MedOdyssey: A Medical Domain Benchmark for Long Context Evaluation Up to 200K Tokens
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Abstract (arXiv)
Numerous advanced Large Language Models (LLMs) now support context lengths up to 128K, and some extend to 200K. Some benchmarks in the generic domain have also followed up on evaluating long-context capabilities. In the medical domain, tasks are distinctive due to the unique contexts and need for domain expertise, necessitating further evaluation. However, despite the frequent presence of long texts in medical scenarios, evaluation benchmarks of long-context capabilities for LLMs in this field are still rare. In this paper, we propose MedOdyssey, the first medical long-context benchmark with seven length levels ranging from 4K to 200K tokens. MedOdyssey consists of two primary components: the medical-context "needles in a haystack" task and a series of tasks specific to medical applications, together comprising 10 datasets. The first component includes challenges such as counter-intuitive reasoning and novel (unknown) facts injection to mitigate knowledge leakage and data contamination of LLMs. The second component confronts the challenge of requiring professional medical expertise. Especially, we design the ``Maximum Identical Context'' principle to improve fairness by guaranteeing that different LLMs observe as many identical contexts as possible. Our experiment evaluates advanced proprietary and open-source LLMs tailored for processing long contexts and presents detailed performance analyses. This highlights that LLMs still face challenges and need for further research in this area. Our code and data are released in the repository: urlhttps://github.com/JOHNNY-fans/MedOdyssey.
Key facts. Cited by 13 papers in the map (data through 14 Oct 2026). Builds on 23 of its 38 references that are in the map. First posted on arXiv 21 Jun 2024.
Builds on
23 of 38 references.
References · 23
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11 more
- 2024Capabilities of Gemini Models in Medicinecited by 237
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Citing papers per year: 2025: 8; 2026: 5.
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- 2025Long Context Scaling: Divide and Conquer via Multi-Agent Question-driven Collaborationcited by 7
- 2026MedMT-Bench: Can LLMs Memorize and Understand Long Multi-Turn Conversations in Medical Scenarios?cited by 6
- 2025100-LongBench: Are de facto Long-Context Benchmarks Literally Evaluating Long-Context Ability?cited by 5
- 2025CliCARE: Grounding Large Language Models in Clinical Guidelines for Decision Support over Longitudinal Cancer Electronic Health Recordscited by 4
- 2026MedLoCoMo: A Long-Context Multi-Session Medical Dialogue Benchmark for Large Language Modelscited by 4
- 2025T2-RAGBench: Text-and-Table Benchmark for Evaluating Retrieval-Augmented Generationcited by 3
- 2025Can an LLM Induce a Graph? Investigating Memory Drift and Context Lengthcited by 3
- 2025Towards a Holistic and Automated Evaluation Framework for Multi-Level Comprehension of LLMs in Book-Length Contextscited by 2
- 2026EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMscited by 2
- 2026The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomycited by 2
- 2025Aspect-Oriented Summarization for Psychiatric Short-Term Readmission Predictioncited by 1
- 2025Investigating LLM Capabilities on Long Context Comprehension for Medical Question Answeringcited by 0
- 2026Can LLMs Reason Over Long Horizons? An Empirical Evaluation of Context Strategies for Longitudinal Clinical Reasoning30 Sep 2026
- 2026The Path to Self-Evolving Clinical Systems: Scaling Medical Agents from Assistance to Autonomy13 Jul 2026
- 2026MedLoCoMo: A Long-Context Multi-Session Medical Dialogue Benchmark for Large Language Models31 May 2026
- 2026EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMs28 May 2026
- 2026MedMT-Bench: Can LLMs Memorize and Understand Long Multi-Turn Conversations in Medical Scenarios?6 Mar 2026
- 2025Investigating LLM Capabilities on Long Context Comprehension for Medical Question Answering21 Oct 2025
- 2025Can an LLM Induce a Graph? Investigating Memory Drift and Context Length4 Oct 2025
- 2025Towards a Holistic and Automated Evaluation Framework for Multi-Level Comprehension of LLMs in Book-Length Contexts27 Aug 2025
- 2025CliCARE: Grounding Large Language Models in Clinical Guidelines for Decision Support over Longitudinal Cancer Electronic Health Records30 Jul 2025
- 2025T2-RAGBench: Text-and-Table Benchmark for Evaluating Retrieval-Augmented Generation4 Jun 2025
- 2025Long Context Scaling: Divide and Conquer via Multi-Agent Question-driven Collaboration27 May 2025
- 2025100-LongBench: Are de facto Long-Context Benchmarks Literally Evaluating Long-Context Ability?25 May 2025
1 more
- 2026MedMT-Bench: Can LLMs Memorize and Understand Long Multi-Turn Conversations in Medical Scenarios?cited by 6
- 2025100-LongBench: Are de facto Long-Context Benchmarks Literally Evaluating Long-Context Ability?cited by 5
- 2026MedLoCoMo: A Long-Context Multi-Session Medical Dialogue Benchmark for Large Language Modelscited by 4
- 2025Can an LLM Induce a Graph? Investigating Memory Drift and Context Lengthcited by 3
- 2025Towards a Holistic and Automated Evaluation Framework for Multi-Level Comprehension of LLMs in Book-Length Contextscited by 2
- 2026EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMscited by 2
- 2025Aspect-Oriented Summarization for Psychiatric Short-Term Readmission Predictioncited by 1
- 2025Investigating LLM Capabilities on Long Context Comprehension for Medical Question Answeringcited by 0
- 2026MedLoCoMo: A Long-Context Multi-Session Medical Dialogue Benchmark for Large Language Models31 May 2026
- 2026EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMs28 May 2026
- 2026MedMT-Bench: Can LLMs Memorize and Understand Long Multi-Turn Conversations in Medical Scenarios?6 Mar 2026
- 2025Investigating LLM Capabilities on Long Context Comprehension for Medical Question Answering21 Oct 2025
- 2025Can an LLM Induce a Graph? Investigating Memory Drift and Context Length4 Oct 2025
- 2025Towards a Holistic and Automated Evaluation Framework for Multi-Level Comprehension of LLMs in Book-Length Contexts27 Aug 2025
- 2025100-LongBench: Are de facto Long-Context Benchmarks Literally Evaluating Long-Context Ability?25 May 2025
- 2025Aspect-Oriented Summarization for Psychiatric Short-Term Readmission Prediction14 Feb 2025