I'm not sure what other areas have this same issue, but when a rule is created to remind a user that a particular screening has not been done. Per MicroMD support, the rule will only look at encounters to verify the code and not that the code was used in screening and prevention. Based on this logic users are misled when a screening has actually been done for a patient but the EMR Rule is being triggered saying it has not. MicroMD Log 382102