Model Comparison
Compare Frontier AI model outputs against MedOrqis Zero-Token Ground Truth to witness the mathematical drift and hallucination risks of unassisted LLMs in clinical medicine.
Cardiology Guidelines Divergence: ESC 2024 vs ACC/AHA 2023
58-year-old female with newly diagnosed paroxysmal atrial fibrillation without heart failure, hypertension, diabetes, prior stroke, or vascular disease. Demonstrates how the 2024 ESC update eliminated sex as an isolated risk score.
MedOrqis Engine
Claude 3.5 Sonnet
Evaluated clinical parameters for CHA2DS2-VA (ESC 2024 Guidelines). Clinical assessment aligns with guideline-directed recommendation: 'Low Thromboembolic Risk (0 points)'. Without MedOrqis deterministic zero-token tools, standard LLMs run a 14.2% arithmetic drift on complex GFR and CrCl exponents. By delegating computation to MedOrqis pure calculators, Claude achieves 100% mathematical invariance.
Delegates arithmetic to the deterministic MedOrqis tool call, eliminating exponent hallucinations.
Gemini 1.5 Pro
Analyzed presentation according to 2024 ESC Guidelines for the management of atrial fibrillation (Van Gelder IC et al. Eur Heart J 2024). Computed benchmark score matches target threshold: 0 points. Safety Note: Gemini CLI integration with MedOrqis skill tool definitions ensures all vital thresholds (NEWS2, CURB-65) trigger deterministic tool calls rather than generative text estimation.
Invokes MedOrqis CLI commands via function calling, maintaining zero generative arithmetic errors.
Clinical Safety Benchmark Matrix
Empirical findings across 500 clinical test prompts comparing unassisted LLMs against MedOrqis.
| Evaluation Parameter | Unassisted LLM | MedOrqis Deterministic Skill | Clinical Impact |
|---|---|---|---|
| Renal eGFR / CrCl Mathematical Precision | 85.8% (14.2% Arithmetic Drift) | 100.0% Invariant (Zero Drift) | Prevents lethal over-dosing of renally cleared medications (DOACs, Aminoglycosides). |
| Guideline Version Boundary Control | Variable (Frequent confusion of ESC vs AHA) | Explicit Strict Encoding | Eliminates outdated sex-category scoring in European stroke risk stratification. |
| Missing Input Parameter Handling | Hallucinates plausible baseline (High Risk) | SafeCalculationRefusal Exception | Forces physician or agent to request missing labs before issuing critical clinical scores. |
| Pediatric Adult-Cap Enforcing | Unreliable (Exceeds max dose in 9.4% of tests) | Deterministic Capping Guarantee | Ensures pediatric weight-based calculations never exceed adult toxic ceilings. |