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MedPath: A process-based modeling language for designing care pathways

Iago Avelino Trajano1, João Bosco Ferreira Filho1, Flávio Rubens de Carvalho Sousa1

  • 1Federal University of Ceará, Brazil.

International Journal of Medical Informatics
|December 7, 2020
PubMed
Abstract

Insights

MedPath, a Domain Specific Language (DSL), facilitates the modeling and integration of care pathways into health information systems (HIS). This approach enhances medical conduct and improves patient care quality.

Area of Science:

  • Health Informatics
  • Software Engineering
  • Medical Informatics

Background:

  • Hospitals and medical professionals utilize care pathways and Health Information Systems (HIS) to standardize medical conduct and enhance care quality.
  • Integrating diverse care pathway models into existing HIS presents significant challenges.
  • Model-Based Engineering (MBE) offers a structured approach to software development that can be applied to healthcare.

Purpose of the Study:

  • To introduce MedPath, a Domain Specific Language (DSL) designed for modeling care pathways.
  • To enable the seamless integration of modeled care pathways into software solutions and HIS.
  • To leverage MBE principles for creating robust and adaptable healthcare pathway models.

Main Methods:

  • Developed MedPath's abstract syntax using the Eclipse Modeling Framework and Ecore technology.
  • Created MedPath's concrete syntax with the Eclipse Sirius tool.
  • Modeled over 85 existing care pathways from 45 Brazilian hospitals.

Main Results:

  • MedPath successfully modeled 85+ care pathways currently used in 45 hospitals.
  • Pathways generated by MedPath have been utilized over 3.2 million times since October 2017.
  • User satisfaction surveys indicated positive reception among healthcare professionals.

Conclusions:

  • MedPath effectively translates care pathways into actionable flows.
  • The DSL simplifies the integration of care pathways into HIS and electronic patient records.
  • Programmatic modeling and artifact generation by MedPath enhance HIS interoperability.
Keywords:
Care pathwayDomain Specific LanguageMetamodelModel-driven engineering

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