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GEM Cutter    USA
XML guideline editor

developed by keywords
Yale Center for Medical Informatics at Yale University School of Medicine clinical practice guideline document model, XML, computer interpretable guidelines, markup, standards,
status Download details
Available for use
  • The GEM Cutter tool can be downloaded for evaluation purposes from the GEM Web site, subject to a license agreement.
  • GEM Cutter User Manual is also available.
  • To install and run GEM Cutter 1.4.1, you must have version 1.0 or 1.1 of Microsoft's .Net Framework installed.
    • description
    GEM - the Guideline Elements Model - is an XML-based guideline document model. GEM Cutter is an XML editor that facilitates markup of clinical practice guidelines - it supports the conversion of a guideline into the GEM format. The tool shows both the original guideline document and the corresponding GEM transformation, and supports copying text from the original into GEM. GEM has been developed at Yale University.


    View of GEM Cutter showing XML code for a guideline generated by the application.

    references
    B.T. Karras, S.D. Nath, R.N. Shiffman. A preliminary evaluation of guideline content markup using GEM - an XML guideline elements model. In: Proc. AMIA Annual Symposium, 2000.

    [PubMed]   [AMIA]

    		 " OBJECTIVE: To describe application of GEM to analysis and categorization of guideline content. METHOD: We examined the application of GEM constructs to the AAP guideline on neurodiagnostic evaluation of febrile seizures. Subjects at 4 sites marked-up the guideline content using a hierarchical template that includes branches for identity, developer, purpose, intended audience, method of development, knowledge components, testing, and review. The types of elements used were tabulated. Subjects were surveyed regarding the usability of the model. RESULTS: Eight subjects analyzed the guideline, using between 46 and 149 elements to model its content. There was considerable variation in the application of elements. The number of elements used correlated with time to complete the task. Subjects found application of GEM to be straightforward in 6 of 8 categories and sufficiently comprehensive to model the guideline's information content. CONCLUSIONS: Subjects found GEM constructs were able to model the content of the guideline. Improved editing tools will facilitate translation. "
    contact links
    Prof. Richard Shiffman
    Yale Center for Medical Informatics
    PO Box 208009
    New Haven CT 06520-8009, USA


    		 bullet  GEM Cutter download details  bullet  GEM website at Yale University  bullet  Guideline modelling with GEM [on OpenClinical]
    Acknowledgement
    Richard Schiffman, Yale Center for Medical Informatics
    Entry on OpenClinical: 01 April 2002
    Last main updates: 01 April 2002; 14 March 2004
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