Thank you for your inquiry regarding CMS122v13 (2025 Performance Period). This measure requires documentation of an HbA1c or GMI test using QDM datatype "Laboratory Test, Performed", identified by the "HbA1c Laboratory Test" (2.16.840.1.113883.3.464.1003.198.12.1013) value set or the "Glucose Management Indicator" LOINC code (97506-0), along with the test result and date. A patient reported test can be counted towards HbA1c or GMI testing provided that the results are sent to a laboratory or provider's office for analysis. You will need documentation of the criteria mentioned above in the structured fields of the EHR for measure evaluation. If you have questions about reading the measure specification or understanding data requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs .