Agreed, will make the following changes based on this comment: 1) Include practicing clinicians as "end users (e.g., clinical implementation team representatives, health IT developers, patients/patient advocates)" since they would be the ones presented with the guideline recommendations and implementation may impact patient-clinician relationship and clinician burden. 2) Depict an ongoing feedback loop from the field back to the development/implement cycle in process of figure 1. 3) Add implementation guidance to the cpg-indicator code system: CodeSystem-cpg-indicator: "Indicates that the recommendation is critical and the workflow should not be allowed to proceed" > when implemented, clinicians must not be blocked from their workflow - implementers should indicate level of concern and provide alternate pathway rather than workflow lock up (ie do not allow a hidden window to stop workflow). 4) Update CQL expression to consider microalbumin result value as text "too low to detect" or null with comment field in following example: define "Last UACR Quantity": "Last UACR Lab Result" Result return ToQuantity(Result.value as Quantity) 5) Add guidance that recommendations should be brief and concise in pop up card but expandable for further detail to reduce interruption to clinical workflow; and that ideally, recommended actions should be capable of generating selectable order set.