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{
  "id" : "merkel_cell_skin",
  "algorithm" : "eod_public",
  "version" : "1.1",
  "name" : "Merkel Cell Skin",
  "title" : "Merkel Cell Carcinoma of Skin, Vulva, Penis, Scrotum",
  "notes" : "8041, 8190, 8247 (C000-C006, C008-C009, C440-C449, C510-C512, C518-C519, C600-C602, C608-C609, C632, C809)\n\n**Note 1:** The following sources were used in the development of this schema\n* SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 1998) (https://seer.cancer.gov/archive/manuals/EOD10Dig.3rd.pdf)\n* SEER Summary Staging Manual-2000: Codes and Coding Instructions (https://seer.cancer.gov/tools/ssm/)\n* Collaborative Stage Data Collection System, version 02.05:  https://cancerstaging.org/cstage/Pages/default.aspx \n* Chapter 46 *Merkel Cell Carcinoma*, in the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Used with permission of the American College of Surgeons, Chicago, Illinois.\n\n**Note 2:** Merkel cell carcinoma presenting in nodal or visceral site with primary site unknown is coded to C449, Skin, NOS.",
  "schema_selection_table" : "schema_selection_merkel_cell_skin",
  "inputs" : [ {
    "key" : "year_dx",
    "name" : "Year of Diagnosis",
    "naaccr_item" : 390,
    "table" : "year_dx_validation",
    "used_for_staging" : false
  }, {
    "key" : "site",
    "name" : "Primary Site",
    "naaccr_item" : 400,
    "table" : "primary_site",
    "used_for_staging" : true
  }, {
    "key" : "hist",
    "name" : "Histology",
    "naaccr_item" : 522,
    "table" : "histology",
    "used_for_staging" : true
  }, {
    "key" : "behavior",
    "name" : "Behavior",
    "naaccr_item" : 523,
    "table" : "behavior",
    "used_for_staging" : false
  }, {
    "key" : "size_clin",
    "name" : "Tumor Size Clinical",
    "naaccr_item" : 752,
    "table" : "tumor_size_clinical_60979",
    "used_for_staging" : false
  }, {
    "key" : "size_path",
    "name" : "Tumor Size Pathological",
    "naaccr_item" : 754,
    "table" : "tumor_size_pathological_25597",
    "used_for_staging" : false
  }, {
    "key" : "size_summary",
    "name" : "Tumor Size Summary",
    "naaccr_item" : 756,
    "default" : "999",
    "table" : "tumor_size_summary_63115",
    "used_for_staging" : true
  }, {
    "key" : "nodes_pos",
    "name" : "Regional Nodes Positive",
    "naaccr_item" : 820,
    "default" : "99",
    "table" : "nodes_pos_fah",
    "used_for_staging" : false
  }, {
    "key" : "nodes_exam",
    "name" : "Regional Nodes Examined",
    "naaccr_item" : 830,
    "default" : "99",
    "table" : "nodes_exam_76029",
    "used_for_staging" : false
  }, {
    "key" : "radiation_surg_seq",
    "name" : "RX Summ Surgery/Radiation Sequence",
    "naaccr_item" : 1380,
    "table" : "radiation_surg_seq",
    "used_for_staging" : false
  }, {
    "key" : "systemic_surg_seq",
    "name" : "RX Summ Systemic/Surgery Sequence",
    "naaccr_item" : 1639,
    "table" : "systemic_surg_seq",
    "used_for_staging" : false
  }, {
    "key" : "eod_primary_tumor",
    "name" : "EOD Primary Tumor",
    "naaccr_item" : 772,
    "default" : "999",
    "table" : "extension_bds",
    "used_for_staging" : true
  }, {
    "key" : "eod_regional_nodes",
    "name" : "EOD Regional Nodes",
    "naaccr_item" : 774,
    "default" : "999",
    "table" : "nodes_ddn",
    "used_for_staging" : true
  }, {
    "key" : "eod_mets",
    "name" : "EOD Mets",
    "naaccr_item" : 776,
    "default" : "00",
    "table" : "mets_hph",
    "used_for_staging" : true
  }, {
    "key" : "ss2018",
    "name" : "SS2018",
    "naaccr_item" : 764,
