Proposed resolution: Persuasive with Mod Address Medication, Discharge negation rationale using: MedicationRequest with a MedicationRequest.category indicating the setting (most likely community to reflect ambulatory setting valueset-medicationrequest-category ). To address negation rationale MedicationRequest *(MedicationNotRequested) * 1. Value set for negation:[ http://hl7.org/fhir/extension-valueset-reference.html |http://hl7.org/fhir/extension-valueset-reference.html] 2. status = completed 3. doNotPerform is true 4. MedicationRequest.reasonCode = use a value set created from a combination of existing eCQM rationale value set (still extensible binding) 5. timing = MedicationRequest.authoredOn