STARR Patient Instructions (PatientInstruct)

A MedHELM scenario, built from private Stanford Health Care records, that asks a model to write post-procedure patient instructions from a diagnosis, procedure and clinical notes.

Also known as: PatientInstruct

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Categorydomain
Subcategoryclinical patient communication: generate personalized post-procedure discharge instructions from real clinical case data
Page statusactive
MetricLLMJuryMetric ('starr_patient_instructions_accuracy', an LLM-as-judge score from a jury of annotator models) combined with automatic summarization metrics (BERTScore-based) via HELM's summarization metric suite
Directionhigher_is_better
Unitscore
Dataset licenceNot public; restricted under Stanford Health Care institutional data use agreements and patient privacy protections, per the MedHELM paper
PublisherStanford Center for Research on Foundation Models (CRFM), in partnership with Stanford Health Care

What it measures

STARR Patient Instructions (displayed as "PatientInstruct" in MedHELM's taxonomy) gives a model real-world clinical case details -- a diagnosis, the planned or performed procedure, and the history-and-physical and operative notes -- and asks it to generate clear, actionable post-procedure instructions appropriate for a patient recovering from that intervention. It sits in MedHELM's "Patient Communication and Education" category and tests clinical note synthesis and patient-facing communication, not diagnostic or decision-support reasoning.

Task format

Text generation, zero-shot (all instances are assigned to the test split; no in-context training examples are drawn from the data itself). Each instance is built from a record with five fields -- Diagnosis, ActualProcedure, HistoryPhysicalNoteText, OperativeNoteText and DischargeInstructionNoteText -- filtered to records marked QC="TRUE"; the model receives the first four as input and its output is compared against the real DischargeInstructionNoteText as reference.

Models reporting this benchmark

No model card in ModelSpec reports this benchmark yet.

Data

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