Abstract: Most medical dialogue systems assume that patients have clear goals (seeking a diagnosis, medicine querying, etc.) before medical consultation. However, in many real situations, due to the lack of medical knowledge, it is usually difficult for patients to determine clear goals with all necessary slots. In this paper, we identify this challenge as how to construct medical consultation dialogue systems to help patients clarify their goals. For further study, we create a novel human-to-human mixed-type medical consultation dialogue corpus, termed MidMed, covering four dialogue types: task-oriented dialogue for diagnosis, recommendation, QA, and chitchat. MidMed covers four departments (otorhinolaryngology, ophthalmology, skin, and digestive system), with 8,309 dialogues. Furthermore, we build benchmarking baselines on MidMed and propose an instruction-guiding medical dialogue generation framework, termed InsMed, to handle mixed-type dialogues. Experimental results show the effectiveness of InsMed.