Cypress v6.2.2.1

The Cypress 6.2.2.1 upgrade was made available on 10/5/21. Changelog for the upgrade is below

Cypress Bugs Addressed
  • C1 Record Sample tests for the 2020 bundle were no longer 'Normalizing' Relevant Periods and Datetimes prior to verification. (CYPRESS-2305)
  • Valid Author IDs added to "Author Participation" templates. (CYPRESS-2307)

Cypress v6.2.2

The Cypress 6.2.2 patch was released on 9/23/21. Changelog for the release is below

Cypress Features
  • Strict enforcement of Author templateIds to align with submission systems
  • Display rank for Encounter Diagnosis in HTML views (CYPRESS-2280)
  • Measure ID check for CVU+ QRDA Category III validations (CYPRESS-2295)
  • Scoop and filter applied to C1 Record Sample patients

Cypress v6.2.1

The Cypress 6.2.1 patch was released on 7/22/21. Changelog for the release is below

Cypress Features Cypress Bugs Addressed
  • CCDE validator required uppercase version specific ID (CYPRESS-2273)
  • Full Test Deck Download failure for C4 tests (CYPRESS-2270)

Now Available: Cypress ™ v6.2

Version 6.2 includes the fully integrated Cypress Validation Utility + Calculation Check (CVU+) for support of the 2015 Edition Certification for the ONC Certification Program for electronic clinical quality measures (eCQM). This version also supports testing the Eligible Hospital/Critical Access Hospital eCQMs and Eligible Professional/Eligible Clinician eCQMs updated for calendar year 2021 and 2022 reporting.

Cypress v6.2 Features
  • Supports the §170.315(c)(1), §170.315(c)(2), §170.315(c)(3), and §170.315(c)(4) certification criteria.
    • Supports the 21st Century Cures update to §170.315(c)(3). Enforces reporting requirements defined by the CMS QRDA Implementation Guides.
  • Supports validation with Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 Implementation Guide: Quality Reporting Document Architecture (QRDA) I, Release 1, Standard for Trial Use (STU) Release 5.2 - US Realm.
  • Supports validation with HL7 Clinical Document Architecture (CDA®) R2 Implementation Guide: QRDA III, Release 1, STU Release 2.1 - US Realm.
  • Supports the eCQMs for eReporting for the 2021 Reporting Period.
    • Supports eCQM Value Sets as of 5/7/2020.
  • Supports the eCQMs for eReporting for the 2022 Reporting Period.
    • Supports eCQM Value Sets as of 5/6/2021.
Cypress Validation Utility + Calculation Check (CVU+) Features
  • Supports validation with the CMS Implementation Guide for QRDA Category I - Implementation Guide for 2021 and 2022.
  • Supports validation with the CMS Implementation Guide for Quality Reporting Document Architecture Category III - Implementation Guide for 2021 and preliminary support for 2022.
  • Supports multi-measure tests, allowing vendors to test eCQM calculations with a single test deck across multiple measures.
  • Supports code system preference, allowing vendors to choose preferences for the code systems to be used in test patients.
  • Supports developer-generated test patients, allowing vendors to supplement Cypress test patients with their own test patients to increase eCQM logic/code coverage.
  • Evaluates the rigor of a set of test patients.

Cypress v6.1.2

The Cypress 6.1.2 patch was released on 2/11/21. Changelog for the release is below

Cypress Features
  • Updated 2021 CMS QRDA III Implementation Guide, Schematron, and Sample Files to Support MIPS APM Entity Reporting

Cypress v6.1.1

The Cypress 6.1.1 patch was released on 1/6/21. Changelog for the release is below

CVU+ Bugs Addressed
  • CVU+ Calculations in v6.1.0 do not properly account for negated valuesets. (CYPRESS-2186)
  • CVU+ Calculations in v6.1.0 do not properly display results for stratified populations. (CYPRESS-2195)

Cypress v6.1.0

The Cypress 6.1.0 patch was released on 12/17/20. Changelog for the release is below

