Verfügbarkeit: Distributed document-oriented process management in healthcare

Distributed document-oriented process management in healthcare: = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen

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Bibliographische Detailangaben
Beteilige Person:	Neumann, Christoph P. (VerfasserIn)
Format:	Hochschulschrift/Dissertation Buch
Sprache:	Englisch
Veröffentlicht:	2012
Schlagwörter:	Prozessanalyse > Prozessmanagement Gesundheitswesen Verteiltes System Dokumentenverwaltungssystem Hochschulschrift
Links:	https://open.fau.de/handle/openfau/2727 http://d-nb.info/1028958730/34 https://nbn-resolving.org/urn:nbn:de:bvb:29-opus-39070 http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025666721&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
Umfang:	353 S. graph. Darst.

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Datensatz im Suchindex

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adam_text	IMAGE 1 TABLE O F CONTENTS I PROLOGUE 19 1 INTRODUCTION 21 1.1 FUNDAMENTALS 21 1.1.1 INADEQUATE INFORMATION 22 1.1.2 SUPPLY CHAINS IN HEALTHCARE 23 1.1.3 THE DIAGNOSTIC-THERAPEUTIC CYCLE 25 1.1.4 EBM AND GUIDELINES 26 1.1.5 CLINICAL PATHWAYS 29 1.1.6 TOWARDS INTER-INSTITUTIONAL SCENARIOS: CONTINUITY OF CARE AND INTEGRATED CARE 32 1.2 MOTIVATION 32 1.2.1 UNSOLVED SYSTEM INTEGRATION 32 1.2.2 INTER-INSTITUTIONAL PROBLEMS 34 1.2.3 FROM BILATERAL INFORMATION EXCHANGE TO INFORMATION DISTRIBUTION 34 1.2.4 CASES AS WORKFLOWS IN HEALTHCARE 35 1.2.5 TRADITIONAL WORKFLOW APPROACHES AND UNSOLVED ISSUES 36 1.2.6 CONTENT-ORIENTED WORKFLOW PARADIGMS 37 1.2.7 PROBLEM-ORIENTED MEDICAL RECORDS 38 1.2.8 CASE HANDLING 40 1.3 PROBLEM STATEMENT & OBJECTIVES 41 1.4 THESIS OUTLINE 42 1.4.1 SCIENTIFIC CONTRIBUTION 43 1.4.2 SCOPE DISCLAIMER 44 1.4.3 STRUCTURE OF THE THESIS 48 2 M E T H O D S 5 1 2.1 PROJECT PROCEDURE 52 2.1.1 FIRST PROMED PHASE: EXISTING STANDARDS 52 2.1.2 SECOND PROMED PHASE: COMMUNICATION PLATFORM 53 2.1.3 TURNING POINT: REVITALIZATION OF THE EGK PROJECT 58 2.1.4 THIRD PROMED PHASE: PROCESS SUPPORT AND DISTRIBUTED CASE FILES 60 HTTP://D-NB.INFO/1029577269 IMAGE 2 2.2 APPLIED METHODS 61 2.2.1 DEGREES OF INTEGRATION 61 2.2.2 D A T A INTEGRATION: RECORDS OR DOCUMENTS 65 2.2.3 SYSTEM INTEGRATION: INTERFACES OR DOCUMENTS 65 2.2.4 PROCESS INTEGRATION AND SOFTWARE EVOLUTION 67 2.2.5 PROCESS SUPPORT 69 2.2.6 DEFERRED SYSTEM DESIGN AND SEMANTIC SCALABILITY 72 2.2.7 PROTOTYPE-BASED PROGRAMMING 73 2.2.8 LOOSE COUPLING 74 2.2.9 REQUEST FOR TRANSMISSION: SENDER-PUSH OR RECEIVER-PULL 77 2.2.10 SEPARATION OF CONCERNS: