DER Reference Model Version 1.0.0
ecqm.dataelement

Injection Leuprolide Acetate

Description:
Clinical Focus: HCPCS code fo injection of leuprolide acetate for intended twelve month period.
Data Element Scope: The intent of this data element is to include androgen deprivation therapy for equal to or greater than 12 months. This is accomplished by indicating the CPT code and then a modifier such as J1950,cont which is non-billable but allows for reporting the intent.
Inclusion Criteria: Injection of leuprolide acetate intended for 12 months or greater.
Exclusion Criteria: Injection of leuprolude acetate intended for a period of less than 12 months.
ObservableCode constrained to codes in the Injection Leuprolide Acetate valueset (2.16.840.1.113762.1.4.1151.16).
QDM Datatype: Procedure

Procedure is derived directly from HL7 and Canada Health Infoway: “An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. ... Procedure is but one among several types of clinical activities such as observation, substance- administrations, and communicative interactions ... Procedure does not comprise all acts of [sic] whose intent is intervention or treatment.”17 A procedure may be a surgery or other type of physical manipulation of a person’s body in whole or in part for purposes of making observations and diagnoses or providing treatment