When looking at the HTML file for the test Cypress patient "STROKE_ADULT B" they have an entry in the "Communication From Patient To Providers" section that has a "Negation Reason" code of "105480006". The code "105480006" does not appear anywhere in the QRDA Cat 1 XML file for the patient "STROKE_ADULT B".

The absence of this negation code causes this patient to not fall in the Numerator for measure CMS 107 v3 as expected, because the Numerator is looking for a "Communication: From Patient to Provider" element with a code from the "Written Information Given" value set and a negation code from the "Patient Refusal" value set.

Attached are the HTML and QRDA Cat 1 files for the "STROKE_ADULT B" patient that were downloaded from a Cypress 2.5.1 website.