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Health Informatics Journal, Vol. 12, No. 3, 199-211 (2006)
DOI: 10.1177/1460458206066772

Clinical, information and business process modeling to promote development of safe and flexible software

Siaw-Teng Liaw, PhD, FRACGP, FACHI

School of Rural Health, The University of Melbourne, Graham Street, Shepparton, Victoria 3630, Australia, t.liaw{at}unimelb.edu.au

Elizabeth Deveny

School of Rural Health, University of Melbourne Therapeutic Guidelines Limited

Iain Morrison

Department of Information Systems, University of Melbourne

Bryn Lewis

Department of Information Systems, University of Melbourne National Prescribing Service

Using a factorial vignette survey and modeling methodology, we developed clinical and information models -incorporating evidence base, key concepts, relevant terms, decision-making and workflow needed to practice safely and effectively -to guide the development of an integrated rule-based knowledge module to support prescribing decisions in asthma. We identified workflows, decision-making factors, factor use, and clinician information requirements. The Unified Modeling Language (UML) and public domain software and knowledge engineering tools (e.g. Protégé) were used, with the Australian GP Data Model as the starting point for expressing information needs. A Web Services service-oriented architecture approach was adopted within which to express functional needs, and clinical processes and workflows were expressed in the Business Process Execution Language (BPEL). This formal analysis and modeling methodology to define and capture the process and logic of prescribing best practice in a reference implementation is fundamental to tackling deficiencies in prescribing decision support software.

Key Words: clinical model • electronic decision support • evidence-based practice • information model • safe prescribing


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