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{
"id" : "ssf3_lph",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "SSF3",
"title" : "CS Site-Specific Factor 3",
"subtitle" : "International Prognostic Index (IPI)",
"notes" : "**Note 1**: The International Prognostic Index (IPI) has been developed for 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 1 extranodal site involved \n* Patient's performance status (Eastern Cooperative Oncology Group, ECOG) 2, 3, or 4\n* Elevated serum lactate dehydrogenase (LDH) level\n\n**Note 2**: Record the IPI as stated 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: The International Prognostic Index (IPI, CS Site-Specific Factor 3), the Follicular Lymphoma International Prognostic Index (FLIPI, CS Site-Specific Factor 4), and the International Prognostic Score (IPS) (for Hodgkin lymphomas, CS Site-Specific Factor 5). Physicians may use these indices/scores interchangeably. For coding:\n\n* Score identified: Value in appropriate CS SSF, 999 in other two CS SSF\n* Score not identified, point value 5 or less: 999 in all three CS SSF\n* Score not identified, point value 6 or 7: Value in CS SSF 5 (IPS), 999 in other two CS SSF.",
"last_modified" : "2015-05-27T16:20:05.661Z",
"definition" : [ {
"key" : "ssf3",
"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 (If this item is required by your standard setter, use of code 988 will result in an edit error.)" ], [ "990", "Stated as low risk (0-1 point)" ], [ "991", "Stated as low intermediate risk (2 points)" ], [ "992", "Stated as intermediate risk (3 points)" ], [ "993", "Stated as high risk (4-5 points)" ], [ "999", "Unknown or no information\nNot documented in patient record" ] ]
}