Cypress Features
  • Supports December updates to the 2021 CMS QRDA I Schematron.
  • Support reporting eCQMs with QDM data types allowing either relevantDatetime or relevantPeriod attributes for the 2021 reporting/performance period.
  • Improved upload performance for CVU+ tests.
  • Ability to verify a users UMLS API Key on Cypress login.
Cypress Bugs Addressed
  • "Related To" references will not be split between files for CMS529. (CYPRESS-2171)
  • Fixed HL7 QRDA Category I Validation label in CVU+ Test (CYPRESS-2164)
  • eCQM calculations had been missing the final minute of the Measurement Period. (CYPRESS-2149)

Cypress v6.0.1

The Cypress 6.0.1 patch was released on 10/15/20. Changelog for the release is below

Cypress Features
  • CVU+ eCQM calculations support CMS Guidance for Representing Telehealth Encounters in QRDA I Format for eCQMs.
Cypress Bugs Addressed
  • Null Flavored effectiveTimes receive “Interval with nullFlavor low time and nullFlavor high time” warning (CYPRESS-2106)
  • Cypress returning “internal error occurred” for facilityLocations with nullFlavored codes. (CYPRESS-2124)
  • Cypress will verify ‘Related To’ identifiers when validating files for CMS529v1 (CYPRESS-2125)
  • C1 Record Sample tests need to be toggled to single code negation with Direct Reference Codes. (CYPRESS-2130)
  • Cypress returning “internal error occurred” validating QRDA Cat III uploads for CVU+ tests with stratifications. (CYPRESS-2131)

Now Available: Cypress ™ v6.0

Cypress v6.0 with the fully integrated Cypress Validation Utility + Calculation Check (CVU+) is now available to support 2015 Edition Certification for the Office of the National Coordinator for Health Information Technology Certification Program for electronic clinical quality measures (eCQM). Cypress v6.0 supports testing the Eligible Hospital/Critical Access Hospital eCQMs and Eligible Professional/Eligible Clinician eCQMs updated for calendar year 2021 reporting.

Cypress v5.0 Features
  • Supports the §170.315(c)(1), §170.315(c)(2), §170.315(c)(3), and §170.315(c)(4) certification criteria.
    • Supports the 21st Century Cures update to §170.315(c)(3). Enforces reporting requirements defined by the CMS QRDA Implementation Guides.
  • Supports validation with Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 Implementation Guide: Quality Reporting Document Architecture (QRDA) I, Release 1, Standard for Trial Use (STU) Release 5.2 - US Realm.
  • Supports validation with HL7 Clinical Document Architecture (CDA®) R2 Implementation Guide: QRDA III, Release 1, STU Release 2.1 - US Realm.
  • Supports the eCQMs for eReporting for the 2021 Reporting Period.
  • Supports eCQM Value Sets as of 5/7/2020.
Cypress Validation Utility + Calculation Check (CVU+) Features
  • Supports validation with the CMS Implementation Guide for QRDA Category I - Implementation Guide for 2021.
  • Supports validation with the CMS Implementation Guide for Quality Reporting Document Architecture Category III - Implementation Guide for 2021.
  • Supports multi-measure tests, allowing vendors to test eCQM calculations with a single test deck across multiple measures.
  • Supports code system preference, allowing vendors to choose preferences for the code systems to be used in test patients.
  • Supports developer-generated test patients, allowing vendors to supplement Cypress test patients with their own test patients to increase eCQM logic/code coverage.
  • Evaluates the rigor of a set of test patients.

Cypress v5 will remain available for testing eCQMs for calendar year 2020 reporting.

Cypress v5.4.3

The Cypress 5.4.3 patch was released on 1/6/21. Changelog for the release is below

CVU+ Features
  • Improved upload performance for CVU+ tests.
  • Ability to verify a users UMLS API Key on Cypress login.

