Toward an interoperable, intraoperative situation recognition system via process modeling, execution, and control using the standards BPMN and CMMN

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Denise Junger - , Hochschule Reutlingen (Autor:in)
  • Elisaveta Just - , Hochschule Reutlingen (Autor:in)
  • Johanna M. Brandenburg - , Universität Heidelberg, Deutsches Krebsforschungszentrum (DKFZ) (Autor:in)
  • Martin Wagner - , Exzellenzcluster CeTI: Zentrum für Taktiles Internet, Universitätsklinikum Heidelberg, Nationales Zentrum für Tumorerkrankungen (NCT) Heidelberg (Autor:in)
  • Katharina Schaumann - , Universitätsklinikum Düsseldorf (Autor:in)
  • Thomas Klenzner - , Universitätsklinikum Düsseldorf (Autor:in)
  • Oliver Burgert - , Hochschule Reutlingen (Autor:in)

Abstract

Purpose: For the modeling, execution, and control of complex, non-standardized intraoperative processes, a modeling language is needed that reflects the variability of interventions. As the established Business Process Model and Notation (BPMN) reaches its limits in terms of flexibility, the Case Management Model and Notation (CMMN) was considered as it addresses weakly structured processes. Methods: To analyze the suitability of the modeling languages, BPMN and CMMN models of a Robot-Assisted Minimally Invasive Esophagectomy and Cochlea Implantation were derived and integrated into a situation recognition workflow. Test cases were used to contrast the differences and compare the advantages and disadvantages of the models concerning modeling, execution, and control. Furthermore, the impact on transferability was investigated. Results: Compared to BPMN, CMMN allows flexibility for modeling intraoperative processes while remaining understandable. Although more effort and process knowledge are needed for execution and control within a situation recognition system, CMMN enables better transferability of the models and therefore the system. Concluding, CMMN should be chosen as a supplement to BPMN for flexible process parts that can only be covered insufficiently by BPMN, or otherwise as a replacement for the entire process. Conclusion: CMMN offers the flexibility for variable, weakly structured process parts, and is thus suitable for surgical interventions. A combination of both notations could allow optimal use of their advantages and support the transferability of the situation recognition system.

Details

OriginalspracheEnglisch
Seiten (von - bis)69-82
Seitenumfang14
FachzeitschriftInternational journal of computer assisted radiology and surgery
Jahrgang19
Ausgabenummer1
PublikationsstatusVeröffentlicht - Jan. 2024
Peer-Review-StatusJa

Externe IDs

PubMed 37620748

Schlagworte

Schlagwörter

  • BPMN, CMMN, Intraoperative area, Situation recognition, Surgical process modeling, Case Management, Humans, Workflow