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Paper · arXiv

MDIA: A Multi-Agent Diagnostic Intelligence Pipeline on HealthBench Professional

Most reported gains on agentic-LLM clinical benchmarks are often attributed to prompt engineering, yet our results suggest that larger improvements can come from architectural and engine-level design. We present MDIA, a Multi-agent Diagnostic Intelligence Agent implemented as a 7-node specialty-routed clinical reasoning graph, on the full HealthBench Professional benchmark (n = 525), on a non-fine-tuned LLM. MDIA achieves 0.6272 under OpenAI's GPT-5.4-2026-03-05, which is +3.72 pp above the performance of OpenAI's ChatGPT for Clinicians. The experimental work shows that performance lift is attributable to system architecture: specialty routing, multi-turn context preservation, drug-state ...

AuthorsRoberto Cruz, David Rey-Blanco
Primary categorycs.AI
Published23 May 2026
Last updated at source23 May 2026
cs.AIcs.LG
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