This issue is related to CYPRESS-1687 but was not resolved with the fix for the EH/CAH eCQMs.

The initial population for population 2 of CMS 136 includes the following statement:

Has ADHD Cumulative Medication Duration Greater Than or Equal to 210 Days

• "Cumulative Medication Duration"("ADHD Medications Taken within 300 Days after First ADHD Medication Dispensed")>= 210

An example gold standard patient has an active ADHD medication with the following relevant period:
Time Elements:
Relevant Period Start: 2021-02-23T08:00:00.000Z
Relevant Period End: 2021-09-21T08:00:00.000Z
 
This creates a CMD of exactly 210. However, because these documents lack a UTC offset, when imported they are translated to local time, which is not UTC. Because daylight savings is on 3/14/2021 the relevant period start and the relevant period end have different offsets, and as such the calculation ends up being 1 hour short of 210 days, causing the following error messages:

I'm aware that there are limitations which prevent inclusion of timezone offsets in the QRDA I documents provided by Cypress, but since CYPRESS-1687 is now closed, can you confirm that the previous guidance "If calculation errors due to timezone shifting during a certification, have your ATL reach out to the Cypress team for guidance." still applies to this issue for CMS 136.