Educational Achievement Specification_06.doc

Educational Achievement Specifications

Version: 0. 6 5
Date: February 20 ~~January 27~~ , 2014
Authors: Valerie Smothers
Author email: vsmothers@jhmi.edu

Version No.	Date	Changed By	Changes Made
0.1	2012-04-11	Valerie Smothers	Initial draft
0.11	2012-05-01	Valerie Smothers	Added assessment results and more subelements.
0.2	2012-05-16	Valerie Smothers	Revised terminology, removed CompetencyObjectReference from AssessmentResults (redundant). Removed title and description from score (redundant). Changed Reference under Evidence to portfolioReference. Added SubScore, PortfolioReference, SummaryScores, and Sequence. Added Note regarding PESC changes to include score ranges.
0.3	2012-06-01	Valerie Smothers	Added definitions for event, integration block, and sequence block. Removed PerformanceLevelReference from Score and Subscore; added FrameworkScore to Score and SubScore (includes a score, performance framework reference, and competency object reference). Documented FrameworkScore and subelements.
0.4	2012-06-14	Valerie Smothers	Added sources for the terminology definitions, added references, changed SummaryScores to Summary, added Entrustment and EntrustmentEvidence.
0.41	2012-07-03	Valerie Smothers	Added Source element to entrustment, changes summary scores to assessment results. Added ‘without direct supervision” to the description of entrustment.
0.42	2012-07-19	Valerie Smothers	Added PortfolioReference to AssessmentResults. Harmonized definitions of portfolio reference across document. Corrected typos. Added XML examples.
0.43	2012-11-30	Valerie Smothers	Modified examples used in the definition of Event , Modified the definition of EPA, Removed the STAR definition and replaced with Entrustment,. Modified description of Event element. Updated Score definition to reference new PESC specs.
0.5	2014-01-27	Valerie Smothers	Added site element to Sequence block and Event, made event duration optional, added the capability to link to an external competency and competency framework, added ad hoc and levels elements to entrustment, changed Notes to LearnerNotes, added FacultyNotes to AssessmentResults. Revised Framework Score to account for structure of Pderformance Framework.
0.6	2014-02-20	Valerie Smothers	Removed EntrustmentScales element , added documentation of PerformanceFrameworks element, Changed LevelOfEntrustment datatype to have an EntrustmentScore and Reference , added references for Performance framework and P rofessional Profile.

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Table of Contents

1 Acknowledgements

2 Documentation Conventions

4.3 Identifying Data through XPath

5 Introduction

6 Other Standards, Specifications, or Schema Referenced

7 Terminology

8 Educational Achievement Schema

8.1 EducationalAchievement

8.2 AchievementInContext

8.3 Events

8.3.1 Event

8.3.2 CompetencyReference

8.3.3 AssessmentResults

8.3.8 PortfolioReference

8.4 Performance Frameworks

8.5 Summary

8.5.1 Entrustment

8.5.2 LevelOfEntrusment

8.5.3 EntrustmentEvidence

8.6 Sequence

8.6.1 SequenceBlock

8.7 Integration

8.7.1 Integration Block

8.8 Portfolio

9 Sample XML Documents

10 References (to be fixed)

1 Acknowledgements

The MedBiquitous Consortium wishes to acknowledge the help of the MedBiquitous Educational Trajectory Working Group members, invited experts, and other individuals that contributed to the creation of this document, including:

Linda Lewin, M.D., University of Maryland, Co-Chair
Alan Schwartz, Ph.D., University of Illinois at Chicago, Co-Chair

Susan Albright, Tufts University
Michael Barbouche, Odeon Data
Linda Bell, RN, MSN, American Association of Critical-Care Nurses
Dana Bostrom, Association of American Medical Colleges
Rachel Brown, M.D., University of Missouri-Columbia School of Medicine
Diane Burkhart, Ph.D., American Osteopathic Association
Timothy Cain, Ph.D., Ohio State University
Carol Carraccio, M.D., American Board of Pediatrics
Kelly Caverzagie, University of Nebraska Medical Center
Christa Chaffinch , National Board of Medical Examiners
Brian Clare, One45 Software
Elaine Dannefer , Ph.D., Cleveland Clinic Lerner College of Medicine of Case Western Reserve
Jeroen Donkers, Ph.D., University of Maastricht
Mike Dugan, Federation of State Medical Boards
Robert Englander, Association of American Medical Colleges
Maria Esquela, Advanced Informatics
Bob Galbraith, M.D., National Board of Medical Examiners
Gwen Garrison, Association of American Medical Colleges
Maureen Garrity, UC Denver
Simon Grant, Ph.D., JISC
Hilary Haftel, University of Michigan
Patricia Hicks, University of Pennsylvania
Kimberly Hoffman, Ph.D., University of Missouri
William Iobst, M.D. American Board of Internal Medicine
Steve Kenney, American Osteopathic Association
John Jackson, University of Virginia
Chandler Mayfield, University of California, San Francisco School of Medicine
Neil Mehta, MD., Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
David Melamed, M.D., MyEvaluations.com
John Norcini, M.D., Foundation for the Advancement of International Medical Education and Research
Patricia O'Sullivan, Ed.D. , University of California, San Francisco School of Medicine
Anita Pokorny, Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Vijay Rajput, MD., Cooper University Hospital
Sandhya Samavedam, Wright Center for Graduate Medical Education
Rosalyn Scott, Wright State University
Howard Silverman, University of Arizonia
C. Scott Smith, M.D., VA Medical Center, Boise Idaho
Kirk Smith, M.D., Ph.D., University of Texas Medical Branch at Galveston
Kevin Souza, University of California, San Francisco School of Medicine
Anderson Spickard, M.D., Vanderbilt School of Medicine
Andria Thomas, Ph.D., Medical College of Georgia
Linda Thomas-Hemak, The Wright Center for Graduate Medical Education
Hettie Till, University of Dundee
Janet Trial, University of Southern California
Loreen Troy, University of Illinois College of Medicine
Sandra Waters, Federation of State Medical Boards

Specification authors also received technical guidance from members of the MedBiquitous Technical Steering Committee.

Joel Farrell , IBM, Technical Steering Committee Chair
James Fiore, American Board of Surgery
Steve Kenney, American Osteopathic Association
Andrew Rabin, CECity
Dan Rehak, Learning Technologies Architect
Dan White, American Board of Internal Medicine

2 Documentation Conventions

This document uses the following conventions:

Convention	Description
Bold Text	When used with an XML element name, indicates that the element contains sub-elements.
Italics	When used in an XML element description, an attribute of the XML element.
Monospaced type	Sample XML tags, code, schema, or portion thereof.

The document uses graphics generated by Altova XML Spy® software, which uses the following graphical conventions.

3 Conformance

To conform to the MedBiquitous Educational Achievement specification, an XML document shall:

Validate against the Educational Achievement XML Schema available at: http://ns.medbiq.org/educationalachievement/v1/educationalachievment.xsd
Conform to any additional requirements stated in this specification.
Optionally include elements not defined in this document only in permitted areas and only if those elements are namespace qualified.

4 Common Data Types

Most of the elements and attributes in MedBiquitous XML documents use the data types defined by the W3C XML 1.0 schema definition [ XSD ]. In some cases MedBiquitous creates its own datatypes as part of its best practices or to meet a specific requirement. Commonly used datatypes are described below.

4.1 Non-null string

Non-null string is a datatype derived from the XML string datatype. Non-null string imposes a minimum length of one character on a string and ensures that required elements are complete.

4.2 Reference

Reference contains subelements that describe a reference to an external resource. MedBiquitous uses Resource Description Framework [ RDF ] elements and a Dublin Core metadata initiative [ DCMI ]element to establish links to external documents, including competency objects, competency frameworks, and performance frameworks. IDs may be appended to the URI of the resource to reference a specific part of a document, such as a component within a performance framework. Use the following format for any use of Reference in this specification.

