Shenxi Liu, Kan Li, Mingyang Zhao et al.
The scarcity of high-quality, logically annotated video datasets remains a primary bottleneck in advancing Multi-Modal Large Language Models (MLLMs) for the medical domain. Traditional manual annotation is prohibitively expensive and non-scalable, while existing synthetic methods often suffer from stochastic hallucinations and a lack of logical interpretability. To address these challenges, we introduce \textbf{\PipelineName}, a novel neuro-symbolic data engineering framework that formalizes benchmark synthesis as a deterministic graph traversal process. Unlike black-box generative approaches, Med-CRAFT extracts structured visual primitives (e.g., surgical instruments, anatomical boundaries) from raw video streams and instantiates them into a dynamic Spatiotemporal Knowledge Graph. By anchoring query generation to valid paths within this graph, we enforce a rigorous Chain-of-Thought (CoT) provenance for every synthesized benchmark item. We instantiate this pipeline to produce M3-Med-Auto, a large-scale medical video reasoning benchmark exhibiting fine-grained temporal selectivity and multi-hop logical complexity. Comprehensive evaluations demonstrate that our automated pipeline generates query workloads with complexity comparable to expert-curated datasets. Furthermore, a logic alignment analysis reveals a high correlation between the prescribed graph topology and the reasoning steps of state-of-the-art MLLMs, validating the system's capability to encode verifiable logic into visual-linguistic benchmarks. This work paves the way for scalable, low-cost construction of robust evaluation protocols in critical domains.