The measure guidance states: The documented follow up plan must be related to positive depression screening, example: �Patient referred for psychiatric evaluation due to positive depression screening.� But there is nothing in the specifications to enforce such a requirement. The follow-up may just be a referral to a psychiatrist, and there is no further specification that there be a statement of positive depression screening to put the patient in the numerator. Given the small chance that qualifying actions are not related to the positive depression screening, and the difficulty of making this linkage work in the specifications, please remove this� from the guidance statement? It�s just not feasible.