Converting Clinical Pathways to BPM+ Standards: A Case Study in Stable Ischemic Heart Disease

Conference · Wed Jul 01 00:00:00 EDT 2020

DOI:https://doi.org/10.1109/CBMS49503.2020.00092· OSTI ID:1731061

Chae, Junghoon  ^[1]; Park, Byung  ^[1]; Jones, Makoto ^[2]; Ward, Merry ^[2]; Nebeker, Jonathan R. ^[2]

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1. ORNL
2. Department of Veterans Affairs

Clinical pathways (CPs) are structured healthcare plans designed to implement evidence-based clinical guidelines, medical algorithms, and protocols. In recent years, a community called BPM+ Health has worked to establish a shareable and computer-consumable representation of CP, leveraging standard notations. These notations, collectively referred to as BPM+, include the Business Process Management and Notation (BPMN), Case Management Model and Notation (CMMN), and Decision Model and Notation (DMN), which aim to support clinical management and standardized communication between different stakeholders. However, the adaptation of these notations for the existing guidelines has largely been left unexplored. This paper introduces procedural steps and criteria considerations to apply components of BPM+ notations to reconstruct a guideline for Stable Ischemic Heart Disease. This paper describes how each of the three different notations is mapped to a medical guideline and discusses the advantages and limitations of representing CPs with BPM+ as compared with paper-based medical guidelines.

• Research Organization: Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (United States)
• Sponsoring Organization: USDOE
• DOE Contract Number: AC05-00OR22725
• OSTI ID: 1731061
• Resource Relation: Conference: 33rd IEEE International Symposium on Computer Based Medical Systems (CBMS) - Rochester, Minnesota, United States of America - 7/28/2020 8:00:00 AM-7/30/2020 8:00:00 AM
• Country of Publication: United States
• Language: English