Reference Element Information

Element	Description	Required	Multiplicity	Datatype
Reference	A reference to an external resource. MedBiquitous uses RDF to specify details about references.	Determined by the datatype using Reference	Determined by the datatype using dcterms:references.	Container
Elements from the RDF namespace	The following RDF elements appear within Reference: rdf:Description The resource being referenced. MedBiquitous uses the following attribute with rdf:Description: rdf:about The URI for the resource being referenced. For example, http://www.example.org/milestone/SBP4.xml . rdf:type The type of resource being referenced. MedBiquitous uses the following attribute with rdf:type: rdf:resource The URI of the namespace of the resource referenced. For example, when referencing an XML competency object, use: http://ns.medbiq.org/competencyobject/v1 / When referencing an XML competency framework, use: http://ns.medbiq.org/competencyframework/v1/ When referencing an XML performance framework, use: http://ns.medbiq.org/performanceframework/v1/	Required rdf:Description is required for all instances of the Reference element. rdf:type is required for references to competency objects and competency frameworks.	1-2	Any
dcterms:format	The media type of the resource being referenced. If the resource referenced is an XML document, use application/xml.	Optional	0 or 1	Media types as specified by IANA. See http://www.iana.org/assignments/media-types/

This example references a component with the id of 12345 in the performance framework:

< Reference >

< rdf:description about =" http://www.example.org/performanceframework.xml#123456 "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/performanceframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ Reference >

This example references a competency object and its parent competency framework.

< Reference >

< rdf:description about =" http://www.example.org/milestone/SBP4.xml "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/competencyobject/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ Reference >

< Reference >

< rdf:description about =" http://www.example.org/im_milestones.xml "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/competencyframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ Reference >

4.3 Identifying Data through XPath

XPath is a language for finding information in an XML document. XPath is used to navigate through elements and attributes in an XML document. It is a W3C Standard.

The MedBiquitous Curriculum Inventory uses XPath to point to data and resources in a single XML report.

XPath expressions use the following construction:

/SomeElement/SomeSubElement	Selects all SomeSubElements that are sub-elements of SomeElement.
/SomeElement/SomeSubElement[@test= ' x ' ]	Selects all SomeSubElements that have an attribute named test with a value of ‘x’ that are sub-elements of SomeElement.
/SomeElement/SomeSubElement/text()	Selects all element content (text) in all SomeSubElements that are sub-elements of SomeElement.

Example:

/EducationalAchievement/AchievementInContext/Curriculum/Events/Event[@id= ' 123 ' ]

This example provides a reference to the Event with an id of 123.

5 Introduction

This document describes MedBiquitous Educational Achievement specification in detail. It is intended for use by anyone who wants to develop tools or implement electronic systems for reporting an individual’s achievements, including data about the individual’s performance in relation to defined competencies.

Background…

The objective of the specification is to provide a consistent format and data structure for educational achievement data. The standard allows extensions so that data beyond the core set identified in this document may be communicated to other organizations. This specification is intended to work in concert with other specifications.

This specification intentionally excludes the following from its scope:

Credentials awarded as a result of achievements, including degrees, certifications, licenses, etc.
Continuing education.
Activities completed as part of a maintenance of certification or continuous certification process.

Credentials may be described using the MedBiquitous Professional Profile. Continuing education, maintenance of certification, and continuous certification activities may be described using the MedBiquitous Activity Report. Information on these standards is available through the Medbiquitous website: http://medbiq.org/std_specs/standards/index.html

6 Other Standards, Specifications, or Schema Referenced

This standard references the following standards, specifications, or schemas. The informative references here, which describe how these references are used, link to formal references appearing later in this document.

MedBiquitous Competency Framework [Competency Framework]
note about context..
Curriculum Inventory [Curriculum Inventory]
Healthcare Professional profile
Performance Framework
Others TBD
XHTML™ 1.0 The Extensible HyperText Markup Language (Second Edition), A Reformulation of HTML 4 in XML 1.0. W3C Recommendation 26 January 2000, revised 1 August 2002. [ XHTM L ]
XHTML provides the format for supporting information embedded in the competency framework.

7 Terminology

Much of the terminology in this area is ill-defined or ambiguous, often employed differently (and sometimes interchangeably) by different professionals [ Harden 1 ] To ensure clarity and consistency we provide working definitions of the terminology we use in the context of this paper:

Note: the Competencies working group is developing many of these definitions. See: http://groups.medbiq.org/medbiq/display/CWG/Performance+Framework+-+Definitions

Competency – a statement describing a specific ability, or set of abilities, requiring specific knowledge, skill and/or attitude. Competencies are used to set performance standards that must be met [ Albanese 1 ]
Competency Framework – an organized and structured representation of a set of interrelated and purposeful competency objects. [ Competency Framework ]
Competency Object – an umbrella term used to describe any abstract statement of learning or performance expectations, and information related to the statement. Statements can be learning outcomes, competencies per se, learning objectives, professional roles, topics, classifications/collections, etc. The Competency Object may include additional data to expand on or support the statement. The Object is abstract in the sense that it does not inherently contain information about connections of the statement to individuals or events or other objects. [ Competency Framework ]
Educational Trajectory – the path of an individual learner through one or more programs of study. Educational Trajectory may include a sequence of formal curricular activities and events, informal professional development activities and events, and breaks in matriculation. [ Educational Tra j ectory ]
Entrustable Professional Activity – An activity that is part of the essential work of a profession, specialty or subspecialty with the following characteristics: requires the integration of knowledge, skills and attitudes and their demonstration within an authentic context; is independently executable within a given timeframe by qualified personnel; and leads to observable and measurable outputs. An EPA describes a unit of work, while a competency is characteristic of an individual. [ ten C ate 1 ]
Entrustment - a decision to entrust the learner to perform certain activities without direct supervision.
Event – a single education or assessment activity documented in a curriculum. Examples of events include: lecture, problem-based learning , simulation , laboratory, clinical experience – ambulatory, and clinical experience – inpatient, to name a few. [ Curriculum Inventory ]
Integration Block – An integrating concept for a curriculum, such as a theme. [ Curriculum Inventory ]
Performance – a demonstration of practice, such as patient care. Can be used as evidence of one or more competencies. [ Competency Framework ]
Performance criteria – An explicit description of measurable behaviours indiciative of achievement of a specific performance level of a specific competency. Note that this is what the pediatrics group refers to as a 'milestone anchor.'
Performance level schema – A generic set of levels of performance (e.g. beginner, novice, expert; or simply 1-2-3-4) that can be used to frame competency progression. Commonly, one performance level schema is applied to all competencies within a competency framework. In undergraduate and postgraduate medical education, the level of performance generally determines the level of supervision required.
Performance Framework – A set of performance levels and criteria associated with a competency framework.
Sequence Block – an organizational component of a curriculum, such as a year, phase, course, module, etc. Sequence blocks can be nested to show a variety of organizational methods. [ Curriculum Inventory ]

8 Educational Achievement Schema

The following sections explain the Educational Achievement Schema grammar. Values in bold under XML Tags column indicate that the element has sub-elements.

All the elements having sub-elements will be defined in separate sections. All elements without sub-elements will be defined within the appropriate element sections that use them.

8.1 EducationalAchievement

EducationalAchievment is the root element. It contains subelements that describe a learner’s achievements in detail. EducationalAchievement must occur once within an Educational Achievment document.

EducationalAchievement Element Information

Element	Description	Required	Multiplicity	Datatype
EducationalAchievement	EducationalAchievment is the root element. It describes a learner’s educational achievements in detail.	Required	1	Container
Date	The date of this educational achievement record.	Required	1	Date
Learner	Information about the learner whose educational achievement data is described. Learner uses the MemberType from the MedBiquitous Healthcare Professional Profile [ Professional Profile ].	Required	1	Container For more information, see ANSI/MEDBIQ 10.1-2008 Healthcare Professional Profile.
AchievementInContext	Information about a learner’s achievements within the context of a curriculum of instruction and/or assessment.	Required	1 or more	Container

Example:

<ea:EducationalAchievement>

<ea:Date>2012-05-31</ea:Date>

< ea: Learner>

. . .

</ea:Learner>

<ea:AchievementInContext>
. . .

</ea:AchievementInContext>

<ea:AchievementInContext>
. . .

</ea:AchievementInContext>

</ea:EducationalAchievement>

8.2 AchievementInContext

AchievmentInContext is a subelement of EducationalAchievement. It contains subelements that describe a learner’s achievements within the context of a curriculum of instruction and/or assessment.

