Question 1 - Is it required that EHR capture every "OR" valueset for Encounter?
Question 2 - If no, for Cypress/ONC testing can we use an alternate Encounter valueset other than the Encounter SNOMED for the Denominator Exclusion.

CQM Testing for CMS156 is failing due to Encounter SNOMED requirement, can we use an alternate Encounter valueset?

For eMeasure 156 (Use of High-Risk Medications in the Elderly) contains in Denominator Exclusions to record either an Encounter Inpatient or an Intervention for Hospice Care Ambulatory. As an ambulatory EHR we capture the Intervention Hospice Care Ambulatory.

Denominator Exclusions

OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Home for Hospice Care)" ends during "Measurement Period"

OR: "Encounter, Performed: Encounter Inpatient (discharge status: Discharged to Health Care Facility for Hospice Care)" ends during "Measurement Period"

OR: Union of:

"Intervention, Order: Hospice care ambulatory"
"Intervention, Performed: Hospice care ambulatory"