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Process and activity modeling are widely used in healthcare work and systems development projects. There are various approaches and abstractions available for process modeling. This study describes a four-level approach to activity and process modeling which has been used in modeling healthcare activities in relation to the specification of service-oriented information systems solutions. Based on the material and experience from these efforts: 1) overview level descriptions are well capable of illustrating the domain of the development, 2) many current notations and techniques on process level fail to describe diverse practices in healthcare, 3) descriptions on activity level should be generalized and combined in novel ways to achieve reuse and to support complex domains, 4) very accurate and detailed action-level modeling should be used cautiously to reduce unnecessary workload and to focus on the essential features of the solutions.
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