title: Checking the Quality of Detailed Clinical Models: Instrument Application.
abstract: BACKGROUND
  The exchange of clinical data between electronic health records is a challenge and need flexible models that adapt to clinical needs. Detailed Clinical Models (DCM) are used for this purpose, however, what is their quality? This paper's objective is to report on the application of an existing instrument to determine DCM quality.
  
  
  METHODS
  A selection of 9 DCMs about oncology care was tested using the 'Quality Metrics for DCM'.
  
  
  RESULTS
  The instrument revealed scores per DCM varying from 16 to 26, rendering one DCM insufficient and five requiring upgrading.
  
  
  CONCLUSIONS
  The instrument proved practical in its administration and revealed useful feedback for DCM improvement. A core part of a DCM, the actual specification of data elements, is not included in the instrument and is suggested to be added.
authors.affiliation: Windesheim University of Applied Sciences Zwolle, the Netherlands.
authors.forename: Denice
authors.initials: D
authors.lastname: van Munster
authors.affiliation: Windesheim University of Applied Sciences Zwolle, the Netherlands.
authors.forename: Irene
authors.initials: I
authors.lastname: Krediet
authors.affiliation: Windesheim University of Applied Sciences Zwolle, the Netherlands.
authors.forename: William
authors.initials: W
authors.lastname: Goossen
mesh_terms: D057286:Electronic Health Records / Q000592:standards*; D066275:Health Information Exchange / Q000592:standards*; D006801:Humans; D008495:Medical Oncology / Q000379:methods / Q000592:standards; D008962:Models, Theoretical; D058996:Quality Improvement; D011787:Quality of Health Care