A Workflow Approach towards GLIF Execution Martin Sedlmayr

A Workflow Approach towards GLIF Execution Martin Sedlmayr Thomas Rose Rainer Röhrig Markus Meister ECAI 2006

About OLGA q Project: Online Guideline Assist – OLGA · q Goal: Measure the effects of automated, integrated guideline support in an ICU · · · ECAI 2006 3 year research project sponsored by the German Research Council DFG Operational guideline support within the PDMS Build upon existing technologies Use an „agile approach“ Measure effect of automated guidelines Criteria for automating guidelines

ICU at University Hospital Giessen ECAI 2006

Approach q Focus on operational system · · · q Approach · · · q ECAI 2006 Look into computerized clinical guideline standards Look into workflow systems Look into existing (paper-based) SOPs Select promising candidates and just start · · · q No preference towards GL methodology No preference towards workflow technology No preference towards technical systems Guideline Interchange Format GLIF j. BPM Workflow Framework (j. BOSS) Example guidelines Improve and extend over time

Lifecycle Formalization Reach Consensus Formal Representation Automation Execution Support Evaluation ECAI 2006

Guideline Editor- GLIF ECAI 2006

Workflow Patterns – JPDL/j. BPM ECAI 2006

Mapping of GLIF to JPDL GLIF j. PDL node action fork branch decision patient state join synchronization ECAI 2006

Mapping of GLIF to JPDL GLIF j. PDL node action fork branch task decision task patient state join synchronization ECAI 2006

Olga Shell q Process Viewer q Convert guidelines in GLIF q Execute simulations q Run workflows q Edit workflow q Edit guideline q Build HL 7 connector Agil. Shell by Holger Knublauch ECAI 2006

System Architecture GLIF Editor GL EHR Olga-Shell Olga-Engine HL 7 DB ECAI 2006 Cache PDMS

Summary q Work in progress q Agile, iterative approach q Focus: operational guideline execution within PDMS · q Workbench: Olga Shell · · · q Formalizing process knowledge Convert existing guidelines Simulation and execution Evaluation of effects of automated guideline support · · ECAI 2006 Utilization of existing technologies Starting end of year with tests 1 year daily life evaluation in ICU