Uncertainty Meets Conformance: A Process Mining-based Multi-Objective Evaluation for Clinical Reasoning using LLMs

Seon Kim, Jeong-woo Lee, Tae Hoon Kong, Jongchan Kim


Abstract
We present a framework for evaluating LLM-based clinical reasoning using conformance metrics from process mining. Four local LLMs were tested on EMR data from 16 vertigo patients across four prompting methods, with five repetitions per combination, yielding six uncertainty metrics. Reasoning traces were converted into event logs and analyzed with Heuristic Miner to derive external conformance to other patients’ reasoning patterns and internal conformance across repeated runs. Treating these as joint objectives, Pareto, Hypervolume, and TOPSIS analyses identified distinct evaluation scenarios, showing that conformance metrics can complement outcome-based uncertainty by revealing how LLMs reach their conclusions.
Anthology ID:
2026.uncertainlp-main.23
Volume:
The Proceedings of the Third Workshop on Uncertainty-Aware NLP
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Wilker Aziz, Jonathan Berant, Bryan Eikema, Evgenia Ilia, Marie-Catherine de Marneffe, Barbara Plank, Artem Shelmanov, Swabha Swayamdipta, Jörg Tiedemann, Artem Vazhentsev, Raúl Vázquez, Chrysoula Zerva
Venues:
UncertaiNLP | WS
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
381–389
Language:
URL:
https://aclanthology.org/2026.uncertainlp-main.23/
DOI:
Bibkey:
Cite (ACL):
Seon Kim, Jeong-woo Lee, Tae Hoon Kong, and Jongchan Kim. 2026. Uncertainty Meets Conformance: A Process Mining-based Multi-Objective Evaluation for Clinical Reasoning using LLMs. In The Proceedings of the Third Workshop on Uncertainty-Aware NLP, pages 381–389, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Uncertainty Meets Conformance: A Process Mining-based Multi-Objective Evaluation for Clinical Reasoning using LLMs (Kim et al., UncertaiNLP 2026)
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PDF:
https://aclanthology.org/2026.uncertainlp-main.23.pdf