{"about":{"site":"https://codewithpapers.app","non_affiliation":"Code with Papers and Syntology are not affiliated with, endorsed by, or sponsored by Papers with Code, Meta, or the pwc-archive mirror.","licence":"CC BY-SA 4.0","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","attribution":"https://codewithpapers.app/attribution","modified":"archive material modified by Syntology; see the attribution page"},"url":"/paper/the-norddrg-ai-benchmark-for-large-language","title":"The NordDRG AI Benchmark for Large Language Models","arxiv_id":"2506.13790","date":"2025-06-11","proceeding":null,"authors":["Tapio Pitkäranta"],"abstract":"Large language models (LLMs) are already being piloted for clinical coding and decision support. However, until now, no open benchmark has targeted the hospital funding layer where Diagnosis-Related Groups (DRG) determine reimbursement across many countries. We release NordDRG-AI-Benchmark, the first public test-bed that captures a complete DRG rule set and evaluates an LLM's ability to reason over multilingual diagnosis, procedure, and tariff logic. The benchmark bundles three classes of artefacts: (i) definition tables with 20 interlinked tables covering DRG logic, ICD and NCSP codes, age/sex splits, and country flags; (ii) expert manuals and changelog templates describing real governance workflows; and (iii) a prompt pack of 14 CaseMix tasks that span code lookup, cross-table inference, multilingual terminology, and quality-assurance audits. All artefacts are available at: https://github.com/longshoreforrest/norddrg-ai-benchmark A baseline demonstration shows that five state-of-the-art LLMs perform very differently on the nine automatically verifiable tasks: o3 (OpenAI) scores 9 out of 9, GPT-4o and o4-mini-high score 7 out of 9, while Gemini 2.5 Pro and Gemini 2.5 Flash solve only 5 out of 9 and 3 out of 9, respectively. These results confirm that NordDRG-AI-Benchmark highlights domain-specific strengths and weaknesses that remain hidden in generic LLM benchmarks, offering a reproducible baseline for research on trustworthy automation in hospital funding.","url_abs":"https://arxiv.org/abs/2506.13790v2","url_pdf":"https://arxiv.org/pdf/2506.13790v2.pdf","source":{"archive":"pwc-archive (Hugging Face), CC BY-SA 4.0","snapshot":"2025-07-28","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","row_kind":"abstracts"},"code_links":[{"paper_slug":"the-norddrg-ai-benchmark-for-large-language","repo_url":"https://github.com/longshoreforrest/norddrg-ai-benchmark","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":1,"framework":"none","reach":null}],"tasks":[],"methods":[{"method_slug":"set","method_name":"SET"}],"datasets_introduced":[],"methods_introduced":[],"results":[],"syntology":{"atlas_url":null,"mcp":null,"developers":"https://syntology.ai/developers"},"arxiv_metadata":null,"syntology_extracted_results":null}