Table 1.

Main Characteristics of Proposed Scoring System

1. Complete composite score can be calculated when the “correct” diagnosis is unknown.

2. Contribution of any number of diagnoses/management steps can be considered.

3. Assesses the quality of clinical “actions” prompted by diagnostic decision support.

4. Assesses quality as a function not just of plausibility; quality is defined as “appropriateness” of decision making.