# A formal statechart model of immediate neonatal adaptation guidelines

**Authors:** Edgar Hernando Sepúlveda-Oviedo, Leonardo Enrique Bermeo Clavijo, Luis Carlos Méndez–Córdoba

PMC · DOI: 10.1016/j.heliyon.2025.e42784 · Heliyon · 2025-02-19

## TL;DR

This paper presents a statechart model of neonatal care guidelines to improve clarity and education for medical professionals.

## Contribution

A novel statechart model for representing neonatal adaptation guidelines with a focus on educational and interdisciplinary use.

## Key findings

- The statechart model includes 20 states, 38 events, and 4 superstates for clear visual representation.
- Feedback highlights the model's versatility, usability, and moderate visual complexity.
- The model supports interdisciplinary collaboration and scenario exploration in medical training.

## Abstract

Research highlights the importance of applying physiological criteria for optimal umbilical cord clamping, underlining its lasting advantages. In response, the Division of Pediatrics, Perinatology, and Neonatology at the National University of Colombia has pioneered the Immediate Neonatal Adaptation Guideline, focusing on Physiologically-based Cord Clamping. This study has two main objectives: The first is to represent the medical guideline through a statechart model to enhance clarity and detail. Secondly, to evaluate the effectiveness of statechart models in depicting medical guidelines for educational and training purposes within a human-centric framework. In this study, a group of medical professionals and engineers designed the statechart model for the Immediate Neonatal Adaptation guideline through a progressive refinement method. The model comprises 20 states, 38 events, and 4 superstates, offering clear visual language for its evaluation by an interdisciplinary panel of engineers and health professionals. This visual representation facilitates a more explicit identification of patient states, criteria, and clinical indicators involved in the procedure. Feedback indicates general satisfaction with the Versatility, Usability, Scalability and Moderate visual complexity of the model.

•Formalizes the Immediate Neonatal Adaptation Guideline using statecharts for clarity.•Proposes a human-centered educational tool for representing medical guidelines.•Introduces a systematic tool for exploring various medical scenarios.•Creates a visual language for interdisciplinary collaboration in medical modeling.•Demonstrates the adaptability and scalability of statecharts in medical guidelines.

Formalizes the Immediate Neonatal Adaptation Guideline using statecharts for clarity.

Proposes a human-centered educational tool for representing medical guidelines.

Introduces a systematic tool for exploring various medical scenarios.

Creates a visual language for interdisciplinary collaboration in medical modeling.

Demonstrates the adaptability and scalability of statecharts in medical guidelines.

## Full-text entities

- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

13 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11891693/full.md

## References

75 references — full list in the complete paper: https://tomesphere.com/paper/PMC11891693/full.md

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Source: https://tomesphere.com/paper/PMC11891693