CONTENT AND DECISION SUPPORT VERSUS COORDINATION 78 2.2.11 CARDS T H A T REPRESENT TASKS 80 2.2.12 ACTIVE DOCUMENTS 82 2.3 OUTLINE: CASE FILES VIA ACTIVE DOCUMENTS 86 II INTER-INSTITUTIONAL PROCESSES AND ACTIVE D O C U M E N T S 89 3 STATE O F T H E A R T 9 1 3.1 HEALTHCARE STANDARDS FOR SEMANTIC INTEGRATION 91 3.1.1 HEALTHCARE STANDARDS FOR DATA INTEGRATION 91 3.1.2 HEALTHCARE STANDARDS FOR FUNCTIONAL INTEGRATION 93 3.1.3 HEALTHCARE STANDARDS FOR SHAREABLE REPRESENTATIONS OF CLINICAL GUIDELINES 95 3.1.4 CONCLUSION 98 3.2 ACTIVITY-ORIENTED WORKFLOW APPROACHES 99 3.2.1 OUTLINE OF ACTIVITY-ORIENTED MODELLING WITH BPMN 100 3.2.2 LIMITATIONS OF ACTIVITY-ORIENTED WORKFLOW LANGUAGES 104 3.2.3 AD-HOC SUB-PROCESSES: COPING WITH THE UNPREDICTABLE? 105 3.2.4 CONTEMPORARY RESEARCH IN ACTIVITY-ORIENTED WORKFLOWS 106 3.2.5 RESUME 107 3.3 TOWARDS CONTENT-ORIENTED WORKFLOWS 108 3.3.1 INTRODUCTORY EXAMPLE: LIFE CYCLE OF CONTENT UNITS 108 3.3.2 REVISITED: D A T A FLOW 110 3.3.3 ILLUSTRATIVE EXAMPLE: JOB APPLICATION 110 3.3.4 CIRCULATIONS 113 3.3.5 CONCLUSION 114 IMAGE 3 3.4 CONTENT-ORIENTED WORKFLOW APPROACHES 114 3.4.1 T H E DATA-DRIVEN APPROACH 115 3.4.2 THE RESOURCE-DRIVEN APPROACH 117 3.4.3 THE ARTIFACT-CENTRIC APPROACH 119 3.4.4 T H E OBJECT-AWARE APPROACH 121 3.4.5 RESUME 124 3.5 ACTIVE DOCUMENT APPROACHES 130 3.5.1 FILE SYSTEM 131 3.5.2 WINDOWING SYSTEM 135 3.5.3 WEB BROWSERS AS EXECUTION ENVIRONMENT 138 3.5.4 COMPONENT-BASED ACTIVE DOCUMENTS 141 3.5.5 RESUME 148 3.6 SUMMARY 151 4 T H E U S E R STORY O F D D P M 1 5 3 4.1 A HYPOTHETICAL COOPERATION 153 4.2 TECHNICAL IMPLICATIONS 154 5 T H E PROCESS CONCEPTION O F D D P M 1 5 9 5.1 INTER-INSTITUTIONAL AND CASE-DRIVEN PROCESSES 159 *5.2 DOCUMENT-ORIENTED WORK-LIST CONCEPTION 161 5.2.1 BREAST CANCER EPISODE: PRE-THERAPEUTIC DIAGNOSTICS 161 5.2.2 IMPLICATIONS ON PROCESS CONCEPTION 162 5.2.3 PROCESS MODEL REQUIREMENTS 165 5.3 AD HOC DECISIONS AND TEAM SYNCHRONIZATION 166 5.3.1 BREAST CANCER EPISODE: PRIMARY THERAPY 166 5.3.2 IMPLICATIONS ON PROCESS CONCEPTION 168 5.3.3 PROCESS MODEL REQUIREMENTS 171 5.4 CASE FRAGMENTATION AND PROCESS ROLES 172 5.4.1 BREAST CANCER TREATMENT: ADJUVANT THERAPY 172 5.4.2 IMPLICATIONS ON PROCESS CONCEPTION 173 5.4.3 PROCESS MODEL REQUIREMENTS 175 5.5 USER-DEFINED INDICATORS AND PROCESS TEMPLATES 175 5.5.1 BREAST CANCER EPISODE: POST-OPERATIVE CARE 176 5.5.2 IMPLICATIONS ON PROCESS CONCEPTION 179 5.5.3 PROCESS MODEL REQUIREMENTS 180 5.6 TERMINATION CRITERIA AND CONTENT VERSIONING 181 5.6.1 VERSIONS OF REPORTS AND PROGRESSION OF WORK 181 5.6.2 COMPLETION OF CASE EPISODES 183 5.6.3 IMPLICATIONS 