While the import of data from Cypress is not explicitly required in the test script, it is highly recommended. In addition, in reviewing the information about Cypress from MITRE (on websites, and in the Demo and Q&A session recording from January), they indicate that if manual entry is done, there will be fewer patients offered, reducing the rigor of the test, and also that each patient may include data from more than the CQMs that the vendor is interested in certifying, while the import data will be stripped of any data that is not explicitly required for the CQMs to which the . Thus, a vendor who will not be certifying for all CQMs and who chooses to do manual entry may be presented with patient data that includes elements the vendor system is not capable of capturing. However, choosing to import the data into the record (as opposed to the calculator) is not trivial. Potentially, this would require the system to create a patient file in addition to “importing” the data, in light of MITRE’s assertion that in order for the calculations to be properly tested the system must not have any data in it at the start of this portion of the test. Also, have this capability in a vendor’s system is somewhat concerning in terms of data security and integrity: if the system can “import” information from a QRDA format under testing conditions, what would stop and end user from importing such data in a real situation.

Assuming a complete EHR system, is it expected that the system import the data directly into the medical record, or is importing into a calculator piece acceptable for all stages of testing?