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Health service event—adverse event grade, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termAdverse event grade
METeOR identifier:Help on this term467449
Registration status:Help on this termHealth, Standard 04/02/2015
Definition:Help on this termThe grade of an adverse event that has occurred during a health service event as defined by the American National Institute of Health and National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, v4.0), as represented by a code.
Data Element Concept:Health service event—adverse event grade

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Grade 1
2Grade 2
3Grade 3
4Grade 4
5Grade 5
Supplementary values:Help on this term
7Not applicable, no adverse events
8Unknown
9Adverse event, but grade inadequately specified

Collection and usage attributes

Guide for use:Help on this termGrade refers to the severity of the adverse event (AE). The CTCAE displays Grade 1 through to Grade 5 with unique clinical descriptions of severity for each AE based on this general guideline:

CODE 1   Grade 1

Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only intervention not indicated.

CODE 2   Grade 2

Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental activities of daily living (ADL). Instrumental ADL refers to preparing meals, shopping for groceries or clothes, using the telephone, managing money, etc.

CODE 3   Grade 3

Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL. Self care ADL refers to bathing, dressing and undressing, feeding self, using the toilet, taking medications, and not bedridden.

CODE 4   Grade 4

Life-threatening consequences; urgent intervention indicated.

CODE 5   Grade 5

Death related to AE.

The above answer category definitions are for general use. Full definitions for specific AE categories are available at http://evs.nci.nih.gov/ftp1/CTCAE/CTCAE_4.03_2010-06-14_QuickReference_5x7.pdf . Where possible specific definitions should be used.

Source and reference attributes

Submitting organisation:Help on this termCancer Australia
Reference documents:Help on this term

National Cancer Institute 2009. Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0. Viewed 7/11/2011. http://evs.nci.nih.gov/ftp1/CTCAE/CTCAE_4.03_2010-06-14_QuickReference_5x7.pdf 

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

Record the grade for any adverse event that has occurred during a health service event.

An Adverse Event (AE) is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medical treatment or procedure that may or may not be considered related to the medical treatment or procedure.
Collection methods:Help on this termCollect from patient medical records.

Source and reference attributes

Submitting organisation:Help on this termCancer Australia

Relational attributes

Related metadata references:Help on this term

See also Patient—adverse event indicator, yes/no code N Health, Standard 29/08/2014

See also Patient—date of adverse event, DDMMYYYY Health, Standard 04/02/2015

Implementation in Data Set Specifications:Help on this term
All attributes +

Adolescent and young adult cancer (clinical) DSS Health, Superseded 14/05/2015

DSS specific attributes +

Adolescent and young adult cancer (clinical) NBPDS Health, Standard 14/05/2015

DSS specific attributes +
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