Thanks Dave. This one works fine now.

This has been addressed in the Cypress 3.2.1 patch released on August 10th. Download and upgrade instructions can be found here (https://github.com/projectcypress/cypress/wiki/Cypress-3-Install-Instructions)

-Dave

Sudhir-

Could you contact your test proctor to check which Cypress version they will be using for certification. It is likely they will still be using Cypress 3.1.0 to test the eCQMs for the 2017 Performance Period.

-Dave Czulada

Hi David,

Am also facing same issue with Multiple measures, we have certification scheduled in September 1st week. Can you please let us know dates when this patch is expected to be released. I may need to speak with our Proctor how to do ongoing testing with this bugs.

Gnana-

Thanks. This is a bug on the Cypress side. In cases where the patient is split by "data type" Cypress is exporting the same "split" patient file twice. This is omitting some relevant information. This will be fixed in an upcomming patch.

-Dave Czulada

Dave, I have attached them.

Thanks

Gnana

Could you attach both zip files to this ticket? (known good, and test deck)

Thanks
-Dave Czulada

Dear Dave,
Thanks for your response (and patience). I have looked at the multiple files for this patient and taken in to account the clinical data across all these files.

In this specific case, the procedures "Procedure, Performed: Hemodialysis" and "Procedure, Performed: Kidney Transplant" are not appearing in either "13_Shirley_Mathis.xml" or "14_Shirley_Mathis.xml", but are clearly expected and rightly show up in the "Known good results".

I have attached the whole input set and you can see that none of the documents have either of the procedures mentioned above.

Thanks
Gnana

Thanks
Gnana

Gnana

We've actually discussed this topic a few times in the Cypress Tech Talks preceding the 3.2 release, most recently on July 18th. You can view the tech talks here (https://www.healthit.gov/cypress/techtalks.html).

In Cypress 3.2 we expanded the variability in patient duplication. The Cypress test patient follow the same pattern when being duplicated:

Introduce duplicate files with modifications to a patient’s name and demographics

• Name differences include: nicknames, initials, misspellings
• Demographics include discrepancies in: race, gender, ethnicity
• Discrepancies in Date of birth: missing, different, imprecise
• The clinical information in the duplicate files will remain consistent
• Note: For reporting, either name or demographic can be chosen

Introduce duplicate files with modifications to a patient’s clinical information

• Documents will be split one of multiple ways:
  • Temporally (e.g., Jan – June, and July - Dec)
  • Data types (e.g. encounters in one file, lab results in another)
• Name and Demographics will remain consistent
• Information in ’split’ files will be additive (i.e., files will not contain duplicate information)
• Clinical Information will need to be combined to achieve a complete patient record

-Dave Czulada