Hello and thank you for your inquiry. Unfortunately, this ticket is out of scope for the eCQM Issue Tracker. Your question has been redirected to the QualityNet Service Desk, and the following ticket has been opened for you: CS1348293 You will be contacted by their team, and assigned a customer service representative who will work to resolved your inquiry. We are closing this ticket now. Please let us know if you have any additional questions about eCQM logic or specifications.