Process-Oriented Integration and Coordination of Healthcare Services across Organizational Boundaries

  • Authors:
  • Edgar Tello-Leal;Omar Chiotti;Pablo David Villarreal

  • Affiliations:
  • Autonomous University of Tamaulipas, Victoria, Mexico;INGAR, National Council of Scientific and Technological Research, Santa Fe, Argentina;CIDISI, National Technological University Santa Fe Faculty, Santa Fe, Argentina

  • Venue:
  • Journal of Medical Systems
  • Year:
  • 2012

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Abstract

The paper presents a methodology that follows a top-down approach based on a Model-Driven Architecture for integrating and coordinating healthcare services through cross-organizational processes to enable organizations providing high quality healthcare services and continuous process improvements. The methodology provides a modeling language that enables organizations conceptualizing an integration agreement, and identifying and designing cross-organizational process models. These models are used for the automatic generation of: the private view of processes each organization should perform to fulfill its role in cross-organizational processes, and Colored Petri Net specifications to implement these processes. A multi-agent system platform provides agents able to interpret Colored Petri-Nets to enable the communication between the Healthcare Information Systems for executing the cross-organizational processes. Clinical documents are defined using the HL7 Clinical Document Architecture. This methodology guarantees that important requirements for healthcare services integration and coordination are fulfilled: interoperability between heterogeneous Healthcare Information Systems; ability to cope with changes in cross-organizational processes; guarantee of alignment between the integrated healthcare service solution defined at the organizational level and the solution defined at technological level; and the distributed execution of cross-organizational processes keeping the organizations autonomy.