| <?xml version="1.0" encoding="UTF-8"?> <xs:schema attributeFormDefault="unqualified" elementFormDefault="qualified" targetNamespace="http://gem.yale.edu" version="2.0" xmlns="http://gem.yale.edu" xmlns:xs="http://www.w3.org/2001/XMLSchema"> <xs:complexType> <xs:sequence> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation>Complete title of the guideline</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Bibliographic citation</xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation>Number of pages in printed document</xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Date on which the guideline was released to the public </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Information regarding sources of a guideline and associated documentation </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Information regarding sources of guideline in electronic format </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Information regarding sources of guideline in print format </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Person or organization to contact for additional information about a guideline </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Statement of whether the guideline is original or a revised or updated version of a previously issued document </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Refers to other documents (including Technical Reports, Consumer Guidelines, Quick Reference Guidelines) produced by the guideline developer relevant to the guideline </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> A patient-oriented summary of guideline content or a resource intended to assist patients with guideline application. </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A concise document that summarizes guideline recommendations for clinicians </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A document or document component that describes in detail the method of guideline development </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Indicates that the guideline has been adapted from another guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A summary statement that describes a guideline using structured headings </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Organization(s) responsible for developing the guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Formal name of committee within developer organization responsible for developing guideline </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Expertise present within the group that authored guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Name of member of guideline development committee</xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Professional expertise of individual guideline committee member </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Source of financial support for guideline development </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Organization that has endorsed the guideline</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Another guideline on the same or similar topic</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> The sponsor’s part in developing, modifying, and reporting the guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Potential situations in which financial or other considerations may compromise, or have the appearance of compromising, a developer’s professional judgment </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Primary disease/condition, treatment/intervention, health practice, service, or technology addressed in the guideline main focus </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Reasons for developing recommendations including why the guideline was developed/needed, e.g., evidence of practice variation or inappropriate practice </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> General goals that implementation of the guideline is intended to bring about </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Principal alternative preventive, diagnostic, or therapeutic strategies considered </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> The most important specific outcomes (health, economic, etc) considered in the guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Situations in which socially relevant factors permit an exception to be made in applying the guidelines; including home and family situation, constraints on health care delivery system </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation>Intended users of guideline information</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> The settings in which the guideline is intended for use </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> A description of methods used to collect, identify, and retrieve scientific evidence on each question on which recommendations are based, including details on computer searches (including dates) and use of personal files and bibliographies </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Publication date of earliest and most recent evidence considered </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Number of source documents identified</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Methods used to choose the evidence that informs guideline development, including inclusion and exclusion criteria for specific studies </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Method of synthesis used to combine the scientific evidence quantitatively or otherwise </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation>Describes any formal cost analysis performed</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Qualitative description of anticipated benefits and potential risks associated with implementation of guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Quantification of benefits or risks associated with implementation of guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Implicit or explicit process for judging relative desirability of health, economic, and process outcomes associated with alternative practices </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Role of patient preferences for possible outcomes of care when the appropriateness of a clinical intervention involves a substantial element of personal choice or values </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Important caveat relating to a major recommendation. Identifies an area of uncertainty </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Group judgment techniques used to reach judgment on recommendations; a description of how the developer made the transition from evidence to recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Criteria for rating quality of evidence and/or strength of recommendation </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation>Criteria for rating quality of evidence</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Criteria for rating strength of recommendation</xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Describes population that the recommendations are intended to affect; identifies restrictions on guideline use such as within a managed care organization or geographic region </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> A criterion whose presence is necessary for the guideline recommendations to be applicable </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A criterion whose presence excludes the applicability of the recommendations </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Statement of appropriate practice and the conditions under which it is to be undertaken. The statement is intended to influence practitioners' behavior and/or patient outcomes. A number or brief title for a specific recommendation should be stored in this element. </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> A recommendation applicable under circumstances specified by an if-then statement. The complete text of the conditional statement should be stored in this element </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> A condition that must be tested to indicate the appropriateness of a conditional recommendation. Store only a single variable in each decision variable element </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation>A specified state of a decision variable</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Text that provides and amplifies information about a decision variable </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Information about the quality of a decision variable </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> An indication of the probability of the decision variable being present under specific clinical circumstances </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An indication of the probability of the decision variable being absent under specific clinical circumstances </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An indication of the probability of an outcome occurring when a particular