Process documentation

Process documentation

Organization: Akademia Nauk

Stosowanych w
Tarnowie
Author: Dominik Sęk

Creation date: 10.04.2022

Version: 1.0.0
Process documentation

Table of contents
1 Choreography 3
2 Collaboration 11
3 Conversation 20
4 Perform tests 20

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Process documentation

1 Choreography
Diagram Type Choreography Diagram (BPMN 2.0)
Path Shared documents / Praca semestralna
Author Dominik Sęk
Revision Number 2
Last modified Apr 10, 2022
Diagram Link https://academic.signavio.com/p/editor?
id=b9b0feb6c09940ad873b688d02fddaf1

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 4|Signavio GmbH
Akademia Nauk Stosowanych w Tarnowie
Process elements
Patient
additional pharmacotherapy

1.2 Elements

Start Event
Cardiac surgery ward
1.1 Diagram

Cardiac surgery ward

no

Transplant needed
yes
after 7 days
Patient Transport to ICU
test results within norms?
Visit hospital report for tests Prepare transplant Team Patient
Process documentation

Patient Patient Patient

no
transplant impossible yes
Cardiac surgery ward
Echo scan, ECG, hemodynamic, no patient died?
Patient Patient Patient Order rehab & weekly tests Analyze tests operation failed
morphology tests
patient dead or unable to take part?

no

yes
Medical interview, order Echo scan, ECG,
tests evaluate medical history hemodynamic,morphology test results good? Cardiac surgery ward Cardiac surgery ward Cardiac surgery ward Patient
tests Inform patient
Transplant needed

no
yes
Hospital Hospital Hospital transplant the organ
transplant impossible
transplant went well?
Inform about rehab Inform about results

yes
Cardiac surgery ward
Need for donor
Order tests inform about discharge patient
test results
Hospital Cardiac surgery ward Cardiac surgery ward Hospital Hospital

no
yes
put patient on waitlist Find donor verify compability inform hospital Transport organ
compatible?
Transplant Coordination Centre Transplant Coordination Centre Transplant Coordination Centre Transplant Coordination Centre Transplant Coordination Centre
Put patient into recipient database Inform the hospital about a possible donor Deliver the organ
Process documentation

Medical interview, order tests

Choreography Task
Organization units:
Hospital
Patient
Additional process participants:
Hospital
Patient
evaluate medical history
Choreography Task
Organization units:
Hospital
Patient
Additional process participants:
Hospital
Patient
Echo scan, ECG, hemodynamic,morphology tests
Choreography Task
Organization units:
Hospital
Patient
Additional process participants:
Hospital
Patient
test results good?
Exclusive (XOR) Gateway
transplant impossible
End Event
Parallel Gateway
Parallel Gateway
Order rehab & weekly tests
Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward
Patient
Data objects: Inform about rehab

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Process documentation

Echo scan, ECG, hemodynamic,morphology tests

Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward
Patient
Analyze tests
Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward
Patient
Data objects: Inform about results
patient dead or unable to take part?
Exclusive (XOR) Gateway
Parallel Gateway
Parallel Gateway
test results within norms?
Exclusive (XOR) Gateway
additional pharmacotherapy
Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward
Patient
after 7 days
Intermediate Timer Event
transplant impossible
End Event
put patient on waitlist
Choreography Task
Organization units:
Hospital
Transplant Coordination Centre

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Process documentation

Additional process participants:

Hospital
Transplant Coordination Centre
Find donor
Choreography Task
Organization units:
Cardiac surgery ward
Transplant Coordination Centre
Additional process participants:
Cardiac surgery ward
Transplant Coordination Centre
verify compability
Choreography Task
Organization units:
Cardiac surgery ward
Transplant Coordination Centre
Additional process participants:
Cardiac surgery ward
Transplant Coordination Centre
compatible?
Exclusive (XOR) Gateway
inform hospital
Choreography Task
Organization units:
Hospital
Transplant Coordination Centre
Additional process participants:
Hospital
Transplant Coordination Centre
Parallel Gateway
Parallel Gateway
Parallel Gateway
Parallel Gateway
Prepare transplant Team
Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward

