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{
"id" : "grade_clinical_19087",
"algorithm" : "eod_public",
"version" : "1.0",
"name" : "Grade Clinical",
"title" : "Grade Clinical",
"notes" : "**Note 1:** Grade is applicable for the follicular lymphomas only (9690/3, 9691/3, 9695/3, 9698/3). For all other lymphoma histologies, code 9.\n\n**Note 2:** Clinical grade must not be blank.\n\n**Note 3:** Assign the highest grade from the primary tumor assessed during the clinical time frame.\n\n**Note 4:** Follicular lymphoma grade is based on the absolute number of centroblasts per high-power (40 x objective, 0.159 square mm) microscopic field (HPF).\n\n**Note 5:** Codes 1-5 take priority over L.\n\n**Note 6:** Code 9 when\n* Grade from primary site is not documented\n* Clinical workup is not done (for example, cancer is an incidental finding during surgery for another condition)\n* Grade checked “not applicable” on CAP Protocol (if available) and no other grade information is available\n\n**Note 7:** If there is only one grade available and it cannot be determined if it is clinical, pathological, or after neo-adjuvant therapy, assign as a clinical grade and code unknown (9) for pathological grade, and blank for post-therapy grade.",
"last_modified" : "2018-03-12T16:39:59.055Z",
"definition" : [ {
"key" : "grade_clin",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "1", "G1: 0–5 centroblasts per HPF" ], [ "2", "G2: 6-15 centroblasts per HPF " ], [ "3", "G3: > 15 centroblasts " ], [ "4", "G3A: >15 centroblasts per HPF and centrocytes present" ], [ "5", "G3B: > 15 centroblasts per HPF and solid sheets of centroblasts" ], [ "L", "Low grade: Grade 1-2" ], [ "9", "Grade cannot be assessed (GX); Unknown \nNot a follicular histology (9690/3, 9691/3, 9695/3, 9698/3)" ] ]
}