value of the decision variable is present </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation>The cost of testing a decision variable</xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Appropriate activity to be carried out given the specific circumstances defined by values of decision variables. Store only a single action each Action element </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> An improvement in status of some measured outcome that may occur as a result of following a recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Risk or adverse outcome associated with a specified action </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Text that provides and amplifies information about an action </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Cost of performing a specific action</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>A specified state of an action</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A categorization of activity directed by a conditional </xs:documentation> </xs:annotation> <xs:simpleType> <xs:restriction base="xs:string"> <xs:enumeration value="test"/> <xs:enumeration value="query"/> <xs:enumeration value="examine"/> <xs:enumeration value="prescribe"/> <xs:enumeration value="perform therapeutic procedure"/> <xs:enumeration value="educate/counsel"/> <xs:enumeration value="dispose"/> <xs:enumeration value="refer/consult"/> <xs:enumeration value="conclude"/> <xs:enumeration value="monitor"/> <xs:enumeration value="document"/> <xs:enumeration value="advocate"/> <xs:enumeration value="no recommendation"/> <xs:enumeration value="prepare"/> </xs:restriction> </xs:simpleType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> An explanation or justification for a recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An indication of methodologic rigor of the studies that support the specified recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An indication of the guideline developers' level of support for a given recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Indication of options in performing imperative</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Boolean operators that indicate how directives are to be combined </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Overall cost of performing this recommendation</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Indicator of a relationship between this recommendation and other knowledge component(s) </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Specific citation relevant to this imperative recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Indication of the likelihood that this recommendation will lead to specified outcomes </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> The state that a recommendation is intended to achieve, maintain, or avoid </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Recommendation directed at the entire target population without limitation. The complete text of the imperative statement should be stored in this element </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Implicit eligibility criteria for an imperative statement </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An appropriate activity for the eligible population. Store only a single activity in each Directive element </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> An improvement in status that may occur as a result of following a directive </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Risk or adverse outcome associated with implementation of a directive </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Text that provides and amplifies information about a directive </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Cost of performing a specific directive</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>The specified state of a directive</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A categorization of activity directed by an imperative </xs:documentation> </xs:annotation> <xs:simpleType> <xs:restriction base="xs:string"> <xs:enumeration value="test"/> <xs:enumeration value="query"/> <xs:enumeration value="examine"/> <xs:enumeration value="prescribe"/> <xs:enumeration value="perform therapeutic procedure"/> <xs:enumeration value="educate/counsel"/> <xs:enumeration value="dispose"/> <xs:enumeration value="refer/consult"/> <xs:enumeration value="conclude"/> <xs:enumeration value="monitor"/> <xs:enumeration value="document"/> <xs:enumeration value="advocate"/> <xs:enumeration value="no recommendation"/> <xs:enumeration value="prepare"/> </xs:restriction> </xs:simpleType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> An explanation or justification for a recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An indication of methodologic rigor of the studies that support the specified recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> An indication of the guideline developers' level of support for a given recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Indication of options in performing imperative</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Boolean operators that indicate how directives are to be combined </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Overall cost of performing this recommendation</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Indicator of a relationship between this recommendation and other knowledge component(s) </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Specific citation relevant to this imperative recommendation </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Indication of the likelihood that this recommendation will lead to specified outcomes </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> The state that a recommendation is intended to achieve, maintain, or avoid </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Concise description of terminology relevant to the guideline </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation>A word or phrase defined in the guideline</xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Precise meaning of words and phrases that may be unfamiliar to guideline readers; terms are defined as used in this guideline context </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> A flowchart representation of the stages and activities in health management described by the guideline </xs:documentation> </xs:annotation> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Specifies clinical actions that are to be performed in the patient-care process (GLIF) </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Directs flow from one guideline step to another based on the evaluation of a criterion (GLIF) </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Directs flow in alternate directions (GLIF)</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Synchronization Step represents a convergence of other steps (GLIF) </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:annotation> <xs:documentation> Proposal for further scientific investigation to correct identified deficiencies in the evidence base for this guideline topic </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Information relevant to the guideline’s topic but not related to other Knowledge Components </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Methods of eliciting peer review comments and vetting guideline draft </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation>Preliminary validation testing</xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Evaluation of the guideline draft to appraise its validity and usability (e.g., COGS), quality (e.g., AGREE) and implementability (e.g., GLIA) </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Time (or date) that recommendations cease to be valid </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Future time (or date) planned to review continued appropriateness of recommendations </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> <xs:complexType mixed="true"> <xs:choice maxOccurs="unbounded" minOccurs="0"> <xs:annotation> <xs:documentation> Specific plans for implementing the recommendations </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A factor that might be expected to impede operationalization of the guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> A factor that might be expected to promote operationalization of the guideline </xs:documentation> </xs:annotation> </xs:element> <xs:annotation> <xs:documentation> Guideline-derived tool to measure the quality of care they provide by defining specific, measurable elements </xs:documentation> </xs:annotation> </xs:element> </xs:choice> </xs:complexType> </xs:element> </xs:choice> </xs:sequence> </xs:complexType> </xs:element> <xs:simpleContent> <xs:extension base="xs:string"> </xs:extension> </xs:simpleContent> </xs:complexType> </xs:schema> |
| XML schema documentation generated with DocFlex/XML SDK 1.7.2b4 using DocFlex/XML XSDDoc 2.1.0 template set |