This study investigates the feasibility of automating clinical coding in Russian, a language with limited biomedical resources. We present a new dataset for ICD coding, which includes diagnosis fields from electronic health records (EHRs) annotated with over 10,000 entities and more than 1,500 unique ICD codes. This dataset serves as a benchmark for several state-of-the-art models, including BERT, LLaMA with LoRA, and RAG, with additional experiments examining transfer learning across domains (from PubMed abstracts to medical diagnosis) and terminologies (from UMLS concepts to ICD codes). We then apply the best-performing model to label an in-house EHR dataset containing patient histories from 2017 to 2021. Our experiments, conducted on a carefully curated test set, demonstrate that training with the automated predicted codes leads to a significant improvement in accuracy compared to manually annotated data from physicians. We believe our findings offer valuable insights into the potential for automating clinical coding in resource-limited languages like Russian, which could enhance clinical efficiency and data accuracy in these contexts. Our code and dataset are available at https://github.com/auto-icd-coding/ruccod.

Though Large Vision-Language Models (LVLMs) are being actively explored in medicine, their ability to conduct complex real-world telemedicine consultations combining accurate diagnosis with professional dialogue remains underexplored. This paper presents **3MDBench** (**M**edical **M**ultimodal **M**ulti-agent **D**ialogue **Bench**mark), an open-source framework for simulating and evaluating LVLM-driven telemedical consultations. 3MDBench simulates patient variability through temperament-based Patient Agent and evaluates diagnostic accuracy and dialogue quality via Assessor Agent. It includes 2996 cases across 34 diagnoses from real-world telemedicine interactions, combining textual and image-based data. The experimental study compares diagnostic strategies for widely used open and closed-source LVLMs. We demonstrate that multimodal dialogue with internal reasoning improves F1 score by 6.5% over non-dialogue settings, highlighting the importance of context-aware, information-seeking questioning. Moreover, injecting predictions from a diagnostic convolutional neural network into the LVLM’s context boosts F1 by up to 20%. Source code is available at https://github.com/univanxx/3mdbench.

We present RuCCoN, a new dataset for clinical concept normalization in Russian manually annotated by medical professionals. It contains over 16,028 entity mentions manually linked to over 2,409 unique concepts from the Russian language part of the UMLS ontology. We provide train/test splits for different settings (stratified, zero-shot, and CUI-less) and present strong baselines obtained with state-of-the-art models such as SapBERT. At present, Russian medical NLP is lacking in both datasets and trained models, and we view this work as an important step towards filling this gap. Our dataset and annotation guidelines are available at https://github.com/AIRI-Institute/RuCCoN.