A non-transitory storage medium (48) stores a business process (BP) model (46) of a clinical pathway including narrative clinical annotation templates associated to node transitions of the BP model of the clinical pathway. A business process management (BPM) tool (40) comprises a computing device (12) programmed to perform operations including: executing a path for a patient through the BP model of the clinical pathway by traversing nodes of the BP model of the clinical pathway in accord with patient-specific information stored in an electronic medical record (EMR) (10), and generating narrative report content on the clinical pathway for the patient by filling in fields of narrative clinical annotation templates associated to node transitions of the path of the patient through the BP model with patient-specific information stored in the EMR. Narrative report content for parallel branches of the BP model is grouped into a separate paragraph for each branch.
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