​Thank you for your inquiry about CMS156v11: Use of High-Risk Medications in Older Adults for the 2023 Performance Period The specific list of high-risk medications or drug classes are assessed in the numerator of measure specification (e.g., terminology and data criteria sections), also summarized below. The terminology and the data criteria sections include lists of value sets and direct reference codes required by the measure. For more guidance on accessing value sets or how to read an eCQM in general, please refer to the following resource available on the eCQI Resource Center: https://ecqi.healthit.gov/sites/default/files/Guide-for-Reading-eCQMs-v8.pdf (e.g., section 3.2.3, section 4). ***Numerator Rate 1a data criteria*** "Medication, Order: Anticholinergics, first generation antihistamines" using "Anticholinergics, first generation antihistamines (2.16.840.1.113883.3.464.1003.1043)" "Medication, Order: Anticholinergics, anti Parkinson agents" using "Anticholinergics, anti Parkinson agents (2.16.840.1.113883.3.464.1003.1049)" "Medication, Order: Antispasmodics" using "Antispasmodics (2.16.840.1.113883.3.464.1003.1050)" "Medication, Order: Antithrombotic" using "Antithrombotic (2.16.840.1.113883.3.464.1003.1051)" "Medication, Order: Cardiovascular, alpha agonists, central" using "Cardiovascular, alpha agonists, central (2.16.840.1.113883.3.464.1003.1052)" "Medication, Order: Cardiovascular, other" using "Cardiovascular, other (2.16.840.1.113883.3.464.1003.1053)" "Medication, Order: Central nervous system, antidepressants" using "Central nervous system, antidepressants (2.16.840.1.113883.3.464.1003.1054)" "Medication, Order: Central nervous system, barbiturates" using "Central nervous system, barbiturates (2.16.840.1.113883.3.464.1003.1055)" "Medication, Order: Central nervous system, vasodilators" using "Central nervous system, vasodilators (2.16.840.1.113883.3.464.1003.1056)" "Medication, Order: Central nervous system, other" using "Central nervous system, other (2.16.840.1.113883.3.464.1003.1057)" "Medication, Order: Endocrine system, estrogens with or without progestins" using "Endocrine system, estrogens with or without progestins (2.16.840.1.113883.3.464.1003.1058)" "Medication, Order: Endocrine system, sulfonylureas, long duration" using "Endocrine system, sulfonylureas, long duration (2.16.840.1.113883.3.464.1003.1059)" "Medication, Order: Endocrine system, other" using "Endocrine system, other (2.16.840.1.113883.3.464.1003.1060)" "Medication, Order: Nonbenzodiazepine hypnotics" using "Nonbenzodiazepine hypnotics (2.16.840.1.113883.3.464.1003.196.12.1480)" "Medication, Order: Pain medications, skeletal muscle relaxants" using "Pain medications, skeletal muscle relaxants (2.16.840.1.113883.3.464.1003.1062)" "Medication, Order: Pain medications, other" using "Pain medications, other (2.16.840.1.113883.3.464.1003.1063)" ***Numerator Rate 1b data criteria*** "Medication, Order: Anti Infectives, other" using "Anti Infectives, other (2.16.840.1.113883.3.464.1003.196.12.1481)" ***Numerator Rate 1c data criteria*** "Medication, Order: Reserpine" using "Reserpine (2.16.840.1.113883.3.464.1003.1044)" "Medication, Order: Digoxin" using "Digoxin (2.16.840.1.113883.3.464.1003.1065)" "Medication, Order: Doxepin" using "Doxepin (2.16.840.1.113883.3.464.1003.1067)" ***Numerator Rate 2 data criteria*** "Medication, Order: Antipsychotics" using "Antipsychotics (2.16.840.1.113883.3.464.1003.196.12.1523)" "Medication, Order: Benzodiazepines" using "Benzodiazepines (2.16.840.1.113883.3.464.1003.196.12.1522)"