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Fig 1.

Process mining in the changing HIS environment (adapted based on [21, 26]).

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Fig 2.

Relevant CDM tables for event log construction.

Code names are sourced from [50].

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Table 1.

An example of inpatient visit event logs.

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Table 2.

Available outpatient activities derived from CDM.

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Table 3.

An example of outpatient visit event logs.

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Table 4.

An example of ER visit event logs.

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Table 5.

An example log for patient journey.

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Fig 3.

Finding the optimal number of clinical orders in TLH CP.

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Table 6.

Details of the derived CP by order day.

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Table 7.

Summary of the datasets.

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Fig 4.

CP discovery for selected surgeries.

(From left to right) (a): CP before THR for mainstream behaviors only with all paths, CP before THR with mainstream behaviors and major paths only; (b): CP after CB for death cases, CP for 24 hours after CB for death cases; (c) CP before TAVI, CP for 24 hours after TAVI; (d): CP for 24 hours after PD with all activities, CP for 24 hours after PD with 30% activities.

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Fig 5.

Outpatient process models.

(a) CDM-based model in frequency view; (b) CDM-based model in performance view; (c) EHR-based model in performance view [42].

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Fig 6.

Dotted chart analysis.

(a) dotted chart for all activities by case, occurred between 2003 and 2019; (b) dotted chart for activities by case, occurred in 2013; (c) dotted chart for all activities occurred by case, sorted by case duration; (d) dotted chart for all activities occurred by case, sorted by case duration, excerpted from [42].

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Fig 7.

Emergency room process.

(a) Process model with all activities included; (b) Process model with mainstream behaviors only; (c) Process model with mainstream behaviors only, based on median time duration between events.

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Fig 8.

Patient journey map using visit-level events.

(a) entire patient journey with all activities included (left) and the enlarged screenshot of the early encounters only (right); (b) patient journey with mainstream behaviors only.

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Fig 9.

Patient journey map using descendent-level events.

(a) process model for the entire visits (left); enlarged view of the first two outpatient visits (top right); enlarged view of the TLH inpatient visit (middle right) (b) process model with mainstream behaviors only.

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Fig 10.

Process mining data spectrum and representation ability of CDM, based on [52].

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Table 8.

Comparison with other studies.

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