Thank you for your question. Quality Data Codes, which are included in the individual Web Interface measure coding documents, cannot be used to identify numerator compliance in eCQM requirements. While the Web Interface version of a measure typically use many, if not all, of the same codes as the eCQMs, codes for eCQMs are contained in value sets. For eCQM reporting, all aspects of the logic and value sets must be submitted following the CMS QRDA III Implementation Guide reporting requirements, found on the eCQI Resource Center ( https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=0 ).   For information on individual eCQMs, please refer the human readable eCQM specifications, located on the eCQI Resource Center ( https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=1 ). eCQMs are organized by the header or narrative section (ex. guidance denominator, numerator, etc.), followed by the CQL logic (population criteria, definitions). Value sets corresponding to the CQL logic are found under "Terminology".   To review codes contained within each eCQM value set on the Value Set Authority Center (VSAC) website ( https://vsac.nlm.nih.gov/ )   For CMS122v9 (Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)), patients included in the denominator (i.e. not excluded) are considered numerator compliant if the patient's most recent HbA1c level, taken during the measurement period, is greater than 9.0%. This is identified in the numerator logic criteria by one of the following: •"Has Most Recent HbA1c Without Results" or •"Has Most Recent Elevated HbA1c" or •"Has No Record of HbA1c" The logic definitions for each of these numerator criteria is looking for the presence of a HbA1c Laboratory Test being Performed and recorded in a discrete field in the patient's EHR. The 'HbA1c Laboratory Test' value set (2.16.840.1.113883.3.464.1003.198.12.1013) includes LOINC codes that are used to identify numerator compliance. Numerator compliance is met if: •HbA1c Laboratory Test was performed but no results are documented •HbA1c Laboratory Test was performed and the results of the most recent test were greater than 9% •HbA1c Laboratory Test was Not performed during the measurement period Please refer to the CMS122v9 specification on the eCQI Resource Center for additional information at https://ecqi.healthit.gov/ecqm/ep/2021/cms122v9   For CMS165v9 (Controlling High Blood Pressure), patients included in the denominator (i.e. not excluded) are considered numerator compliant if their most recent blood pressure, taken during the measurement period, is adequately controlled (systolic < 140 mmHg and diastolic < 90 mmHg). This is identified in the numerator criteria by both of the following: •"Has Diastolic Blood Pressure Less than 90" and •"Has Systolic Blood Pressure Less than 140" The logic definitions for these numerator criteria is looking for the most recent "Physical Exam, Performed" with documentation based on a code in a discrete field in the patient's EHR for a diastolic blood pressure using LOINC code 8462-4 and a systolic blood pressure using LOINC code 8480-6. Numerator compliance is met if the most recent blood pressure documented is: •Diastolic blood pressure (LOINC 8462-4) value is less than 90 mmHg AND •Systolic blood pressure (LOINC 8480-6) value is less than 140 mmHg Please refer to the CMS165v9 specification on the eCQI Resource Center for additional information at https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS165v9.html   For CMS2v10 (Preventive Care and Screening: Screening for Depression and Follow-Up Plan), patients included in the denominator are considered numerator compliant if they are screened for depression on the date of the encounter or up to 14 days prior to the date of the encounter using an age-appropriate standardized tool and if positive, a follow-up plan is documented on the date of the eligible encounter. This is identified in the numerator criteria by any one of the following age specific criteria: •Patient Age 12 to 16 Years at Start of Measurement Period AND Most Recent Adolescent Screening was Negative OR Most Recent Adolescent Screening was Positive and Follow Up was Provided •Patient Age 17 Years at Start of Measurement Period AND Most Recent Adolescent Screening was Negative OR Most Recent Adolescent Screening was Positive and Follow Up was Provided; OR Most Recent Adult Screening was Negative OR Most Recent Adult Depression Screening was Positive and Follow Up was Provided •Patient Age 18 Years or Older at Start of Measurement Period AND Most Recent Adult Screening was Negative OR Most Recent Adult Depression Screening was Positive and Follow Up was Provided The measure logic uses codes located in discrete fields in the patient's EHR. The logic uses the Adolescent depression screening assessment (LOINC Code 73831-0) to identify if an adolescent depression screening was performed and the Adult depression screening assessment (LOINC Code 73832-8) to identify if an adult depressing screening was performed. The screening must be completed on the day of or within 14 days before a qualifying encounter with an encounter code from either the Encounter to Screen for Depression (2.16.840.1.113883.3.600.1916) or the Physical Therapy Evaluation (2.16.840.1.113883.3.526.3.1022) value sets. A negative depression screening is identified by the presence of the depression screening negative (finding) SNOMEDCT code 428171000124102from the Negative Depression Screening value set (2.16.840.1.113883.3.526.3.1564). A positive depression screening is identified by the presence of the depression screening positive (finding) SNOMEDCT code 428181000124104 from the Positive Depression Screening value set (2.16.840.1.113883.3.526.3.1565). If the patient had a positive screen an intervention from one of the following value sets is also required to meet the numerator requirements: •Referral for Adolescent Depression (2.16.840.1.113883.3.526.3.1570) •Referral for Adult Depression (2.16.840.1.113883.3.526.3.1571) •Follow Up for Adolescent Depression (2.16.840.1.113883.3.526.3.1569) •Follow Up for Adult Depression (2.16.840.1.113883.3.526.3.1568) •Adolescent Depression Medications (2.16.840.1.113883.3.526.3.1567) •Adult Depression Medications (2.16.840.1.113883.3.526.3.1566) Please refer to the CMS2v10 specification on the eCQI Resource Center for additional information at https://ecqi.healthit.gov/sites/default/files/ecqm/measures/CMS2v10.html  

We are a MSSP ACO and have previously reported quality via Web Interface. We are preparing to report via eCQM reports once the Web Interface is retired. We submitted our question to QPP but were referred here instead. The quality measures we are concerned with are: Quality ID #134: Preventive Care and Screening: Screening for Depression and Follow-Up Plan; Quality ID #1 (NQF 0059): Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%); and Quality ID #236: Controlling High Blood Pressure. If we use Quality Data Codes to identify numerator compliance, will that be sufficient to meet the measure requirements? If the Quality Data Codes are not sufficient, please explain what other requirements are needed to meet the measure requirements.