Abstract
Recent analysis of clinical Computer-Interpretable Guideline (CIG) modelling languages from the perspective of the control-flow patterns has revealed limited capabilities of these languages to provide flexibility for encoding and executing clinical guidelines. The concept of flexibility is of major importance in the medical-care domain since no guarantee can be given on predicting the state of patients at the point of care. In this paper, we illustrate how the flexibility of CIG modelling languages can be improved by describing clinical guidelines using a declarative approach. We propose a CIGDec language for modelling and enacting clinical guidelines.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Peleg, M.: Chapter 4-2: Guideline and Workflow Models. In: Greenes, R.A. (ed.) Medical Decision Support: Computer-Based Approaches to Improving Healthcare Quality and Safety, Elsevier, Amsterdam (2006)
Workflow Patterns Home Page, http://www.workflowpatterns.com
Mulyar, N., Aalst, W., Peleg, M.: A Pattern-based Analysis of Clinical Computer-Interpretable Guideline Modelling Languages. Technical report, Center Report BPM-06-29, BPMcenter.org (2006)
Wald, J., Pedraza, L., Murphy, M., Kuperman, G.: Requirements development for a patient computing system. In: Proc. AMIA Symp., pp. 731–735 (2001)
Pesic, M., Aalst, W.: A declarative approach for flexible business processes management. In: Business Process Management Workshops, pp. 169–180 (2006)
Aalst, W., Pesic, M.: Specifying, discovering, and monitoring service flows: Making web services process-aware. BPM Center Report BPM-06-09, BPM Center, BPMcenter.org (2006)
Aalst, W., Hofstede, A., Kiepuszewski, B., Barros, A.: Workflow Patterns. Distributed and Parallel Databases 14(1), 5–51 (2003)
Russell, N., Hofstede, A., Aalst, W., Mulyar., N.: Workflow Control-Flow Patterns: A Revised View. BPM Center Report BPM-06-22, BPMcenter.org (2006)
Shahar, Y., Miksch, S., Johnson, P.: The Asgaard Project: a task-specific Framework for the application and critiquing of time-oriented clinical guidelines. Artif. Intell. Med. 14, 29–51 (1998)
Seyfang, A., Kosara, R., Miksch, S.: Asbru’s Reference Manual, V.7.3. Technical report, Vienna Univ. of Techn., Inst. of SW Techn., Vienna. Report No.: Asgaard-TR-2002-1 (2002)
Tu, S., Musen, M.: A flexible approach to guideline modeling. In: Proc AMIA Symp., pp. 420–424 (1999)
Tu, S., Musen, M.: From guideline Modeling to guideline execution: Defining guideline-based decision-support Services. In: Proc. AMIA Annu. Symp., pp. 863–867 (2000)
Tu, S.: The eon guideline model (2006), http://smi.stanford.edu/projects/eon
Boxwala, A., et al.: GLIF3: A representation format for sharable computer-interpretable clinical practive guidelines. Biomedical Informatics 37(3), 147–161 (2004)
Fox, J., Johns, N., Rahmanzadeh, A.: Disseminating Medical Knowledge: The PROforma Approach. Artificial Intelligence in Medicine 14(1), 157–182 (1998)
Clarke Jr., E.M., Grumberg, O., Peled, D.: Model Checking. The MIT Press, Cambridge (1999)
Holzmann, G.: The SPIN Model Checker: Primer and Reference Manual. Addison-Wesley, Boston, Massachusetts (2003)
Giannakopoulou, D., Havelund, K.: Automata-based verification of temporal properties on running programs. In: ASE 2001. Proc. of the 16th IEEE int. conf. on Automated sw engineering, vol. 412, IEEE Computer Society, Washington, DC, USA (2001)
Mulyar, N., Pesic, M., Aalst, W., Peleg, M.: Towards the Flexibility in Clinical Guideline Modelling Languages. Technical report, Center Report BPM, BPMcenter.org (2007)
Reijers, H., Rigter, J., Aalst, W.: The Case Handling Case. International Journal of Cooperative Information Systems 12(3), 365–391 (2003)
Athena, P.: Flower User Manual. Pallas Athena BV, Apeldoorn, The Netherlands (2002)
Reichert, M., Dadam, P.: ADEPTflex: Supporting Dynamic Changes of Workflow without Losing Control. Journal of Intelligent Information Systems 10(2), 93–129 (1998)
Dourish, P., Holmes, J., MacLean, A., Marqvardsen, P., Zbyslaw, A.: Freeflow: mediating between representation and action in workflow systems. In: Proc. of CSCW 1996, pp. 190–198 (1996)
Mangan, P., Sadiq, S.: On building workflow models for flexible processes. In: ADC 2002. Proc. of the 13th Australasian database conf, pp. 103–109. Australian Computer Society, Inc. (2002)
Wainer, J., de Lima Bezerra, F.: Groupware: Design, Implementation, and Use. In: Favela, J., Decouchant, D. (eds.) CRIWG 2003. LNCS, vol. 2806, pp. 151–158. Springer, Heidelberg (2003)
Author information
Authors and Affiliations
Editor information
Rights and permissions
Copyright information
© 2008 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Mulyar, N., Pesic, M., van der Aalst, W.M.P., Peleg, M. (2008). Declarative and Procedural Approaches for Modelling Clinical Guidelines: Addressing Flexibility Issues. In: ter Hofstede, A., Benatallah, B., Paik, HY. (eds) Business Process Management Workshops. BPM 2007. Lecture Notes in Computer Science, vol 4928. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78238-4_35
Download citation
DOI: https://doi.org/10.1007/978-3-540-78238-4_35
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-78237-7
Online ISBN: 978-3-540-78238-4
eBook Packages: Computer ScienceComputer Science (R0)