We agree with the comments the ESAC team has included. The measure has both a narrative specification as well as a technical specification. When developing the measure, careful consideration is given as to what challenges systems may encounter when incorporating particular data element attributes. As has been pointed out by the ESAC team, the measure is operationalized via the coding as more of an attestation that the clinician completed the medication documentation. This uses a single SNOMED CT code ("Documentation of current medications (procedure)": '428191000124101'), but also has additional expectations outlined within the various fields of the measure narrative (e.g., for version 9 for 2020 implementation) such as the description, numerator, definition, and guidance fields. The narrative and technical specifications should be implemented together, as both are relevant to understanding the intent of the measure. The medication name(s), dosage, frequency, and route of administration are vital to ensuring the providers have a complete picture of the patient's medications, which can factor into future decisions for how to treat or care for the patient.

If we need to implement the additional validation of "AND must contain the medications' name, dosage, frequency and route of administration." Will increase physician burden, and affect their data because of how certain medications are documented (e.g., steroids that require additional instructions)