Change 1.13.4 examples as follows (with new hyphen added with red bolded text - red and bolding only for emphasis to help technical team identify the changes): A measure numerator criterion includes an order for angiotensin - converting enzyme inhibitors (ACEI). The clinician indicates not ordering enalapril due to the patient’s intolerance (drowsiness) and, instead, orders another ACEI in the same value set, lisinopril. The order for lisinopril would fulfill criteria for the numerator regardless of meeting criteria for MedicationNotRequested. However, if the clinician did not order another medication from the value set (e.g., lisinopril), the presence of a doNotPerformReason for the value set member enalapril fulfills the criteria for MedicationNotRequested and the patient would be excluded from the measure even though numerator criteria were not met. A measure criterion for anticoagulation uses a valueset containing warfarin or direct-oral-anticoagulant (DOAC). Studies may support preference of DOAC due to long - term outcomes, but the clinician may select a reason for not ordering DOAC due to its expense. That reason for the single item (DOAC) meets criteria for the expression and fail to recognize lack of compliance with any anticoagulation.