Cypress v5.4.2

The Cypress 5.4.2 patch was released on 9/17/20. Changelog for the release is below

Cypress Features
  • CVU+ eCQM calculations support CMS Guidance for Representing Telehealth Encounters in QRDA I Format for eCQMs.

Cypress v5.4.1

The Cypress 5.4.1 patch was released on 6/4/20. Changelog for the release is below

Cypress Features
  • Supports 2015 Edition Certification along side the 2015 Edition Cure Update Certification
    • The 2015 Edition Cure Update Certification supports updated §170.315(c)(3) Criteria as refined in the ONC 21st Century Cures Act.
Cypress Bugs Addressed
  • Addresses bug when comparing expected results for CMS128v8 when using shifted records. (CYPRESS-2046)

Cypress v5.4.0

The Cypress 5.4.0 patch was released on 5/14/20. Changelog for the release is below

Cypress Features
  • Supports updated §170.315(c)(3) Criteria as refined in the ONC 21st Century Cures Act.
  • Supports March updates to the 2020 CMS QRDA I Schematron.
  • De-duplication updated to add realism to duplicated patients.
  • HL7-only tests added to CVU+ Tests.

Cypress v5.3.0

The Cypress 5.3.0 patch was released on 3/12/20. Changelog for the release is below

Cypress Features
  • Unit of measure validation for EH eCQMs.
  • Increased contrast for Expected Results display.
  • C1 Record Sample tests will remain Incomplete until first QRDA upload.
  • CVU+ can evaluate QRDA Cat I files with unknown demographic information.
  • All users can download reports in Demo mode.
Cypress Bugs Addressed
  • QRDA Cat I R5.1 schematron updated. (CYPRESS-1959)
  • CQL Calculation Engine updated to fix CVU+ calculations of Open Boundaries. (CYPRESS-1924)
  • Submission errors were not being displayed for C1/C3 tests. (CYPRESS-1968)

Cypress v5.2.0

The Cypress 5.2.0 patch was released on 12/19/19. Changelog for the release is below

Cypress Features
  • Addresses changes made in the December 2019 update to the 2020 CMS QRDA I Implementation Guide.
  • Ability to edit attributes used for C1 Record Sample tests.
Cypress Bugs Addressed
  • Address calculation discrepancies for CMS165v8 due to ordering of Physical Exams. (CYPRESS-1868)

Cypress v5.1.0

The Cypress 5.1.0 patch was released on 11/7/19. Changelog for the release is below

Cypress Features
  • Addresses changed made in the October 2019 Errata publication of the Quality Reporting Document Architecture (QRDA) I, Release 1, Standard for Trial Use (STU) Release 5.1 - US Realm.
  • Measure highlighting added for bundle patients (with 2019.1.0 bundle).
Cypress Bugs Addressed
  • Fulfill ID references should always be in same file. (CYPRESS-1716)
  • Unable to view patient calculations for stratifications. (CYPRESS-1799)
  • Incorrect measure calculation for patient Z4 N STROKE with CMS104v8. (CYPRESS-1794)
  • 2019.0.1 bundle upload causing systems to crash on import. (CYPRESS-1751)

Cypress v5.0.1

The Cypress 5.0.1 patch was released on 8/29/19. Changelog for the release is below

Cypress Features
  • Measure Logic Highlighting for vendor provided test patients.
  • Increased granularity of status message for bundle and vendor patient uploads.
Cypress Bugs Addressed
  • Internal Error returned by Cypress instead of error message for incorrect population counts. (CYPRESS-1785)
  • Patient Import Fails when missing Low value. (CYPRESS-1785)

Cypress v5.0.0

Cypress v5.0 with the fully integrated Cypress Validation Utility + Calculation Check (CVU+) is now available to support 2015 Edition Certification for the Office of the National Coordinator for Health Information Technology Certification Program for electronic clinical quality measures (eCQM). Cypress v5.0 supports testing the Eligible Hospital/Critical Access Hospital eCQMs and Eligible Professional/Eligible Clinician eCQMs updated for calendar year 2020 reporting.

