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

METHODS OF CHECKING AND USING SAFETY CRITERIA

This article describes methods and tools for automated safety analysis of UML statechart specifications. The general safety criteria described in the literature are reviewed, updated and applied for using in automated specification completeness and consistency analysis of object-oriented specifications. These techniques are proposed and based on OCL expressions, graph transformations and reachability analysis. To help the checking intermediate representations will be introduced. For using these forms, the correctness and completeness of checker methods can be proven. For the non-checkable criteria two constructive methods are proposed. They use design patterns and OCL expressions to enforce observation of the safety criteria. The usability and the rules of using will be also discussed. Three real systems have been checked by using these methods

Evolution of security engineering artifacts: a state of the art survey

Security is an important quality aspect of modern open software systems. However, it is challenging to keep such systems secure because of evolution. Security evolution can only be managed adequately if it is considered for all artifacts throughout the software development lifecycle. This article provides state of the art on the evolution of security engineering artifacts. The article covers the state of the art on evolution of security requirements, security architectures, secure code, security tests, security models, and security risks as well as security monitoring. For each of these artifacts the authors give an overview of evolution and security aspects and discuss the state of the art on its security evolution in detail. Based on this comprehensive survey, they summarize key issues and discuss directions of future research

Onboard Mission Management for a VTOL UAV Using Sequence and Supervisory Control

This chapter addresses the challenges of onboard mission management for small, low flying UAVs in order to reduce their dependency on reliable remote control. The system presented and tested onboard an unmanned aerial vehicle (UAV) provides levels of autonomy, scalable at runtime either by the operator or due to the absence of a data link. This way, it is a feasible approach towards autonomous flight guidance within the low-altitude domain (e.g. urban areas) where unpredictable events are likely to require onboard decision-making. In the following sections the problems of onboard mission management, embedded high level architectures and their implementation issues are discussed. The design of a onboard Mission Management System for a test platform with vertical take-off and landing (VTOL) capabilities is presented, followed by discussions of the implemented system and a research outlook