    "table" : "ss2018_merkel_cell_carcinoma_89481",
    "used_for_staging" : false
  }, {
    "key" : "grade_clin",
    "name" : "Grade Clinical",
    "naaccr_item" : 3843,
    "default" : "9",
    "table" : "grade_clinical_standard_94331",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "NPCR_REQUIRED", "SSDI", "CCCR_REQUIRED", "SEER_REQUIRED" ]
  }, {
    "key" : "grade_path",
    "name" : "Grade Pathological",
    "naaccr_item" : 3844,
    "default" : "9",
    "table" : "grade_pathological_standard_94268",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "NPCR_REQUIRED", "SSDI", "CCCR_REQUIRED", "SEER_REQUIRED" ]
  }, {
    "key" : "grade_post_therapy",
    "name" : "Grade Post Therapy",
    "naaccr_item" : 3845,
    "table" : "grade_post_therapy_standard_88293",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "NPCR_REQUIRED", "SSDI", "CCCR_REQUIRED", "SEER_REQUIRED" ]
  }, {
    "key" : "ln_itc",
    "name" : "Lymph Nodes Isolated Tumor Cells",
    "naaccr_item" : 3880,
    "default" : "8",
    "table" : "lymph_nodes_isolated_tumor_cells_67876",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "SSDI", "SEER_REQUIRED" ]
  }, {
    "key" : "profound_immune_suppression",
    "name" : "Profound Immune Suppression",
    "naaccr_item" : 3918,
    "default" : "8",
    "table" : "profound_immune_suppression_68178",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "SSDI", "SEER_REQUIRED" ]
  }, {
    "key" : "extranodal_ext_clin",
    "name" : "Extranodal Extension Clinical",
    "naaccr_item" : 3830,
    "default" : "8",
    "table" : "extranodal_extension_clinical_5022",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "SSDI", "SEER_REQUIRED" ]
  }, {
    "key" : "extranodal_ext_path",
    "name" : "Extranodal Extension Pathological",
    "naaccr_item" : 3833,
    "default" : "8",
    "table" : "extranodal_extension_pathological_30739",
    "used_for_staging" : false,
    "metadata" : [ "COC_REQUIRED", "SSDI", "SEER_REQUIRED" ]
  } ],
  "outputs" : [ {
    "key" : "naaccr_schema_id",
    "name" : "Schema ID",
    "naaccr_item" : 3800,
    "default" : "00460"
  }, {
    "key" : "ajcc_id",
    "name" : "AJCC ID",
    "naaccr_item" : 995,
    "default" : "XX"
  }, {
    "key" : "derived_version",
    "name" : "Derived Version",
    "default" : "{{ctx_alg_version}}"
  }, {
    "key" : "eod_2018_t",
    "name" : "Derived EOD 2018 T",
    "naaccr_item" : 785,
    "default" : "88"
  }, {
    "key" : "eod_2018_n",
    "name" : "Derived EOD 2018 N",
    "naaccr_item" : 815,
    "default" : "88"
  }, {
    "key" : "eod_2018_m",
    "name" : "Derived EOD 2018 M",
    "naaccr_item" : 795,
    "default" : "88"
  }, {
    "key" : "eod_2018_stage_group",
    "name" : "Derived EOD 2018 Stage Group",
    "naaccr_item" : 818,
    "default" : "88"
  }, {
    "key" : "ss2018_derived",
    "name" : "Derived Summary Stage 2018",
    "naaccr_item" : 762,
    "default" : "9"
  } ],
  "mappings" : [ {
    "id" : "ajcc_chapter_calculation",
    "name" : "AJCC Chapter Calculation",
    "tables" : [ {
      "id" : "ajcc_chapter_calculation_17330",
      "inputs" : [ "hist" ],
      "outputs" : [ "ajcc_id" ]
    } ]
  }, {
    "id" : "summary_stage_2018",
    "name" : "Summary Stage 2018",
    "initial_context" : [ {
      "key" : "eod_2018_t",
      "value" : "90"
    }, {
      "key" : "eod_2018_n",
      "value" : "90"
    }, {
      "key" : "eod_2018_m",
      "value" : "90"
    } ],
    "tables" : [ {
      "id" : "extension_bds",
      "inputs" : [ "size_summary", "eod_primary_tumor" ],
      "outputs" : [ "eod_2018_t", "ss2018_t" ]
