A Process Modelling Framework Based on Point Interval Temporal Logic with an Application to Modelling Patient Flows

This thesis considers an application of a temporal theory to describe and model the patient journey in the hospital accident and emergency (A&E) department. The aim is to introduce a generic but dynamic method applied to any setting, including healthcare. Constructing a consistent process model can be instrumental in streamlining healthcare issues. Current process modelling techniques used in healthcare such as flowcharts, unified modelling language activity diagram (UML AD), and business process modelling notation (BPMN) are intuitive and imprecise. They cannot fully capture the complexities of the types of activities and the full extent of temporal constraints to an extent where one could reason about the flows. Formal approaches such as Petri have also been reviewed to investigate their applicability to the healthcare domain to model processes. Additionally, to schedule patient flows, current modelling standards do not offer any formal mechanism, so healthcare relies on critical path method (CPM) and program evaluation review technique (PERT), that also have limitations, i.e. finish-start barrier. It is imperative to specify the temporal constraints between the start and/or end of a process, e.g., the beginning of a process A precedes the start (or end) of a process B. However, these approaches failed to provide us with a mechanism for handling these temporal situations. If provided, a formal representation can assist in effective knowledge representation and quality enhancement concerning a process. Also, it would help in uncovering complexities of a system and assist in modelling it in a consistent way which is not possible with the existing modelling techniques. The above issues are addressed in this thesis by proposing a framework that would provide a knowledge base to model patient flows for accurate representation based on point interval temporal logic (PITL) that treats point and interval as primitives. These objects would constitute the knowledge base for the formal description of a system. With the aid of the inference mechanism of the temporal theory presented here, exhaustive temporal constraints derived from the proposed axiomatic system’ components serves as a knowledge base. The proposed methodological framework would adopt a model-theoretic approach in which a theory is developed and considered as a model while the corresponding instance is considered as its application. Using this approach would assist in identifying core components of the system and their precise operation representing a real-life domain deemed suitable to the process modelling issues specified in this thesis. Thus, I have evaluated the modelling standards for their most-used terminologies and constructs to identify their key components. It will also assist in the generalisation of the critical terms (of process modelling standards) based on their ontology. A set of generalised terms proposed would serve as an enumeration of the theory and subsume the core modelling elements of the process modelling standards. The catalogue presents a knowledge base for the business and healthcare domains, and its components are formally defined (semantics). Furthermore, a resolution theorem-proof is used to show the structural features of the theory (model) to establish it is sound and complete. After establishing that the theory is sound and complete, the next step is to provide the instantiation of the theory. This is achieved by mapping the core components of the theory to their corresponding instances. Additionally, a formal graphical tool termed as point graph (PG) is used to visualise the cases of the proposed axiomatic system. PG facilitates in modelling, and scheduling patient flows and enables analysing existing models for possible inaccuracies and inconsistencies supported by a reasoning mechanism based on PITL. Following that, a transformation is developed to map the core modelling components of the standards into the extended PG (PG*) based on the semantics presented by the axiomatic system. A real-life case (from the King’s College hospital accident and emergency (A&E) department’s trauma patient pathway) is considered to validate the framework. It is divided into three patient flows to depict the journey of a patient with significant trauma, arriving at A&E, undergoing a procedure and subsequently discharged. Their staff relied upon the UML-AD and BPMN to model the patient flows. An evaluation of their representation is presented to show the shortfalls of the modelling standards to model patient flows. The last step is to model these patient flows using the developed approach, which is supported by enhanced reasoning and scheduling

The Temporal Logic of the Tower Chief System

The purpose is to describe the logic used in the reasoning scheme employed in the Tower Chief system, a runway configuration management system. First, a review of classical logic is given. Defensible logics, truth maintenance, default logic, temporally dependent propositions, and resource allocation and planning are discussed

Adaptive Non-singleton Type-2 Fuzzy Logic Systems: A Way Forward for Handling Numerical Uncertainties in Real World Applications

Real world environments are characterized by high levels of linguistic and numerical uncertainties. A Fuzzy Logic System (FLS) is recognized as an adequate methodology to handle the uncertainties and imprecision available in real world environments and applications. Since the invention of fuzzy logic, it has been applied with great success to numerous real world applications such as washing machines, food processors, battery chargers, electrical vehicles, and several other domestic and industrial appliances. The first generation of FLSs were type-1 FLSs in which type-1 fuzzy sets were employed. Later, it was found that using type-2 FLSs can enable the handling of higher levels of uncertainties. Recent works have shown that interval type-2 FLSs can outperform type-1 FLSs in the applications which encompass high uncertainty levels. However, the majority of interval type-2 FLSs handle the linguistic and input numerical uncertainties using singleton interval type-2 FLSs that mix the numerical and linguistic uncertainties to be handled only by the linguistic labels type-2 fuzzy sets. This ignores the fact that if input numerical uncertainties were present, they should affect the incoming inputs to the FLS. Even in the papers that employed non-singleton type-2 FLSs, the input signals were assumed to have a predefined shape (mostly Gaussian or triangular) which might not reflect the real uncertainty distribution which can vary with the associated measurement. In this paper, we will present a new approach which is based on an adaptive non-singleton interval type-2 FLS where the numerical uncertainties will be modeled and handled by non-singleton type-2 fuzzy inputs and the linguistic uncertainties will be handled by interval type-2 fuzzy sets to represent the antecedents’ linguistic labels. The non-singleton type-2 fuzzy inputs are dynamic and they are automatically generated from data and they do not assume a specific shape about the distribution associated with the given sensor. We will present several real world experiments using a real world robot which will show how the proposed type-2 non-singleton type-2 FLS will produce a superior performance to its singleton type-1 and type-2 counterparts when encountering high levels of uncertainties.</jats:p

Fuzzy Feedback Scheduling of Resource-Constrained Embedded Control Systems

The quality of control (QoC) of a resource-constrained embedded control system may be jeopardized in dynamic environments with variable workload. This gives rise to the increasing demand of co-design of control and scheduling. To deal with uncertainties in resource availability, a fuzzy feedback scheduling (FFS) scheme is proposed in this paper. Within the framework of feedback scheduling, the sampling periods of control loops are dynamically adjusted using the fuzzy control technique. The feedback scheduler provides QoC guarantees in dynamic environments through maintaining the CPU utilization at a desired level. The framework and design methodology of the proposed FFS scheme are described in detail. A simplified mobile robot target tracking system is investigated as a case study to demonstrate the effectiveness of the proposed FFS scheme. The scheme is independent of task execution times, robust to measurement noises, and easy to implement, while incurring only a small overhead.Comment: To appear in International Journal of Innovative Computing, Information and Contro

Induction without Probabilities

A simple indeterministic system is displayed and it is urged that we cannot responsibly infer inductively over it if we presume that the probability calculus is the appropriate logic of induction. The example illustrates the general thesis of a material theory of induction, that the logic appropriate to a particular domain is determined by the facts that prevail there