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Process documentation

Patient
Transport organ
Choreography Task
Organization units:
Hospital
Transplant Coordination Centre
Additional process participants:
Hospital
Transplant Coordination Centre
Data objects: Deliver the organ
Parallel Gateway
Parallel Gateway
transplant the organ
Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward
Patient
transplant went well?
Exclusive (XOR) Gateway
patient died?
Exclusive (XOR) Gateway
Transport to ICU
Choreography Task
Organization units:
Cardiac surgery ward
Patient
Additional process participants:
Cardiac surgery ward
Patient
operation failed
End Event
discharge patient
End Event

Organization units
Cardiac surgery ward

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Process documentation

Participant
Initiating: yes
Cardiac surgery ward
Participant
Initiating: yes
Cardiac surgery ward
Participant
Initiating: yes
Cardiac surgery ward
Participant
Cardiac surgery ward
Participant
Initiating: yes
Cardiac surgery ward
Participant
Initiating: yes
Cardiac surgery ward
Participant
Initiating: yes
Cardiac surgery ward
Participant
Cardiac surgery ward
Participant
Data objects: Inform patient
Initiating: yes
Hospital
Participant
Data objects: Need for donor
Initiating: yes
Hospital
Participant
Data objects: Order tests
Hospital
Participant
Initiating: yes
Hospital
Participant
Hospital
Participant

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Process documentation

Hospital
Participant
Data objects: inform about test results
Patient
Participant
Patient
Participant
Data objects: Visit hospital
Initiating: yes
Patient
Participant
Initiating: yes
Patient
Participant
Patient
Participant
Data objects: report for tests
Patient
Participant
Patient
Participant
Patient
Participant
Patient
Participant
Patient
Participant
Transplant Coordination Centre
Participant
Initiating: yes
Transplant Coordination Centre
Participant
Initiating: yes
Transplant Coordination Centre
Participant
Data objects: Inform the hospital about a possible donor
Initiating: yes
Transplant Coordination Centre
Participant

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Process documentation

Initiating: yes
Transplant Coordination Centre
Participant
Data objects: Put patient into recipient database

2 Collaboration
Diagram Type Business Process Diagram (BPMN 2.0)
Path Shared documents / Praca semestralna
Author Dominik Sęk
Revision Number 8
Last modified Apr 10, 2022
Diagram Link https://academic.signavio.com/p/editor?
id=c3142d99c08846adafa4d9efecda48e2

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 12|Signavio GmbH
The Transplant heart (Transplant heart) process involves:
Patient
Visit hospital Order tests Report for tests Inform about test results inform about the operation
inform about test results Inform about rehab
Doctor Doctor
Transplantation impossible
Donor waitlist
No
reject organ error
Doctor

discharge patient
perform physical yes inform patient & Patient waiting
Interview Patient evaluate medical exam & evaluate put patient on begin rehab
& order tests history results waitlist

Akademia Nauk Stosowanych w Tarnowie

Admit patient
are results qualifying?
Cardiac surgery ward Cardiac surgery ward

2.2 Description
Pre-transplant rehab

yes
prepare organ received
Hospital

transplant team no yes

& inform organ Transplant

yes
coordination delivered organ
received compatible donor info centre end rehab transplant went well? patient died?

no
perform ECG & Analyse results continue therapy perform tests transplant failed
morphology transplant possible?
Perform tests begin rehab after 1h
Cardiac surgery ward

no
Patient reports for tests
2.1 Diagram

test results within the norms? transport to ICU

yes reject organ error
no patient dead
after 7 days
or unable to take part?

no

yes
end transplant
rehab impossible
additional
Process documentation

pharmacothera
py
end rehab error
reject organ reject
organ
error
request donor
Transplant Coordination Centre Transplant Coordination Centre

Transplant Coordination Centre

no
yes inform the transport organ
find donor verify compability hospital to hospital
need for organ end organ delivery
donor received donor transport
& recipient compatible? request received
transplant recipients
Process documentation

• Hospital
• Patient
• Transplant Coordinating Center

The Hospital and the Transplant Coordinating Center are represented as private
participants/processes, while the Patient is represented as a public participant/
process.

A Heart Transplant follows the following scenario. The process begins when the Patient
is admitted to the Cardiac Surgery Ward of the Hospital. Then the Doctor of that Ward
will interview the Patient and order the following tests:

• hemodynamic examination
• Cardiac ECG
• Morphology
• ECHO of the heart

The examinations are mandatory and are carried out in the Department of Cardiac
Surgery in any order. After all the tests have been performed, the Patient is referred
to the Department Physician who performs a physical examination and assesses the
results. Based on the knowledge gathered, the doctor makes a decision on the patient's
qualification for transplantation:

1. in case of lack of qualification the process is terminated

2. If the patient is qualified, he or she is placed on the list of recipients, i.e. in the
central database of recipients, and waits for a donor.

