Literature DB >> 7743314

Lessons learned from a pilot implementation of the UMLS information sources map.

P L Miller1, S J Frawley, L Wright, N K Roderer, S M Powsner.   

Abstract

OBJECTIVE: To explore the software design issues involved in implementing an operational information sources map (ISM) knowledge base (KB) and system of navigational tools that can help medical users access network-based information sources relevant to a biomedical question.
DESIGN: A pilot biomedical ISM KB and associated client-server software (ISM/Explorer) have been developed to help students, clinicians, researchers, and staff access network-based information sources, as part of the National Library of Medicine's (NLM) multi-institutional Unified Medical Language System (UMLS) project. The system allows the user to specify and constrain a search for a biomedical question of interest. The system then returns a list of sources matching the search. At this point the user may request 1) further information about a source, 2) that the list of sources be regrouped by different criteria to allow the user to get a better overall appreciation of the set of retrieved sources as a whole, or 3) automatic connection to a source.
RESULTS: The pilot system operates in client-server mode and currently contains coded information for 121 sources. It is in routine use from approximately 40 workstations at the Yale School of Medicine. The lessons that have been learned are that: 1) it is important to make access to different versions of a source as seamless as possible, 2) achieving seamless, cross-platform access to heterogeneous sources is difficult, 3) significant differences exist between coding the subject content of an electronic information resource versus that of an article or a book, 4) customizing the ISM to multiple institutions entails significant complexities, and 5) there are many design trade-offs between specifying searches and viewing sets of retrieved sources that must be taken into consideration.
CONCLUSION: An ISM KB and navigational tools have been constructed. In the process, much has been learned about the complexities of development and evaluation in this new environment, which are different from those for Gopher, wide area information servers (WAIS), World-Wide-Web (WWW), and MOSAIC resources.

Mesh:

Year:  1995        PMID: 7743314      PMCID: PMC116244          DOI: 10.1136/jamia.1995.95261904

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN: 1067-5027            Impact factor:   4.497


  6 in total

1.  Collaborative development of a uniform graphical interface.

Authors:  D S Ketchell; S S Fuller; M M Freedman; E M Lightfoot
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1992

2.  Interactive Query Workstation: standardizing access to computer-based medical resources.

Authors:  C Cimino; G O Barnett; L Hassan; D R Blewett; J L Piggins
Journal:  Comput Methods Programs Biomed       Date:  1991-08       Impact factor: 5.428

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Journal:  Bull Med Libr Assoc       Date:  1989-01

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Journal:  Bull Med Libr Assoc       Date:  1988-07

5.  Navigating the Internet.

Authors:  S M Powsner; N K Roderer
Journal:  Bull Med Libr Assoc       Date:  1994-10

6.  NetMenu: experience in the implementation of an institutional menu of information sources.

Authors:  M A Shifman; J I Clyman; J A Paton; S M Powsner; N K Roderer; P L Miller
Journal:  Proc Annu Symp Comput Appl Med Care       Date:  1993
  6 in total
  8 in total

1.  Evaluation of the Information Sources Map.

Authors:  E A Mendonça; J J Cimino
Journal:  Proc AMIA Symp       Date:  1999

2.  CliniWeb: managing clinical information on the World Wide Web.

Authors:  W R Hersh; K E Brown; L C Donohoe; E M Campbell; A E Horacek
Journal:  J Am Med Inform Assoc       Date:  1996 Jul-Aug       Impact factor: 4.497

Review 3.  The basis for using the Internet to support the information needs of primary care.

Authors:  E E Westberg; R A Miller
Journal:  J Am Med Inform Assoc       Date:  1999 Jan-Feb       Impact factor: 4.497

4.  Building national electronic medical record systems via the World Wide Web.

Authors:  I S Kohane; P Greenspun; J Fackler; C Cimino; P Szolovits
Journal:  J Am Med Inform Assoc       Date:  1996 May-Jun       Impact factor: 4.497

5.  Willow: a uniform search interface.

Authors:  D S Ketchell; M M Freedman; W E Jordan; E M Lightfoot; S Heyano; P A Libbey
Journal:  J Am Med Inform Assoc       Date:  1996 Jan-Feb       Impact factor: 4.497

6.  MedWeaver: integrating decision support, literature searching, and Web exploration using the UMLS Metathesaurus.

Authors:  W M Detmer; G O Barnett; W R Hersh
Journal:  Proc AMIA Annu Fall Symp       Date:  1997

7.  Aspects of IAIMS implementation that require further research.

Authors:  P L Miller
Journal:  J Am Med Inform Assoc       Date:  1997 Mar-Apr       Impact factor: 4.497

8.  Evaluating IAIMS at Yale: information access.

Authors:  S E Grajek; P Calarco; S J Frawley; J McKay; P L Miller; J A Paton; N K Roderer; J E Sullivan
Journal:  J Am Med Inform Assoc       Date:  1997 Mar-Apr       Impact factor: 4.497

  8 in total

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