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Evaluating the Pre-Consultation Ability of LLMs using Diagnostic Guidelines

Published: January 7, 2026 | arXiv ID: 2601.03627v1

By: Jean Seo , Gibaeg Kim , Kihun Shin and more

Potential Business Impact:

Helps AI doctors understand patient problems better.

Business Areas:
Natural Language Processing Artificial Intelligence, Data and Analytics, Software

We introduce EPAG, a benchmark dataset and framework designed for Evaluating the Pre-consultation Ability of LLMs using diagnostic Guidelines. LLMs are evaluated directly through HPI-diagnostic guideline comparison and indirectly through disease diagnosis. In our experiments, we observe that small open-source models fine-tuned with a well-curated, task-specific dataset can outperform frontier LLMs in pre-consultation. Additionally, we find that increased amount of HPI (History of Present Illness) does not necessarily lead to improved diagnostic performance. Further experiments reveal that the language of pre-consultation influences the characteristics of the dialogue. By open-sourcing our dataset and evaluation pipeline on https://github.com/seemdog/EPAG, we aim to contribute to the evaluation and further development of LLM applications in real-world clinical settings.

Page Count
17 pages

Category
Computer Science:
Computation and Language