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

Rodin: an open toolset for modelling and reasoning in Event-B

Event-B is a formal method for system-level modelling and analysis. Key features of Event-B are the use of set theory as a modelling notation, the use of refinement to represent systems at different abstraction levels and the use of mathematical proof to verify consistency between refinement levels. In this article we present the Rodin modelling tool that seamlessly integrates modelling and proving. We outline how the Event-B language was designed to facilitate proof and how the tool has been designed to support changes to models while minimising the impact of changes on existing proofs. We outline the important features of the prover architecture and explain how well-definedness is treated. The tool is extensible and configurable so that it can be adapted more easily to different application domains and development methods

Metamodel-based model conformance and multiview consistency checking

Model-driven development, using languages such as UML and BON, often makes use of multiple diagrams (e.g., class and sequence diagrams) when modeling systems. These diagrams, presenting different views of a system of interest, may be inconsistent. A metamodel provides a unifying framework in which to ensure and check consistency, while at the same time providing the means to distinguish between valid and invalid models, that is, conformance. Two formal specifications of the metamodel for an object-oriented modeling language are presented, and it is shown how to use these specifications for model conformance and multiview consistency checking. Comparisons are made in terms of completeness and the level of automation each provide for checking multiview consistency and model conformance. The lessons learned from applying formal techniques to the problems of metamodeling, model conformance, and multiview consistency checking are summarized

A Model-based transformation process to validate and implement high-integrity systems

Despite numerous advances, building High-Integrity Embedded systems remains a complex task. They come with strong requirements to ensure safety, schedulability or security properties; one needs to combine multiple analysis to validate each of them. Model-Based Engineering is an accepted solution to address such complexity: analytical models are derived from an abstraction of the system to be built. Yet, ensuring that all abstractions are semantically consistent, remains an issue, e.g. when performing model checking for assessing safety, and then for schedulability using timed automata, and then when generating code. Complexity stems from the high-level view of the model compared to the low-level mechanisms used. In this paper, we present our approach based on AADL and its behavioral annex to refine iteratively an architecture description. Both application and runtime components are transformed into basic AADL constructs which have a strict counterpart in classical programming languages or patterns for verification. We detail the benefits of this process to enhance analysis and code generation. This work has been integrated to the AADL-tool support OSATE2

Towards a Formalism-Based Toolkit for Automotive Applications

The success of a number of projects has been shown to be significantly improved by the use of a formalism. However, there remains an open issue: to what extent can a development process based on a singular formal notation and method succeed. The majority of approaches demonstrate a low level of flexibility by attempting to use a single notation to express all of the different aspects encountered in software development. Often, these approaches leave a number of scalability issues open. We prefer a more eclectic approach. In our experience, the use of a formalism-based toolkit with adequate notations for each development phase is a viable solution. Following this principle, any specific notation is used only where and when it is really suitable and not necessarily over the entire software lifecycle. The approach explored in this article is perhaps slowly emerging in practice - we hope to accelerate its adoption. However, the major challenge is still finding the best way to instantiate it for each specific application scenario. In this work, we describe a development process and method for automotive applications which consists of five phases. The process recognizes the need for having adequate (and tailored) notations (Problem Frames, Requirements State Machine Language, and Event-B) for each development phase as well as direct traceability between the documents produced during each phase. This allows for a stepwise verification/validation of the system under development. The ideas for the formal development method have evolved over two significant case studies carried out in the DEPLOY project

A Calculus for Orchestration of Web Services

Service-oriented computing, an emerging paradigm for distributed computing based on the use of services, is calling for the development of tools and techniques to build safe and trustworthy systems, and to analyse their behaviour. Therefore, many researchers have proposed to use process calculi, a cornerstone of current foundational research on specification and analysis of concurrent, reactive, and distributed systems. In this paper, we follow this approach and introduce CWS, a process calculus expressly designed for specifying and combining service-oriented applications, while modelling their dynamic behaviour. We show that CWS can model all the phases of the life cycle of service-oriented applications, such as publication, discovery, negotiation, orchestration, deployment, reconfiguration and execution. We illustrate the specification style that CWS supports by means of a large case study from the automotive domain and a number of more specific examples drawn from it

Modelling complex timing requirements with refinement

In the domain of formal modelling and verification of real-time safety-critical systems, our focus is on complex - i.e. nested, interdependent and cyclic - timing constraints. In Event-B, we present methodological support for our concept of timing interval by defining a set of refinement transformations, designed for structured modelling of such timing constraints. All timing interval related aspects are generated by our tool. An example development, abstracted from our work modelling a cardiac pacemaker, serves to illustrate the use of the transformations. The development is undertaken, proved and model-checked in the Rodin tool-kit for Event-B

EOS: A project to investigate the design and construction of real-time distributed embedded operating systems

The EOS project is investigating the design and construction of a family of real-time distributed embedded operating systems for reliable, distributed aerospace applications. Using the real-time programming techniques developed in co-operation with NASA in earlier research, the project staff is building a kernel for a multiple processor networked system. The first six months of the grant included a study of scheduling in an object-oriented system, the design philosophy of the kernel, and the architectural overview of the operating system. In this report, the operating system and kernel concepts are described. An environment for the experiments has been built and several of the key concepts of the system have been prototyped. The kernel and operating system is intended to support future experimental studies in multiprocessing, load-balancing, routing, software fault-tolerance, distributed data base design, and real-time processing