AchievementInContext Element Information

Element	Description	Required	Multiplicity	Datatype
AchievementInContext	Information about a learner’s achievements within the context of a curriculum of instruction and/or assessment.	Required	1 or more	Container
Source	The source of this achievement data.	Required	1	NonNullString
ReportID	A unique identifier for this set of achievement data. ReportID has the following attribute: domain Defines defines the organization that is the source of the unique identifier. Domain has the following format: idd: domainname : localidentifier Where: domainname is an internet domain name owned by the organization issuing the unique ID and localidentifer is a local identifier for the type of unique ID. For example: idd:ucsf.edu:somreport	Required	1	NonNullString
Institution	Institution contains the name, identifier, and address of the institution where the educational achievements were made. Institution uses the InstitutionInfoType from the MedBiquitous Healthcare Professional Profile [ Pr o fess i onal Profile ].	Required	1	Container For more information, see ANSI/MEDBIQ 10.1-2008 Healthcare Professional Profile.
Program	Program contains the name and identifier of the program where the achievements were made. Program uses the ProgramType from the MedBiquitous Curriculum Inventory [ Curriculum Inventory ].	Optional	0 or 1	Container For more information, see MedBiquitous Curriculum Inventory.
ReportDate	The date the report was created.	Required	1	Date
ReportingStartDate	The first day of the period that this achievement data covers.	Required	1	Date
ReportingEndDate	The last day of the period that this achievement data covers.	Required	1	Date
Language	The language of the achievement data. For example, en-US indicates US English.	Optional	0 or 1	Language
Description	A free text description of the curriculum in which the learner was engaged.	Optional	0 or 1	NonNullString
SupportingLink	A link to supporting information, such as a pictorial representation of the curriculum or a document explaining the rationale behind the curriculum structure. The link must be a URN or URL. For example: http://www.example.edu/curriculum.pdf	Optional	0 or 1	anyURI
Events	Events contains information about the education and assessment events the learner experienced. For more information, see section Events.	Optional	0 or 1	Container
Expectations	Expectations contains subelements that describe the competencies, learning objectives, and learning outcomes implemented in a curriculum and how they are organized. Expectations uses the ExpectationsType from the MedBiquitous Curriculum Inventory [ Curriculum Inventory ].	Optional	0 or 1	Container For more information, see MedBiquitous Curriculum Inventory.
~~EntrustmentScales~~	~~EntrustmentScales contains subelements that defines scales used for describing levels of entrustment awarded to an individual.~~ ~~See section EntrustmentScales for more information.~~	~~Optional~~	~~0 or more~~	~~Container~~
PerformanceFrameworks	PerformanceFrameworks contains subelements that describe sets of performance levels , entrustment levels, and criteria associated with competency frameworks. For more information, see section PerformanceFrameworks …	Optional	0 or 1	Container
Summary	Summary contains subelements that describe the learner’s performance across the curriculum. For more information, see section Summary.	Optional	0 or 1	Container
AcademicLevels	AcademicLevels contains subelements that describe information about the academic levels defined for this curriculum. Program uses the AcademicLevelsType from the MedBiquitous Curriculum Inventory [ Curriculum Inventory ].	Optional	0 or 1	Container For more information, see MedBiquitous Curriculum Inventory.
Sequence	Sequence contains subelements that describe information about how the learner’s curriculum of study is organized over a period of time. For more information, see section Sequence.	Optional	0 or 1	Container
Integration	Integration contains subelements that describe how a curriculum is integrated. For more information, see section Integration.	Optional	0 or 1	Container
Portfolio	Portfolio includes the learner’s educational trajectory and other portfolio data related to this record of achievement.	Optional	0 or 1	Container
Elements from other namespaces	AchievementInContext may include elements from other namespaces provided those elements are namespace qualified.	Optional	0 or 1	Any

Example:

<ea: AchievementInContext >

<ea: Source > University of Toronto </ ea:Source >

<ea: ReportID domain =" idd:utoronto.ca:reports "> 123456 </ea: ReportID >

< ea:Institution >

< m:InstitutionName > University of Toronto Faculty of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ ea:Institution >

< ea:Program >

< ci:ProgramName > MD program </ ci:ProgramName >

< ci:ProgramID domain =" idd:aamc.org:program "> 123456 </ ci:ProgramID >

< ci:EducationalContext > undergraduate professional education </ ci:EducationalContext >

< ci:Profession > physician </ ci:Profession >

</ ea:Program >

< ea:ReportDate > 2011-10-05 </ ea:ReportDate >

< ea:ReportingStartDate > 2005-06-01 </ ea:ReportingStartDate >

< ea:ReportingEndDate > 2009-05-13 </ ea:ReportingEndDate >

< ea:Language > en-us </ ea:Language >

< ea:Events >

. . .

</ ea:Events >

< ea: Expectations>

. . .

</ ea: Expectations>

< ea: PerformanceFrameworks>

. . .

</ea:PerformanceFrameworks>

<ea:Summary>

. . .

</ea:Summary>

<ea:AcademicLevels>

. . .

</ea:AcademicLevels>

<ea:Sequence>

. . .

</ea:Sequence>

<ea:Integration>

. . .

</ea:Integration>

<ea:Portfolio>

. . .

</ea:Portfolio>

8.3 Events

Events contains information about the education and assessment events the learner experienced.

Events Element Information

Element	Description	Required	Multiplicity	Datatype
Events	Events contains sub elements that describe information about the education and assessment events that comprise the curriculum	Optional	0 or 1	Container
Event	Event contains subelements that describe a single education or assessment event. Examples of events include: lecture, problem-based learning activity, virtual patient activity, seminar, lab, OSCE, and written exam, to name a few. For more information, see section Event.	Required	1 or more	Container

Element

Description

Required

Multiplicity

Datatype

Events

Events contains sub elements that describe information about the education and assessment events that comprise the curriculum

Optional

0 or 1

Container

Event

Event contains subelements that describe a single education or assessment event. Examples of events include: lecture, problem-based learning activity, virtual patient activity, seminar, lab, OSCE, and written exam, to name a few.

For more information, see section Event.

Required

1 or more

Container

Example:

< ea: Events >

< ea: Event id =" e1 ">

. . .

</ ea: Event >

< ea: Event id =" e2 ">

. . .

</ ea: Event >

< ea: Event id =" e3 ">

. . .

</ ea: Event >

< ea: Event id =" e4 ">

. . .

</ ea: Event >

< ea: Event id =" e5 ">

. . .

</ ea: Event >

</ ea: Events >

8.3.1 Event

Event is a single education or assessment activity the learner experienced. Examples of events include: lecture, problem-based learning , simulation , laboratory, clinical experience – ambulatory, and clinical experience – inpatient, Exam - Institutionally Developed, Clinical Performance,and multisource assessment , to name a few. Events can be combined to form a sequence block within a curriculum. Events may reference learning objectives, competencies, or learning outcomes captured in expectations, as well as curricular themes, known as integration blocks. Events may contain assessment results.

Event Element Information

Element	Description	Required	Multiplicity	Datatype
Event	Event contains subelements that describe a single education or assessment event. Examples of events include: lecture, problem-based learning activity, virtual patient activity, seminar, lab, OSCE, and written exam, to name a few. Event has the following attribute: id A unique identifier for this event. Use of the id attribute is required.	Required	1 or more	Container
Title	A title for this education or assessment event.	Required	1	Non-null string
EventDuration	The duration of the event.in hours. For example, PT20H indicates 20 hours.	Optional	1	Duration (restricted to hours)
Site	The site where the sequence block occurred.	Optional	0 or 1	NonNull String
Description	A free text description of the education or assessment event.	Optional	0 or 1	Non-null string
Keyword	An important concept or topic related to the event. Keyword uses the keyword type and custom attributes from Healthcare Learning Object Metadata [ Healthcare LOM ].	Optional	0 or more	For more information see ANSI/MEDBIQ LO.10.1-2008.
Interprofessional	An indicator as to whether or not this event is designed to engage students of different health professions as teams. The default value is false.	Optional	0 or 1	Boolean
CompetencyReference	CompetencyReference contains subelements that reference either a competency associated with this event. For more information, see section CompetencyReference.	Optional	0 or more	Container
Resource	A resource used in this event. A recommended list is available as part of the Curriculum Inventory Standardized Instructional and Assessment Methods and Resources [ Vocabularies ].	Optional	0 or more	Non-null string
InstructionalMethod	An instructional method used in this event. It is strongly recommended that communities using this specification to share information use an agreed upon set of terms. A recommended list is available as part of the Curriculum Inventory Standardized Instructional and Assessment Methods and Resources [ Vocabularies ]. InstructionalMethod has the following attribute: primary Indicates whether or not this instructional method is the primary instructional method of the event. Use of the primary attribute is required. Valid values are true and false. One instructional method must be marked as primary for an instructional event.	Either InstructionalMethod or AssessmentMethod is required	0 or more	Non-null string
AssessmentMethod	An assessment method used in this event. It is strongly recommended that communities using this specification to share information use an agreed upon set of terms. A recommended list is available as part of the Curriculum Inventory Standardized Instructional and Assessment Methods and Resources [ Vocabularies ]. AssessmentMethod has the following attribute: purpose Indicates whether the assessment is used for formative or summative assessment. Use of the purpose attribute is required. Valid values are Formative and Summative.	Either InstructionalMethod or AssessmentMethod is required	0 or more	Non-null string
AssessmentResults	AssessmentResults contains subelements that provide detailed information on the results of any assessment included in this event. For more information, see section AssessmentResults.	Optional	0 or 1	Container
PortfolioReference	PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information related to this event. For more information, see section PortfolioReference.	Optional	0 or more	Container

Example:

< ea: Event id =" mde1 ">

< ea: Title > Pediatric Level 3 360 Degree Feedback </ ea: Title >

< ea: EventDuration > PT2H </ ea: EventDuration >

< ea: Description > Residents receive feedback from supervisors, peers, nurses, and patients. </ ea: Description >

< ea: Keyword id =" D007318 " source =" mesh ">

< lom:string > Inservice Training </ lom:string >

</ ea: Keyword >

< ea: Interprofessional > false </ ea: Interprofessional >

< ea: CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/PC1'] </ ea: CompetencyObjectReference >

< ea: Resource > Real Patient </ ea: Resource >

< ea: AssessmentMethod purpose =" Formative "> Multisource Feedback </ ea: AssessmentMethod >

< ea: AssessmentResults >

. . .

