title: A service oriented approach for guidelines-based clinical decision support using BPMN.
abstract: Evidence-based medical practice requires that clinical guidelines need to be documented in such a way that they represent a clinical workflow in its most accessible form. In order to optimize clinical processes to improve clinical outcomes, we propose a Service Oriented Architecture (SOA) based approach for implementing clinical guidelines that can be accessed from an Electronic Health Record (EHR) application with a Web Services enabled communication mechanism with the Enterprise Service Bus. We have used Business Process Modelling Notation (BPMN) for modelling and presenting the clinical pathway in the form of a workflow. The aim of this study is to produce spontaneous alerts in the healthcare workflow in the diagnosis of Chronic Obstructive Pulmonary Disease (COPD). The use of BPMN as a tool to automate clinical guidelines has not been previously employed for providing Clinical Decision Support (CDS).
authors.affiliation: School of Engineering and Informatics, University of Sussex, Brighton, UK.
authors.forename: Salvador
authors.initials: S
authors.lastname: Rodriguez-Loya
authors.affiliation: School of Engineering and Informatics, University of Sussex, Brighton, UK.
authors.forename: Ayesha
authors.initials: A
authors.lastname: Aziz
authors.affiliation: School of Engineering and Informatics, University of Sussex, Brighton, UK.
authors.forename: Chris
authors.initials: C
authors.lastname: Chatwin
mesh_terms: D019091:Critical Pathways / Q000458:organization & administration*; D020000:Decision Support Systems, Clinical / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards*; D006747:Hospital Communication Systems / Q000592:standards*; D006801:Humans; D020407:Internet / Q000592:standards; D017146:Models, Organizational; D017410:Practice Guidelines as Topic; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis*; D012984:Software; D006113:United Kingdom; D057188:Workflow