This article is part of the supplement: New trends in digital pathology: Proceedings of the 9th European Congress on Telepathology and 3rd International Congress on Virtual Microscopy

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Implementation of the Business Process Modelling Notation (BPMN) in the modelling of anatomic pathology processes

Marcial García Rojo1*, Elvira Rolón2, Luis Calahorra3, Felix Óscar García2, Rosario Paloma Sánchez3, Francisco Ruiz2, Nieves Ballester3, María Armenteros3, Teresa Rodríguez3 and Rafael Martín Espartero3

Author affiliations

1 Department of Pathology, Hospital General de Ciudad Real, Calle Tomelloso s/n. 13004 Ciudad Real, Spain

2 Department of Technology and Information Systems, School of Informatics, Universidad de Castilla-La Mancha, Paseo de la Universidad, 4. 13071 Ciudad Real, Spain

3 Quality Assurance Unit, Hospital General de Ciudad Real, Calle Tomelloso s/n. 13004 Ciudad Real, Spain

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Citation and License

Diagnostic Pathology 2008, 3(Suppl 1):S22  doi:10.1186/1746-1596-3-S1-S22

Published: 15 July 2008



Process orientation is one of the essential elements of quality management systems, including those in use in healthcare. Business processes in hospitals are very complex and variable. BPMN (Business Process Modelling Notation) is a user-oriented language specifically designed for the modelling of business (organizational) processes. Previous experiences of the use of this notation in the processes modelling within the Pathology in Spain or another country are not known. We present our experience in the elaboration of the conceptual models of Pathology processes, as part of a global programmed surgical patient process, using BPMN.


With the objective of analyzing the use of BPMN notation in real cases, a multidisciplinary work group was created, including software engineers from the Dep. of Technologies and Information Systems from the University of Castilla-La Mancha and health professionals and administrative staff from the Hospital General de Ciudad Real. The work in collaboration was carried out in six phases: informative meetings, intensive training, process selection, definition of the work method, process describing by hospital experts, and process modelling.


The modelling of the processes of Anatomic Pathology is presented using BPMN. The presented subprocesses are those corresponding to the surgical pathology examination of the samples coming from operating theatre, including the planning and realization of frozen studies.


The modelling of Anatomic Pathology subprocesses has allowed the creation of an understandable graphical model, where management and improvements are more easily implemented by health professionals.