Capability Framework
This benchmark evaluates clinical reasoning quality across nine structured tasks.
The benchmark does not focus on diagnosis.
It focuses on whether a model can reason about stability, trajectory, boundary pressure, recovery, and intervention choice.
Capability Domains
State Reasoning
Dataset:
- clinical-compensation-vs-recovery-v0.2
Tests whether a model can distinguish visible stability from true recovery.
Core distinction:
- stable because recovered
- stable because supported
Trajectory Reasoning
Datasets:
- clinical-silent-failure-v0.2
- clinical-trajectory-awareness-v0.2
Tests whether a model can distinguish current appearance from direction of movement.
Core distinctions:
- mild-looking but worsening
- severe-looking but improving
- hidden deterioration before collapse
Decision Reasoning
Dataset:
- clinical-escalation-discipline-v0.2
Tests whether a model can decide when monitoring is no longer enough.
Core distinction:
- high visible severity but improving
- moderate visible severity but deteriorating
Boundary Reasoning
Dataset:
- clinical-constraint-pressure-v0.2
Tests whether a model can detect pressure on the patient system.
Core distinction:
- support needs
- reserve capacity
- direction of pressure
Margin Reasoning
Dataset:
- clinical-boundary-distance-v0.2
Tests whether a model can estimate proximity to collapse boundary.
Core distinction:
- safe margin
- narrowing margin
- critical boundary proximity
Recovery Reasoning
Datasets:
- clinical-recovery-geometry-v0.2
- clinical-recovery-energy-v0.2
Tests whether a model can distinguish real recovery from superficial improvement and estimate recovery burden.
Core distinctions:
- improvement in one marker versus structural recovery
- low recovery effort versus high recovery effort
Intervention Reasoning
Dataset:
- clinical-competing-interventions-v0.2
Tests whether a model can compare competing stabilisation pathways.
Core distinction:
- best action is not always the most aggressive action
- intervention quality depends on patient state, response profile, and downstream risk