</ ea: AssessmentResults >

< ea: PortfolioReference >

< ea: URIReference > http://portfolio.umaryland.edu/jdoe1/sdgh </ ea: URIReference >

</ ea: PortfolioReference >

</ ea: Event >

8.3.2 CompetencyReference

CompetencyReference contains subelements that reference a competency associated with an event, sequence block, score, integration block, or entrustment decision. The competency may be embedded in this record of achievements or it may exist in an external document.

CompetencyReference Element Information

Element	Description	Required	Multiplicity	Datatype
CompetencyReference	CompetencyReference contains subelements that reference either a competency associated with this event.	Optional	0 or more	Container
EmbeddedCompetency	A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects). EmbeddedCompetency has the following format: /EducationalAchievement/AchievementInContext/ Expectations/CompetencyObject [lom:lom/ lom:general/lom:identifier/lom:entry= ' X ' ] All in one line, where X is the id of a Competency Object in this achievement record.	Either EmbeddedCompetency or ExternalCompetency is required.	0 or 1	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
ExternalCompetency	A reference to a competency in an external document.	Either EmbeddedCompetency or ExternalCompetency is required.	0 or 1	Container See section Reference for more information.

8.3.3 AssessmentResults

AssessmentResults contains subelements that provide detailed information on the results of any assessment included in an event or sequence block. It may also describe summary results for an educational program. Assessment results include the scores, performance levels achieved, competencies or objectives assessed, evidence reviewed and subscores.

AssessmentResults Element Information

Element	Description	Required	Multiplicity	Datatype
AssessmentResults	AssessmentResults contains subelements that provide detailed information on the results of any assessment.	Optional	0 or 1	Container
Score	Score contains subelements that describe the overall score on this assessment in detail. Several different types of scores may be represented. For more information, see section Score.	Optional	0 or 1	Container
Evidence	Evidence contains a description of and optional reference to the evidence considered when producing these assessment results. For more information, see section Evidence.	Optional	0 or 1	Container
SubScore	SubScore contains subelements that describe a subscore for this assessment in detail. Several different types of subscores may be represented. For more information, see section SubScore.	Optional	0 or more	Container
Date	The date of this assessment.	Required	1	Date
LearnerNotes	Any notes or reflections the learner has recorded related to this assessment.	Optional	0 or 1	NonNullString
FacultyNotes	Any notes the faculty has recorded related to this assessment.	Optional	0 or 1	NonNullString
PortfolioReference	PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information related to these assessment results. For information, see section PortfolioReference.	Optional	0 or more	Container

Example:

< ea: AssessmentResults >

< ea: SubScore >

< PercentCorrectValue > 78 </ PercentCorrectValue >

< ea: Title > Patient Care </ ea: Title >

< ea: CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/PC ']

</ ea: CompetencyObjectReference >

</ ea:SubScore >

< ea:SubScore >

< PercentCorrectValue > 75 </ PercentCorrectValue >

< ea:Title > Professionalism </ ea:Title >

</ ea:SubScore >

< ea:SubScore >

< PercentCorrectValue > 70 </ PercentCorrectValue >

< ea:Title > Communication </ ea:Title >

</ ea:SubScore >

< ea:Date > 2011-09-10 </ ea:Date >

</ ea:AssessmentResults >

< ea:PortfolioReference >

< ea:URIReference > http://portfolio.ucsf.edu/pshelley/qwer </ ea:URIReference >

</ ea:PortfolioReference >

8.3.4 Score

Score contains subelements that describe the overall score on this assessment in detail. Several different types of scores may be represented, including descriptive scores (i.e.proficient) and performance levels or milestones.

ScoreType is an extension of the PESC EducationTestScoresType from the PESC XML Education Test Score Reporting. For more information, visit: http://www.pesc.org/interior.php?page_id=132 [ ETS ].

Score Element Information

Element	Description	Required	Multiplicity	Datatype
Score	Score contains subelements that describe the overall score on this assessment in detail.	Optional	0 or 1	Container
RawScoreValue PercentCorrectValue ScaleScoreValue LabelValue MasteryValue CourseGrade GPA NormReferencedValues	See the Implementation Guide to the Postsecondary Electronic Standards Council XML Standard Format for Education Test Score Reporting Version 1.0.0.1 description of EducationTestScores [ ETS ] and the updated Academic Record v 1.7.0 schema, which has updates to the Norm Referenced Values to accommodate reporting of score distribution histograms.
LabelValueDescription	A description of the label that describes the score value. For example, if the label value is proficient, description provides more information about the meaning of that value.	Optional	0 or 1	NonNullString
FrameworkScore	FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework. For more information, see section FrameworkScore.	Optional	0 or 1	Container

Example:

< ea:Score >

< MasteryValue >

< MasteredIndicator > true </ MasteredIndicator >

< CutScore > 80 </ CutScore >

</ MasteryValue >

</ ea:Score >

8.3.5 Evidence

Evidence contains a description of and optional reference to the evidence considered when producing assessment results.

Evidence Element Information

Element	Description	Required	Multiplicity	Datatype
Evidence	Evidence contains a description of and optional reference to the evidence considered when producing these assessment results.	Optional	0 or 1	Container
Description	A description of the evidence considered when producing these assessment results.	Either Description or PortfolioReference is required. Both may be present.	0 or 1	NonNull String
PortfolioReference	PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry considered when producing these assessment results. There may be multiple PortfolioReference elements to point to multiple portfolio entries considered in this assessment. For information on the structure of PortfolioReference, see section PortfolioReference.	Either Description or PortfolioReference is required. Both may be present.	0 or more	Container

Example:

< ea:Evidence >

< ea:Description > Scores were determined by reviewing assessment results, supervisor ratings and notes, and a competency-based portfolio. </ ea:Description >

< ea:PortfolioReference >

< ea:URIReference > http://www.utoronto.edu/jdoe1/portfolio </ ea:URIReference >

</ ea:PortfolioReference >

</ ea:Evidence >

8.3.6 SubScore

SubScore contains subelements that describe a subscore in detail. Several different types of subscores may be represented, including descriptive scores (i.e.proficient) and performance levels or milestones.

SubScoreType extends ScoreType, which is an extension of the PESC EducationTestScoresType from the PESC XML Education Test Score Reporting. For more information, visit: http://www.pesc.org/interior.php?page_id=132 [ ETS ].

SubScore Element Information

Element	Description	Required	Multiplicity	Datatype
SubScore	SubScore contains subelements that describe a subscore in detail.	Optional	0 or more	Container
RawScoreValue PercentCorrectValue ScaleScoreValue LabelValue MasteryValue CourseGrade GPA NormReferencedValues	See the Implementation Guide to the Postsecondary Electronic Standards Council XML Standard Format for Education Test Score Reporting Version 1.0.0.1 description of EducationTestScores [ ETS ]
LabelValueDescription	A description of the label that describes the score value. For example, if the label value is proficient, description provides more information about the meaning of that value.	Optional	0 or 1	NonNullString
FrameworkScore	FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework. For more information, see section FrameworkScore.	Optional	0 or 1	Container

Title	A title for the subscore. For example, Clinical skills.	Required	1	NonNullString
Description	A description of what the subscore is for.	Optional	0 or 1	NonNullString
CompetencyObjectReference	A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects) associated with this event. CompetencyObjectReference has the following format: /EducationalAchievement/AchievementInContext/ Expectations/CompetencyObject [lom:lom/ lom:general/lom:identifier/lom:entry= ' X ' ] All in one line, where X is the id of a Competency Object in this achievement record.	Optional	0 or 1	Restricted (to conformant XPath) See section Identifying Data through XPath for more information

Example:

< ea:SubScore >

< LocalValue > 2 </ LocalValue >

< ea:FrameworkScore >

< ea:PerformanceScore > 2 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1 ']

</ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1']
</ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

< ea:Title > Medical Expert </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a medical expert across the curriculum </ ea:Description >

</ ea:SubScore >

8.3.7 FrameworkScore

FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework.

