GEM: The Guideline Elements Model
Yale School of Medicine Center for Medical Informatics

The XML document

<?xml version="1.0"?>
<guideline.document>
<guideline.header>
<identity source="nd">
<guideline.title source="nd"/>
<citation source="nd">
<guideline.length source="nd"/>
</citation>
<release.date source="nd"/>
<availability source="nd">
<electronic source="nd"/>
<print source="nd"/>
<contact source="nd"/>
</availability>
<status source="nd"/>
<companion.document source="nd">
<patient.resource source="nd"/>
</companion.document>
<adaptation source="nd"/>
</identity>
<developer source="nd">
<developer.name source="nd">
<developer.type/>
</developer.name>
<committee.name source="nd">
<committee.expertise source="nd"/>
<committee.member source="nd">
<member.expertise source="nd"/>
</committee.member>
</committee.name>
<funding source="nd"/>
<endorser source="nd"/>
<comparable.guideline source="nd"/>
</developer>
</guideline.header>
<guideline.body>
<purpose source="nd">
<main.focus source="nd"/>
<category/>
<rationale source="nd"/>
<objective source="nd"/>
<available.option source="nd"/>
<implementation.strategy source="nd"/>
<health.outcome source="nd"/>
<exception source="nd"/>
</purpose>
<intended.audience source="nd">
<users source="nd">
<clinical.specialty/>
<professional.group/>
</users>
<care.setting source="nd"/>
</intended.audience>
<development.method source="nd">
<description.evidence.collection source="nd">
<method.evidence.collection/>
<number.source.documents source="nd"/>
</description.evidence.collection>
<evidence.time.period source="nd"/>
<method.evidence.grading>
<rating.scheme source="nd"/>
</method.evidence.grading>
<description.evidence.combination source="nd">
<method.evidence.combination/>
</description.evidence.combination>
<cost.analysis source="nd"/>
<specification.harm.benefit source="nd"/>
<quantification.harm.benefit source="nd"/>
<role.value.judgment source="nd"/>
<role.patient.preference source="nd"/>
<qualifying.statement source="nd"/>
</development.method>
<target.population source="nd">
<eligibility source="nd">
<inclusion.criterion source="nd"/>
<exclusion.criterion source="nd"/>
</eligibility>
<age/>
<sex/>
</target.population>
<knowledge.components source="nd">
<recommendation source="nd">
<conditional source="nd">
<decision.variable source="nd">
<value source="nd"/>
<decision.variable.description source="nd"/>
<test.parameter source="nd">
<sensitivity source="nd"/>
<specificity source="nd"/>
<predictive.value source="nd"/>
</test.parameter>
<decision.variable.cost source="nd"/>
</decision.variable>
<action source="nd">
<action.benefit source="nd"/>
<action.risk.harm source="nd"/>
<action.description source="nd"/>
<action.cost source="nd"/>
</action>
<reason source="nd"/>
<evidence.quality source="nd"/>
<recommendation.strength source="nd"/>
<flexibility source="nd"/>
<logic source="nd"/>
<cost source="nd"/>
<linkage source="nd"/>
<reference source="nd"/>
<certainty source="nd"/>
</conditional>
<imperative source="nd">
<directive source="nd">
<directive.benefit source="nd"/>
<directive.risk.harm source="nd"/>
<directive.description source="nd"/>
<directive.cost source="nd"/>
</directive>
<reason source="nd"/>
<evidence.quality source="nd"/>
<recommendation.strength source="nd"/>
<flexibility source="nd"/>
<logic source="nd"/>
<cost source="nd"/>
<linkage source="nd"/>
<reference source="nd"/>
<certainty source="nd"/>
</imperative>
</recommendation>
<definition source="nd">
<term source="nd">
<term.meaning source="nd"/>
</term>
</definition>
<algorithm source="nd">
<action.step source="nd"/>
<conditional.step source="nd"/>
<branch.step source="nd"/>
<synchronization.step source="nd"/>
</algorithm>
</knowledge.components>
<testing source="nd">
<external.review source="nd">
<review.method/>
</external.review>
<pilot.testing source="nd"/>
</testing>
<revision.plan source="nd">
<expiration source="nd"/>
<scheduled.review source="nd"/>
</revision.plan>
</guideline.body>
</guideline.document>