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{
"id" : "ssf4_mpd",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "SSF4",
"title" : "CS 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: 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 6or 7: Value in CS SSF 5 (IPS), 999 in other two CS SSF",
"last_modified" : "2015-05-27T16:20:07.099Z",
"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" ], [ "888", "OBSOLETE DATA CONVERTED V0200\nSee code 988\nNot applicable for this schema" ], [ "988", "Not applicable: Information not collected for this case\n(May include cases converted from code 888 used in CSv1 for \"Not applicable\" or when the item was not collected. If this item is required to derive T, N, M, or any stage, use of code 988 may result in an error.)" ], [ "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" ] ]
}
