MedExAgent-Data / README.md
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Release MedExAgent training and evaluation data
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metadata
license: cc-by-nc-sa-4.0
language:
  - en
pretty_name: MedExAgent Data
tags:
  - medical
  - clinical-ai
  - diagnosis
  - dialogue
  - reinforcement-learning
  - medagent
configs:
  - config_name: sft
    data_files:
      - split: train
        path: sft/train.jsonl
  - config_name: rl
    data_files:
      - split: train
        path: rl/train_patients.csv
  - config_name: eval_clean
    data_files:
      - split: validation
        path:
          - eval/ddxplus_val.jsonl
          - eval/pmc_val.jsonl
      - split: test
        path:
          - eval/ddxplus_test.jsonl
          - eval/pmc_test.jsonl
  - config_name: eval_all_noise
    data_files:
      - split: test
        path:
          - eval/ddxplus_test_all_noise.jsonl
          - eval/pmc_test_all_noise.jsonl
extra_gated_prompt: >-
  The MedExAgent data contains synthetic doctor-patient conversations and
  patient case tables derived from DDxPlus and PMC-Patients-v2. It is intended
  for research on medical agents in simulated settings. It is not medical advice
  and must not be used for clinical care, diagnosis, treatment decisions,
  emergency triage, patient management, or any other real-world medical
  decision-making. By requesting access, you agree to use the data for
  non-commercial research only and to comply with the CC BY-NC-SA 4.0 license
  and the licenses of the source datasets.
extra_gated_fields:
  Full name: text
  Organization or affiliation: text
  Intended research use: text
  I will use this data for non-commercial research only and not for clinical care or other real-world medical decision-making: checkbox
extra_gated_button_content: Agree and request access
extra_gated_heading: Research-use acknowledgement required
extra_gated_description: Access requires agreement to the research-only, non-commercial terms below.

MedExAgent Data

Data used to train and evaluate MedExAgent-8B, from the paper "MedExAgent: Training LLM Agents to Ask, Examine, and Diagnose in Noisy Clinical Environments" (NeurIPS 2026).

Files

File Rows Used for
sft/train.jsonl 5,984 SFT stage: synthetic doctor-patient conversations
rl/train_patients.csv 19,984 RL stage: patient case tables (demographics, history, symptoms, recorded exams and findings)
rl/train_verl.parquet 19,984 The same RL cases in the verl format used for DAPO training, with per-case noise assignments
eval/ddxplus_val.jsonl, eval/pmc_val.jsonl 2,497 / 2,499 Validation
eval/ddxplus_test.jsonl, eval/pmc_test.jsonl 2,497 / 2,498 Test, clean
eval/ddxplus_test_all_noise.jsonl, eval/pmc_test_all_noise.jsonl 2,499 / 2,498 Test, with patient and exam noise

Training cases come from DDxPlus and PMC-Patients-v2 in roughly equal parts. The paper reports results on 1,000 cases from each test file.

Conversation format

Each line of the .jsonl files is one patient:

  • patient_id, diagnosis, demographics, medical_history, self_reported_symptoms
  • patient_persona: personality, language proficiency, and medical history recall, each with a key, a label, and the instruction given to the patient simulator
  • conversation: a list of messages with roles system, assistant (doctor), user (patient), and tool (exam results). Exams are ordered as tool calls
  • noise_metadata: the patient and exam noise applied to this conversation and where it was applied

Conversations follow the five Calgary-Cambridge stages. They were generated with gpt-4o-mini as both doctor and patient, with patient noise applied to 30% of patients and exam noise to 10% of eligible exam results.

License and sources

This dataset is released under CC BY-NC-SA 4.0. It is derived from:

  • DDxPlus (Fansi Tchango et al., 2022), CC BY 4.0
  • PMC-Patients-v2 (Zhao et al., 2023), CC BY-NC-SA 4.0
  • The patient persona axes follow PatientSim (Kyung et al., 2025), CC BY-NC-ND 4.0

The data contains no exam price values. Exam costs used in training are computed by the code from cost and discomfort tiers.

Intended use

Research on medical agents in simulated, non-clinical settings only. The conversations are synthetic and may contain incorrect medical information. The data must not be used for clinical care or any other real-world medical decision-making.

Citation

@misc{gao2026medexagenttrainingllmagents,
      title={MedExAgent: Training LLM Agents to Ask, Examine, and Diagnose in Noisy Clinical Environments},
      author={Yicheng Gao and Xiaolin Zhou and Yahan Li and Yue Zhao and Ruishan Liu},
      year={2026},
      eprint={2605.07058},
      archivePrefix={arXiv},
      primaryClass={cs.CL},
      url={https://arxiv.org/abs/2605.07058},
}