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首页> 外文期刊>Journal of Software Maintenance and Evolution >Automated conflict detection between medical care pathways
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Automated conflict detection between medical care pathways

机译：医疗路径之间的自动冲突检测

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Clinical guidelines specify sequences of steps (care pathways) to treat patients with single conditions. Increasingly, many patients exhibit “multimorbidity,” several chronic conditions needing concurrent treatment. However, applying multiple guidelines in parallel can lead to conflicts, eg, between prescribed drugs, lifestyle intervention recommendations, or treatment schedules. In computer science, process languages used to design and reason about software development and business process management are similar to clinical pathways. Using formal model transformation, composition and analysis methods, models can be combined and conflicts detected and resolved.We propose BPMN+V, a data-driven formal model for clinical care pathways, as an extension of Business Process Model and Notation.We describe a method for conflict detection using a transformation of BPMN+V to Coloured Petri Nets and a state-space method for detection of conflict in composed models.We present results from a case study, showing that common conflicts are successfully detected, and propose extension to a complete frameworkfor efficiently recommending resolutions to medical conflicts in composed care pathway models.
机译：临床指南规定了治疗单一疾病患者的步骤顺序（护理途径）。许多患者越来越多地表现出“多发病”，这是几种需要同时治疗的慢性病。但是，并行应用多个指南可能导致冲突，例如，在处方药，生活方式干预建议或治疗计划之间。在计算机科学中，用于设计和推理软件开发和业务流程管理的过程语言与临床途径相似。通过使用正式的模型转换，组成和分析方法，可以将模型组合在一起并检测和解决冲突。我们提出了BPMN + V（一种数据驱动的临床护理路径正式模型）作为业务流程模型和表示法的扩展。 BPMN + V到有色Petri网变换的冲突检测方法和组合模型中冲突检测的状态空间方法。我们提供了一个案例研究的结果，表明可以成功检测到常见的冲突，并建议将其扩展到完整的框架，可在组合护理路径模型中有效地建议解决医疗冲突的方法。

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