# Beyond the Basics: Leveraging Large Language Model for Fine-Grained Medical Entity Recognition

arXiv: https://arxiv.org/abs/2604.17214 · HTML: https://mlsanity.com/paper/2604.17214/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 26 references that are in the map.
- First posted on arXiv 19 Apr 2026.

## Builds on (most cited first, 12 of 12)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [RoBERTa: A Robustly Optimized BERT Pretraining Approach](https://mlsanity.com/paper/1907.11692/) (2019)
- [BioBERT: a pre-trained biomedical language representation model for biomedical text mining](https://mlsanity.com/paper/1901.08746/) (2019)
- [Domain-Specific Language Model Pretraining for Biomedical Natural Language Processing](https://mlsanity.com/paper/2007.15779/) (2020)
- [Bidirectional LSTM-CRF Models for Sequence Tagging](https://mlsanity.com/paper/1508.01991/) (2015)
- [GPT-NER: Named Entity Recognition via Large Language Models](https://mlsanity.com/paper/2304.10428/) (2023)
- [Empirical Study of Zero-Shot NER with ChatGPT](https://mlsanity.com/paper/2310.10035/) (2023)
- [Clinical Temporal Relation Extraction with Probabilistic Soft Logic Regularization and Global Inference](https://mlsanity.com/paper/2012.08790/) (2020)
- [Information Extraction from Clinical Notes: Are We Ready to Switch to Large Language Models?](https://mlsanity.com/paper/2411.10020/) (2024)
- [FsPONER: Few-shot Prompt Optimization for Named Entity Recognition in Domain-specific Scenarios](https://mlsanity.com/paper/2407.08035/) (2024)

## Abstract (arXiv)

Extracting clinically relevant information from unstructured medical narratives such as admission notes, discharge summaries, and emergency case histories remains a challenge in clinical natural language processing (NLP). Medical Entity Recognition (MER) identifies meaningful concepts embedded in these records. Recent advancements in large language models (LLMs) have shown competitive MER performance; however, evaluations often focus on general entity types, offering limited utility for real-world clinical needs requiring finer-grained extraction. To address this gap, we rigorously evaluated the open-source LLaMA3 model for fine-grained medical entity recognition across 18 clinically detailed categories. To optimize performance, we employed three learning paradigms: zero-shot, few-shot, and fine-tuning with Low-Rank Adaptation (LoRA). To further enhance few-shot learning, we introduced two example selection methods based on token- and sentence-level embedding similarity, utilizing a pre-trained BioBERT model. Unlike prior work assessing zero-shot and few-shot performance on proprietary models (e.g., GPT-4) or fine-tuning different architectures, we ensured methodological consistency by applying all strategies to a unified LLaMA3 backbone, enabling fair comparison across learning settings. Our results showed that fine-tuned LLaMA3 surpasses zero-shot and few-shot approaches by 63.11% and 35.63%, respectivel respectively, achieving an F1 score of 81.24% in granular medical entity extraction.