FrameworkScore Element Information

Element	Description	Required	Multiplicity	Datatype
FrameworkScore	FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework.	Optional	0 or 1	Container
PerformanceScore	A score on a scale defined within a performance framework. The score maybe the result of a single assessment or a summary score for multiple assessments.	Required	1	Decimal

Reference	A reference to the performance framework used for determining the performance score.	Required	1	Container See section Reference for more information.

Example:

< ea:FrameworkScore >

< ea:PerformanceScore > 2 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1 ']

</ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1']
</ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

8.3.8 PortfolioReference

PortfolioReferencecontains subelements that provide an XPath or URI pointer to supporting information or evidence. The URI reference is used to point to an external portfolio. The XPath reference is used to point to the portfolio section of this Educational Achievement data set.

PortfolioReference Element Information

Element	Description	Required	Multiplicity	Datatype
PortfolioReference	PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information.	See one of the following parent elements for details on optionality: AssessmentResults EntrustmentEvidence Event Evidence SequenceBlock	0 or more	Container
XPathReference	A pointer to a portfolio entry in this EducationalAchievement data set providing supporting information. PortfolioReference has the following format: /EducationalAchievement/AchievementInContext/ Portfolio/ pathtoentry All in one line, where pathtoentry provides the path to the specific portfolio entry. See section Identifying Data through XPath for more information	Either XPathReference or URIReference is required.	0 or 1	NonNull String
URIReference	A pointer to an external portfolio entry or supporting evidence providing related information .	Either XPathReference or URIReference is required.	0 or 1	anyURI

Example:

< ea:PortfolioReference >

< ea:URIReference > http://portfolio.umaryland.edu/jdoe1/sdgh </ ea:URIReference >

</ ea:PortfolioReference >

8.4 EntrustmentScales

~~EntrustmentScales contains subelements that defines scales used for describing levels of entrustment awarded to an individual.~~

~~EntrustmentScales Element Information~~

~~Element~~	~~Description~~	~~Required~~	~~Multiplicity~~	~~Datatype~~
~~EntrustmentScales~~	~~EntrustmentScales contains subelements that defines scales used for describing levels of entrustment awarded to an individual.~~	~~Optional~~	~~0 or~~ ~~more~~	~~Container~~
~~EntrustmentScale~~	~~A scale used to define levels of entrustment awarded to an individual.~~ ~~EntrustmentScale~~ ~~uses the~~ ~~EntrustmentScale data~~ ~~type~~ ~~from the MedBiquitous Entrustment Scale Specifications [~~ ~~entrustment_scale].~~	~~Required~~	1 ~~or more~~	~~Container~~ ~~See MedBiquitous Entrustment Scale Specifications.~~

~~Element~~

~~Description~~

~~Required~~

~~Multiplicity~~

~~Datatype~~

~~EntrustmentScales~~

~~EntrustmentScales contains subelements that defines scales used for describing levels of entrustment awarded to an individual.~~

~~Optional~~

~~0 or~~ ~~more~~

~~Container~~

~~EntrustmentScale~~

~~A scale used to define levels of entrustment awarded to an individual.~~

~~EntrustmentScale~~ ~~uses the~~ ~~EntrustmentScale data~~ ~~type~~ ~~from the MedBiquitous Entrustment Scale Specifications [~~ ~~entrustment_scale].~~

~~Required~~

1 ~~or more~~

~~Container~~

~~See MedBiquitous Entrustment Scale Specifications.~~

8.5 Performance Frameworks

PerformanceFrameworks contains subelements that describe sets of performance levels , entrustment levels, and related criteria . Performance levels may be associated with competency frameworks.

PerformanceFrameworks Element Information

Element	Description	Required	Multiplicity	Datatype
PerformanceFrameworks	PerformanceFrameworks contains subelements that describe sets of performance levels , entrustment levels, and related criteria . Performance levels may be associated with competency frameworks.	Optional	0 or 1	Container
PerformanceFramework	A set of performance levels or entrustment levels and related criteria . PerformanceFrameowrk uses the PerformanceFramework data type from the MedBiquitous Performance Framework specification [ Performance Framework ] .	R equired	1 or more	Container For more information, see MedBiquitous Performance Framework Specification.

Element

Description

Required

Multiplicity

Datatype

PerformanceFrameworks

PerformanceFrameworks contains subelements that describe sets of performance levels , entrustment levels, and related criteria . Performance levels may be associated with competency frameworks.

Optional

0 or 1

Container

PerformanceFramework

A set of performance levels or entrustment levels and related criteria .

PerformanceFrameowrk uses the PerformanceFramework data type from the MedBiquitous Performance Framework specification [ Performance Framework ] .

R equired

1 or more

Container

For more information, see MedBiquitous Performance Framework Specification.

~~TBD~~

8.6 Summary

Summary contains subelements that describe the learner’s performance across the curriculum.

Summary Element Information

Element	Description	Required	Multiplicity	Datatype
Summary	Summary contains subelements that describe the learner’s performance across the curriculum.	Optional	0 or 1	Container
Assessment Results	AssessmentResults describes a summary score or scores reflecting the learner’s performance across the curriculum. For more information, see section AssessmentResults.	Either AssessmentResults or Entrustment is required	0 or more	Container (uses the SubScore datatype)
Entrustment	Entrustment describes a decision to entrust the learner to perform certain activities without direct supervision. For more information, see section Entrustment.	Either AssessmentResults or Entrustment is required	0 or more	Container

Example:

< ea:Summary >

< ea:AssessmentResults >

. . .

</ ea:AssessmentResults >

< ea:Entrustment >

. . .

</ ea:Entrustment >

< ea:Entrustment >

. . .

</ ea:Entrustment >

< ea:Entrustment >

. . .

</ ea:Entrustment >

</ ea:Summary >

8.6.1 Entrustment

Entrustment describes a decision to entrust the learner to perform certain activities without direct supervision. It is based on ten Cate’s notions of Statements of Awarded responsibility and Entrustable Professional Activities [ ten Cate 1].

Entrustment Element Information

Element	Description	Required	Multiplicity	Datatype
Entrustment	Entrustment describes a decision to entrust the learner to perform certain activities without direct supervision.	Either AssessmentResults or Entrusment is required	0 or more	Container
Title	A title for this entrustment decision.	Required	1	NonNull String
Description	A description of this entrustment decision.	Optional	0 or 1	NonNull String
AdHoc	An indicator as to whether or not the entrustment decision was ad hoc, ie, made to address specific circumstances. The default value of AdHoc is false.	Optional	0 or 1	Boolean
LevelOfEntrustment	The level at which the learner has been entrusted. See section LevelOfEntrustment for more information.	Optional	0 or 1	Container
CompetencyReference	CompetencyReference contains subelements that reference a competency associated with this entrusment decision. For more information, see section CompetencyReference.	Optional	0 or 1	Container

Source	The source of the entrustment decision. This could be an individual, a committee, or a URI to a resource that describes the decision maker in more detail.	Required	1 or more	NonNull String
AwardDate	The date entrustment was awarded to the learner.	Required	1	Date
ExpirationDate	The date this entrustment decision expires.	Optional	0 or 1	Date
EntrustmentEvidence	EntrustmentEvidence contains subelements identifying the evidence weighed in making this entrustment decision. For more information, see section EntrustmentEvidence.	Optional	0 or 1	Container

Example:

< ea:Entrustment >

< ea:Title > Care of a Healthy Newborn </ ea:Title >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://abp.org/epas/epa1']
</ ea:CompetencyObjectReference >

< ea:Source > Thelonius Smith </ ea:Source >

< ea:AwardDate > 2011-08-18 </ ea:AwardDate >

</ ea:Entrustment >

8.6.2 LevelOfEntrusment

LevelOfEntrusment defines the level at which the learner has been entrusted to perform a professional activity.

