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Clinical Events as Building Blocks for Smart Workflows and Decision Support.

Mobin Yasini¹, Gaurav Kumar¹, Dennis Rausch¹

¹Dedalus Research Lab, Italy.

Studies in Health Technology and Informatics

|October 3, 2025

Summary

This summary is machine-generated.

We created a Clinical Events Catalog to improve electronic medical records (EMRs). This structured approach enhances clinical decision support and workflow automation for better healthcare.

Keywords:

Clinical Events Healthcare workflow Interoperability Structured Documentation

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Area of Science:

Health Informatics
Clinical Informatics
Digital Health Systems

Background:

Traditional electronic medical records (EMRs) are document-centric and lack structure for real-time clinical decision support.
This limits workflow automation and efficient data utilization in healthcare settings.

Purpose of the Study:

To define atomic clinical events for dynamic workflows.
To enable structured documentation and enhance decision support systems.
To transition from static documentation to process-aware EMRs.

Main Methods:

A multidisciplinary team identified 168 atomic clinical events by analyzing clinical pathways.
Each event was defined with a textual description, data payload, and performance metrics (KPIs).
The catalog was developed through iterative validation and expert consensus.

Main Results:

A comprehensive Clinical Events Catalog covering nine clinical domains was developed.
Standardized, actionable representations of clinical moments (e.g., 'Vitals Examined') were created.
These events serve as modular triggers for workflow engines and clinical decision support.

Conclusions:

The catalog provides a framework for improved data structure, auditability, and workflow transparency in EMRs.
It supports the development of more responsive and intelligent digital health systems.
This work lays the foundation for enhanced interoperability, clinical safety, and decision support integration.