Clinical Decision Support Systems (CDSSs) provide reasoning and inquiry guidance for physicians, yet they face notable challenges, including high maintenance costs and low generalization capability.Recently, Large Language Models (LLMs) have been widely adopted in healthcare due to their extensive knowledge reserves, retrieval, and communication capabilities. While LLMs show promise and excel at medical benchmarks, their diagnostic reasoning and inquiry skills are constrained.To mitigate this issue, we propose (1) Clinical Diagnostic Reasoning Data (CDRD) structure to capture abstract clinical reasoning logic, and a pipeline for its construction, and (2) the Dr. Assistant, a clinical diagnostic model equipped with clinical reasoning and inquiry skills. Its training involves a two-stage process: SFT, followed by RL with a tailored reward function.We also introduce a benchmark to evaluate both diagnostic reasoning and inquiry.Our experiments demonstrate that the Dr. Assistant outperforms open-source models and achieves competitive performance to closed-source models, providing an effective solution for clinical diagnostic inquiry guidance. Project information can be found at: https://github.com/YGswu/Dr.-Assistant.

Large language models (LLMs) are designed for discrete tokens, yet they operate in a continuous embedding space. Recent context compression methods exploit this property by encoding text into dense vectors for frozen LLM decoding. However, a key question remains unanswered: how does a frozen LLM interpret continuous vectors that encode complex semantics? We investigate this through controlled reconstruction experiments. Our analysis reveals a critical geometric property: compression encoders learn to produce vectors with L2 norms two orders of magnitude higher than standard embeddings. We show that this high-norm signal is causally necessary for the frozen LLM to decode compressed information. Based on this finding, we propose a landmark-based compression framework for long contexts. Our encoder uses bidirectional attention over landmark tokens. This design captures global dependencies and avoids semantic fragmentation from segment-based methods. Experiments on text reconstruction and four QA benchmarks validate our approach. At 4x and 16x compression ratios, our method outperforms prior soft compression baselines.