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
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)
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.
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)? |
DMN
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
Solor – is an open-source ecosystem that brings together data-encoding standards with an extensible, single model to help health care organizations avoid errors in the interpretation of clinical data.
Analysis Normal Form (ANF) – is an HL7 Informative Logical Model Specification that normalizes a variety of clinical data to a common normal form so that the data is simple, consistent, reusable, understandable, and useful.
Business Process Modeling + – a community of healthcare providers, vendors, and clinical specialty societies to advance the consistency and quality of business process modeling notation to create sharable clinical pathways, clinical guidelines, and other healthcare knowledge to maximize usefulness and compliance with healthcare best practices.
Business Process Modeling Notation (BPMN) – BPMN is a precise, complete and graphical notation for documenting well-defined business processes. It resolves many ambiguities found in textual process specifications by assigning activities to specific actors
Decision Modeling and Notation (DMN) – DMN is a notation for the precise specification of business decisions and rules. DMN is readily readable by the different types of people involved in decision management. These include business people who specify the rules but also monitor their application; business analysts who transform user input into detailed decision models; and software developers who implement them in enterprise systems.
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