Modeling and Monitoring Variability in Hospital Treatments: A Scenario Using CMMN

  • Nico HerzbergEmail author
  • Kathrin Kirchner
  • Mathias Weske
Conference paper
Part of the Lecture Notes in Business Information Processing book series (LNBIP, volume 202)


Healthcare faces the challenge to deliver high treatment quality and patient satisfaction while being cost efficient which is tackled by introducing clinical pathways to standardize the treatment processes. At the Jena University Hospital, the clinical pathway for living donor liver transplantation was modeled using Business Process Model and Notation. A survey based on that model investigates on the transferability of this pathway to other hospitals and lists the requirements for a general model including the need for flexibility caused by differences in treatments in various hospitals. In this paper, we show an approach to tackle the requirements for such a flexible process by using the Case Management Model and Notation standard. Further, we show how case monitoring and analysis can be established by using an approach combining event processing and case management. The holistic approach is exemplified by using a scenario of the evaluation of living liver donors.


Flexible healthcare processes Process monitoring CMMN 



The authors thank Anita Francke, PhD student at University Hospital Jena, for revising the LDLT pathway, developing the questionnaire and collecting answers from living liver transplantation centers as part of her dissertation work.


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Nico Herzberg
    • 1
    Email author
  • Kathrin Kirchner
    • 2
  • Mathias Weske
    • 1
  1. 1.Hasso Plattner Institute at the University of PotsdamPotsdamGermany
  2. 2.University Hospital JenaJenaGermany

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