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Response: We note that in the CY 2026 OPPS/ASC proposed rule (90 FR 33775), we proposed to utilize the same file format requirementsthe QRDA standardapplied in the Hospital IQR, OQR, and Medicare Promoting Interoperability Programs (85 FR 58940, 86 FR 42262, and 80 FR 49706, respectively)

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These may include flushing, itching, hives, digestive upset, headaches, nasal symptoms, food reactions, heart racing, or sensitivity to heat, stress, alcohol, fermented foods, or medications