Systemic Lupus ErythematosusA REVIEW OF 110 CASES WITH REFERENCE TO NEPHRITIS, THE NERVOUS SYSTEM, INFECTIONS, ASEPTIC NECROSIS AND PROGNOSIS1

Process mining techniques analyze processes based on event data. We analyzed the trajectories of patients in a Dutch hospital from their registration in the emergency room until their discharge. We considered a sample of 1050 patients with symptoms of a sepsis condition, which is a life-threatening condition. We extracted an event log that includes events on activities in the emergency room, admission to hospital wards, and discharge. The event log was enriched with data from laboratory tests and triage checklists.We try to automatically discover a process model of the patient trajectories, we check conformance to medical guidelines for sepsis patients, and visualize the flow of patients on a de-jure process model. The lessons-learned from this analysis are: (1) process mining can be used to clarify the patient flow in a hospital; (2) process mining can be used to check the daily clinical practice against medical guidelines; (3) process discovery methods may return unsuitable models that are difficult to understand for stakeholders; and (4) process mining is an iterative process, e.g., data quality issues are often discovered and need to be addressed.