184 IMAGE 4 5.6.4 PROCESS MODEL REQUIREMENTS 184 5.7 PROCESS CHARACTERISTICS 185 5.7.1 CONSOLIDATED OVERVIEW OF PROCESS MODEL REQUIREMENTS 185 5.7.2 CONTENT-ORIENTED CHARACTERISTICS 187 5.8 AN IDEAL IMPLEMENTATION OF DDPM 189 5.9 SUMMARY 191 III PILOT IMPLEMENTATION 193 6 T H E A - F L O W APPROACH 195 6.1 THE A-FLOW MODEL 195 6.1.1 FROM DDPM CONCEPTS TO A-FLOW ELEMENTS 195 6.1.2 THE WORKFLOW LANGUAGE 197 6.1.3 THE META-MODEL 200 6.1.4 MODEL FORMALIZATION 201 6.1.5 ADORNMENT MODEL 204 6.2 ARCHITECTURAL OVERVIEW OF A-FLOW 208 6.3 SUMMARY 210 7 T H E A - F L O W IMPLEMENTATION 2 1 3 7.1 FACILITIES FOR DIRECT INTERACTION 213 7.1.1 A-STARTUP: FILE BUNDLING AS AN EXECUTABLE J A R 214 7.1.2 A-INJECTOR: SELF-REPLICATION AND CONTENT CONTRIBUTIONS 215 7.1.3 A-EDITOR: DASHBOARD AND CONTENT ACCESS DELEGATION 216 7.1.4 A-FORMS: CHECKBOX-BASED CHECKLIST FORMS 218 7.1.5 A-TEINPLATES: IMPORT AND EXPORT OF PROCESS TEMPLATES 220 7.2 SUBSYSTEMS OF THE LOGIC LAYER 223 7.2.1 A-KERNEL: RULE ENGINE AND CHANGE CONTROL CENTRE 223 7.2.2 A-ADAPTIVE: RUN-TIME ADAPTIVE ADORNMENTS AND THE ADORNMENT PROTOTYPE 225 7.2.3 A-DOVEN: PROCESS ROLE LABELS AND TOKEN-BASED REASSIGNMENT . . 230 7.3 FACILITIES FOR INFRASTRUCTURE CONCERNS 231 7.3.1 A-OVERNET & A-OFFSVNC: SYNCHRONIZATION AND JOIN PROTOCOL . . . 231 7.3.2 A-VVS AND HYDRA: MULTI-MODULE VERSION CONTROL SYSTEM WITH VALIDITY-AWARENESS 237 7.4 LOCAL SYSTEM INTEGRATION 242 7.5 SUMMARY 244 IMAGE 5 8 EVALUATION O F T H E IMPLEMENTATION 2 4 5 8.1 EXECUTABLE ARTEFACTS & ; HARD DISK FOOTPRINT 245 8.2 CODE METRICS 248 8.3 CODE VALUE 250 8.4 PERFORMANCE ASPECTS 253 8.5 SYSTEM LIMITATIONS 256 8.5.1 AUTOMATIC MERGING OF PROCESS ARTEFACTS 256 8.5.2 SINGLE-SHOT CONTRIBUTIONS 257 8.5.3 IN-MEMORY CACHE 258 8.5.4 DYNAMIC RULES MANAGEMENT 259 8.5.5 SECURE USER AUTHENTICATION 259 8.5.6 CONTENT-ORIENTED PROCESS TEMPLATES WITH EMBEDDED BINARY CONTENT TEMPLATES 259 8.5.7 FOOTPRINT REDUCTION 260 8.6 SUMMARY 261 I V EPILOGUE 2 6 3 9 EVALUATION O F CAPABILITIES 265 9.1 COMPARATIVE ANALYSIS 265 9.1.1 A-FLOW CHARACTERISTICS 266 9.1.2 COMPONENT-BASED APPROACHES TO DISTRIBUTED CIRCULATION FOLDERS 266 9.1.3 COMPONENT-BASED ACTIVE DOCUMENT APPROACHES IN HEALTHCARE . . 269 9.1.4 EVALUATION: CHARACTERISTICS OF CONTENT-ORIENTED WORKFLOW APPROACHES AND ACTIVE DOCUMENT APPROACHES 270 9.1.5 EVALUATION: PROCESS MODEL CHARACTERISTICS 273 9.2 FITNESS FOR USE 277 9.3 DISCUSSION & ; FUTURE WORK 279 9.4 SUMMARY 281 10 CONCLUSION 283 APPENDICES A EXPLANATORY N O T E S 289 A . L SECURITY CONCEPTS 289 A. 2 CD A EXAMPLE 290 A.3 WORKFLOW MANAGEMENT COALITION: TERMINOLOGY 291 IMAGE 6 A.4 ACTIVE DOCUMENT TECHNOLOGY 296 A.4.1 PLACELESS DOCUMENTS 296 A.4.2 ERCATONS: XREFERENCE IDENTIFICATION SCHEME 297 B A - F L O W 2 9 9 B . L USER INTERFACE 299 B.2 A-ADAPTIVE 303 B.3 HYDRA VERSION CONTROL 304 B.4 THE A-FLOW SOURCE CODE 306 BIBLIOGRAPHY 3 0 7 GLOSSARY 3 3 9 LIST O F ACRONYMS 3 4 1 LIST O F SYMBOLS 3 4 7 LIST O F FIGURES 3 4 9 LIST O F TABLES 3 5 3
