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  1. Reduce the clinical burden placed on a provider due to challenges and or limitations stemming from health IT systems, associated clinical data, and implemented clinical decision support services

  2. Represent clinical data elements for COVID-19 workflows in a consistent format (i.e. utilizing BPM+) so that it is underpinned by a fully-defined terminology model and common data model (i.e., Solor and Analysis Normal Form)

  3. Standardize the application of clinical workflows and clinical decision support to enhance clinical quality improvement, analytics, and other clinical data processing around COVID-19 screening, testing, and treatment, to be leveraged for future public health emergencies

The KBS Informatics Knowledge Architecture found below will enable a streamlined and simplified workflow for specifying a consistent representation for clinical data extracted from EHR systems and enhance these data for use in enhancing COVID-19 workflows. Furthermore, our architecture will result in clinical data that is easily normalized, improving integration with BPM+ and other procedural knowledge artifacts.

Veterans Health Administration Informatics Knowledge Architecture

COVID-19 In-Person Pre-Arrival Clinical Workflow

BPMN

BMPN Artifact(s)

Artifact File

In-Person Pre-Arrival

Questionnaires & Data Elements

Data Gathering Task (BPMN)

Question

ANF Pattern

COVID-19 Medical Triage

Does patient have a comorbidity of Diabetes?

Does patient have a comorbidity of Cancer?

Does patient have a comorbidity of taking Statin Medication?

Current pulse oximetry measurement (SPO2)?

DMNĀ 

DMN Artifact(s)

Artifact File

In-Patient Pre-Arrival: Medical Triage

In-Patient Pre-Arrival: COVID-19 Symptoms

In-Patient Pre-Arrival: COVID-19 Symptoms

COVID-19 End-to-End Patient Workflow

BPMN

BMPN Artifact(s)

Artifact File

End-to-End

Questionnaires & Data Elements

DMN

COVID-19 Virtual Care Pre-Arrival Workflow

BPMN

BMPN Artifact(s)

Artifact File

Virtual Care Pre-Arrival

Questionnaires & Data Elements

DMN

COVID-19 Emergency Department Workflow

BPMN

BMPN Artifact(s)

Artifact File

Emergency Department

CMMN

Questionnaires & Data Elements

DMN

COVID-19 In-patient Workflow

BPMN

BMPN Artifact(s)

Artifact File

Inpatient

Questionnaires & Data Elements

DMN

COVID-19 Intensive Care Unit (ICU) Workflow

BPMN

BMPN Artifact(s)

Artifact File

Intensive Care Unit (ICU)

Questionnaires & Data Elements

DMN

COVID-19 Outpatient Workflow

BPMN

BMPN Artifact(s)

Artifact File

Outpatient

Questionnaires & Data Elements

DMN

COVID-19 Community Care Workflow

BPMN

BMPN Artifact(s)

Artifact File

Community Care

Questionnaires & Data Elements

DMN

COVID-19 Long Term Workflow

BPMN

BMPN Artifact(s)

Artifact File

Long Term Care

Questionnaires & Data Elements

DMN

COVID-19 Virtual Care Follow-Up Workflow

BPMN

BMPN Artifact(s)

Artifact File

Virtual Care Follow-Up

Questionnaires & Data Elements

DMN

Definitions

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