Proposed resolution: Persuasive with Mod A) update links B) Create a profile to address the QDM Procedure negation rationale concept: 1) create a new extension - Procedure.recorded for timing 2) Procedure *(ProcedureNotDone) * 2.a) Value set for negation:[ http://hl7.org/fhir/extension-valueset-reference.html |http://hl7.org/fhir/extension-valueset-reference.html] 2.b) status = not-done 2.c) statusReason = use a value set created from a combination of existing eCQM rationale value set (still extensible binding) 2.d) timing = new extension for Procedure.recorded