LIMICS at ArchEHR-QA 2025: Prompting LLMs Beats Fine-Tuned Embeddings
Adam Remaki, Armand Violle, Vikram Natraj, Étienne Guével, Akram Redjdal
Abstract
In this paper, we investigated two approaches to clinical question-answering based on patient-formulated questions, supported by their narratives and brief medical records. The first approach leverages zero- and few-shot prompt engineering techniques with GPT-based Large Language Models (LLMs), incorporating strategies such as prompt chaining and chain-of-thought reasoning to guide the models in generating answers. The second approach adopts a two-steps structure: first, a text-classification stage uses embedding-based models (e.g., BERT variants) to identify sentences within the medical record that are most relevant to the given question; then, we prompt an LLM to paraphrase them into an answer so that it is generated exclusively from these selected sentences. Our empirical results demonstrate that the first approach outperforms the classification-guided pipeline, achieving the highest score on the development set and the test set using prompt chaining. Code: github.com/armandviolle/BioNLP-2025- Anthology ID:
- 2025.bionlp-share.18
- Volume:
- BioNLP 2025 Shared Tasks
- Month:
- August
- Year:
- 2025
- Address:
- Vienna, Austria
- Editors:
- Sarvesh Soni, Dina Demner-Fushman
- Venues:
- BioNLP | WS
- SIG:
- Publisher:
- Association for Computational Linguistics
- Note:
- Pages:
- 150–159
- Language:
- URL:
- https://preview.aclanthology.org/acl25-workshop-ingestion/2025.bionlp-share.18/
- DOI:
- Cite (ACL):
- Adam Remaki, Armand Violle, Vikram Natraj, Étienne Guével, and Akram Redjdal. 2025. LIMICS at ArchEHR-QA 2025: Prompting LLMs Beats Fine-Tuned Embeddings. In BioNLP 2025 Shared Tasks, pages 150–159, Vienna, Austria. Association for Computational Linguistics.
- Cite (Informal):
- LIMICS at ArchEHR-QA 2025: Prompting LLMs Beats Fine-Tuned Embeddings (Remaki et al., BioNLP 2025)
- PDF:
- https://preview.aclanthology.org/acl25-workshop-ingestion/2025.bionlp-share.18.pdf