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

## : Tumor Size Observations - JSON Representation

Draft as of 2026-06-16

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    {
      "resourceType" : "ValueSet",
      "id" : "tumor-size-observations",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet tumor-size-observations</b></p><a name=\"tumor-size-observations\"> </a><a name=\"hctumor-size-observations\"> </a><p>This value set includes codes based on the following rules:</p><ul><li>Include these codes as defined in <a href=\"http://loinc.org\"><code>http://loinc.org</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"https://loinc.org/21889-1/\">21889-1</a></td><td>Size Tumor</td></tr><tr><td><a href=\"https://loinc.org/33728-7/\">33728-7</a></td><td>Size.maximum dimension in Tumor</td></tr><tr><td><a href=\"https://loinc.org/44667-4/\">44667-4</a></td><td>Size.additional dimension in Tumor</td></tr><tr><td><a href=\"https://loinc.org/85319-2/\">85319-2</a></td><td>Size.maximum dimension in Tumor by Pathology report</td></tr><tr><td><a href=\"https://loinc.org/85320-0/\">85320-0</a></td><td>Size.additional dimension in Tumor by Pathology report</td></tr><tr><td><a href=\"https://loinc.org/33729-5/\">33729-5</a></td><td>Size.maximum dimension in Tumor by US</td></tr><tr><td><a href=\"https://loinc.org/33730-3/\">33730-3</a></td><td>Size.maximum dimension in Tumor by Mammogram</td></tr><tr><td><a href=\"https://loinc.org/33731-1/\">33731-1</a></td><td>Size.maximum dimension in Tumor by MRI</td></tr></table></li><li>Include these codes as defined in <a href=\"http://www.snomed.org/\"><code>http://snomed.info/sct</code></a><span title=\"Version is not explicitly stated. No matching Code System found\"> version Not Stated (use latest from terminology server)</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href=\"http://snomed.info/id/371479007\">371479007</a></td><td>Tumor size, largest dimension (observable entity)</td></tr><tr><td><a href=\"http://snomed.info/id/384630000\">384630000</a></td><td>Tumor size (observable entity)</td></tr><tr><td><a href=\"http://snomed.info/id/399067008\">399067008</a></td><td>Tumor size, additional dimension (observable entity)</td></tr></table></li></ul></div>"
      },
      "url" : "https://example.org/fhir/ValueSet/tumor-size-observations",
      "version" : "1.0.0",
      "name" : "TumorSizeObservations",
      "title" : "Tumor Size Observations",
      "status" : "draft",
      "date" : "2026-06-16T17:19:32+00:00",
      "description" : "LOINC and SNOMED-CT codes for observations recording tumor size, used in pathology and imaging reports",
      "compose" : {
        "include" : [
          {
            "system" : "http://loinc.org",
            "concept" : [
              {
                "code" : "21889-1",
                "display" : "Size Tumor"
              },
              {
                "code" : "33728-7",
                "display" : "Size.maximum dimension in Tumor"
              },
              {
                "code" : "44667-4",
                "display" : "Size.additional dimension in Tumor"
              },
              {
                "code" : "85319-2",
                "display" : "Size.maximum dimension in Tumor by Pathology report"
              },
              {
                "code" : "85320-0",
                "display" : "Size.additional dimension in Tumor by Pathology report"
              },
              {
                "code" : "33729-5",
                "display" : "Size.maximum dimension in Tumor by US"
              },
              {
                "code" : "33730-3",
                "display" : "Size.maximum dimension in Tumor by Mammogram"
              },
              {
                "code" : "33731-1",
                "display" : "Size.maximum dimension in Tumor by MRI"
              }
            ]
          },
          {
            "system" : "http://snomed.info/sct",
            "concept" : [
              {
                "code" : "371479007",
                "display" : "Tumor size, largest dimension (observable entity)"
              },
              {
                "code" : "384630000",
                "display" : "Tumor size (observable entity)"
              },
              {
                "code" : "399067008",
                "display" : "Tumor size, additional dimension (observable entity)"
              }
            ]
          }
        ]
      }
    }