Olivares, J., Onaindía, E., Milla, G., Jordán, J., Castejón, P.: A multi-agent planning approach for the generation of personalized treatment plans of comorbid patients. In: Peek, N., Marín Morales, R., Peleg, M. (eds.) AIME 2013. LNCS, vol. 7885, pp. 23–27. Springer, Heidelberg (2013) CrossRefGoogle Scholar
  11. 11.
    Alexandrou, D.A., Skitsas, I.E., Mentzas, G.N.: A Holistic Environment for the Design and Execution of Self-Adaptive Clinical Pathways. IEEE Trans. Inform. Technol. Biomed. 15(1), 108–118 (2011)CrossRefGoogle Scholar
  12. 12.
    Pryss, R., Langer, D., Reichert, M., Hallerbach, A.: Mobile task management for medical ward rounds – the MEDo approach. In: La Rosa, M., Soffer, P. (eds.) BPM Workshops 2012. LNBIP, vol. 132, pp. 43–54. Springer, Heidelberg (2013) CrossRefGoogle Scholar
  13. 13.
    jBPM team, T.J.: jBPM Documentation - User Guide. 6.0.1.Final edn., November 2013Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Marcin Hewelt
    • 1
    Email author
  • Aaron Kunde
    • 1
  • Mathias Weske
    • 1
  • Christoph Meinel
    • 1
  1. 1.Hasso Plattner Institute at the University of PotsdamPotsdamGermany

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