Cypress v5.0 Features
  • Supports the §170.315(c)(1), §170.315(c)(2), §170.315(c)(3), and §170.315(c)(4) certification criteria.
  • Supports validation with Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 Implementation Guide: Quality Reporting Document Architecture (QRDA) I, Release 1, Standard for Trial Use (STU) Release 5.1 - US Realm.
  • Supports validation with HL7 Clinical Document Architecture (CDA®) R2 Implementation Guide: QRDA III, Release 1, STU Release 2.1 - US Realm.
  • Supports the eCQMs for eReporting for the 2019 Reporting Period.
  • Supports eCQM Value Sets as of 5/10/2019.
Cypress Validation Utility + Calculation Check (CVU+) Features
  • Supports validation with the CMS Implementation Guide for QRDA Category I - Implementation Guide for 2020.
  • Supports validation with the CMS Implementation Guide for Quality Reporting Document Architecture Category III - Implementation Guide for 2020.
  • Supports multi-measure tests, allowing vendors to test eCQM calculations with a single test deck across multiple measures.
  • Supports code system preference, allowing vendors to choose preferences for the code systems to be used in test patients.
  • Supports developer-generated test patients, allowing vendors to supplement Cypress test patients with their own test patients to increase eCQM logic/code coverage.
  • Evaluates the rigor of a set of test patients.

Cypress v4.0.4

The Cypress 4.0.4 patch was released on 10/3/19. Changelog for the release is below

Cypress Features
  • Enforces 2019 CMS QRDA I IG guidance for Reason Template Placement When Specifying ‘Not Done’ with a Reason. (Published 9/20/19)
Cypress Bugs Addressed
  • Use an id’s Root and Extension to determine uniqueness. (CYPRESS-1708)
  • Quantities can use decimal values. (CYPRESS-1741)
  • Exported Medication units should be valid UCUM values. (CYPRESS-1752)
  • Patient Import Fails when missing Low value. (CYPRESS-1785)

Cypress v4.0.3

The Cypress 4.0.3 patch was released on 5/2/19. Changelog for the release is below.

Cypress Bugs Addressed
  • Cypress returning 500 error when trying to view Record Sample Test for CMS105 and CMS145. (CYPRESS-1672, CYPRESS-1654), CYPRESS-1629)
  • "C1 Execution: An internal error occurred" for "Substance, Administered" template in Record Sample Test. (CYPRESS-1627)
  • CMS 249v1 exhibited inconsistent calculation for "3 N GP Adult" Patient (CYPRESS-1624)
  • Immunization, administered not complete for Record Sample test. (CYPRESS-1619)
  • Cypress was including two (unique) patients with the same name in a single test deck. (CYPRESS-1593), (CYPRESS-1300)
  • Cypress was not exporting any test patients with negation of an entire valueset.(CYPRESS-1653)
  • Result Template using incorrect templateId extension. (CYPRESS-1634)
  • Reason Template using incorrect templateId extension. (CYPRESS-1611)
  • Reason Template was not being exported with patient in CMS129. (CYPRESS-1612)

Cypress v4.0.2

The Cypress 4.0.2 patch was released on 1/31/19. Changelog for the release is below.

Cypress Bugs Addressed
  • An “Assessment, Performed” Result should not be reported in a nested Result Template. (CYPRESS-1498, CYPRESS-1544)
  • ‘Randomized’ patient birthdate can cause calculation errors. (CYPRESS-1503)
  • Confusing display of Direct Reference Codes in “C4 Filter Tests.” (CYPRESS-1533)
  • Use updated ‘Related To’ template instead of ‘Fulfills’ for C1 Record Sample test. (CYPRESS-1537)
  • Strictly enforce the existence of a code-negation pair within the same entry for C1 Record Sample verification. (CYPRESS-1538)
  • Do not export patients using the ‘Other’ code 2131-1. (CYPRESS-1539)
  • An id not required in the Encounter Performed Act template in QRDA Category I R5. (CYPRESS-1541)