LevelOfEntrustment Element Information

Element	Description	Required	Multiplicity	Datatype
LevelOfEntrus t ment	The level at which the learner has been entrusted.	Optional	0 or 1	Container
~~EmbeddedScaleReference~~ EntrustmentScore	~~A reference to the unique id for a performance scale embedded in this achievement record.~~ A score corresponding to the level of entrustment awarded.	~~Either EmbeddedScaleReference or ExternalScaleReference is required.~~ Required	~~0 or~~ 1	integer ~~IDREF~~
~~ExternalScale~~ Reference	A reference to an entrustment scale in an external document. The entrustment scale may be represented as a performance framework.	~~Either EmbeddedScaleReference or ExternalScaleReference is r~~ R equired .	0 or 1	Container See section Reference for more information.

Example:

TBD

8.6.3 EntrustmentEvidence

EntrustmentEvidence identifying the evidence weighed in making this entrustment decision.

EntrustmentEvidence Element Information

Element	Description	Required	Multiplicity	Datatype
EntrustmentEvidence	EntrustmentEvidence contains subelements identifying the evidence weighed in making this entrustment decision.	Optional	0 or 1	Container
Description	A description of this entrustment decision.	At least one of the following elements is required: Description, PortfolioReference, AchievementReference.	0 or more	NonNull String
PortfolioReference	PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry used as evidence in this entrustment decision. There may be multiple PortfolioReference elements to point to multiple pieces of evidence considered in this decision. For information on the structure of PortfolioReference, see section PortfolioReference.	At least one of the following elements is required: Description, PortfolioReference, AchievementReference	0 or more	Container
AchievementReference	A pointer to an entry (Event, SequenceBlock, or Summary Score) in this EducationalAchievement data set. AchievementReference has the following format: /EducationalAchievement/AchievementInContext/ pathtoentry All in one line, where pathtoentry provides the path to the specific educational achievement entry. See section Identifying Data through XPath for more information	At least one of the following elements is required: Description, PortfolioReference, AchievementReference	0 or more	NonNull String

Example:

< ea:EntrustmentEvidence >

< ea:Description > The committee reviewed simulation results, OSCE scores, and supervisor ratings. </ ea:Description >

< ea:AchievementReference > /EducationalAchievement/AchievementInContext/Events/Event[@id='mde1']
</ ea:AchievementReference >

< ea:AchievementReference > /EducationalAchievement/AchievementInContext/Events/Event[@id='mde2']
</ ea:AchievementReference >

</ ea:EntrustmentEvidence >

8.7 Sequence

Sequence contains subelements that describe information about how the learner’s curriculum of study is organized over a period of time. The curriculum’s sequence consists of a series of sequence blocks, which correspond to courses or other blocks of curricular content.

Sequence Element Information

Element	Description	Required	Multiplicity	Datatype
Sequence	Sequence contains subelements that describe information about how the learner’s curriculum of study is organized over a period of time.	Optional	0 or 1	Container
Description	A description of the overall sequence of the curriculum.	Optional	0 or 1	NonNull String
SequenceBlock	Contains sub elements that define an organizational component of the curriculum, such as a year, phase, course module, etc. See section SequenceBlock for more information.	Required	1 or more	Container

Example:

< Sequence >

< Description > There are 2 years of preclinical work followed by 2 years of clinical work. </ Description >

< SequenceBlock required =" true " id =" asdfg ">

. . .

</ SequenceBlock >

< SequenceBlock required =" true " id =" sdfgh ">

. . .

</ SequenceBlock >

</ Sequence >

8.7.1 SequenceBlock

SequenceBlock is a sub element of Sequence that contains sub elements that define an organizational component of the curriculum, such as a year, phase, course, module, etc. Sequence blocks can be nested to show a variety of organizational methods.

SequenceBlock Element Information

Element	Description	Required	Multiplicity	Datatype
SequenceBlock	SequenceBlock contains sub elements that define an organizational component of the curriculum, such as a year, phase, course, module, etc. SequenceBlock has the following attributes: id A unique identifier for this sequence block. Use of the id attribute is required. required Indicates whether this sequence block is a required part of the curriculum. Valid values are Required, Optional, and Required In Track. Use of the required attribute is required. track Indicates whether this sequence block is a track within the curriculum. Valid values are true and false; the default value is false.	Required	1	Container
Title	The title of the sequence block.	Required	1	NonNull String
Site	The site where the sequence block occurred.	Optional	1	NonNull String
Description	A description of the sequence block.	Optional	0 or 1	NonNull String
StartDate	The date the sequence block began.	Required	1	Date
EndDate	The date the sequence block ended.	Required	1	Date
Level	Level indicates the educational level at which this sequence block occurs. For schools using academic years as the basis for progress through the curriculum, level corresponds to the academic year in which the sequence block occurs. Level has the following format: /EducationalAchievement/AchievementInContext/ AcademicLevels/Level[@number= ' X ' ] All in one line, where X is the number 1 through 10 corresponding to an academic level defined for this curriculum.	Required	1	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
ClerkshipModel	If the sequence block represents a clerkship, clerkship model may be used to indicate the type of clerkship. Valid values are: integrated, rotation.	Optional	0 or 1	Restricted See Description for details.
CompetencyObjectReference	A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects) associated with this event. CompetencyObjectReference has the following format: /EducationalAchievement/AchievementInContext/ Expectations/CompetencyObject [lom:lom/lom:general/lom:identifier/lom:entry= ' X ' ] All in one line, where X is the id of a Competency Object in this Curriculum Inventory.	Optional	0 or more	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
Precondition	Describes preconditions that the learner met to take this course.	Optional	0 or 1	NonNull String
Postcondition	Describes how the curriculum changes depending on the learner’s performance in the sequence block.	Optional	0 or 1	NonNull String
SequenceBlockEventReference	A reference to an education or assessment event included in the sequence block. SequenceBlockEventReference has the following format: /EducationalAchievement/AchievementInContext /Events/Event[@id = ' x ' ] All in one line, where X is the id of an event in this curriculum. SequenceBlockEventReference has the following attribute: required Indicates whether this event is a required part of the sequence block. The required attribute uses the Boolean datatype; valid values are true and false. Use of the required attribute is required.	Either SequenceBlockEventReference or SequenceBlockReference is required	0 or more	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
SequenceBlockReference	A reference to a nested sequence block. SequenceBlockReference has the following format: /EducationalAchievement/AchievementInContext /Sequence/SequenceBlock[@id= ' X ' ] All in one line, where X is the id of a sequence block in this curriculum.	Either SequenceBlockEventReference or SequenceBlockReference is required	0 or more	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
AssessmentResults	AssessmentResults contains subelements that provide detailed information on the results of any assessment included in this sequence block. For more information, see section AssessmentResults.	Optional	0 or 1	Container
PortfolioReference	PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information related to this sequence block. There may be multiple PortfolioReference elements to point to multiple portfolio entries related to this sequence block. See section PortfolioReference for more information.	Optional	0 or more	Container

Example:

< ea:SequenceBlock id =" mds4 " required =" Required ">

< ea:Title > Infant and Toddler Rotation </ ea:Title >

< ea:StartDate > 2012-01-15 </ ea:StartDate >

< ea:EndDate > 2012-03-15 </ ea:EndDate >

< ea:Level > /EducationalAchievement/AchievementInContext/AcademicLevels/Level[@number='3'] </ ea:Level >

< ea:SequenceBlockEventReference required =" true ">

/EducationalAchievement/AchievementInContext/Events/Event[@id='mdex']

</ ea:SequenceBlockEventReference >

< ea:AssessmentResults >

< ea:SubScore >

< ea:FrameworkScore >

< ea:PerformanceScore > 3 </ ea:PerformanceScore >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFramework[@id='x']
</ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

< ea:Title >

Manage patients with common, single system diagnoses who require a hospital setting, Observation

</ ea:Title >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/epa2']

</ ea:CompetencyObjectReference >

</ ea:SubScore >

< ea:Date > 2012-03-01 </ ea:Date >

</ ea:AssessmentResults >

</ ea:SequenceBlock >

8.8 Integration

Integration contains subelements that describe how a curriculum is integrated. In many cases curricula are structured around organ systems or other organizing concepts, and within that context, content related to a specific topic, discipline, or theme is incorporated. For example, a course on the cardiovascular system may contain content related to themes of anatomy, pharmacology, etc.

Integration Element Information

Element	Description	Required	Multiplicity	Datatype
Integration	Integration contains sub elements that describe how a curriculum is integrated.	Optional	1	Container
Description	A description of the approach to integrating the curriculum.	Optional	0 or 1	Non-null string
IntegrationBlock	Contains sub elements that define an integrating concept for this curriculum, such as a theme. See section IntegrationBlock for more information.	Required	1 or more	Container

Example:

< Integration >

< Description > We have themes woven throughout the curriculum </ Description >

< IntegrationBlock id =" 8765 ">

. .

