Clinical Concept Normalization is essential for clinical research applications involving trial protocols, such as patient-trial matching. Existing approaches focus heavily on specific domains and need large, annotated datasets. To address these challenges, we propose CENT, a context engineering framework that combines semantic matching for candidate retrieval and Large Language Model (LLM) prompting for disambiguation. We applied CENT on a publicly available dataset of procedures normalized to Current Procedural Terminology (CPT) concepts and evaluated the framework using both binary and hierarchical metrics that take into account hierarchical characteristics of predicted codes. CENT achieves superior performance on clinical procedures normalization in both binary and hierarchical metrics compared to semantic matching or LLM-only approaches, without requiring fine-tuning. Advanced prompt strategies, including Chain-of-Thought and Tree-of-Thoughts, achieve high performance at practical cost. We further applied CENT to predict codes in two clinical protocol-derived datasets to validate its performance on noisy procedure texts. CENT is scalable and adaptable for normalization across diverse clinical vocabularies in real-world clinical applications.

Introducing biomedical informatics (BMI) students to natural language processing (NLP) requires balancing technical depth with practical know-how to address application-focused needs. We developed a set of three activities introducing introductory BMI students to information retrieval with NLP, covering document representation strategies and language models from TF-IDF to BERT. These activities provide students with hands-on experience targeted towards common use cases, and introduce fundamental components of NLP workflows for a wide variety of applications.