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{
"id" : "ssf4_mbh",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "SSF4",
"title" : "Site-Specific Factor 4",
"subtitle" : "CD4 Cell Count",
"notes" : "**Note 1:** The CD4 cell count is used to monitor how well the immune system is working in a patient who is Human Immunodeficiency Virus (HIV) positive. A blood test measures the number of CD4 T-cells in each microliter (ul) of blood. The measurement may also be in CD4 cells per cubic millimeter of blood. One microliter (ul) is equivalent to 1 cubic millimeter of fluid. A low CD4 count (less than 200) indicates a weakened immune system. For Kaposi Sarcoma patients, a CD4 count lower than 200 is a poor risk factor.\n\n**Note 2:** Record the CD4 count at the time of the Kaposi Sarcoma diagnosis as documented in the patient record. If the CD4+ count is 980 or greater use code 980. If the test is done but the actual value is not available or not stated, use code 997.\n\n**Note 3:** If the patient is HIV negative, use code 987.\n\n**Note 4:** Record the actual value of the CD4 count as documented in the patient record. If the actual CD4+ count is 980 or greater, use code 980.",
"last_modified" : "2018-05-14T21:29:01.116Z",
"definition" : [ {
"key" : "ssf4",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "001-979", "CD4 count 001-979/cubic millimeter or microliter (ul) of blood\n(Exact count of CD4 cells)" ], [ "980", "CD4 count 980 or greater/cubic millimeter or microliter (ul) of blood" ], [ "987", "Not applicable: Patient is HIV negative" ], [ "988", "Not applicable: Information not collected for this case" ], [ "990", "CD4 count less than 200, NOS\nCD4 count stated to be low\nCD4 count stated to be poor risk" ], [ "991", "CD4 count greater than or equal to 200, NOS\nCD4 count stated to be normal\nCD4 count stated to good risk" ], [ "997", "Test ordered, results not in chart" ], [ "998", "Test not done (test not ordered and not performed)" ], [ "999", "Unknown or no information\nNot documented in patient record" ] ]
}
