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COST Action IC0604 WG 1: Business processes in Pathology Thomas Schrader University of Applied Sciences Brandenburg Open European Nephrology Science Center, Department of Pathology, Charite, Berlin December 26, 2009 Outline The results of

  1. COST Action IC0604 WG 1: Business processes in Pathology Thomas Schrader University of Applied Sciences Brandenburg Open European Nephrology Science Center, Department of Pathology, Charite, Berlin December 26, 2009

  2. Outline The results of Working Group 1, COST-Action 1 Business values in Pathology Business processes in Pathology Results of STSM Cornils & Zhou 2 Comparison different notations STSM Malte Cornils Summary 3 Summary Sources & Literature Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 2 / 41

  3. COST-Action Business values in Pathology Outline The results of Working Group 1, COST-Action 1 Business values in Pathology Business processes in Pathology Results of STSM Cornils & Zhou 2 Comparison different notations STSM Malte Cornils Summary 3 Summary Sources & Literature Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 3 / 41

  4. COST-Action Business values in Pathology Final “products” of Pathology Department Figure: Business Values - overview Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 4 / 41

  5. COST-Action Business values in Pathology Diagnostic process Figure: Business Values - detail Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 5 / 41

  6. COST-Action Business values in Pathology Research Figure: Business Values - detail Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 6 / 41

  7. COST-Action Business values in Pathology Education Figure: Business Values - detail Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 7 / 41

  8. COST-Action Business processes in Pathology Outline The results of Working Group 1, COST-Action 1 Business values in Pathology Business processes in Pathology Results of STSM Cornils & Zhou 2 Comparison different notations STSM Malte Cornils Summary 3 Summary Sources & Literature Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 8 / 41

  9. COST-Action Business processes in Pathology Overview in BPMN Figure: BPMN of an abstract view of processes Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 9 / 41

  10. COST-Action Business processes in Pathology Basic business process EPC Event-Process-Chain Function or Process - green rectangle Event as input object or output object - rhombus Forks & joints - circles Related IHE actors - blue rectangle Organizational unit - yellow ellipse Figure: Overview Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 10 / 41

  11. COST-Action Business processes in Pathology Basic business process - part I Figure: Clinical request & transport Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 11 / 41

  12. COST-Action Business processes in Pathology Basic business process - part II Figure: Labeling & sorting Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 12 / 41

  13. COST-Action Business processes in Pathology Basic business process - part III Figure: Laboratory & diagnostic process Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 13 / 41

  14. COST-Action Business processes in Pathology Basic business process - part IV Figure: Report delivery Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 14 / 41

  15. COST-Action Business processes in Pathology Macroscopic description Figure: Function tree of macroscopic description Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 15 / 41

  16. COST-Action Business processes in Pathology Mircoscopic Evaluation Figure: Function tree of process step microscopic evaluation Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 16 / 41

  17. COST-Action Business processes in Pathology Quality Assurance Figure: Function tree for quality assurance processes Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 17 / 41

  18. COST-Action Business processes in Pathology Reporting processes Figure: Reporting as function tree Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 18 / 41

  19. COST-Action Business processes in Pathology Speciment management Figure: Complex function tree for specimen processing Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 19 / 41

  20. COST-Action Business processes in Pathology Process flow of teleconsultation Figure: Teleconsultation Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 20 / 41

  21. Results of STSM Cornils & Zhou STSM Zou Outline The results of Working Group 1, COST-Action 1 Business values in Pathology Business processes in Pathology Results of STSM Cornils & Zhou 2 Comparison different notations STSM Malte Cornils Summary 3 Summary Sources & Literature Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 21 / 41

  22. Results of STSM Cornils & Zhou STSM Zou Notations in business modeling Business Process Modeling Notation - BPMN Event Process Chain - EPC UML Activity Diagram Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 22 / 41

  23. Results of STSM Cornils & Zhou STSM Zou Frozen section model Figure: BPMN model for frozen sections Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 23 / 41

  24. Results of STSM Cornils & Zhou STSM Zou Frozen section model Figure: EPC model Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 24 / 41

  25. Results of STSM Cornils & Zhou STSM Zou Frozen section model Figure: UML model Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 25 / 41

  26. Results of STSM Cornils & Zhou STSM Zou Results of comparison BPMN is the modelling notation which is clearer and more understandable to pathologists. EPC is harder for pathologists to read and understand. It is probably because EPC is not as popular as BPMN and UML AD, so pathologists are not so familiar with the concept of event-driven process. The current two pathology processes – Frozen Study and Formalin Fixed Specimen Study – are not complete in some aspects. Further work will be needed to modify the processes according to feedbacks we have gotten from the pathologists. Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 26 / 41

  27. Results of STSM Cornils & Zhou STSM Malte Cornils Outline The results of Working Group 1, COST-Action 1 Business values in Pathology Business processes in Pathology Results of STSM Cornils & Zhou 2 Comparison different notations STSM Malte Cornils Summary 3 Summary Sources & Literature Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 27 / 41

  28. Results of STSM Cornils & Zhou STSM Malte Cornils Simulating business processes in pathology Business modeling simulation theory and methods Applicability for the medical domain of pathology Concrete examples of business process simulation using modeling languages and tools and a process-driven design process Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 28 / 41

  29. Results of STSM Cornils & Zhou STSM Malte Cornils Tools for simulation etibia simulation environment eClarus toolkit based on the ActiveVOS software Intalio stack jBPM - a toolkit developed for JBoss Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 29 / 41

  30. Results of STSM Cornils & Zhou STSM Malte Cornils Global process model Figure: BPMN model by UCLM Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 30 / 41

  31. Results of STSM Cornils & Zhou STSM Malte Cornils Frozen section model Figure: BPMN model for frozen sections Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 31 / 41

  32. Results of STSM Cornils & Zhou STSM Malte Cornils Formalin fixed study process Figure: BPMN model Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 32 / 41

  33. Results of STSM Cornils & Zhou STSM Malte Cornils Simulation Figure: Time constrains Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 33 / 41

  34. Results of STSM Cornils & Zhou STSM Malte Cornils Results Simulation is a very usefull tool for process evalution Current tools with limited functionality But the the tools will better in the next future Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 34 / 41

  35. Summary Summary Outline The results of Working Group 1, COST-Action 1 Business values in Pathology Business processes in Pathology Results of STSM Cornils & Zhou 2 Comparison different notations STSM Malte Cornils Summary 3 Summary Sources & Literature Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 35 / 41

  36. Summary Summary Summary Now Status quo A general business process in pathology is desribed. The process model has a close relationship to the standards (DICOM, HL7). BPMN is choosen as the main modeling language Future What should be done? Transformation from EPC to BPMN Convergence to unified process description terms related to SNOMED Thomas Schrader (Brandenburg) WG 01: Business modeling December 26, 2009 36 / 41

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