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spellingShingle	Neumann, Christoph P. Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen Prozessanalyse Prozessmanagement (DE-588)4496282-4 gnd Gesundheitswesen (DE-588)4020775-4 gnd Verteiltes System (DE-588)4238872-7 gnd Dokumentenverwaltungssystem (DE-588)4303691-0 gnd
subject_GND	(DE-588)4496282-4 (DE-588)4020775-4 (DE-588)4238872-7 (DE-588)4303691-0 (DE-588)4113937-9
title	Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen
title_alt	Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen
title_auth	Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen
title_exact_search	Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen
title_full	Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen von Christoph P. Neumann
title_fullStr	Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen von Christoph P. Neumann
title_full_unstemmed	Distributed document-oriented process management in healthcare = Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen von Christoph P. Neumann
title_short	Distributed document-oriented process management in healthcare
title_sort	distributed document oriented process management in healthcare verteiltes dokumenten orientiertes prozessmanagement im gesundheitswesen
title_sub	= Verteiltes Dokumenten-orientiertes Prozessmanagement im Gesundheitswesen
topic	Prozessanalyse Prozessmanagement (DE-588)4496282-4 gnd Gesundheitswesen (DE-588)4020775-4 gnd Verteiltes System (DE-588)4238872-7 gnd Dokumentenverwaltungssystem (DE-588)4303691-0 gnd
topic_facet	Prozessanalyse Prozessmanagement Gesundheitswesen Verteiltes System Dokumentenverwaltungssystem Hochschulschrift
url	https://open.fau.de/handle/openfau/2727 http://d-nb.info/1028958730/34 https://nbn-resolving.org/urn:nbn:de:bvb:29-opus-39070 http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025666721&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
work_keys_str_mv	AT neumannchristophp distributeddocumentorientedprocessmanagementinhealthcareverteiltesdokumentenorientiertesprozessmanagementimgesundheitswesen AT neumannchristophp verteiltesdokumentenorientiertesprozessmanagementimgesundheitswesen

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