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ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical Association Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II eEurope 2002: Quality Criteria for Health related Websites .]!$;@     5 sTransparency and Honesty Authority Privacy and data protection Updating of information Accountability Accessibilityt (t t Existing labeling processes  III Another example: Web Medica Acreditada (WMA) criteriaX"$687 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f Existing Labeling Processes - IV!!$ ^(A.) Web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator; the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.R 2^ 2R^ Existing Labeling Processes - V &A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHExisting Labeling Processes  VI limitations and needs: WMA case (B!" "A High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B   Existing Labeling Processes - VI!!" TMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or agents Technology for automated web content analysisG0P280P2n0P2X0P240P20P2.0P2G8nX4    .  e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCERTAIN consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$& 0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$2 medical quality labeling agencies: Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2|0P20P2j0P20P2&|?*p&:       *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     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hb$5raeבḆg>;u(r"$^n֭\8V c AA1? f@3f8 & ʚ;q8ʚ;g4AdAd 0ppp@ <4!d!d w 0Ty<4dddd w 0Tyg4GdGdL 06p pP<4BdBd w 0Tyx___PPT10X ZZ.@(Vangelis Karkaletsis.X___PPT9:z&? ,O =Zi=Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical A  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxy{|}~zRoot EntrydO)QXs PicturesGO Current User-\SummaryInformation(O0UPowerPoint Document(DocumentSummaryInformation8@ lish/about_us/heidelberg.htmbristol.htmlhttp://www.medcertain.org/english/about_us/bristol.htmhelsinki.htmnhttp://www.medcertain.org/english/about_us/helsinki.htm4http://www.medcertain.org/4http://www.medcertain.org/2http://www.medcircle.org/2http://www.medcircle.org/<http://www.quatro-project.org/<http://www.quatro-project.org/t,http://www.wrapin.org/,http://www.wrapin.org/4vangelis@iit.demokritos.grBmailto:vangelis@iit.demokritos.grr$mmayer.wma@comb.es2mailto:mmayer.wma@comb.esD/ 0|DTimes New RomanTTzܖ 0ܖDArial BlackmanTTzܖ 0ܖ" DArialBlackmanTTzܖ 0ܖ0DVerdanaackmanTTzܖ 0ܖ"@DWingdingskmanTTzܖ 0ܖ@ .  @n?" dd@  @@``  |  DR5 )SA  j  PUCG I  " #    X $vR !$  v >[w~+Ko$b$pS㏊j^?t"$z^+oGniR$Ce_o hb$5raeבḆg>;u(r"$^n֭\8V c AA1? f@3f8 & ʚ;q8ʚ;g4AdAd 0ppp@ <4!d!d w 0Ty<4dddd w 0Tyg4GdGdL 06p pP<4BdBd w 0Tyx___PPT10X ZZ.@(Vangelis Karkaletsis.X___PPT9:z&? ,O =`i=Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical Association Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II Another example: Web Medica Acreditada (WMA) criteriaW!$686 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f!Existing Labeling Processes - III""$!p(A.) A health web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator; the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.[ 2^ 2[^&   Existing Labeling Processes - IV!!& A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHExisting Labeling Processes  V limitations and needs: WMA case (A " "@ High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B   Existing Labeling Processes - VI!!" TMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or agents Technology for automated web content analysisG0P280P2n0P2X0P240P20P2.0P2G8nX4    .  e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCERTAIN consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$& 0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$2 medical quality labeling agencies: Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2|0P20P2j0P20P2&|?