dQM CMS Content Implementation Guide
2026.1.0 - CI Build

dQM CMS Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2026.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-cms-2026/ and changes regularly. See the Directory of published versions

## ValueSet: Chemotherapy, Radiation Therapy, or Breast Resection Procedures

Official URL: https://example.org/fhir/ValueSet/chemo-radiation-breast-resection | Version: 1.0.0
Draft as of 2026-06-16 | Computable Name: ChemoRadiationBreastResection

Procedures indicating prior chemotherapy, radiation therapy, or breast resection

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

### Logical Definition (CLD)

This value set includes codes based on the following rules:

- Include these codes as defined in `http://snomed.info/sct` version Not Stated (use latest from terminology server)

  Code | Display
  367336001 | Chemotherapy (procedure)
  108290001 | Radiation oncology AND/OR radiotherapy (procedure)
  69031006 | Excision of breast tissue (procedure)
  172043006 | Simple mastectomy (procedure)
  392090004 | Lumpectomy of breast (procedure)

- Include these codes as defined in `http://www.ama-assn.org/go/cpt` version Not Stated (use latest from terminology server)

  Code | Display
  96401 | Chemotherapy administration, subcutaneous or intramuscular
  77385 | Intensity modulated radiation treatment delivery
  19301 | Partial mastectomy (lumpectomy)
  19303 | Simple complete mastectomy

### Expansion

Expansion from tx.fhir.org based on:

- SNOMED CT United States edition 01-Sep 2025
- codesystem Current Procedural Terminology (CPT®) version 2023

This value set contains 9 concepts

System | Code | Display (en) | Inactive | status | JSON | XML
`http://snomed.info/sct` | 367336001 | Chemotherapy |  |  |  |
`http://snomed.info/sct` | 108290001 | Radiation oncology AND/OR radiotherapy | inactive | inactive |  |
`http://snomed.info/sct` | 69031006 | Excision of breast tissue | inactive | inactive |  |
`http://snomed.info/sct` | 172043006 | SM - Simple mastectomy |  |  |  |
`http://snomed.info/sct` | 392090004 | Operation on breast |  |  |  |
`http://www.ama-assn.org/go/cpt` | 96401 | Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic |  |  |  |
`http://www.ama-assn.org/go/cpt` | 77385 | Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple |  |  |  |
`http://www.ama-assn.org/go/cpt` | 19301 | Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); |  |  |  |
`http://www.ama-assn.org/go/cpt` | 19303 | Mastectomy, simple, complete |  |  |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code