Active Evidence-Seeking and Diagnostic Reasoni: leaderboard

Large language models perform well on static medical examinations, yet clinical diagnosis often requires iterative evidence gathering under uncertainty. Building on prior interactive evaluation efforts, we introduce an OSCE-inspired standardized patient simulator and a controlled, reproducible benchmark for active diagnostic inquiry. Across 468 cases and 15 models in our protocol, we observe that

Metric: Task 2: Active Seeking Exact Accuracy (self-reported). Source: benchmarklist.com. Saturation forecast: Estimated already saturated. 15 models tracked.

Top models

#ModelScoreOverall rank
1Gemini 2.5 Pro49.4#152
2Qwen 3 32B48.3#443
3Qwen 3 14B45.1#537
4Qwen 3 8B39.5#674
5Qwen 2.5 32B Instruct39.1#498
6GLM-4 32B35.7#459
7Qwen 2.5 14B Instruct34#647
8DeepSeek R1 Distill Qwen 32B33.9#655
9Llama 3 8B Instruct24.8#1129
10Qwen 2.5 7B Instruct23.3#862
11DeepSeek R1 Distill Qwen 14B23.3#844
12DeepSeek-R1-Distill-Qwen-7B6#1415

No result here: #3 Claude Opus 5.5, #6 GPT-6 Astra, #7 GPT-6.1 Sol.

Interactive version: theaggregate.ai/benchmark?slug=active-evidence-seeking-and-diagnostic-reasoni · How It Works · Data refreshed daily, snapshot 2026-10-20.