Patient B, Eye_Adult is expected to populate the numerator.

The numerator includes the following statement:
AND: "Occurrence A of Diagnostic Study, Result: Macular Exam (result: 'Level of Severity of Retinopathy Findings')"

The patient has a diagnostic study result but the result code is not in the list for 'level of severity' so it incorrectly does not meet the numerator.

The Data Criteria for the above statement:
Attribute: "Result: Level of Severity of Retinopathy Findings" using "Level of Severity of Retinopathy Findings Grouping Value Set (2.16.840.1.113883.3.526.3.1283)"

Group Value Set list for 2.16.840.1.113883.3.526.3.1283 includes codes: 193349004, 312903003, 312904009, 312905005, 390834004, 408411003, 408412005

The patient QRDA generated by Cypress includes one Macular Exam entry:

<entry>
<observation classCode="OBS" moodCode="EVN" >
<!-- Consolidated Result Observation templateId (Implied Template) -->
<templateId root="2.16.840.1.113883.10.20.22.4.2"/>
<!-- Diagnostic Study, Result template -->
<templateId root="2.16.840.1.113883.10.20.24.3.20"/>
<id root="1.3.6.1.4.1.115" extension="526421cd1d41c844210001c5"/>
<code code="32451-7" codeSystem="2.16.840.1.113883.6.1" xsi:type="CD" sdtc:valueSet="2.16.840.1.113883.3.526.3.1251"><originalText>Diagnostic Study Result: Macular Exam (Code List: 2.16.840.1.113883.3.526.3.1251)</originalText></code>
<text>Diagnostic Study Result: Macular Exam (Code List: 2.16.840.1.113883.3.526.3.1251)</text>
<statusCode code="completed"/>
<effectiveTime>
<low value='20120104120500'/>
<high value='20120104120500'/>
</effectiveTime>
<value code="428341000124108" codeSystem="2.16.840.1.113883.6.96" xsi:type="CD" sdtc:valueSet='2.16.840.1.113883.3.526.3.1284'><originalText>Macular Edema Findings Absent</originalText></value>
</observation>
</entry>

This entry does not seem to meet the criteria of 'Level of Severity of Retinopathy Findings' as described by the numerator.