ClinOCR-Bench: A Comprehensive Clinical Scanned Document Dataset for Optical Character Recognition Model Evaluation
Authors: Enshuo Hsu, Jin Zhou, Kirk Roberts
Organizations: McWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA. · Enterprise Development & Integration, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract
Extracting textual information from scanned medical documents, such as external laboratory reports and manually filled forms, has been a major challenge in modern electronic health records (EHRs). Recent advancements in vision language models (VLMs) have shown great promise over traditional OCR tools. However, at this point, most clinical OCR studies were conducted on private, institutional data. To our knowledge, there are few publicly available datasets for evaluating OCR models in the clinical domain. Furthermore, common scanning artifacts that undermine OCR performance are not reflected in those datasets, leaving a systematic evaluation unfeasible. Therefore, we release a publicly available, realistic-looking OCR benchmark dataset, ClinOCR-Bench, with 384 scanned images across 6 subsets: Normal, Handwriting, Poor Quality, Rotation, Tables, and Mix-artifacts. ClinOCR-Bench features: 1) diverse document types and layouts, 2) full coverage of common EHR scan artifacts, 3) protected health information-free, 4) template-aware train/test split, and 5) adequate sample size for OCR benchmarking. Baseline OCR performance was evaluated using state-of-the-art open-weight and proprietary VLMs. The dataset and documentation are available on GitHub (https://github.com/ClinOCR-Bench/ClinOCR-Bench).
Large Multimodal Models (LMMs) have recently shown strong performance on Optical Character Recognition (OCR) tasks, demonstrating their promising capability in document literacy. However, their effectiveness in real-world applications remains underexplored, as existing benchmarks adopt task scopes misaligned with practical applications and assume homogeneous acquisition conditions. To address this gap, we introduce CC-OCR V2, a comprehensive and challenging OCR benchmark tailored to real-world document processing. CC-OCR V2 focuses on practical enterprise document processing tasks and incorporates hard and corner cases that are critical yet underrepresented in prior benchmarks, covering 5 major OCR-centric tracks: text recognition, document parsing, document grounding, key information extraction, and document question answering, comprising 7,093 high-difficulty samples. Extensive experiments on 14 advanced LMMs reveal that current models fall short of real-world application requirements. Even state-of-the-art LMMs exhibit substantial performance degradation across diverse tasks and scenarios. These findings reveal a significant gap between performance on current benchmarks and effectiveness in real-world applications. We release the full dataset and evaluation toolkit at https://github.com/eioss/CC-OCR-V2.
Multimodal Large Language Models (MLLMs) have achieved strong performance on OCR-centric document understanding and text-rich visual reasoning benchmarks. Yet existing evaluations largely assume that every task is valid and answerable. In real-world OCR scenarios, this assumption often fails: questions may rely on illegible text, occluded evidence, nonexistent visual targets, contradictory premises, or missing variables. We study this reliability gap as OCR-grounded Task Verification: before answering, a model should determine whether the Image Premise (IP), Textual Premise (TP), and Question (Q) jointly define an executable task. We introduce VeriOCRBench, a 1,800-sample human-verified benchmark built from source images drawn from 8 OCR-related datasets and spanning 8 real-world image domains, with controlled, image-grounded diagnostic tasks. It contains 1,600 trap-injected invalid tasks across 8 trap types and four verification dimensions---Visual, Contextual, Factual, and Logical---plus 200 trap-free controls for measuring over-refusal. Built with a Visual Atomic Fact (VAF)-anchored pipeline and full human auditing, VeriOCRBench enables decoupled evaluation of task verification, root-cause diagnosis, and over-refusal. Evaluating 15 leading MLLMs reveals persistent blind compliance, diagnosis failures, and prompt-induced over-refusal, exposing a critical reliability gap in current OCR reasoning systems. The code is available at: https://github.com/zy001122/Beyond-Blind-Compliance.
Vision-language models (VLMs) have achieved strong performance on OCR-based benchmarks and increasingly focused on text-rich understanding, but their robustness under controlled visual degradation remains insufficiently understood. This gap is critical for OCR reasoning, where visual corruption can induce OCR errors and structural distortions, thereby introducing uncertainty into the reasoning task. To systematically study this problem, we introduce OCR-Robust, a benchmark designed for evaluating OCR reasoning robustness under visual perturbations. It contains 812 samples across two complementary subsets: OCR1.0, covering documents, scene text, receipts, handwriting, and mathematical content, and OCR2.0, focusing on charts, geometry diagrams, and tables. To enable efficient yet informative evaluation, we conduct a pilot study over 18 candidate perturbations and select 5 representative types at 3 severity levels each based on their impact and cross-model discriminability. We evaluate robustness using clean accuracy, Relative Corruption Retention (RCR), Worst-Case Retention (WCR), and a composite Corruption Robustness Index (CRI), and benchmark 18 models spanning proprietary systems, open-source VLMs, and OCR+LLM pipelines. Our results show that higher clean accuracy does not necessarily imply stronger robustness, and that models can suffer pronounced degradation in the worst case on OCR tasks that are sensitive to structure, and charts and tables are substantially more fragile than document-like inputs under perturbation.