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MedicalFlows @MedicalFlows

Executable medical workflows | #ClinicalPathways #ClinicalGuidelines | #BPMPlusHealth | #openEHR

Joined July 2022
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Research papers propose #BPMN extension to limit temporal distance between any non-consecutive process elements. That is visually appealing but the engine doesn’t execute it. So I created an inter-activity duration constraint that #Camunda can execute: medicalflows.com/bpmn/tempor…
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I implemented "Exclusive Resource Lock" pattern for #BPMPlusHealth. It is used in the #BPMN example for “Catheter Related Bloodstream Infections”: medicalflows.com/bpmn/resour… #ClinicalPathways #ClinicalDecisionSupport #ClinicalGuidelines #BPMPlus #Camunda
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When something is expected to be #hard it turns out it is #simple 😊 I implemented #parallel pattern for #BPMN: medicalflows.com/bpmn/parall… #ClinicalPathways #ClinicalDecisionSupport #ClinicalGuidelines #camunda #BPMPlusHealth
I implemented #repeat pattern for #BPMPlusHealth: medicalflows.com/bpmn/repeat #ClinicalPathways #ClinicalDecisionSupport #ClinicalGuidelines #camunda #bpmn
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Human #ClinicalModelers are still needed to create #BPMPlusHealth clinical process diagrams. #ChatGPT doesn’t want to do it 🥲
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The idea #1 is to use a similar UI as a #dashboard for re-playing executed processes. The idea #2 is to use it by clinicians to make patient specific changes to the #ClinicalPathways as described in: #openEHR TP “8.1.4. Allowed Plan Modifications” specifications.openehr.org/r…

Woland's cat@wolands_cat
9 Dec 2022
I just wrote a 40 page report for the US VA on clinical pathway automation, highlighting the importance of simulation for validation, demonstration, safety testing etc. Not sure if they got it yet ;) My view,if you can't simulate, don't execute.
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How to use BPMN for Clinical Pathways? I follow 3 principles: #1: Don't extend the standard #2: Standard editors #3: Standard execution engines Read more in the article: linkedin.com/pulse/how-use-b… #ClinicalPathways #ClinicalDecisionSupport #BPMN #Camunda #Flowable #Signavio

How to use BPMN for Clinical Pathways?

I follow these principles: Don't extend the standard — Standards take a long time to be accepted. Proposing that it needs to be extended before it can be used in healthcare won’t work (unless we can...

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Clinical experts might appreciate simulating the #BPMPlusHealth process they are modeling. A simple video simulation of a "Catheter related bloodstream infections" #BPMN process: medicalflows.com/bpmn/exampl…
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I implemented "Differential Time to Positivity (DTP)" pattern for #BPMPlusHealth. It is the most complex one so far. #BPMN process for Catheter Related Bloodstream Infections. medicalflows.com/bpmn/exampl… #ClinicalPathways #ClinicalDecisionSupport #ClinicalGuidelines #camunda
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"I followed protocols" ✅
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Another #temporal constraint for #BPMN. "Delayed Duration Constraint" is used in "Antibiotic treatment of pneumococcal pneumonia" example. See the full example at: medicalflows.com/bpmn/tempor… #ClinicalPathways #ClinicalDecisionSupport #BPMPlusHealth #openEHR #Camunda
I've completed the "Conditional Duration Constraint" element for #BPMN used in Antibiotic therapy for bloodstream infections example. See the full example: medicalflows.com/bpmn/exampl… #ClinicalPathways #ClinicalDecisionSupport #BPMPlusHealth #openEHR #Camunda
I made progress on the first complex #BPMN temporal constraint - conditional duration. Antibiotic therapy for bloodstream infections: - It can last either 14 days or 4-6 weeks. - However, the results of blood analyses are obtained 3-4 days after the beginning of the therapy.
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Workflow in the Ford hospital: a.co/d4oneG3
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#BPMN process for Managing Intracranial Hypertension: linkedin.com/pulse/bpmn-proc… #clinicalpathways #careplans
My first video demo of creating and deploying a simple #BPMN duration constrained task to #camunda: A template is created for you (to save some 🐁clicking). It can be modified to suit your needs. medicalflows.com/bpmn/tempor…
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#BPMN is a low level programming language. You can model anything but it gets verbose. A library of elements that hide the complexity is needed for modeling #ClinicalPathways. TP-VML (lnkd.in/dF67RHf5) has a great list of recommendations for modeling #ClinicalGuidelines.

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Woland's cat@wolands_cat
7 Nov 2022
Why using expressions in workflow is wrong wolandscat.net/2022/11/07/wh…
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An example of a #BPMN time constrained task for taking a blood sample. The protocol requires that the results are available in a maximum of 5 minutes. 1. We model this with a collapsed sub-process for which we specify a simple #temporal constraint (with a stopwatch icon - ⏱️):
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2. Inside the collapsed sub-process we model a simple task for taking the blood sample. We attach a boundary event that will be triggered if the task takes more than 5 minutes. 3. When this process is deployed to a standard #BPMN #camunda engine it will execute as described.
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I finally created all the UI elements required for a medication order as a higher-level #BPMN element for @BPMPlusHealth initiative. Medication order #BPMN element lets you configure dynamic medication order used in executable #ClinicalPathways. It is a #camunda plugin.
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I’m not a designer but the UI elements are using a well designed #camunda properties panel. This made my work easier from the UI perspective but persisting data required working around the limitations of using the same properties panel which wasn’t designed for complex data.
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