    }, {
      "id" : "nodes_ddn",
      "inputs" : [ "eod_regional_nodes" ],
      "outputs" : [ "eod_2018_n", "ss2018_n", "stage_table_for_n" ]
    }, {
      "id" : "mets_hph",
      "inputs" : [ "eod_mets" ],
      "outputs" : [ "eod_2018_m", "ss2018_m" ]
    }, {
      "id" : "summary_stage_rpa",
      "inputs" : [ "ss2018_m", "ss2018_n", "ss2018_t" ],
      "outputs" : [ "ss2018_derived" ]
    } ]
  }, {
    "id" : "eod_2018_stage_group",
    "name" : "EOD 2018 Stage Group",
    "inclusion_tables" : [ {
      "id" : "tnm8_inclusions_tqb",
      "inputs" : [ "ajcc_id" ]
    } ],
    "initial_context" : [ {
      "key" : "eod_2018_stage_group",
      "value" : "90"
    } ],
    "tables" : [ {
      "id" : "parse_t_2177",
      "input_mapping" : [ {
        "from" : "eod_2018_t",
        "to" : "t"
      } ],
      "output_mapping" : [ {
        "from" : "root_t",
        "to" : "tmp_eod_t"
      } ],
      "inputs" : [ "eod_2018_t" ],
      "outputs" : [ "t_prefix", "tmp_eod_t" ]
    }, {
      "id" : "parse_n_67182",
      "input_mapping" : [ {
        "from" : "eod_2018_n",
        "to" : "n"
      } ],
      "output_mapping" : [ {
        "from" : "root_n",
        "to" : "tmp_eod_n"
      } ],
      "inputs" : [ "eod_2018_n" ],
      "outputs" : [ "n_prefix", "tmp_eod_n" ]
    }, {
      "id" : "parse_m_47057",
      "input_mapping" : [ {
        "from" : "eod_2018_m",
        "to" : "m"
      } ],
      "output_mapping" : [ {
        "from" : "root_m",
        "to" : "tmp_eod_m"
      } ],
      "inputs" : [ "eod_2018_m" ],
      "outputs" : [ "m_prefix", "tmp_eod_m" ]
    }, {
      "id" : "tnm_8_combined_stage_group_48585",
      "input_mapping" : [ {
        "from" : "tmp_eod_n",
        "to" : "n"
      }, {
        "from" : "tmp_eod_m",
        "to" : "m"
      }, {
        "from" : "tmp_eod_t",
        "to" : "t"
      }, {
        "from" : "stage_table_for_n",
        "to" : "prefix_n_in"
      } ],
      "output_mapping" : [ {
        "from" : "stage",
        "to" : "eod_2018_stage_group"
      } ],
      "inputs" : [ "stage_table_for_n", "tmp_eod_n", "tmp_eod_m", "tmp_eod_t" ],
      "outputs" : [ "eod_2018_stage_group" ]
    } ]
  }, {
    "id" : "eod_tnm_cleanup",
    "name" : "EOD TNM Cleanup",
    "exclusion_tables" : [ {
      "id" : "tnm8_inclusions_tqb",
      "inputs" : [ "ajcc_id" ]
    } ],
    "tables" : [ {
      "id" : "eod_tnm_component_cleanup_58170",
      "inputs" : [ "ajcc_id" ],
      "outputs" : [ "eod_2018_n", "eod_2018_m", "eod_2018_t", "eod_2018_stage_group" ]
    } ]
  } ],
  "involved_tables" : [ "nodes_pos_fah", "extranodal_extension_pathological_30739", "extension_bds", "tnm8_inclusions_tqb", "radiation_surg_seq", "extranodal_extension_clinical_5022", "parse_t_2177", "parse_n_67182", "schema_selection_merkel_cell_skin", "mets_hph", "histology", "nodes_exam_76029", "tumor_size_summary_63115", "behavior", "tumor_size_with_primary_tumor_for_ajcc_t_41327", "grade_post_therapy_standard_88293", "lymph_nodes_isolated_tumor_cells_67876", "grade_clinical_standard_94331", "ss2018_merkel_cell_carcinoma_89481", "tumor_size_pathological_25597", "systemic_surg_seq", "tumor_size_clinical_60979", "parse_m_47057", "primary_site", "eod_tnm_component_cleanup_58170", "profound_immune_suppression_68178", "nodes_ddn", "year_dx_validation", "grade_pathological_standard_94268", "summary_stage_rpa", "ajcc_chapter_calculation_17330", "tnm_8_combined_stage_group_48585" ],
  "on_invalid_input" : "CONTINUE",
  "last_modified" : "2018-04-19T21:52:43.337Z"
}




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