Hi!

While testing QRDA 1 through the Cypress 4.03 Validation utility, the Result Observation (V3) template seems like it is rounding down the <value> tag down to the nearest integer, at least for CMS108 Numer evaluation. 

I have attached two QRDA1 files:

1) Meets CMS108 numerator because of a result of 4.0, 
2) Does NOT because meet CMS 108 NUMER because of an INR result of 3.9, which we believe should be included, as the CQL specs dictate a greater than (>) 3.0 (decimal type) in the numerator requirement:

From: VenousThromboembolismProphylaxis-7.4.000.xml

<where localId="628" locator="366:5-366:33" xsi:type="Greater">
<operand asType="t:Decimal" xsi:type="As">
<operand localId="626" locator="366:11-366:27" path="result" scope="INRLabTest" xsi:type="Property"/>
<asTypeSpecifier name="t:Decimal" xsi:type="NamedTypeSpecifier"/>
</operand>
<operand localId="627" locator="366:31-366:33" valueType="t:Decimal" value="3.0" xsi:type="Literal"/>
</where>

I am using:

-2018 Bundle for the 2019 Reporting Period
-Hospital Quality Reporting for the Inpatient Quality Reporting Program
-QRDA Cat I (R5)

• No PHI

Let us know if you need other information. Thanks!