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A similar pattern was observed in the MIMIC-IV dataset, where the baseline LLMs achieved accuracies of 1.0% (GPT-4.1), 19.5% (Qwen-3), and 24.0% (Llama-4), whereas the original OpenManus reached 24.0%, and enhancements with OpenManus_MedAssist and OpenManus_MedAssist_Tool increased accuracy to 28.0% and 27.5%, respectively, without statistical significance (Fig