Death
Item
Death within 30 days of treatment
boolean
C1306577 (UMLS CUI [1])
Lifethreatening
Item
Lifethreatening adverse event (i.e Toxicity-level 4 WHO)
boolean
C1517874 (UMLS CUI [1])
Disabling AE
Item
Permanently disabling or crippling adverse event
boolean
C3830477 (UMLS CUI [1])
Hospitalization
Item
AE requires or prolongs hospitalization
boolean
C2826664 (UMLS CUI [1])
Secondary neoplasm
Item
Secondary Neoplasm
boolean
C2939419 (UMLS CUI [1])
Overdose
Item
SAE associated with overdose causing symptoms
boolean
C4018909 (UMLS CUI [1])
Specify
Item
Specify
text
C1521902 (UMLS CUI [1])
Date
Item
Date
date
C0011008 (UMLS CUI [1])
Physician
Item
Treating Physician
text
C1710470 (UMLS CUI [1])
Responsible Person Signature
Item
Signature
text
C1550483 (UMLS CUI [1])