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Moreover, while acknowledging the Complex Organization Adjustment is a recognition of current challenges to eCQM reporting we believe that adoption of approaches to the exchange and aggregation of quality data enabled by Fast Healthcare Interoperability Resources (FHIR) Application Programing Interfaces (APIs) will reduce or eliminate the barriers posed by organizational complexities to eCQM reporting and will revisit and end this Adjustment as uptake of capabilities for quality data aggregation and exchange using FHIR APIs increases, requirements surrounding the use of FHIR APIs for quality data change are established, or other barriers posed by organizational complexity are otherwise reduced