Clinical Quality Measure Testing Procedure

The latest version of the Quality Measures Testing Procedure can be found at Test Procedure for §170.314(c) Electronic Clinical Quality Measures.

Questions may be directed to ONC's Office of Certification via email.

eCQI Resource Center

The eCQI Resource Center is the “one-stop shop” for stakeholders engaged in electronic quality improvement.

Test Data

The Cypress patient test data consists of:

  • Synthetic patients designed to interact with and provide measure steward approved, gold standard expected results for the Electronic Clinical Quality Measures (eCQMs) selected for CMS quality reporting programs for Eligible Clinicians and Eligible Professionals (EP/EC), and for Eligible Hospital (EH) and Critical Access Hospitals (CAH). Cypress test patients are developed to cover at least 95% of possible eCQM logic pathways.

These standardized set of patient test data will be used as the primary evaluation mechanism for Electronic Health Record (EHR) vendor performance on clinical quality measure implementations via the Cypress software. It has not been designed to be an exhaustive test of all logical elements. Instead, the patient test data has been designed instead to provide a simplified and standardized representation of common population information for a eCQM software implementation to process and accurately calculate results.

Cypress v7 Release

Cypress v7 is now available for certification testing of the electronic clinical quality measures (eCQMs) are updated for calendar year 2022, 2023 and 2024 reporting. Cypress 7.2.2 is the latest Cypress v7 release for use in the ONC certification program

Cypress v7 User Guide

Cypress v7 can be used for certification testing of electronic clinical quality measures (eCQMs) updated for calendar year 2022, 2023 and 2024 reporting. The Cypress v7 User Guide can be found here.