Thank you for inquiring about the Preventive Care and Screening: Screening for Depression and Follow-Up Plan eCQM. Please note that the eCQM specification does not include physician impressions. The patient responses to the initial depression screening, even if only mild depression based on scoring, require follow-up (non-screening or assessment) action within 2-days of the encounter. If the provider does not believe that depression is a concern based on discussion with the patient (e.g., perhaps it is anxiety-related), then the follow-up action could be as simple as recommending that the patient increase physical activity levels (SNOMED CT 229065009 for Exercise therapy). The measure is not intended to be entirely prescriptive but allows for clinical judgment to determine the intensity of the follow-up intervention ordered or performed. The determination of whether follow-up is necessary is based on the age-appropriate, standardized, and validated depression screening tool’s thresholds for depression (mild or above).