</ IntegrationBlock >

< IntegrationBlock id =" 7654 ">

. .

</ IntegrationBlock >

</ Integration >

8.8.1 Integration Block

IntegrationBlock contains subelements that define an integrating concept for this curriculum. Many curricula have several integrating concepts, or themes, that apply to many courses, competencies, objectives, and events.

IntegrationBlock Element Information

Element	Description	Required	Multiplicity	Datatype
IntegrationBlock	Contains sub elements that define an integrating concept for this curriculum, such as a theme. IntegrationBlock has the following attribute: id A unique identifier for this integration block. Use of the id attribute is required.	Required	1 or more	Container
Title	The title of the integration block. For example, Rural Health.	Required	1	Non-null string
Description	A description of the integrating concept.	Optional	0 or 1	Non-null string
CompetencyObjectReference	A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects) associated with this integration block. CompetencyObjectReference has the following format: /EducationalAchievement/AchievementInContext /Expectations/CompetencyObject [lom:lom/lom:general/lom:identifier/lom:entry= ' X ' ] All in one line, where X is the id of a Competency Object in this curriculum.	Optional	0 or more	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
EventReference	A reference to an event associated with this integration block. EventReference has the following format: /EducationalAchievement/AchievementInContext /Events/Event[@id= ' X ' ] All in one line, where X is the id of an event in this curriculum.	Optional	0 or more	Restricted (to conformant XPath) See section Identifying Data through XPath for more information
SequenceBlockReference	A reference to a sequence block associated with this integration block. SequenceBlockReference has the following format: /EducationalAchievement/AchievementInContext /Sequence/SequenceBlock[@id= ' X ' ] All in one line, where X is the id of an event in this curriculum.	Optional	0 or more	Restricted (to conformant XPath) See section Identifying Data through XPath for more information

Example:

< ea:IntegrationBlock id =" text ">

< ea:Title > a </ ea:Title >

< ea:Description > a </ ea:Description >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' ']
</ ea:CompetencyObjectReference >

< ea:EventReference >
/EducationalAchievement/AchievementInContext/Events/Event[@id='mde1']
</ ea:EventReference >

< ea:EventReference >
/EducationalAchievement/AchievementInContext/Events/Event[@id='mde3']
</ ea:EventReference >

< ea:SequenceBlockReference >
/EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id='mds1']
</ ea:SequenceBlockReference >

< ea:SequenceBlockReference >
/EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id='mds4']
</ ea:SequenceBlockReference >

< ea:SequenceBlockReference >
/EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id='mds6']
</ ea:SequenceBlockReference >

. . .

</ ea:IntegrationBlock >

8.9 Portfolio

Portfolio includes the learner’s educational trajectory and other portfolio data related to this record of achievement. Portfolio may contain any elements from other namespaces provided those elements are namespace qualified.

9 Sample XML Document s

<?xml version="1.0" encoding="UTF-8"?>

< ea:EducationalAchievement xsi:schemaLocation =" http://ns.medbiq.org/educationalachievement/v1/ educationalachievement.xsd " xmlns:ea =" http://ns.medbiq.org/educationalachievement/v1/ " xmlns:lom =" http://ltsc.ieee.org/xsd/LOM " xmlns:a =" http://ns.medbiq.org/address/v1/ " xmlns:cf =" http://ns.medbiq.org/competencyframework/v1/ " xmlns:co =" http://ns.medbiq.org/competencyobject/v1/ " xmlns:ci =" http://ns.medbiq.org/curriculuminventory/v1/ " xmlns:m =" http://ns.medbiq.org/member/v1/ " xmlns:n =" http://ns.medbiq.org/name/v1/ " xmlns:AcRec =" urn:org:pesc:sector:AcademicRecord:v1.7.0 " xmlns:pesc =" urn:org:pesc:core:CoreMain:v1.12.0 " xmlns:xsi =" http://www.w3.org/2001/XMLSchema-instance ">

< ea:Date > 2012-05-31 </ ea:Date >

< ea:Learner >

< m:UniqueID domain =" idd:aamc.org:student "> 123456 </ m:UniqueID >

< m:Name >

< n:GivenName > John </ n:GivenName >

< n:FamilyName > Doe </ n:FamilyName >

< n:Degree > MD </ n:Degree >

</ m:Name >

< m:EducationInfo >

< m:Degree > MD </ m:Degree >

< m:InstitutionInfo >

< m:InstitutionName > University of Toronto Faculty of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ m:InstitutionInfo >

< m:EducationStatus > Graduated </ m:EducationStatus >

< m:StartDate > 2005-06-01 </ m:StartDate >

< m:EndDate > 2009-05-13 </ m:EndDate >

< m:GraduationDate > 2009-05-13 </ m:GraduationDate >

</ m:EducationInfo >

< m:TrainingInfo >

< m:ProgramInfo >

< m:ProgramName type =" Residency "> University of Maryland Pediatric Residency Program </ m:ProgramName >

< m:ProgramID domain =" idd:aamc.org:residencies "> 123456 </ m:ProgramID >

< m:Accreditation > ACGME </ m:Accreditation >

< m:Specialty > Pediatrics </ m:Specialty >

< m:InstitutionInfo >

< m:InstitutionName > University of Maryland School of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ m:InstitutionInfo >

</ m:ProgramInfo >

< m:TrainingStatus > year 2 </ m:TrainingStatus >

< m:StartDate > 2009-06-01 </ m:StartDate >

</ m:TrainingInfo >

< m:PersonalInfo >

< m:Gender > Male </ m:Gender >

< m:EmailAddress > john.doe@example.org </ m:EmailAddress >

</ m:PersonalInfo >

</ ea:Learner >

< ea:AchievementInContext >

< ea:Source > University of Toronto </ ea:Source >

< ea:ReportID domain =" idd:utoronto.ca:reports "> 123456 </ ea:ReportID >

< ea:Institution >

< m:InstitutionName > University of Toronto Faculty of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ ea:Institution >

< ea:Program >

< ci:ProgramName > MD program </ ci:ProgramName >

< ci:ProgramID domain =" idd:aamc.org:program "> 123456 </ ci:ProgramID >

< ci:EducationalContext > undergraduate professional education </ ci:EducationalContext >

< ci:Profession > physician </ ci:Profession >

</ ea:Program >

< ea:ReportDate > 2011-10-05 </ ea:ReportDate >

< ea:ReportingStartDate > 2005-06-01 </ ea:ReportingStartDate >

< ea:ReportingEndDate > 2009-05-13 </ ea:ReportingEndDate >

< ea:Language > en-us </ ea:Language >

< ea:Events >

< ea:Event id =" e1 ">

< ea:Title > History Taking </ ea:Title >

< ea:EventDuration > PT4H </ ea:EventDuration >

< ea:Description > Practical experience history taking </ ea:Description >

< ea:InstructionalMethod primary =" true "> Clinical Experience - Ambulatory </ ea:InstructionalMethod >

</ ea:Event >

</ ea:Events >

< ea:Expectations >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R1 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Medical Expert </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R2 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Professional </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R3 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Communicator </ lom:string >

</ lom:title >

< lom:description >

< lom:string > As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

</ lom:string >

</ lom:description >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/ </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Collaborator </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R5 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Manager </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R6 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Health Advocate </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R7 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Scholar </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyFramework >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds </ lom:entry >

</ lom:identifier >

</ lom:general >

</ lom:lom >

< cf:EffectiveDate > 2005-01-01 </ cf:EffectiveDate >

< cf:SupportingInformation >

< cf:Link > http://www.royalcollege.ca/shared/documents/canmeds/the_7_canmeds_roles_e.pdf </ cf:Link >

</ cf:SupportingInformation >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R1 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R2 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R3 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R4 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R5 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R6 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R7 </ cf:Entry >

</ cf:Includes >

</ ci:CompetencyFramework >

</ ea:Expectations >

< ea:Summary >

< ea:AssessmentResults >

< ea:Evidence >

< ea:Description > Scores were determined by reviewing assessment results, supervisor ratings and notes, and a competency-based portfolio. </ ea:Description >

< ea:PortfolioReference >

< ea:URIReference > http://www.utoronto.edu/jdoe1/portfolio </ ea:URIReference >

</ ea:PortfolioReference >

</ ea:Evidence >

< ea:SubScore >

< LocalValue > 2 </ LocalValue >

< ea:FrameworkScore >

< ea:PerformanceScore > 2 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1'] </ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1'] </ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

