A Process View of Medical Practice by Modeling Communicative Acts

Abstract:

The need of an electronic patient record with a process view on medical care is widely acknowledged. Characteristics of DEMO (Dynamic Essential Modeling of Organizations) suggest that with this methodology an adequate process view of medical practice can be obtained. In applying DEMO to the care process of the emergency department at the University Medical Centre Utrecht, it was investigated if DEMO fulfilled our expectations. This practical application showed that DEMO yields an adequate process view by a clear and comprehensible view of the core processes, responsibilities, co-ordination of activities, and a clear description of causal and conditional relations between activities.

Keywords:

Business Process Modeling, Communicative Act, DEMO, EPR

^* At the time of this research: Information Systems Department, Delft University of Technology, the Netherlands

^** At the time of this research: Innovation Department, HISCOM BV, Leiden, the Netherlands

• REFERENCES

• 1 Tange H. Medical Narratives in the Electronic Medical Record – Towards a searching structure with optimal granularity. PhD Thesis. University of Maastricht: University Press Maastricht; 1997
• 2 Dick RS, Steen EB. The computer-based patient record – an essential technology for health care. Washington DC: National Academy Press; 1991
• 3 Weed LL. Medical records that guide and teach. N Engl J Med 1968; 278: 593-600 652-7.
• 4 Weed LL. Medical records, medical education, and patient care. Chicago: Year Book Medical Publishers, Inc.; 1969
• 5 Elstein AS, Shulman LS, Sprafka SA. Medical problem solving: an analysis of clinical reasoning. Cambridge, MA: Harvard University Press; 1978
• 6 Newell A, Simon HA. Human problem solving. Englewood Cliffs, NJ: Prentice-Hall; 1972
• 7 Berg M. Rationalizing medical work – Decision-Support Techniques and Medical Practices. Cambridge Mass.: The MIT Press; 1997
• 8 Cairns T, Casey A, Fowler M, Thursz M, Timimi H. The Cosmos Clinical Process Model. National Health Service, Information Management Centre, 15 Frederick Rd.. Birmingham, UK: Report ECBS20A & ECBS20B 1992
• 9 Austin JL. How to Do Things with Words. Oxford: Clarendon Press; 1962
• 10 Searle JR. Speech Acts: An Essay in the Philosophy of Language. Cambridge: Cambridge University Press; 1969
• 11 Searle JR. Meaning and Expression. Cambridge: Cambridge University Press; 1979
• 12 Searle JR, Vanderveken D. Foundations of Illocutionary Logic. Cambridge: Cambridge University Press; 1985
• 13 Flores F, Ludlow JJ. Doing and Speaking in the Office. In: Fick G, Spraque H. eds. Decision Support Systems: Issues and Challenges. New York: Pergamon Press; 1980: 95-118.
• 14 Winograd T, Flores F. Understanding Computers and Cognition: A New Foundation for Design. Norwood: Ablex; 1986
• 15 Toussaint PJ. Integration of Information Systems – A Study in Requirements Engineering. PhD Thesis. University of Leiden; 1998
• 16 Reijswoud van VE. The Structure of Business Communication: Theory, Model and Application. PhD Thesis. Delft University of Technology; 1996
• 17 Dietz JLG. Business Modeling for Business Redesign. In: Proceedings of the 27th Hawaii International Conference on System Siences. Los Alamitos: IEEE Computer Society Press; 1994: 723-32.
• 18 Dietz JLG. Modeling Business Processes for the Purpose of Redesign. In: Glasson BC, Hawryszkiewycs IT, Underwood BA, Weber RA. eds. Proceedings of the IFIP TC8 Open Conference on Business Process Re-Engineering: Information Systems Opportunities and Challenges. Amsterdam: Elsevier; 1994: 249-58.
• 19 Dietz JLG. The What and the Why of Modeling Business Processes. In: Es van RM, Post A. eds. Dynamic Enterprise Modeling. Deventer: Kluwer Bedrijfsinformatie; 1996
• 20 Dietz JLG. Introductie tot DEMO: van informatietechnologie naar organisatietechnologie. Alphen a/d Rijn: Samson; 1996
• 21 Dietz JLG, Mulder HBF. Realising Strategic Reengineering Objectives with DEMO. In: Proceedings of the International Symposium on Business Process Modeling. Heidelberg, Berlin: Springer; 1996
• 22 Reijswoud van VE, Rijst van der BJ. Modeling Business Communication as a Foundation for Business Process Redesign: A Case of Production Logistics. In: Proceedings of the 28th Hawaii International Conference on Systems Sciences. Los Alamitos: IEEE Computer Society Press; 1995: 841-50.
• 23 Reijswoud van VE, Dietz JLG. DEMO Modeling Handbook. Volume 1. Delft University of Technology, Department of Information Systems, Version 0.2 1998
• 24 Reijswoud van VE. Model Based Business System Transformation. Proceedings of the European Conference on Information Systems (ECIS’99); Copenhagen: 1999