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A UML Based Approach for “Patient Pathway” Modeling
Abstract
In the last years, Italian Health systems have been redesigned considering patient as the centre of processes instead of the clinical event. So Ministry of Health has introduced the concept of “patient pathway” which describes the best sequence of medical actions to provide to a patient with particular diagnosis in the different hospital or non hospital structures. The design and representation of a “patient pathway” is a complex process involving different actors so it needs a systematic work with periodical reviews to take into account the obtained results or the influences deriving from the external environment. In this paper we present a model for the definition of such “patient pathway”. The model is based on a UML extension. With this extension we have introduced in UML some typical elements of health domain and other elements deriving from management, such as the elements related to “Activity based costing”. This approach allows to represent exhaustively the entire health process, gathering the health costs related concepts and providing, thanks to UML, a support for developing applications related to these health processes.
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