Profound Immune Suppression
**Note 1:** 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. Per AJCC experts, the following terms can also be used to describe "profound immune suppression."
* Suppressed immune status
**Note 2:** 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.
* For the following conditions, 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 )
**Note 3:** Code 9 if conditions in the table below were not active within 2 years of (or resolved more than 2 years prior to) diagnosis, or if it is unknown when they existed.
**Note 4:** If more than one condition is documented, code 5. Document the specific conditions in the text field.