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any procedure performed
through Partial
Sternotomy, Minithoracotomy,
Thoracoscopy (Port
access or robotic), “Key
hole” route or any
minimally invasive cardiac
surgeries consistent with
the current standard of the
medical services available
in Singapore.
Moderately Severe
Systemic Lupus
Erythematosus (S.L.E)
with Lupus Nephritis
means an autoimmune
illness in which tissues
and cells are damaged by
deposition of pathogenic
autoantibodies and
immune complexes and
damage of the kidney
function.
The diagnosis of S.L.E.
with Lupus Nephritis will
be based on the following
conditions:
(1) Clinically there must be
at least 4 out of the
following presentations
suggested by The
American College of
Rheumatology.
1.1. Malar rash
1.2. Discoid rash
1.3. Photosensitivity
1.4. Oral ulcers
1.5. Arthritis
1.6. Serositis
1.7. Renal Disorder
1.8. Leukopenia
(<4,000/mL), or
Lymphopenia
Advanced Stage1
the thoracic and
abdominal aorta but not its
branches.
Surgery performed using
only minimally invasive or
intra-arterial techniques
are excluded.
Systemic Lupus
Erythematosus with
Lupus Nephritis
The unequivocal
diagnosis of Systemic
Lupus Erythematosus
(SLE) based on
recognised diagnostic
criteria and supported with
clinical and laboratory
evidence. In respect of this
contract, systemic lupus
erythematosus will be
restricted to those forms of
systemic lupus
erythematosus which
involve the kidneys (Class
III to Class VI lupus
nephritis, established by
renal biopsy, and in
accordance with the
RPS/ISN classification
system). The final
diagnosis must be
confirmed by a certified
medical examiner
specializing in
Rheumatology and
Immunology.
The RPS/ISN classification
of lupus nephritis:
Class I: Minimal
mesangial lupus nephritis
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Conditions
35. Severe
Encephalitis
Early Stage
brain, heart (or