Many integrated clinical information systems depend on large knowledge
bases containing dictionary of terms as well as specific information
about each term and the relationships between terms. We propose a know
ledge base model called MD Concept which is based on a semantic networ
k and uses an object-oriented paradigm and relational tables. A protot
ype has been developed which integrates the Unified Medical Language S
ystem (UMLS) with other databases including the Systematized Nomenclat
ure of Medicine (SNOMED II), the Diagnostic and Statistical Manual of
Mental Disorders (DSM-IIIR) and a pharmaceutical database. We demonstr
ate how a user can easily navigate in this knowledge world using a bro
wser.