This issue was discussed extensively by the HL7 SDWG and CQI workgroup. A disposition was approved during the CQI workgroup meeting, please refer to the DSTU comment for detail. http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=696 The disposition is likely to be implemented in the next update to the HL7 QRDA-I, DSTU Release 3 standard. This disposition is to HL7 QRDA-I, DSTU R3 only, it does not apply to HL7 QRDA-I, R2 and has no impact to the reporting for the 2015 reporting year. For the 2015 reporting year, the HQR receiving system is aware of this issue and will provide a workaround fix.

VTE1 measure requires Device, Order not done. This is not defined in QRDA sepc(CDAR2 QRDA I R1 DSTU3 2015JUN). How does Cypress handles this concept? Do you accept below workaround as specified in QRDA-176 ticket? http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=696