While waiting for the donor the Patient undergoes continuous pre-transplantation
rehabilitation in the Cardiac Surgery Department of the Hospital. Every week ECG and
morphology tests are performed, which are then evaluated by the Doctor. In case of
abnormal results, the Doctor orders weekly pharmacotherapy. At any time while waiting
for a transplant, the following may occur:

• death of the Patient

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Process documentation

• sudden deterioration of Patient's health (e.g. heart attack) making

transplantation impossible in the nearest future

In both cases the Patient is removed from the list of recipients and the process is
terminated.

The process is continued when the Transplantation Coordination Centre notifies the
Cardiac Surgery Department of the Hospital about the organ available for the Patient.
Following the notification received, the Hospital in the Cardiac Surgery Department
immediately performs the mandatory examinations for the Patient, in any order:
haemodynamic examination

• haemodynamic examination
• ECG of the heart
• morphology
• ECHO of the heart

and within 1 hour:

• confirms readiness for transplantation if test results are normal

• declines the organ in all other cases

In the case of the 1 hour passing by or in case of resignation from the organ, there
is a return to waiting for transplantation, i.e. pre-transplantation rehabilitation of the
Patient, while in the Transplantation Coordination Centre the process is completed. If
readiness for transplantation is confirmed, the Transplantation Team of the Hospital
is prepared for the procedure, while the Transplantation Coordination Centre carries
out transport of the organ to the Hospital. In the meantime, the Patient is prepared for
transplantation. After transporting the organ to the Cardiac Surgery Department of the
Hospital, transplantation takes place. In the course of transplantation, the following may
take place

• death of the Patient, in which case the process ends with a negative result
• collapse state of the Patient, in which case the patient is transported to the
Intensive Care Unit (ICU) of the Hospital and the process ends with a neutral
result

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Process documentation

If none of the above-mentioned situations occurs, the process ends with a positive
result, i.e. correct transplantation and the Patient is discharged from the Hospital.

2.3 Elements
Process elements
Admit patient
Start Message Event
Organization units: Hospital - Doctor
Interview Patient & order tests
Task
Organization units: Hospital - Doctor
evaluate medical history
Task
Organization units: Hospital - Doctor
Additional process participants: Patient
Patient reports for tests
Intermediate Message Event
Organization units: Hospital - Cardiac surgery ward
Perform tests
Collapsed Subprocess
Organization units: Hospital - Cardiac surgery ward
Subprocess reference: Perform tests (https://academic.signavio.com/p/model/
eb0a298ffb0242f9ac43052ebf6ba987)
perform physical exam & evaluate results
Task
Organization units: Hospital - Doctor
Additional process participants: Patient
are results qualifying?
Exclusive (XOR) Gateway
Organization units: Hospital - Doctor
Transplantation impossible
End Event
Organization units: Hospital - Doctor
inform patient & put patient on waitlist
Task
Organization units: Hospital - Doctor
begin rehab
Task

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Process documentation

Organization units: Hospital - Doctor

Additional process participants: Patient
Donor waitlist
Expanded subprocess
Organization units: Hospital - Cardiac surgery ward
Patient waiting
Start Event
Organization units: Hospital - Cardiac surgery ward
Pre-transplant rehab
Expanded subprocess
Organization units: Hospital - Cardiac surgery ward
begin rehab
Start Event
Organization units: Hospital - Cardiac surgery ward
perform ECG & morphology
Task
Organization units: Hospital - Cardiac surgery ward
Analyse results
Task
Organization units: Hospital - Cardiac surgery ward
Additional process participants: Patient
continue therapy
Task
Organization units: Hospital - Cardiac surgery ward
Parallel Gateway
Parallel Gateway
Organization units: Hospital - Cardiac surgery ward
received compatible donor info
Intermediate Message Event
Organization units: Hospital - Cardiac surgery ward
perform tests
Collapsed Subprocess
Organization units: Hospital - Cardiac surgery ward
Subprocess reference: Perform tests (https://academic.signavio.com/p/model/
eb0a298ffb0242f9ac43052ebf6ba987)
after 1h
Intermediate Timer Event
Organization units: Hospital - Cardiac surgery ward
transplant possible?