*p&:       *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     P@\\.\DISPLAY1B  0 L0 .. GJ4 U.(  4~ 4 s *83 0   $8  F4ET T 4#  N 4 S TN T 4 T  4 66 8  Procedure N   ''  J Z  4 s *TT T.   4#  N  4 S T. N T.   4 T. "  4 6F p   Initiatives N   ''  J Z 4 s *T. uT Tt 4#  N 4 S TtN Tt 4 Tt 4 6 S 8t Code of Conduct0'*  Z 4 s *TtT T. t 4#  N 4 S T. tN T. t 4 T. t 4 6Z p t JInternet Health Coalition American Medical Association (AMA) e-Europe 20261 ''"'' 'l "     0<Z 4 s *T. tT tT 4#  N 4 S tTN tT 4 tT" 4 6d t8 Quality Label (logo)D ''8  Z 4 s *tTT Tt.  4#  N 4 S Tt. N Tt.   4 Tt. T !4 6n pt  4Japan Internet Medical Association Mark (JIMA Mark) D53''4  04Z "4 s *Tt. sT Tb #4#  N $4 S TbN Tb %4 Tb &4 6s 8b  User Guidance0 '*  Z '4 s *TbT T. b (4#   N )4 S T. b0N T. b *4 T. bp +4 6h| p b DISCERN NetScoringf  '' '6    0Z ,4 s *T. beT bT0 -4#   N .4 S bT0N bT0 /4 bT0 04 6 b80 }Filtering Tools0' Z 14 s *bT0/T Tb. 0 24#   N 34 S Tb. 0uN Tb. 0 44 Tb. 0 54 6 pb 0 G?AQUMED, OMNI CISMeF Internet Content Rating Association (ICRA)f 3  ''2'N   ,  0 Z 64 s *Tb. 0T 0T  74#  N 84 S 0T N 0T  94 0T  :4 6 08  ,Third parties certification (Logo/Trustmark)0-,'*  Z ;4 s *0T T T0  <4#  v N =4 S T0 N T0  >4 T0 T  ?4# p0   @4 0  q 2 '  A4 6蠻  e 2   Z B4 s *T0 l D4 0$ n  HQUATRO Health on the Net Code MedCIRCLE Web Mdica Acreditada (WMA) URAC  ! '' ''''         0 0(H E4 B| ?"-x ,$D 0 Codes of Conduct: are defined as sets of quality criteria that provide a list of recommendations for the development and content of websitesP0nKZ|   G4 B ?" 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Py * ,$D 0 Filtering Tools: applied manually or automatically, accept or reject web resources - resources are selected for their quality and relevance to a particular audience0    J4 Bλ ?#" `e j ,$D 0 *Third Parties certification: quality and accreditation labels are awarded by a third party to inform consumers that a site provides information meeting current standards for content and form< nK  H 4 0޽h ? ̙33{___PPT10[+#nD''  = @B D' = @BA?%,( < +O%,( < +De' =%(D ' =%(D' =A@BBBB0B%(E' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<*E4D' =1:Bvisible*o3>+B#style.visibility<*E4%(De' =%(D ' =%(D' =A@BBBB0B%(E' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<*G4D' =1:Bvisible*o3>+B#style.visibility<*G4%(De' =%(D ' =%(D' =A@BBBB0B%(E' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<*H4D' =1:Bvisible*o3>+B#style.visibility<*H4%(De' =%(D ' =%(D' =A@BBBB0B%(E' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<*I4D' =1:Bvisible*o3>+B#style.visibility<*I4%(De' =%(D ' =%(D' =A@BBBB0B%(E' =1B B`BPB1:Bhidden*3>+B#style.visibility= `B<*J4D' =1:Bvisible*o3>+B#style.visibility<*J4%(++0+E40 ++0+G40 ++0+H40 ++0+I40 ++0+J40 +  0 L0 0(  x  c $     x  c $x :@   H  0޽h ? f5Nff^o___PPT10i.Bu@@@+D='  = @B +  0 L0 0 F(  x  c $      c $    "P@08XH  0޽h ? f5Nff^o___PPT10i.Bu@@@+D='  = @B +  0 L0 P F(  x  c $< 7      c $H%    "P@08XH  0޽h ? f5Nff^o___PPT10i.Bu@@@+D='  = @B +  0 L0  @ <(  <~ < s *HY   < s  0e0e e   H < 0޽h ? 3f3fy___PPT10Y+D='  = @B +r0:7k*71(8  N heidelberg.htmrhttp://www.medcertain  !"#$%&'()*+,.      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}՜.+,D՜.+,8     On-screen Show HomeOffice !Times New Roman Arial BlackArialVerdana WingdingsCompany Handbook>Quality Labelling of Medical Web Content: the MedIEQ proposal ContentsProblem Description - IProblem Description - IISlide 5Slide 6Problem Description - IIIProblem Description - IV Existing labeling processes - IWExisting labeling processes II Another example: Web Medica Acreditada (WMA) criteria"Existing Labeling Processes - III!Existing Labeling Processes - IV6Existing Labeling Processes V limitations and needs7Existing Labeling Processes VI limitations and needsPrevious projects: MedCERTAINPrevious projects: MedCIRCLEPrevious projects: WRAPINPrevious projects: QUATROThe MedIEQ Proposal - IThe MedIEQ Proposal - IIThe MedIEQ Proposal - IIIThe MedIEQ Proposal IV/The MedIEQ Proposal V The project consortium-The MedIEQ Proposal - VI Project ObjectivesRThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives Concluding >Quality Labelling of Medical Web Content: the MedIEQ proposal  Fonts UsedDesign Template Slide Titles0em _PID_HLINKSVersionLCIDA6:http://www.medcertain.org/english/about_us/heidelberg.htm7http://www.medcertain.org/english/about_us/bristol.htm8http://www.medcertain.org/english/about_us/helsinki.htmhttp://www.medcertain.org/http://www.medcircle.org/http://www.quatro-project.org/http://www.wrapin.org/"mailto:vangelis@iit.demokritos.grmailto:mmayer.wma@comb.es ,_0Vangelis KarkaletsisVangelis Karkaletsisssociation Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II Another example: Web Medica Acreditada (WMA) criteriaW!$686 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f!Existing Labeling Processes - III""$!l(A.) A health web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.[ 2\ 2[\  Existing Labeling Processes - IV!!& A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHExisting Labeling Processes  V limitations and needs: WMA case (A " "@ High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B   Existing Labeling Processes - VI!!" dMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or search engines Technology for automated web content analysisG0Z280Z2n0Z2X0Z240Z20Z2.0Z2G8nX  4.e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCERTAIN consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$& 0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$2 medical quality labeling agencies: Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2|0P20P2j0P20P2&|?*p&:       *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     P@\\.\DISPLAY1  0 L0 0 F(  x  c $      c $    "P@08XH  0޽h ? f5Nff^o___PPT10i.Bu@@@+D='  = @B +  0 L0  F(  x  c $,/ I     c $1 z   "P@08XH  0޽h ? f5Nff^o___PPT10i.Bu@@@+D='  = @B +rJ&z1(8  N heidelberg.htmrhttp://www.medcertain.org/english/about_us/heidelberg.htmbristol.htmlhttp://www.medcertain.org/english/about_us/bristol.htmhelsinki.htmnhttp://www.medcertain.org/english/about_us/helsinki.htm4http://www.medcertain.org/4http://www.medcertain.org/2http://www.medcircle.org/2http://www.medcircle.org/<http://www.quatro-project.org/<http://www.quatro-project.org/t,http://www.wrapin.org/,http://www.wrapin.org/4vangelis@iit.demokritos.grBmailto:vangelis@iit.demokritos.grr$mmayer.wma@comb.es2mailto:mmayer.wma@comb.esD/ 0|DTimes New RomanTTzܖ 0ܖDArial BlackmanTTzܖ 0ܖ" DArialBlackmanTTzܖ 0ܖ0DVerdanaackmanTTzܖ 0ܖ"@DWingdingskmanTTzܖ 0ܖ@ .  @n?" dd@  @@``  |  DR5 )SA  j  PUCG I  " #    X $vR !$  v >[w~+Ko$b$pS㏊j^?t"$z^+oGniR$Ce_o hb$5raeבḆg>;u(r"$^n֭\8V c AA1? f@3f8 & ʚ;q8ʚ;g4AdAd 0ppp@ <4!d!d w 0Ty<4dddd w 0Tyg4GdGdL 06p pP<4BdBd w 0Tyx___PPT10X ZZ.@(Vangelis Karkaletsis.X___PPT9:z&? ,O =Zi=Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical Association Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II Another example: Web Medica Acreditada (WMA) criteriaW!$686 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f!Existing Labeling Processes - III""$!l(A.) A health web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.[ 2\ 2[\  Existing Labeling Processes - IV!!& A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHExisting Labeling Processes  V limitations and needs: WMA case (A " "@ High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B   Existing Labeling Processes - VI!!" dMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or search engines Technology for automated web content analysisG0Z280Z2n0Z2X0Z240Z20Z2.0Z2G8nX  4.e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCERTAIN consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$& 0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$2 medical quality labeling agencies: Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2|0P20P2j0P20P2&|?