Entity Decomposition with Filtering: A Zero-Shot Clinical Named Entity Recognition Framework

Reza Averly, Xia Ning


Abstract
Clinical named entity recognition (NER) aims to retrieve important entities within clinical narratives. Recent works have demonstrated that large language models (LLMs) can achieve strong performance in this task. While previous works focus on proprietary LLMs, we investigate how open NER LLMs, trained specifically for entity recognition, perform in clinical NER. Our initial experiment reveals significant contrast in performance for some clinical entities and how a simple exploitment on entity types can alleviate this issue. In this paper, we introduce a novel framework, entity decomposition with filtering, or EDF. Our key idea is to decompose the entity recognition task into several retrievals of entity sub-types and then filter them. Our experimental results demonstrate the efficacies of our framework and the improvements across all metrics, models, datasets, and entity types. Our analysis also reveals substantial improvement in recognizing previously missed entities using entity decomposition. We further provide a comprehensive evaluation of our framework and an in-depth error analysis to pave future works.
Anthology ID:
2025.naacl-long.150
Volume:
Proceedings of the 2025 Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics: Human Language Technologies (Volume 1: Long Papers)
Month:
April
Year:
2025
Address:
Albuquerque, New Mexico
Editors:
Luis Chiruzzo, Alan Ritter, Lu Wang
Venue:
NAACL
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
2935–2951
Language:
URL:
https://preview.aclanthology.org/Ingest-2025-COMPUTEL/2025.naacl-long.150/
DOI:
Bibkey:
Cite (ACL):
Reza Averly and Xia Ning. 2025. Entity Decomposition with Filtering: A Zero-Shot Clinical Named Entity Recognition Framework. In Proceedings of the 2025 Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics: Human Language Technologies (Volume 1: Long Papers), pages 2935–2951, Albuquerque, New Mexico. Association for Computational Linguistics.
Cite (Informal):
Entity Decomposition with Filtering: A Zero-Shot Clinical Named Entity Recognition Framework (Averly & Ning, NAACL 2025)
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https://preview.aclanthology.org/Ingest-2025-COMPUTEL/2025.naacl-long.150.pdf