Cypress v4.0.1

The Cypress 4.0.1 patch was released on 10/11/18. Changelog for the release is below

Cypress Features
  • Cypress bundle for the 2019 Reporting/Performance period (eCQM value sets as of September, 2018).
  • Support for the 2018 CMS Quality Reporting Document Architecture (QRDA) Category III Implementation Guide.
Cypress Bugs Addressed
  • Misrepresentation of ongoing events in HTML. (CYPRESS-1450)
  • Calculation of patient Z21 GP Adult for CMS249 does not account for race. (CYPRESS-1461)
  • Cypress’s relative positioning of the “Negation Reason” in the Device, Order template impacts patient import.(CYPRESS-1443)
  • C4 Problem filter not properly excluding patients without required diagnosis.(CYPRESS-1480)
  • Duplicate Patients have significantly different date of births, impacting calculation depending on which date of birth is selected.(CYPRESS-1483)
  • Master Patient List download does not contain patient files.
  • 'Race Condition' in C2 setup may cause the Expected Results to be calculated with a subset of patient records.(CYPRESS-1488)

Cypress v4.0.0

The Cypress 4.0.0 was released on 7/26/18. Changelog for the release is below

Cypress Features
  • Support for C1, C2, C3 and C4 certification criteria
  • Support for the CMS QRDA I Implementation Guide for the Calendar Year 2019 Performance Period.
  • Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 Implementation Guide: Quality Reporting Document Architecture (QRDA III), Release 1, STU Release 2.1 - US Realm
  • Health Level Seven International (HL7) Clinical Document Architecture (CDA®) R2 Implementation Guide: Quality Reporting Document Architecture (QRDA I), Release 1, Standard for Trial Use (STU) Release 5 - US Realm
  • Support for the electronic clinical quality measures (eCQM) for eReporting for the 2019 Reporting Period.
    • 56 Eligible Professional/Eligible Clinician eCQMs.
      • Including new eCQMs CMS249v1 (Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture) and CMS359v1 (HIV Screening).
    • 16 Eligible Hospital/Critical Access Hospital eCQMs.
  • Support for eCQM Value Sets as of 5/4/2018.

Cypress Bundle 2021.0.2

The Cypress 2021.0.2 Bundle was released on 6/24/21. The Cypress 2021.0.2 was the initial bundle published with Cypress v6.2.0. Changelog for the release is below

Bundle Features
  • Support for the electronic clinical quality measures (eCQM) for eReporting for the 2022 Reporting Period.
    • 48 Eligible Professional/Eligible Clinician eCQMs.
    • 9 Eligible Hospital/Critical Access Hospital eCQMs.
    • 2 Eligible Hospital/Critical Access Hospital Hybrid eCQMs.
    • 2 Eligible Hospital/Critical Access Hospital Hybrid Pre-rulemaking eCQMs.
  • Support for eCQM Value Sets as of 5/6/2021.
  • Measure logic coverage > 95% for all eCQMs.

Cypress Bundle 2020.0.5

The Cypress 2020.0.5 Bundle was released on 2/19/21.

Bundle Bugs Addressed
  • Calculations displayed in Master Patient List updated to reflect updated guidance for Relevant dateTime/Relevant Period
  • QRDA Category I reports using timezone offsets (other than UTC) could experience calculation discrepancies due to daylight savings. (CYPRESS-2194)

Cypress Bundle 2020.0.4

The Cypress 2020.0.4 Bundle was released on 10/15/20.

Bundle Bugs Addressed
  • Some Cypress test patients use Relevant dateTime when they should be using Relevant Period. (CYPRESS-2099)

Cypress Bundle 2020.0.3

The Cypress 2020.0.3 Bundle was released on 8/7/20.

Bundle Bugs Addressed
  • Patients "STROKE 3 N 1" and "STROKE 3 N 2" had relevantPeriods that ended before they started. (CYPRESS-2082)

Cypress Bundle 2020.0.2

The Cypress 2020.0.2 Bundle was released on 7/29/20.

