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WRAPIN (Worldwide online Reliable Advice to Patients and Individuals)

Gaudinat A., Boyer C.
The Health On the Net Foundation, Switzerland, www.hon.ch

Keywords: Biomedical informatics, eHealth networks and architectures, health professionals knowledge, public health, health promotion, information to citizens, security and privacy.

Objectives:
WRAPIN stands for Worldwide online Reliable Advice to Patients and Individuals. WRAPIN, a two year European project (IST-2001-33260) helps solve two major problems faced by Internet citizens: Finding information among a large number of potentially useful documents; Evaluating the relevance of an online medical document. Despite the improved access to information made possible by the Internet, it remains extremely difficult to judge the trustworthiness or relevance of online content. All categories of users, professional and non-professional, face this problem, which can be of critical importance in the case of health or medical information. Search engines, some general, some specialized, are used by all categories of users to find information but the ever-increasing number of online documents means that queries must be ever more precise.
WRAPIN involves six partners, leaders in their respective fields; HON, THALES Information Systems, the Medical Informatics Division of the University Hospitals of Geneva, Nice Computing, LERTIM of the Faculty of Medicine of the Hôpital de la Timone and the Ministry of Health and social actions (MISS).

WRAPIN is an ambitious project aiming to support the online citizen with a practical, convenient solution to the problem of large numbers of documents of uncertain quality. WRAPIN will offer a modular platform to interconnect the most trustworthy and complete information sources. To date, the following databases have been integrated in WRAPIN:

" MEDLINE, containing scientific medical articles from the 1960's through the present and constantly updated;
" Clinical Trials (clinicaltrials.org);
" OESO (new electronic database prepared by WRAPIN for the World Organization for Special Studies on Diseases of Oesophagus;
" Urofrance (French urology database);
" MedHunt (medical search engine) and
" the HON Code of Conduct (http://www.hon.ch/Conduct.html) accredited Web sites.
" the HONnews daily news from HON and HealthDay
" Drug Information from the Drug and Food Administration (FDA)

The resulting search tool will provide citizens with a wide range of trustworthy medical and health content.

Results:
The WRAPIN project makes use of new developments in the mapping of medical terms, indexing and search technologies, and natural language processing tools. WRAPIN has also incorporated and stimulated progress on ongoing projects, such as MARVIN (Multi-Agent Retrieval Vagabond on Information Network, HON's medical web spider), HONselect (the 'categorizer' which currently provides a directory of health/medical resources), ARIANE (the 'query conceptualizer' from LERTIM), and a 12-language spelling corrector. WRAPIN will use these technologies to help in query formulation, leading to accurate search results.

WRAPIN will also provide an entirely new facility enabling the comparison of health/medical documents in any format (HTML, PDF, etc.) or length with this interconnected knowledge base, to discover if the information exists in the published literature and provide a summary conclusion of the ideas contained. It will help to determine the reliability of documents by checking the ideas contained against established benchmarks, and enable users to determine the relevance of a given document from a page of search results. This exciting new tool is an important step toward the certification of quality online information.

Acknowledgements
The WRAPIN (Worldwide online Reliable Advice to Patients and Individuals) project, IST-2001-33260, is supported by the European Commission and the "Office Fédéral de l'Education et la Science" (OFES, Switzerland).
The authors wish to thank all the WRAPIN members, with their precious contribution in this ambitious project; HUG - SIM Service of Medical Informatics - University Hospitals of Geneva [11], LERTIM Laboratoire d'Enseignement et de Recherche sur le Traitement de l'information Médical [12], MISS Mission pour l'informatisation du système de santé [13], NICE Computing [14], THALES Information Systems [15] and XRPartner [16].

References:
[1] Clinical Trials : www.clinicaltrials.gov
[2] Drug FDA: www.fda.gov/cder/drug/default.htm
[3] Ruch P, Gaudinat A. Combining regular variation and nearest neighbors for efficient mapping to indexing terms. Romand 2002, Frascati.The 2nd Workshop on Robust Methods in Analysis of Naturallanguage Data, 72-79, July 2002.
[4] Gaudinat A, Boyer C. Automatic Extraction of MeSH terms from MEDLINEs Abstracts. Workshop on Natural Language Processing in Biomedical Applications, NLPBA2002: 53-57.
[5] Gaudinat A, Joubert M, PhD, Aymard S, Falco L, Boyer C, Fieschi M. Indexation et recherche d'information biomédicale : une nouvelle approche intégrant les sources de connaissance UMLS à l'extraction de termes MeSH. Xemes JOURNEES FRANCOPHONES D'INFORMATIQUE MEDICALE 2003.
[6] HealthDay: www.healthday.com
[7] MedLine: www.ncbi.nlm.nih.gov/PubMed
[8] Oeso, World Organisation for Specialized Studies on Diseases of the Esophagus : www.oeso.org
[9] UroFrance, le site de l'Urologie française : www.urofrance.org
[10] WRAPIN: www.wrapin.org
[11] Service d'Informatique médicale: http://www.sim.hcuge.ch/
[12] LERTIM: http://cybertim.timone.univ-mrs.fr/cybertim
[13] MISS: http://www.emploi-solidarite.gouv.fr
[14] Nice Computing: http://www.nicecomputing.ch
[15] THALES IS: http://www.thalesgroup.com
[16] XRPartner: http://www.mediqual.net/