For a measure such as eMeasure 156 (Use of High-Risk Medications in the Elderly) contains

• Initial Patient Population =
o AND: "Patient Characteristic Birthdate: birth date" >= 66 year(s) starts before start of "Measurement Period"
o AND:
 OR: "Encounter, Performed: Office Visit" (CPT)
 OR: "Encounter, Performed: Face-to-Face Interaction" (SNOMED)
 OR: "Encounter, Performed: Preventive Care Services - Established Office Visit, 18 and Up" (CPT)
 OR: "Encounter, Performed: Preventive Care Services-Initial Office Visit, 18 and Up" (CPT)
 OR: "Encounter, Performed: Annual Wellness Visit" (HCPCS)
 OR: "Encounter, Performed: Home Healthcare Services" (CPT) not necessarily documented in the ambulatory EHR environment
 during "Measurement Period"

For the data capture piece, is the expectation that the EHR would capture EVERY CODE in EVERY OR statement? For example, for the "Encounter, Performed: Face-to-Face Interaction" (SNOMED) would an ambulatory EHR be expected to support all of the SNOMED codes, even the ones that do not apply to an ambulatory environment? This seems like an unnecessary coding exercise with no benefit, but we have received conflicting messages on this issue. Examples in this measue are listed below.

Face-to-Face Interaction 2.16.840.1.113883.3.464.1003.101.12.1048 20121025 12843005 ***Subsequent hospital visit by physician (procedure) SNOMEDCT
Face-to-Face Interaction 2.16.840.1.113883.3.464.1003.101.12.1048 20121025 4525004 Emergency department patient visit (procedure) SNOMEDCT

There are other measures like this, so I presume the answer here would set the precedent