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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 the Fast Healthcare Interoperability Resources (FHIR) Application Programing Interface (API) would reduce or eliminate the barriers posed by organizational complexities to eCQM reporting and will revisit and end this Adjustment as uptake of FHIR API increases, requirements surrounding the use of FHIR API are established, or other barriers posed by organizational complexity are otherwise reduced

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Not so much just the nicotine level, which didn't give me the hiccups, but just the overall presentation

Notes: This is RYO tobacco, though it can of course be smoked in a pipe