| GEM: a proposal for a more comprehensive guideline document model using XML. | |
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MedLine Citation:
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PMID: 10984468 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To develop a guideline document model that includes a sufficiently broad set of concepts to be useful throughout the guideline life cycle. DESIGN: Current guideline document models are limited in that they reflect the specific orientation of the stakeholder who created them; thus, developers and disseminators often provide few constructs for conceptualizing recommendations, while implementers de-emphasize concepts related to establishing guideline validity. The authors developed the Guideline Elements Model (GEM) using XML to better represent the heterogeneous knowledge contained in practice guidelines. Core constructs were derived from the Institute of Medicine's Guideline Appraisal Instrument, the National Guideline Clearinghouse, and the augmented decision table guideline representation. These were supplemented by additional concepts from a literature review. RESULTS: The GEM hierarchy includes more than 100 elements. Major concepts relate to a guideline's identity, developer, purpose, intended audience, method of development, target population, knowledge components, testing, and review plan. Knowledge components in guideline documents include recommendations (which in turn comprise conditionals and imperatives), definitions, and algorithms. CONCLUSION: GEM is more comprehensive than existing models and is expressively adequate to represent the heterogeneous information contained in guidelines. Use of XML contributes to a flexible, comprehensible, shareable, and reusable knowledge representation that is both readable by human beings and processible by computers. |
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Authors:
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R N Shiffman; B T Karras; A Agrawal; R Chen; L Marenco; S Nath |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of the American Medical Informatics Association : JAMIA Volume: 7 ISSN: 1067-5027 ISO Abbreviation: J Am Med Inform Assoc Publication Date: 2000 Sep-Oct |
Date Detail:
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Created Date: 2000-10-16 Completed Date: 2000-10-16 Revised Date: 2013-04-17 |
Medline Journal Info:
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Nlm Unique ID: 9430800 Medline TA: J Am Med Inform Assoc Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 488-98 Citation Subset: IM |
Affiliation:
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Yale University, New Haven, Connecticut, USA. richard.shiffman@yale.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Hypermedia* Models, Theoretical Practice Guidelines as Topic* Programming Languages* |
| Grant Support | |
ID/Acronym/Agency:
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1-R29-LM-05552/LM/NLM NIH HHS; T15-LM07056/LM/NLM NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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