MIRA-Ev:A Benchmark for Granular Evidence Detection and Relational Reasoning in Clinical Exams

Clinical NLP evaluation remains dominated by multiple-choice question answering (MCQA), which scores only final-answer accuracy and cannot detect when a model reaches the correct diagnosis while grounding it in irrelevant, absent, or contradictory evidence. We introduce MIRA-Ev, a clinical argument mining benchmark built on Spanish Médico Interno Residente (MIR) licensing-exam cases, re-annotated by expert clinicians with span-level premises, claims, and directed support/attack relations, and released in parallel Spanish (native), English, and Basque versions, the first clinical argumentation resource in Basque. MIRA-Ev organizes evaluation into a three-tier task hierarchy: evidence sentence retrieval, argumentative component extraction, and relation classification.

Multilingual Hematology Visual Question Answering Dataset

Vision Language Models (VLMs) have shown promising capabilities in medical image analysis by jointly understanding visual and textual information for tasks such as Visual Question Answering. However, existing hematology vision-language resources remain predominantly English centric, limiting their applicability in multilingual healthcare environments. This challenge is releveant generally to South Asia and specifically to Pakistan, where Urdu is widely used despite healthcare information and digital medical systems being largely dependent on English. To investigate this gap, we conducted a survey among healthcare professionals, which revealed substantial language mismatches between clinical documentation and patient communication, emphasizing the need for multilingual healthcare technologies. To address this limitation, we introduce WBCMor VQA, a clinically validated bilingual English, Urdu morphology aware VQA benchmark for leukemia and normal white blood cell analysis. The benchmark is constructed using morphology-aware annotations from LeukemiaAttri and WBCAtt datasets and supported by a domain specific Urdu hematology dictionary to ensure linguistic consistency and clinical correctness. The final benchmark contains 110K bilingual question answer pairs serving as VQA annotations for 20K leukemic and normal single-cell images. Furthermore, we establish baseline performance by evaluating multiple open-source VLMs on the proposed benchmark. The proposed resource aims to facilitate the development of accessible and clinically relevant AI systems for multilingual healthcare environments.