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Extending BPMN 2.0 for intraoperative workflow modeling with IEEE 11073 SDC for description and orchestration of interoperable, networked medical devices

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International Journal of Computer Assisted Radiology and Surgery Aims and scope Submit manuscript

Abstract

Purpose

Surgical workflow management in integrated operating rooms (ORs) enables the implementation of novel computer-aided surgical assistance and new applications in process automation, situation awareness, and decision support. The context-sensitive configuration and orchestration of interoperable, networked medical devices is a prerequisite for an effective reduction in the surgeons’ workload, by providing the right service and right information at the right time. The information about the surgical situation must be described as surgical process models and distributed to the medical devices and IT systems in the OR. Available modeling languages are not capable of describing surgical processes for this application.

Methods

In this work, the BPMNSIX modeling language for intraoperative processes is technically enhanced and implemented for workflow build-time and run-time. Therefore, particular attention is given to the integration of the recently published IEEE 11073 SDC standard family for a service-oriented architecture of networked medical devices. In addition, interaction patterns for context-aware configuration and device orchestration were presented.

Results

The identified interaction patterns were implemented in BPMNSIX for an ophthalmologic use case. Therefore, the examples of the process-driven incorporation and control of device services could be demonstrated.

Conclusion

The modeling of surgical procedures with BPMNSIX allows the implementation of context-sensitive surgical assistance functionalities and enables flexibility in terms of the orchestration of dynamically changing device ensembles and integration of unknown devices in the surgical workflow management.

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Funding

The work has been partially funded by the German Federal Ministry of Education and Research (Bundesministerium für Bildung und Foschung (BMBF)) under Reference No. 03VNE1036 as part of the MoVE project.

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Authors and Affiliations

  1. Innovation Center Computer Assisted Surgery (ICCAS), Leipzig University, Semmelweisstr. 14, 04103, Leipzig, Germany

    Juliane Neumann, Stefan Franke, Max Rockstroh & Thomas Neumuth

  2. Institute of Applied Microelectronics and Computer Engineering, University of Rostock, Rostock, Germany

    Martin Kasparick

Authors
  1. Juliane Neumann
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  2. Stefan Franke
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  3. Max Rockstroh
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  4. Martin Kasparick
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  5. Thomas Neumuth
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Correspondence to Juliane Neumann.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

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All procedures involving human participants have been approved and performed in accordance with ethical standards.

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Neumann, J., Franke, S., Rockstroh, M. et al. Extending BPMN 2.0 for intraoperative workflow modeling with IEEE 11073 SDC for description and orchestration of interoperable, networked medical devices. Int J CARS 14, 1403–1413 (2019). https://doi.org/10.1007/s11548-019-01982-6

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  • DOI: https://doi.org/10.1007/s11548-019-01982-6

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