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

COLAB : a hybrid knowledge representation and compilation laboratory

Knowledge bases for real-world domains such as mechanical engineering require expressive and efficient representation and processing tools. We pursue a declarative-compilative approach to knowledge engineering. While Horn logic (as implemented in PROLOG) is well-suited for representing relational clauses, other kinds of declarative knowledge call for hybrid extensions: functional dependencies and higher-order knowledge should be modeled directly. Forward (bottom-up) reasoning should be integrated with backward (top-down) reasoning. Constraint propagation should be used wherever possible instead of search-intensive resolution. Taxonomic knowledge should be classified into an intuitive subsumption hierarchy. Our LISP-based tools provide direct translators of these declarative representations into abstract machines such as an extended Warren Abstract Machine (WAM) and specialized inference engines that are interfaced to each other. More importantly, we provide source-to-source transformers between various knowledge types, both for user convenience and machine efficiency. These formalisms with their translators and transformers have been developed as part of COLAB, a compilation laboratory for studying what we call, respectively, "vertical\u27; and "horizontal\u27; compilation of knowledge, as well as for exploring the synergetic collaboration of the knowledge representation formalisms. A case study in the realm of mechanical engineering has been an important driving force behind the development of COLAB. It will be used as the source of examples throughout the paper when discussing the enhanced formalisms, the hybrid representation architecture, and the compilers

Coordination approaches and systems - part I : a strategic perspective

This is the first part of a two-part paper presenting a fundamental review and summary of research of design coordination and cooperation technologies. The theme of this review is aimed at the research conducted within the decision management aspect of design coordination. The focus is therefore on the strategies involved in making decisions and how these strategies are used to satisfy design requirements. The paper reviews research within collaborative and coordinated design, project and workflow management, and, task and organization models. The research reviewed has attempted to identify fundamental coordination mechanisms from different domains, however it is concluded that domain independent mechanisms need to be augmented with domain specific mechanisms to facilitate coordination. Part II is a review of design coordination from an operational perspective

Un environnement de spécification et de découverte pour la réutilisation des composants logiciels dans le développement des logiciels distribués

Notre travail vise à élaborer une solution efficace pour la découverte et la réutilisation des composants logiciels dans les environnements de développement existants et couramment utilisés. Nous proposons une ontologie pour décrire et découvrir des composants logiciels élémentaires. La description couvre à la fois les propriétés fonctionnelles et les propriétés non fonctionnelles des composants logiciels exprimées comme des paramètres de QoS. Notre processus de recherche est basé sur la fonction qui calcule la distance sémantique entre la signature d'un composant et la signature d'une requête donnée, réalisant ainsi une comparaison judicieuse. Nous employons également la notion de " subsumption " pour comparer l'entrée-sortie de la requête et des composants. Après sélection des composants adéquats, les propriétés non fonctionnelles sont employées comme un facteur distinctif pour raffiner le résultat de publication des composants résultats. Nous proposons une approche de découverte des composants composite si aucun composant élémentaire n'est trouvé, cette approche basée sur l'ontologie commune. Pour intégrer le composant résultat dans le projet en cours de développement, nous avons développé l'ontologie d'intégration et les deux services " input/output convertor " et " output Matching ".Our work aims to develop an effective solution for the discovery and the reuse of software components in existing and commonly used development environments. We propose an ontology for describing and discovering atomic software components. The description covers both the functional and non functional properties which are expressed as QoS parameters. Our search process is based on the function that calculates the semantic distance between the component interface signature and the signature of a given query, thus achieving an appropriate comparison. We also use the notion of "subsumption" to compare the input/output of the query and the components input/output. After selecting the appropriate components, the non-functional properties are used to refine the search result. We propose an approach for discovering composite components if any atomic component is found, this approach based on the shared ontology. To integrate the component results in the project under development, we developed the ontology integration and two services " input/output convertor " and " output Matching "

Constraint-based Programming: A Survey

Report on constraint-based computer programming analyzing finite-domain and continuous-domain constraint satisfaction methods and existing systems which apply constraints to problem-solving, modeling, and simulation

Strategic directions in constraint programming

An abstract is not available