On the note to balloters: "There is some controversy around the decision to mandate support for de-identified CRD service invocation. Implementers are encouraged to provide feedback around the implications for industry of support for this feature being mandatory."

The AMA strongly supports the inclusion of this de-identified CRD service invocation. Physicians should not be forced to choose between use of ePA standards on one hand and protecting their patient's privacy and complying with law on the other.