Abstract:Traditional AI-based healthcare systems often rely on single-modal data, limiting diagnostic accuracy due to incomplete information. However, recent advancements in foundation models show promising potential for enhancing diagnosis combining multi-modal information. While these models excel in static tasks, they struggle with dynamic diagnosis, failing to manage multi-turn interactions and often making premature diagnostic decisions due to insufficient persistence in information collection.To address this, we propose a multi-agent framework inspired by consultation flow and reinforcement learning (RL) to simulate the entire consultation process, integrating multiple clinical information for effective diagnosis. Our approach incorporates a hierarchical action set, structured from clinic consultation flow and medical textbook, to effectively guide the decision-making process. This strategy improves agent interactions, enabling them to adapt and optimize actions based on the dynamic state. We evaluated our framework on a public dynamic diagnosis benchmark. The proposed framework evidentially improves the baseline methods and achieves state-of-the-art performance compared to existing foundation model-based methods.