A vendor suggests that whenever a medication is involved in a CQM (e.g., Stroke 5 and Stroke 6), the provider has to also document these two data elements:

1. The reason why they did not give the medication
2. The exact medication they would have given if they could have given it (in other words, if it were not otherwise contraindicated for some reason).

When looking at the e-spec, reason for not giving the medication is listed as one of the required data elements.

However, the #2 data listed above doesn’t appear to be required. So, could you please provide further clarification on whether the #2 data above is really required? If so, how does the data fits with the specifications? and please provide reference to such requirement.

Thank you in advance for your help!