< ea:Title > Medical Expert </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a medical expert across the curriculum </ ea:Description >

</ ea:SubScore >

< ea:SubScore >

< ea:FrameworkScore >

< ea:PerformanceScore > 1.8 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R2'] </ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1'] </ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

< ea:Title > Communicator </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a communicator across the curriculum </ ea:Description >

</ ea:SubScore >

< ea:SubScore >

< ea:FrameworkScore >

< ea:PerformanceScore > 2.2 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R3'] </ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1'] </ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

< ea:Title > Collaborator </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a collaborator across the curriculum </ ea:Description >

</ ea:SubScore >

< ea:Date > 2009-05-31 </ ea:Date >

</ ea:AssessmentResults >

</ ea:Summary >

< ea:AcademicLevels >

< ci:LevelsInProgram > 4 </ ci:LevelsInProgram >

< ci:Level number =" 1 ">

< ci:Label > Year 1 </ ci:Label >

< ci:Description > The first year of study - preclerkship. </ ci:Description >

</ ci:Level >

< ci:Level number =" 2 ">

< ci:Label > Year 2 </ ci:Label >

< ci:Description > The second year of study - preclerkship. </ ci:Description >

</ ci:Level >

< ci:Level number =" 3 ">

< ci:Label > Year 3 </ ci:Label >

< ci:Description > The third year of study - clerkship. </ ci:Description >

</ ci:Level >

< ci:Level number =" 4 ">

< ci:Label > Year 4 </ ci:Label >

< ci:Description > The fourth year of study - clerkship. </ ci:Description >

</ ci:Level >

</ ea:AcademicLevels >

< ea:Sequence >

< ea:SequenceBlock id =" S1 " required =" Required " track =" false ">

< ea:Title > The Art and Science of Medicine </ ea:Title >

< ea:Description > This course is organized in hospital-based groups of 5-6 students, and will take place .5 day each week of the academic year. </ ea:Description >

< ea:StartDate > 2005-09-01 </ ea:StartDate >

< ea:EndDate > 2006-07-30 </ ea:EndDate >

< ea:Level > /EducationalAchievement/AchievementInContext/AcademicLevels/Level[@number='1'] </ ea:Level >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1'] </ ea:CompetencyObjectReference >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R2'] </ ea:CompetencyObjectReference >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R3'] </ ea:CompetencyObjectReference >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R5'] </ ea:CompetencyObjectReference >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R7'] </ ea:CompetencyObjectReference >

< ea:Postcondition > Students deemed to have failed the course by the Board of Examiners will be required to repeat the course in the following academic year. </ ea:Postcondition >

< ea:SequenceBlockEventReference required =" text "> /EducationalAchievement/AchievementInContext/Events/Event[@id='ex'] </ ea:SequenceBlockEventReference >

< ea:AssessmentResults >

< ea:Score >

< MasteryValue >

< MasteredIndicator > true </ MasteredIndicator >

< CutScore > 80 </ CutScore >

</ MasteryValue >

</ ea:Score >

< ea:Date > 2006-07-30 </ ea:Date >

</ ea:AssessmentResults >

</ ea:SequenceBlock >

< ea:SequenceBlock id =" S2 " required =" Required ">

< ea:Title > Medicine Clerkship </ ea:Title >

< ea:StartDate > 2007-09-25 </ ea:StartDate >

< ea:EndDate > 2007-12-15 </ ea:EndDate >

< ea:Level > /EducationalAchievement/AchievementInContext/AcademicLevels/Level[@number='3'] </ ea:Level >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1'] </ ea:CompetencyObjectReference >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R2'] </ ea:CompetencyObjectReference >

< ea:SequenceBlockEventReference required =" true "> /EducationalAchievement/AchievementInContext/Events/Event[@id='e1'] </ ea:SequenceBlockEventReference >

< ea:AssessmentResults >

< ea:Score >

< ea:LabelValueDescription > Proficient </ ea:LabelValueDescription >

</ ea:Score >

< ea:Date > 2007-12-15 </ ea:Date >

< ea:Notes > Interacted exceptionally well with patients and staff. </ ea:Notes >

</ ea:AssessmentResults >

</ ea:SequenceBlock >

</ ea:Sequence >

< ea:Integration >

< ea:Description > a </ ea:Description >

< ea:IntegrationBlock id =" text ">

< ea:Title > a </ ea:Title >

< ea:Description > a </ ea:Description >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' '] </ ea:CompetencyObjectReference >

< ea:EventReference > /EducationalAchievement/AchievementInContext/Events/Event[@id=' '] </ ea:EventReference >

< ea:SequenceBlockReference > /EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id=' '] </ ea:SequenceBlockReference >

</ ea:IntegrationBlock >

</ ea:Integration >

< ea:Portfolio />

</ ea:AchievementInContext >

< ea:AchievementInContext >

< ea:Source > University of Maryland </ ea:Source >

< ea:ReportID domain =" idd:medschool.umaryland.edu:reports "> 98765 </ ea:ReportID >

< ea:Institution >

< m:InstitutionName > University of Maryland </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 98765 </ m:InstitutionID >

</ ea:Institution >

< ea:Program >

< ci:ProgramName > Pediatric Residency Program </ ci:ProgramName >

< ci:ProgramID domain =" idd:acgme.org:program "> 98765 </ ci:ProgramID >

< ci:EducationalContext > graduate professional education </ ci:EducationalContext >

< ci:Profession > physician </ ci:Profession >

< ci:Specialty > pediatrics </ ci:Specialty >

</ ea:Program >

< ea:ReportDate > 2011-10-05 </ ea:ReportDate >

< ea:ReportingStartDate > 2009-07-01 </ ea:ReportingStartDate >

< ea:ReportingEndDate > 2011-10-05 </ ea:ReportingEndDate >

< ea:Events >

< ea:Event id =" mde1 ">

< ea:Title > Pediatric Level 3 360 Degree Feedback </ ea:Title >

< ea:EventDuration > PT2H </ ea:EventDuration >

< ea:Description > Residents receive feedback from supervisors, peers, nurses, and patients. </ ea:Description >

< ea:Keyword id =" D007318 " source =" mesh ">

< lom:string > Inservice Training </ lom:string >

</ ea:Keyword >

< ea:Interprofessional > false </ ea:Interprofessional >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/PC1'] </ ea:CompetencyObjectReference >

< ea:Resource > Real Patient </ ea:Resource >

< ea:AssessmentMethod purpose =" Formative "> Multisource Feedback </ ea:AssessmentMethod >

< ea:AssessmentResults >

< ea:SubScore >

< PercentCorrectValue > 78 </ PercentCorrectValue >

< ea:Title > Patient Care </ ea:Title >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/PC'] </ ea:CompetencyObjectReference >

</ ea:SubScore >

< ea:SubScore >

< PercentCorrectValue > 75 </ PercentCorrectValue >

< ea:Title > Professionalism </ ea:Title >

</ ea:SubScore >

< ea:SubScore >

< PercentCorrectValue > 70 </ PercentCorrectValue >

< ea:Title > Communication </ ea:Title >

</ ea:SubScore >

< ea:Date > 2011-09-10 </ ea:Date >

</ ea:AssessmentResults >

< ea:PortfolioReference >

< ea:URIReference > http://portfolio.umaryland.edu/jdoe1/sdgh </ ea:URIReference >

</ ea:PortfolioReference >

</ ea:Event >

</ ea:Events >

< ea:Expectations >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://acgme.org/competencies/PC </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Patient Care </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://acgme.org/competencies/PC1 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Gathering Essential Information </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://acgme.org/competencies/PC2 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Making informed decisions </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

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Educational Achievement Specification_06.doc

1 Acknowledgements

2 Documentation Conventions

3 Conformance

4 Common Data Types

4.1 Non-null string

4.2 Reference

4.3 Identifying Data through XPath

5 Introduction

6 Other Standards, Specifications, or Schema Referenced

7 Terminology

8 Educational Achievement Schema

8.1 EducationalAchievement

8.2 AchievementInContext

8.3 Events

8.3.1 Event

8.3.2 CompetencyReference

8.3.3 AssessmentResults

8.3.4 Score

8.3.5 Evidence

8.3.6 SubScore

8.3.7 FrameworkScore

8.3.8 PortfolioReference

8.4 EntrustmentScales

8.5 Performance Frameworks

8.6 Summary

8.6.1 Entrustment

8.6.2 LevelOfEntrusment

8.6.3 EntrustmentEvidence

8.7 Sequence

8.7.1 SequenceBlock

8.8 Integration

8.8.1 Integration Block

8.9 Portfolio

9 Sample XML Document s