*p&:       *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..     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ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical Association Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II Another example: Web Medica Acreditada (WMA) criteriaW!$686 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f!Existing Labeling Processes - III""$!l(A.) A health web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.[ 2\ 2[\  Existing Labeling Processes - IV!!& A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHjExisting Labeling Processes  V limitations and needs(6 ""5 High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B  lExisting Labeling Processes  VI limitations and needs7!"6dMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or search engines Technology for automated web content analysisG0Z280Z2n0Z2X0Z240Z20Z2.0Z2G8nX  4.e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCERTAIN consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$&0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$2 medical quality labeling agencies: Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2|0P20P2j0P20P2&|?*p&:       *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..    P@\\.\DISPLAY1 0 L0   ((  (N ( 3 &image001=N ( 3 &image001=N ( 3 &image001=N ( 3 &image001=R ( C *Avaccines2  (  f 8c?? ,$D 0H ( 0޽h ? 3f3f~___PPT10^+P!wDB' = @B D' = @BA?%,( < +O%,( < +D4' =%(D' =%(D' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<* (%(+  0 L0  @ <(  <~ < s *@yY   < s z0e0e e   H < 0޽h ? 3f3fy___PPT10Y+D=' = @B +  0 L0  F(  x  c $I     c $ z  "P@08XH  0޽h ? f5Nff^o___PPT10i.Bu@@@+D=' = @B +r 721(8  N heidelberg.htmrhttp://www.medcertain.org/english/about_us/heidelberg.htmbristol.htmlhttp://www.medcertain.org/english/about_us/bristol.htmhelsinki.htmnhttp://www.medcertain.org/english/about_us/helsinki.htm4http://www.medcertain.org/4http://www.medcertain.org/2http://www.medcircle.org/2http://www.medcircle.org/<http://www.quatro-project.org/<http://www.quatro-project.org/t,http://www.wrapin.org/,http://www.wrapin.org/4vangelis@iit.demokritos.grBmailto:vangelis@iit.demokritos.grr$mmayer.wma@comb.es2mailto:mmayer.wma@comb.esD/ 0|DTimes New RomanTTWܖ 0ܖDArial BlackmanTTWܖ 0ܖ" DArialBlackmanTTWܖ 0ܖ0DVerdanaackmanTTWܖ 0ܖ"@DWingdingskmanTTWܖ 0ܖ@ .  @n?" dd@  @@``  |  DR5 )SA  j  PUCG I  " #    X $vR !$  v >[w~+ KoR$i`aFi=d$"$z^+oGniR$Ce_o hb$5raeבḆg>;u(r"$^n֭\8V c AA1? f@3f8 & ʚ;q8ʚ;g4KdKd`m 0ppp@ <4!d!d k 0TW<4dddd k 0TWg4GdGdo 06p pP<4BdBd k 0TWx___PPT10X ZZ.@(Vangelis Karkaletsis.X___PPT9:z&? ,O =i=Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..    ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical Association Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II Another example: Web Medica Acreditada (WMA) criteriaW!$686 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f!Existing Labeling Processes - III""$!l(A.) A health web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.[ 2\ 2[\  Existing Labeling Processes - IV!!& A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHjExisting Labeling Processes  V limitations and needs(6 ""5 High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B  lExisting Labeling Processes  VI limitations and needs7!"6dMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or search engines Technology for automated web content analysisG0Z280Z2n0Z2X0Z240Z20Z2.0Z2G8nX  4.e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCIRCLE consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$&0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$~2 medical quality labeling agencies: Medical Association of Barcelona COMB  Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2m0P20P2j0P20P2&m?*&&         *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..    