Checkup2Action: A Multimodal Clinical Check-up Report Dataset for Patient-Oriented Action Card Generation

Clinical check-up reports are multimodal documents that combine page layouts, tables, numerical biomarkers, abnormality flags, imaging findings, and domain-specific terminology. Such heterogeneous evidence is difficult for laypersons to interpret and translate into concrete follow-up actions. Although large language models show promise in medical summarisation and triage support, their ability to generate safe, prioritised, and patient-oriented actions from multimodal check-up reports remains under-benchmarked. We present \textbf{Checkup2Action}, a multimodal clinical check-up report dataset and benchmark for structured \textit{Action Card} generation. Each card describes one clinically relevant issue and specifies its priority, recommended department, follow-up time window, patient-facing explanation, and questions for clinicians, while avoiding diagnostic or treatment-prescriptive claims. The dataset contains 2,000 de-identified real-world check-up reports covering demographic information, physical examinations, laboratory tests, cardiovascular assessments, and imaging-related evidence. We formulate checkup-to-action generation as a constrained structured generation task and introduce an evaluation protocol covering issue coverage and precision, priority consistency, department and time recommendation accuracy, action complexity, usefulness, readability, and safety compliance. Experiments with general-purpose and medical large language models reveal clear trade-offs between issue coverage, action correctness, conciseness, and safety alignment. Checkup2Action provides a new multimodal benchmark for evaluating patient-oriented reasoning over clinical check-up reports.

BcQLM: Efficient Vision-Language Understanding with Distilled Q-Gated Cross-Modal Fusion

As multimodal large language models (MLLMs) advance, their large-scale architectures pose challenges for deployment in resource-constrained environments. In the age of large models, where energy efficiency, computational scalability and environmental sustainability are paramount, the development of lightweight and high-performance models is critical for real-world applications. As such, we propose a lightweight MLLM framework for end-to-end visual question answering. Our proposed approach centres on BreezeCLIP, a compact yet powerful vision-language encoder optimised for efficient multimodal understanding. With only 1.2 billion parameters overall, our model significantly reduces computational cost while achieving performance comparable to standard-size MLLMs. Experiments conducted on multiple datasets further validate its effectiveness in balancing accuracy and efficiency. The modular and extensible design enables generalisation to broader multimodal tasks. The proposed lightweight vision-language framework is denoted as BcQLM (BreezeCLIP-enhanced Q-Gated Multimodal Language Model). It offers a promising path toward deployable MLLMs under practical hardware constraints. The source code is available at https://github.com/thico0224/BcQLM.