Page Comparison

Introductions

Keith et al

• Penni is new to the team and everyone is providing introductions

BPMN Walkthrough

Linda

• Overview of current version of In-Person Pre-Arrival BPMN

  • Need guidelines for Emergency/Escalation workflow

  • Potential rewording for Assess Patient Testing per VHA COVID-19 Guidelines

  • If assessed but chosen not to be tested - would there be a process or external protocol provided to patient (e.g., self-quarantine)?

    • Some items to consider are test availability, testing duration/wait-time, etc.

    • Stability should be a priority within the model, try and represent items such as self-quarantine via BPMN

  • Using Patterns for DMN (found in BPM+ Field Guide (Appendix))

    • Suggestion of returning a collection of antecedents that were found to be true, rather than simple true/false values

    • Specifically a list of COVID-19 symptoms found to be true (promoting richness in terms of DMN evaluation output)

    • Use case driven - how do represent general statements/queries to be used by DMN (engine); limitations

    • Pattern of asking specific interrogatives (pair of observation and values) as input to DMN backed BMPN task/activity

    • Observations need to be backed by great specificity via clinical concept codes

    • Inconsistency with terminological content can be confusing with the use finding (e.g., fever)

    • Pattern around setting default within DMN rules to have closure (e.g., avoiding scenario of no rule firing at all)
      

Next Meeting

Keith

• 2 pm ET / 11 am PT is suggested and works for group

Quick discussion on Terminology representation for clinical statements (models)

Keith

• Via Solor Komet, reviewing inconsistencies from a statement clinical model perspective, regarding using data elements regarding Fever (in all its taxonomy representations)

• Fever vs Fells hot/feverish is an example of error of omission

  • Need to create a Solor extension that harmonizes inconsistencies together which can more reliably retrieved in clinical statement models

  • SNOMED CT and LOINC fever (appropriate) concepts should be harmonized into a Solor extension(s)

  • There are representations temperature measuring procedures (overlap with LOINC) of SNOMED CT