P@\\.\DISPLAY1  0 L0  F(  x  c $(@      c $X  "P@08XH   0޽h ? f5Nff^o___PPT10i.Bu@@@+D=' = @B +  0 L0  F(  x  c $=      c $4D  "P@08XH  0޽h ? f5Nff^o___PPT10i.Bu@@@+D=' = @B +rB*:(-1ց(8  N heidelberg.htmrhttp://www.medcertain.org/english/about_us/heidelberg.htmbristol.htmlhttp://www.medcertain.org/english/about_us/bristol.htmhelsinki.htmnhttp://www.medcertain.org/english/about_us/helsinki.htm4http://www.medcertain.org/4http://www.medcertain.org/2http://www.medcircle.org/2http://www.medcircle.org/<http://www.quatro-project.org/<http://www.quatro-project.org/t,http://www.wrapin.org/,http://www.wrapin.org/4vangelis@iit.demokritos.grBmailto:vangelis@iit.demokritos.grr$mmayer.wma@comb.es2mailto:mmayer.wma@comb.esD/ 0|DTimes New RomanTTWܖ 0ܖDArial BlackmanTTWܖ 0ܖ" DArialBlackmanTTWܖ 0ܖ0DVerdanaackmanTTWܖ 0ܖ"@DWingdingskmanTTWܖ 0ܖ@ .  @n?" dd@  @@``  |  DR5 )SA  j  PUCG I  " #    X $vR !$  v >[w~+ KoR$i`aFi=d$"$z^+oGniR$Ce_o hb$5raeבḆg>;u(r"$^n֭\8V c AA1? f@3f8 & ʚ;q8ʚ;g4KdKd`m 0ppp@ <4!d!d k 0TW<4dddd k 0TWg4GdGdo 06p pP<4BdBd k 0TWx___PPT10X ZZ.@(Vangelis Karkaletsis.X___PPT9:z&? ,O =i=Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..    ContentsiProblem Description Existing labeling processes Previous projects MedIEQ proposal for a labeling platformj djB"}bProblem Description - IThe number of health web sites and online services is increasing day by day 70-80% of Internet users seeks health information for them or for their relatives More than 4 out of 10 health information seekers say the material they find affect their health decisions L d 2 jProblem Description - II( zQuality of health related web content is extremely variable: from evidence-based healthcare to widespread practice of fraud and potentially-dangerous claims Increase in consumer knowledge changes how patient, professionals and providers interact Patients are becoming more proactive in their care management What are the effects in terms of Public Health? An example: Vaccines> #` #Y #>1>b`bYb>b1b b  & d     M   Problem Description - IIIrOrganisations around the world are working on establishing quality standards for health sites European Commission eEurope 2002: Quality criteria for health related web sites American Medical Association Guidelines for medical health information sites on the Internet Internet Healthcare Coalition eHealth Code of Ethics & & & & . Are they enough? Self-adherence to codes of conduct or ethics, nothing more than a claim with little enforceability^0Z20Z2<0Z20Z2@0Z20Z20Z20Z20Z2c0Z2^.@    cHr     tProblem Description - IVNecessary the establishment of labeling mechanisms by third party accreditation by creating portals where medical web sites are organized and characterized against certain labeling criteria How such mechanisms can be effective?<3 2 2& 23&Existing labeling processes - I $ Existing labeling processes  II Another example: Web Medica Acreditada (WMA) criteriaW!$686 eIdentification Content Confidentiality Advertising and Sponsoring Virtual Consultation Non compliancef " (f!Existing Labeling Processes - III""$!l(A.) A health web site issues a request, for a label, to a third party (labeling operator) Site checked and if OK, a label is generated by the operator the label is either stored locally at the web site s server, or stored in the operator s database (a link to the label is added in the web site) site s content is examined periodically and if an unacceptable change occurs, the label is either removed or replaced with a relevant message.[ 2\ 2[\  Existing Labeling Processes - IV!!