Patient Z4 (DQ 2) Heart Adult, Cypress states that for CMS68v9, the patient should count twice in the IPP and denominator. After reviewing the xml for the patient(attached a copy). There are two encounters in the file but only one appears to be valid encounter for the patient to meet the denominator.  Verified encounter codes against encounter OID = 2.16.840.1.113883.3.600.1.1834.  Is the count wrong or am I missing why this patient should count twice? 

Thanks