Profound Immune Suppression (Merkel Cell Skin)

Data Item Details

Parent Schema: Merkel Cell Skin
NAACCR Item: #3918
NAACCR XML ID: profoundImmuneSuppression

Organization Field Mapping

Organization	Field Name	ID#	ID Name	Required

Organization	Field Name	ID#	ID Name	Required
KCR	Profound Immune Suppression	34107	ProImmuneSuppression	yes
SEER	Profound Immune Suppression	3918	profoundImmuneSuppression	yes

Notes

Note 1 Physician statement

Physician statement of Profound Immune Suppression must be used to code this data item.
Do not assume that a patient is immune suppressed just because the patient has one of the conditions listed below in the table.

Note 2 Two-year limitation and exceptions

Per AJCC experts, this data item is limited to the conditions in the table below occurring within two years of the diagnosis of Merkel cell carcinoma.
*Exceptions* For the following conditions ONLY, these patients will experience chronic immunosuppression. There are no time limits for these conditions. If a patient has a history (regardless of when diagnosed or treatment status), code as present
Human Immunodeficiency Virus (HIV)/acquired immunodeficiency syndrome (AIDS) (Code 1)
Solid organ transplant recipient (Code 2)
Chronic lymphocytic leukemia (Code 3)

Code	Description

Code	Description
0	No immune suppression condition(s) identified/not present
1	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS)
2	Solid organ transplant recipient
3	Chronic lymphocytic leukemia
4	Non-Hodgkin lymphoma
5	Multiple immune suppression conditions
6	Profound immune suppression present
8	Not applicable: Information not collected for this case (If this information is required by your standard setter, use of code 8 may result in an edit error.)
9	Not documented in medical record Profound immune suppression not assessed or unknown if assessed

For official definitions and additional context, refer to the NAACCR Data Dictionary.