Computerization of workflows, guidelines and care pathways: a review of implementation challenges for process-oriented health information systems

There is a need to integrate the various theoretical frameworks and formalisms for modeling clinical guidelines, workflows, and pathways, in order to move beyond providing support for individual clinical decisions and toward the provision of process-oriented, patient-centered, health information systems (HIS). In this review, we analyze the challenges in developing process-oriented HIS that formally model guidelines, workflows, and care pathways. A qualitative meta-synthesis was performed on studies published in English between 1995 and 2010 that addressed the modeling process and reported the exposition of a new methodology, model, system implementation, or system architecture. Thematic analysis, principal component analysis (PCA) and data visualisation techniques were used to identify and cluster the underlying implementation ‘challenge’ themes. One hundred and eight relevant studies were selected for review. Twenty-five underlying ‘challenge’ themes were identified. These were clustered into 10 distinct groups, from which a conceptual model of the implementation process was developed. We found that the development of systems supporting individual clinical decisions is evolving toward the implementation of adaptable care pathways on the semantic web, incorporating formal, clinical, and organizational ontologies, and the use of workflow management systems. These architectures now need to be implemented and evaluated on a wider scale within clinical settings

User Defined Types and Nested Tables in Object Relational Databases

Bernadette Byrne, Mary Garvey, ‘User Defined Types and Nested Tables in Object Relational Databases’, paper presented at the United Kingdom Academy for Information Systems 2006: Putting Theory into Practice, Cheltenham, UK, 5-7 June, 2006.There has been much research and work into incorporating objects into databases with a number of object databases being developed in the 1980s and 1990s. During the 1990s the concept of object relational databases became popular, with object extensions to the relational model. As a result, several relational databases have added such extensions. There has been little in the way of formal evaluation of object relational extensions to commercial database systems. In this work an airline flight logging system, a real-world database application, was taken and a database developed using a regular relational database and again using object relational extensions, allowing the evaluation of the relational extensions.Peer reviewe

Modelling electronic service systems using UML

This paper presents a profile for modelling systems of electronic services using UML. Electronic services encapsulate business services, an organisational unit focused on delivering benefit to a consumer, to enhance communication, coordination and information management. Our profile is based on a formal, workflow-oriented description of electronic services that is abstracted from particular implementation technologies. Resulting models provide the basis for a formal analysis to verify behavioural properties of services. The models can also relate services to management components, including workflow managers and Electronic Service Management Systems (ESMSs), a novel concept drawn from experience of HP Service Composer and DySCo (Dynamic Service Composer), providing the starting point for integration and implementation tasks. Their UML basis and platform-independent nature is consistent with a Model-Driven Architecture (MDA) development strategy, appropriate to the challenge of developing electronic service systems using heterogeneous technology, and incorporating legacy systems

COMPLIANCE TO QUALITY CRITERIA OF EXISTING REQUIREMENTS ELICITATION METHODS

In this article we define a requirements elicitation method based on natural language modelling. We argue that our method complies with synthesized quality criteria for RE methods, and compare this with the compliance of traditional RE methods (EER, ORM, UML). We show limited empirical evidence to support our theoretical argument.computer science applications;

Business Domain Modelling using an Integrated Framework

This paper presents an application of a “Systematic Soft Domain Driven Design Framework” as a soft systems approach to domain-driven design of information systems development. The framework combining techniques from Soft Systems Methodology (SSM), the Unified Modelling Language (UML), and an implementation pattern known as “Naked Objects”. This framework have been used in action research projects that have involved the investigation and modelling of business processes using object-oriented domain models and the implementation of software systems based on those domain models. Within this framework, Soft Systems Methodology (SSM) is used as a guiding methodology to explore the problem situation and to develop the domain model using UML for the given business domain. The framework is proposed and evaluated in our previous works, and a real case study “Information Retrieval System for academic research” is used, in this paper, to show further practice and evaluation of the framework in different business domain. We argue that there are advantages from combining and using techniques from different methodologies in this way for business domain modelling. The framework is overviewed and justified as multimethodology using Mingers multimethodology ideas

A unified view of data-intensive flows in business intelligence systems : a survey

Data-intensive flows are central processes in today’s business intelligence (BI) systems, deploying different technologies to deliver data, from a multitude of data sources, in user-preferred and analysis-ready formats. To meet complex requirements of next generation BI systems, we often need an effective combination of the traditionally batched extract-transform-load (ETL) processes that populate a data warehouse (DW) from integrated data sources, and more real-time and operational data flows that integrate source data at runtime. Both academia and industry thus must have a clear understanding of the foundations of data-intensive flows and the challenges of moving towards next generation BI environments. In this paper we present a survey of today’s research on data-intensive flows and the related fundamental fields of database theory. The study is based on a proposed set of dimensions describing the important challenges of data-intensive flows in the next generation BI setting. As a result of this survey, we envision an architecture of a system for managing the lifecycle of data-intensive flows. The results further provide a comprehensive understanding of data-intensive flows, recognizing challenges that still are to be addressed, and how the current solutions can be applied for addressing these challenges.Peer ReviewedPostprint (author's final draft

A conceptual model for EAI adoption in an e-government environment

The non-integrated nature of Local Government Authority (LGA) Information Systems (IS) is strongly associated with the inconsistency and duplication of data, reduction in data integrity and quality, and high operational and maintenance cost. The reason is that legacy IS within the LGAs are usually tailored to support particular business processes and functions and are as a consequence usually difficult to integrate. This gives rise to a strong need for an integrated architecture that facilitates reuse of existing applications and flexibly implementing business processes across the functional boundaries within the LGAs. This paper examines a potentially important area of IS integration in the United Kingdom (UK) LGAs through Enterprise Application Integration (EAI) technology. A review of the literature indicates that EAI has been a focal technology for several organisations in solving their integration problems. However, is new in the LGAs; thus research literature around it is limited. Yet the effect of IS integration using EAI technology remains under explored, as little research has been conducted to comprehend the LGAs perception of integration that influences their decisions and actions. The author demonstrates that it is of high importance to investigate this area within LGAs and result in research that contributes towards successful EAI adoption. Therefore, resulting in the development of a conceptual model that may be used to assist the government decision-making process for EAI adoption in an electronic Government (e-Government) environment

Conceptual Modelling and The Quality of Ontologies: Endurantism Vs. Perdurantism

Ontologies are key enablers for sharing precise and machine-understandable semantics among different applications and parties. Yet, for ontologies to meet these expectations, their quality must be of a good standard. The quality of an ontology is strongly based on the design method employed. This paper addresses the design problems related to the modelling of ontologies, with specific concentration on the issues related to the quality of the conceptualisations produced. The paper aims to demonstrate the impact of the modelling paradigm adopted on the quality of ontological models and, consequently, the potential impact that such a decision can have in relation to the development of software applications. To this aim, an ontology that is conceptualised based on the Object-Role Modelling (ORM) approach (a representative of endurantism) is re-engineered into a one modelled on the basis of the Object Paradigm (OP) (a representative of perdurantism). Next, the two ontologies are analytically compared using the specified criteria. The conducted comparison highlights that using the OP for ontology conceptualisation can provide more expressive, reusable, objective and temporal ontologies than those conceptualised on the basis of the ORM approach