Sample Clinical Pathway

A ClinicalPathway? is a definition of the process and variables that are used by that process as well as other aspects like billing.

The process is jPDL (Jboss Process Definition Language), the variables is a custom format.

A process like:

Description of the steps

Intake step

This step functionally does the following: - make an appointment with the patient - have a small medical form (change the sample form to support this sample process) inserted with intake results (should proceed yes/no) - have the appointment signed off after happening

Based on entry of the decision in the healthrecord, a event is should be thrown and catched to continue this flow to the next step

The whole bundle uses Spring DM to register it's service (pathway) and needs a way to register (event listeners?) it's interest in CRUD operations on the healthRecord

Descision if grouptherapie is possible

Based on the intake form (should proceed yes/no) automatically continue the process at the right track (need to figure out how to actually do this with jPDL)

Doorverwijzen

Create a simple email and send it to the patient and the referrer of the patient (no therapy adviced, please consult your GP)

Groupstherapy

This step consists of the following actions:

• have a patient enroll in a group (create a group, create the appointments for the group)
• monitor if when the last appointment is 'done' using the Appointment Done Event (this needs a proper name and is not in the system yet)
• continue the process after this last appointment.

NOTE: at this moment, the process does not create the group and appoinments, this is done using a supporting system (web based / calendar based) and needs to be created (partly)

Ontslag

This is a step to formally 'dismiss' the patient, treatment is done.

* have a letter of 'dismissal' created and send to the patient and referrer.

The Definition

gives a pathway definition of

<cpw:clinicalpathway cpw="http://joiningtracks.org/clinicalpathway/1.0">
     <cpw:name>Sample Clinical Pathway</cpw:name>

     <!-- there is no need to specifiy the type (jpdl) other flow support will change the version of the pathway flow -->
     <cpw:process>bundle:jpdl/processdefinition.xml</cpw:process>

    <cpw:variables>
             <!--  key value types over here : for instance
              - number of meetings in 'groepstherapie' -->
             <!-- use a standard way of xml key  value definition mechanism (like properties)
                       these are available in the process actions to use -->
    </cpw:variables>

    <cpw:contract>
        <cpw:party type="insurance">
        <cpw:costcodes> <!-- here the DBC (for dutch) combination for invoicing -->
              <cpw:costcode type="DBC">A31.3</cpw:costcode>
              <cpw:amount>1200.00</cpw:amount>
         </cpw:costcodes>
        </cpw:party>
         <cpw:party type="patient">
         </cpw:party>
    </cpw:contract>

</cpw:clinicalpathway>

NOTES

• THE XML is not valid (yet), the whole concept is at is start phase and is SUBJECT TO CHANGE
• A reference to the jPDL may be better as the whole clinical pathway is delivered as a bundle that should contain the jPDL (and other things) (already changed)
• The variables (and maybe contract details) need to become part of the execution of the flow (somehow)

This sample is updated to match the progress on the subject.