Bundle Bugs Addressed
  • Unit of Measure for Gestational age changed from weeks to wk. (CYPRESS-2076)

Cypress Bundle 2020.0.1

The Cypress 2020.0.1 Bundle was released on 7/23/20. The Cypress 2020.0.1 was the initial bundle published with Cypress v6.0.0. Changelog for the release is below

Bundle Features
  • Support for the electronic clinical quality measures (eCQM) for eReporting for the 2021 Reporting Period.
    • 47 Eligible Professional/Eligible Clinician eCQMs.
    • 10 Eligible Hospital/Critical Access Hospital eCQMs.
  • Support for eCQM Value Sets as of 5/7/2020.
  • Measure logic coverage > 95% for all eCQMs.

Cypress Bundle 2019.2.0

The Cypress 2019.2.0 Bundle was released on 9/17/20 with Cypress 5.4.2.

Bundle Features
  • Expression Logical Model (ELM) updates made to CMS128v8, CMS146v8 and CMS56v8.

Cypress Bundle 2019.1.1

The Cypress 2019.1.1 Bundle was released on 12/19/19.

Bundle Features
  • Removed CMS52v8, CMS82v7, CMS132v8, CMS160v8. Announcement can be found here.
  • Removed duplicate encounter entries from patients "Z5 BH Adult", "Z8 BH Adult" and "2 N Advanced Illness 4 GP Adult".(CYPRESS-1882)
  • Added diagnosis entries to correspond with encounter-diagnosis entries in patients "2 N Advanced Illness GP Adult", "2 N Advanced Illness 1 GP Adult", "2 N Advanced Illness 2 GP Adult", "2 N Advanced Illness 5 GP Adult" and "Z5 BH Adult".

Cypress Bundle 2019.1.0

The Cypress 2019.1.0 Bundle was released on 11/7/19 with Cypress 5.1.0.

Bundle Features
  • Includes pre-calculated eCQM calculations to improve performance when importing.
  • Removed codes that could cause "code-crosswalk" with eCQM calculation.

Cypress Bundle 2019.0.1

The Cypress 2019.0.1 Bundle was released on 7/25/19. The Cypress 2019.0.1 was the initial bundle published with Cypress v5.0.0. Changelog for the release is below

Bundle Features
  • Support for the electronic clinical quality measures (eCQM) for eReporting for the 2020 Reporting Period.
    • 51 Eligible Professional/Eligible Clinician eCQMs.
    • 8 Eligible Hospital/Critical Access Hospital eCQMs.
  • Support for eCQM Value Sets as of 5/10/2019.
  • Measure logic coverage > 95% for all eCQMs.

Cypress Bundle 2018.1.0

The Cypress 2018.1.0 Bundle was released on 10/11/18. Changelog for the release is below

Bundle Features Bundle Bugs Addressed
  • Duplicate episodes in patient Z9 N BH Adult. (CYPRESS-1453)
  • Cypress patients Z9 Eye, Z8 Eye used Cataract Surgery codes that inappropriately put them into the Numerator. (CQM-3215)

Cypress Bundle 2018.0.1

The Cypress 2018.0.1 Bundle was released on 7/26/18. The Cypress 2018.0.1 was the initial bundle published with Cypress v4.0.0. Changelog for the release is below

Bundle Features
  • Support for the electronic clinical quality measures (eCQM) for eReporting for the 2019 Reporting Period.
    • 56 Eligible Professional/Eligible Clinician eCQMs.
      • Including new eCQMs CMS249v1 (Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture) and CMS359v1 (HIV Screening).
    • 16 Eligible Hospital/Critical Access Hospital eCQMs.
  • Support for eCQM Value Sets as of 5/4/2018.
  • Measure logic coverage > 95% for all eCQMs.

Retired Releases

All releases prior to Cypress 4.0 have been officially retired. Please download release notes for these releases here.