title: Process-oriented integration and coordination of healthcare services across organizational boundaries.
abstract: The paper presents a methodology that follows a top-down approach based on a Model-Driven Architecture for integrating and coordinating healthcare services through cross-organizational processes to enable organizations providing high quality healthcare services and continuous process improvements. The methodology provides a modeling language that enables organizations conceptualizing an integration agreement, and identifying and designing cross-organizational process models. These models are used for the automatic generation of: the private view of processes each organization should perform to fulfill its role in cross-organizational processes, and Colored Petri Net specifications to implement these processes. A multi-agent system platform provides agents able to interpret Colored Petri-Nets to enable the communication between the Healthcare Information Systems for executing the cross-organizational processes. Clinical documents are defined using the HL7 Clinical Document Architecture. This methodology guarantees that important requirements for healthcare services integration and coordination are fulfilled: interoperability between heterogeneous Healthcare Information Systems; ability to cope with changes in cross-organizational processes; guarantee of alignment between the integrated healthcare service solution defined at the organizational level and the solution defined at technological level; and the distributed execution of cross-organizational processes keeping the organizations autonomy.
authors.affiliation: Autonomous University of Tamaulipas, Victoria, Mexico. etello@uat.edu.mx
authors.forename: Edgar
authors.initials: E
authors.lastname: Tello-Leal
authors.forename: Omar
authors.initials: O
authors.lastname: Chiotti
authors.forename: Pablo David
authors.initials: PD
authors.lastname: Villarreal
mesh_terms: D003199:Computer Systems; D006298:Health Services Administration; D006751:Hospital Information Systems / Q000458:organization & administration*; D008498:Medical Record Linkage / Q000379:methods; D018511:Systems Integration