& A(B.) Location of unlabeled health web sites in specific thematic areas Characterization of the located sites, with respect to certain criteria Filtering of some of the web sites based on their characterization Organizing the rest of the web sites into web directories to facilitate access by health information consumers @G 2H 2 2GHjExisting Labeling Processes  V limitations and needs(6 ""5 High costs to offer the service Huge amount of information to assess (too many sites) Information changes quickly Broken links to accredited websites Not standardised rating criteria Dishonest use of the label6 (VBb`B  lExisting Labeling Processes  VI limitations and needs7!"6dMost of the work in labeling processes is currently performed manually A site may have hundreds of pages (static/dynamic ones) Probably all or most of them have to be checked Label for the whole site or different labels for site s pages Need for technologies that enable the automation of the labeling process; this involves Technology for creating machine processable labels establishing common vocabularies, and exploiting semantic web technologies to enable the label s parsing by web browsers or search engines Technology for automated web content analysisG0Z280Z2n0Z2X0Z240Z20Z2.0Z2G8nX  4.e Previous projects: MedCERTAIN$ pMedCERTAIN  MedPICS Certification and Rating of Trustworthy and Assessed Health Information on the Net EC-funded  Safer Internet Action Plan , ended 2002 http://www.medcertain.org/ MedCERTAIN developed the standardized metadata vocabulary HIDDEL (Health Information Disclosure, Description and Evaluation Language) to evaluate and annotate health related web sites MedCERTAIN consortium involved the University of Heidelberg, Dept. of Clinical Social Medicine the University of Bristol, Institute for Learning and Research Technology (ILRT) Finnish National Research and Development Centre for Welfare and Health (STAKES) / The Finnish Office for Health Care Technology Assessment (FinOHTA) di0Z2O0Z20Z2*0Z2iO*    4             0 0 0 0"rPrevious projects: MedCIRCLE$ MedCIRCLE  Collaboration for Internet Rating, Certification, Labeling and Evaluation of Health Information EC-funded  Safer Internet Action Plan , ended 2003 http://www.medcircle.org/ MedCIRCLE further developed and refined MedCERTAIN s HIDDEL vocabulary, and developed technologies and networks to guide consumers to trustworthy health information on the Internet MedCIRCLE consortium involved University of Heidelberg, Dept. of Clinical Social Medicine Catalog and Index of French-language health resources (CISMeF), Medical Association of Barcelona COMB  Department of Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed)\n 2N 2 2 2nN     4   - :        0Previous projects: WRAPIN$lWRAPIN  Worldwide online Reliable Advice to Patients and Individuals EC-funded, FP5-IST, 09/2001-10/2003 http://www.wrapin.org/ WRAPIN aimed at helping in the formulation of more efficient medical queries and facilitating access to multiple knowledge sources. WRAPIN consortium involved  Division d informatique Medical , Geneva, Switzerland. Health On the Net, Geneva, Switzerland.  Laboratoire d'Enseignement et de Recherche sur le Traitement de l'Information Mdical , Marseille, France. "Mission pour l informatisation du systme de sant , Paris, France. NICE Computing, Lausanne, Switzerland. Thals Information System, Geneva, Switzerland (& Paris, France). XRParner, Paris, France.dG0Z2<0Z20Z20Z2G<^< %s &I    %B< 0kPrevious projects: QUATRO$ QUATRO  Quality Assurance and Content Description EC-funded  Safer Internet programme , ends November 2006 http://www.quatro-project.org/ QUATRO developed a common vocabulary and machine processable schema for quality labeling, tools to support the exploitation of QUATRO labels by search engines or web browsers QUATRO consortium involves: Pira International, UK Internet Content Rating Association, UK Web Medica Acreditada, Spain Agencia de Calidad de Internet (IQUA), Spain National Centre for Scientific Research  Demokritos , Greece Universit degli Studi di Milano, Italy Coolwave Ltd, UK CEIE ERCIM, France ECP-NL, the Netherlandsd40P2Y0P20P2-0P24Y-N 3 s  ?        