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{
"id" : "ssf4_mpd",
"algorithm" : "tnm",
"version" : "2.0",
"name" : "SSF4",
"title" : "Site-Specific Factor 4",
"subtitle" : "Follicular Lymphoma Prognostic Index (FLIPI)",
"notes" : "**Note 1:** The Follicular Lymphoma Prognostic Index (FLIPI) has been developed for follicular lymphomas and predicts outcome based on the following adverse factors\n\n* Age greater than or equal to 60 years \n* Ann Arbor Stage III or IV\n* More than 4 nodal areas involved\n* Elevated serum lactate dehydrogenase LDH level\n* Serum hemoglobin concentration less than 12 grams/deciliter (g/dl)\n\n**Note 2:** Record the FLIPI as documented in the medical record. Do not calculate points or assign risk. Only record points or risk if a physician has documented them. Use points over risk if both are available.\n\n**Note 3:** There are now three indices/scores associated with lymphoma\n* The International Prognostic Index (IPI) (**Site-Specific Factor 3**) \n* The Follicular Lymphoma International Prognostic Index (FLIPI) (**Site-Specific Factor 4**) \n* The International Prognostic Score (IPS- for Hodgkin lymphomas) (**Site-Specific Factor 5**)\n\nPhysicians may use these indices/scores interchangeably. For coding\n\n* Score identified: Value in appropriate SSF, 999 in other two SSFs\n* Score not identified, point value 5 or less: 999 in all three SSFs\n* Score not identified, point value 6 or 7: Value in SSF 5 (IPS), 999 in other two SSFs",
"last_modified" : "2018-05-14T21:29:01.100Z",
"definition" : [ {
"key" : "ssf4",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "000", "0 points" ], [ "001", "1 point" ], [ "002", "2 points" ], [ "003", "3 points" ], [ "004", "4 points" ], [ "005", "5 points" ], [ "988", "Not applicable: Information not collected for this case" ], [ "990", "Stated as low risk (0-1 point)" ], [ "991", "Stated as intermediate risk (2 points)" ], [ "992", "Stated as high risk (3-5 points)" ], [ "999", "Unknown or no information\nNot documented in patient record" ] ]
}
