A) add a ballot question (see text below for ballot question) to determine if additional values are needed for this value set with the suggested inclusion of a code based off of the Blueprint (source https://mmshub.cms.gov/measure-lifecycle/measure-specification/data-protocol/scoring): Reference range with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality  b) Currently the guidance field is being used for this information.  Open separate tracker to continue discussion on use of guidance field versus creating new field for improvementNotation guidance. (done - https://jira.hl7.org/browse/FHIR-42976 )    TEXT for ballot question: Reviewers: CQI will be adding the code: XYZ with definition ABC to this value set.  Please provide comments on this additional code and if there are other codes needed in the improvement notation value set.