K '  4  0mThe MedIEQ Proposal - I$& DMedCERTAIN and MedCIRCLE developed a common vocabulary (HIDDEL) WRAPIN developed technology for supporting the end-user in the retrieval of medical content from trusted sources QUATRO develops technology for creating machine processable labels QUATRO addresses the needs of both the labeling operator and the end-user (site s visitor) QUATRO work represents the first step towards a platform that will support the work of the labeling operator Technology for automated web content analysis is required to support the work of labeling operatorsJ0Z20Z2d0Z2d6   6The MedIEQ Proposal - II$&Web content analysis must involve in labeled web sites: monitoring the label s validity with respect to the site s content and informing the labeling operator exploiting technology for spidering web sites, to locate interesting pages, and extracting information from them in unlabeled web sites: locating these sites first, characterizing and storing them into a web directory exploiting technology for web crawling, site spidering, and information extraction v" 2 2 2 2 2"  ,  The MedIEQ Proposal - III$&0The MedIEQ Proposal  IV &zMedIEQ  Quality Labeling of Medical Web content using Multilingual Information Extraction EC-funded project DG SANCO  Health & Consumer protection , Directorate C  Public Health and Risk Assessment  Public Health Programme , Priority Area: 1. Health Information, Action: 1.5 eHealth Duration: 01/01/2006-01/01/2009^[0Z20Z20Z2 0Z2[    B  ! 5!\The MedIEQ Proposal  V The project consortium/ &$~2 medical quality labeling agencies: Medical Association of Barcelona COMB  Web Medica Acreditada (WMA), Agency for Quality in Medicine (AQuMed) 4 research groups: NCSR  Demokritos - Software & Knowledge Engineering Laboratory (Coord.), Universidad Nacional de Education a Distancia- Natural Language processing and Information Retrieval group (UNED), University of Economics in Prague - Department of Information and Knowledge Engineering (UEP), Helsinki University of Technology - Neural Networks Research Centre (HUT) 1 spin-off company with expertise on content analysis: I-sieve Technologies Ltd. 1 collaborating partner: Geneva University Hospitals  Service of Medical Informatics, HUG &0P2m0P20P2j0P20P2&m?*p&+       *+       =  = A ,The MedIEQ Proposal - VI Project Objectives(- $&"Odevelop a scheme for the quality labelling of medical web content and provide the tools supporting the creation, maintenance and access of labelling data according to this scheme; specify a methodology for the content analysis of medical web sites according to the MedIEQ scheme and develop the tools that will implement it; integrate these technologies into a prototype labelling system; demonstrate the resulting prototype in 7 different languages (Spanish, Catalan, German, English, Greek, Czech, and Finnish) and two labelling applications (third party accreditation, classification) P0Z2Pr   5  J QThe MedIEQ Proposal - VII Indicators for measuring the achievement of objectives(R $7&GReduction of the manual labelling time Labeling unlabeled sites, monitoring labeled sites, .. Effective extraction from large collections of medical web content Processing time, precision of extracted data, & Effort required to customize the system into new languages 7 languages to be supported Implementation of an open architecture Effort required to integrate new techniques and tools, & ( 27 2D 20 2< 2 2( 29 2(7D0<(  9& 8B 1: & :Concluding &  ( .MedIEQ technology is expected to have a significant impact on medical quality labeling assisting the work of labelling experts, increasing the number of labelled medical sites across Europe and their effective monitoring, and thus improving the quality health knowledge disseminated through the Web.*X 2 2X< H   =Quality Labelling of Medical Web Content: the MedIEQ proposal&>=$$..    P@\\.\DISPLAY1r--گ1