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  1. CYPRESS Issue Tracker
  2. CYPRESS-168

Cypress v2.3.1 QRDA Cat 1 Smoking Gun Tests Need To Be Relaxed

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    • Type: Other
    • Status: In Progress
    • Priority: Major
    • Resolution: Delivered
    • Labels:
    • Solution:
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      This issue appears in both Cypress 2.3.1 and Cypress 2.4.1. The solution to this problem is that Cypress should consider any one of the clinical sections returned in the QRDA Category 1 as "passing." If/When you run into this issue during certification, please have your proctor contact the Cypress team so we can confirm that the error is due to this bug.

      http://projectcypress.org/issue168.html

      This is known to occur for the following measures:
      CMS165/NQF0018
      CMS155/NQF0024
      CMS147/NQF0041
      CMS133/NQF0565
      CMS161v1/NQF0104
      CMS75
      CMS90
      CMS74
      Show
      This issue appears in both Cypress 2.3.1 and Cypress 2.4.1. The solution to this problem is that Cypress should consider any one of the clinical sections returned in the QRDA Category 1 as "passing." If/When you run into this issue during certification, please have your proctor contact the Cypress team so we can confirm that the error is due to this bug. http://projectcypress.org/issue168.html This is known to occur for the following measures: CMS165/NQF0018 CMS155/NQF0024 CMS147/NQF0041 CMS133/NQF0565 CMS161v1/NQF0104 CMS75 CMS90 CMS74

      Description

      The issue a vendor discovered is that Cypress is required to provide various alternatives for the specific clinical codes associated with a clinical concept. However, the behavior of those various clinical codes is not always consistent within the measure.

      On this case, the SNOMED and CPT codes are both "legal" for the concept on this measure. However, the sections that should be provided with the QRDA Category 1 XML are different based on which code the EHR vendor selects, because of "bleeding" issues within the CQM.

      What results is that Cypress can sometimes expect two or more sections to be present in the QRDA Category 1 XML for one code, but only one section to be present in the QRDA Category 1 XML if the EHR vendor opts to select another code. When these problems occur, EHR vendor should pass certification on this particular issue even though Cypress reports a failure.

      The solution to this problem is that Cypress should consider any one of the clinical sections returned in the QRDA Category 1 as "passing", effectively relaxing some of the constraints on the Cypress "smoking gun" tests which were introduced in Cypress v2.3.1.

      Detailed Example for Jira Issue #168

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              • Assignee:
                ssayer Samuel Sayer
                Reporter:
                rob.mccready Rob McCready
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                  Updated:
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