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Process documentation

Exclusive (XOR) Gateway

Organization units: Hospital - Cardiac surgery ward
prepare transplant team & inform coordination centre
Task
Organization units: Hospital - Cardiac surgery ward
Additional process participants: Patient
organ received
Intermediate Message Event
Organization units: Hospital - Cardiac surgery ward
end rehab
End Event
Organization units: Hospital - Cardiac surgery ward
reject organ error
End Error Event
Organization units: Hospital - Cardiac surgery ward
patient dead or unable to take part?
Exclusive (XOR) Gateway
Organization units: Hospital - Cardiac surgery ward
test results within the norms?
Exclusive (XOR) Gateway
Organization units: Hospital - Cardiac surgery ward
additional pharmacotherapy
Task
Organization units: Hospital - Cardiac surgery ward
after 7 days
Intermediate Timer Event
Organization units: Hospital - Cardiac surgery ward
end rehab error
End Error Event
Organization units: Hospital - Cardiac surgery ward
reject organ
Intermediate Error Event
Organization units: Hospital - Cardiac surgery ward
reject organ error
End Error Event
Organization units: Hospital - Cardiac surgery ward
end rehab
Intermediate Error Event
Organization units: Hospital - Cardiac surgery ward

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Process documentation

transplant impossible
End Event
Organization units: Hospital - Cardiac surgery ward
organ delivered
Terminate End Event
Organization units: Hospital - Cardiac surgery ward
reject organ error
Intermediate Error Event
Organization units: Hospital - Cardiac surgery ward
Transplant organ
Task
Organization units: Hospital - Cardiac surgery ward
transplant went well?
Exclusive (XOR) Gateway
Organization units: Hospital - Cardiac surgery ward
discharge patient
End Event
Organization units: Hospital - Doctor
patient died?
Exclusive (XOR) Gateway
Organization units: Hospital - Cardiac surgery ward
transport to ICU
Task
Organization units: Hospital - Cardiac surgery ward
transplant failed
End Event
Organization units: Hospital - Cardiac surgery ward
need for donor received
Start Message Event
Organization units: Transplant Coordination Centre
Data objects: transplant recipients
find donor
Task
Organization units: Transplant Coordination Centre
Data objects: transplant recipients
verify compability
Task
Organization units: Transplant Coordination Centre
donor & recipient compatible?

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Process documentation

Exclusive (XOR) Gateway

Organization units: Transplant Coordination Centre
inform the hospital
Task
Organization units: Transplant Coordination Centre
organ transport request received
Intermediate Message Event
Organization units: Transplant Coordination Centre
transport organ to hospital
Task
Organization units: Transplant Coordination Centre
end organ delivery
End Event
Organization units: Transplant Coordination Centre

Organization units
Cardiac surgery ward
Lane
Organization unit: Hospital
Doctor
Lane
Organization unit: Hospital
Hospital
Pool
Lane
Lane
Organization unit: Transplant Coordination Centre
Patient
Collapsed Pool
Process type: Public
Transplant Coordination Centre
Pool

Data / IT-Systems
transplant recipients
Data Store
Organization unit: Transplant Coordination Centre

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Process documentation

3 Conversation
Diagram Type Conversation Diagram (BPMN 2.0)
Path Shared documents / Praca semestralna
Author Dominik Sęk
Revision Number 3
Last modified Apr 10, 2022
Diagram Link https://academic.signavio.com/p/editor?
id=ba995d8237094cb1b30c6ae856ce7aab

3.1 Diagram
Transplant Coordination
Patient Hospital
Centre

Donor search &

Heart transplant organ delivery

4 Perform tests
Diagram Type Business Process Diagram (BPMN 2.0)
Path Shared documents / Praca semestralna
Author Dominik Sęk
Revision Number 8
Last modified Apr 10, 2022
Diagram Link https://academic.signavio.com/p/editor?
id=eb0a298ffb0242f9ac43052ebf6ba987

4.1 Diagram

Test results

hemodynamic prepare test

ECG echo scan morphology
examination results
Tests ordered Tests performed

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Process documentation

4.2 Elements
Process elements
Tests ordered
Start Event
ECG
Task
hemodynamic examination
Task
echo scan
Task
morphology
Task
prepare test results
Task
Data objects: Test results
Tests performed
End Event

Data / IT-Systems
Test results
Data Object
Input/Output: Output

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