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    <original_author id="date">2021-01-11</original_author>
    <original_author id="name">Heather Leslie</original_author>
    <original_author id="organisation">Atomica Informatics</original_author>
    <original_author id="email">heather.leslie@atomicainformatics.com</original_author>
    <other_contributors>Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)</other_contributors>
    <other_contributors>Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Aleocidio Balzanelo, UHG Brasil, Brazil</other_contributors>
    <other_contributors>Ivar Berge, Oslo Universitetssykehus, Norway</other_contributors>
    <other_contributors>SB Bhattacharyya, Bhattacharyyas Clinical Records Research &amp; Informatics LLP, India</other_contributors>
    <other_contributors>Adam Bouras, CDC/OGHA, United States</other_contributors>
    <other_contributors>Randi Brendberg, Helse Nord RHF, Norway</other_contributors>
    <other_contributors>Laila Bruun, Oslo universitetssykehus HF, Norway</other_contributors>
    <other_contributors>Ian Bull, ACT Health, Australia</other_contributors>
    <other_contributors>giovanni delussu, crs4, Italy</other_contributors>
    <other_contributors>Rosane Gotardo, Systema Ltda., Brazil</other_contributors>
    <other_contributors>Elin Hallan Naderi, OUS, Norway</other_contributors>
    <other_contributors>Amanda Herbrand, University Hospital Basel, Switzerland</other_contributors>
    <other_contributors>Joost Holslag, Nedap, Netherlands</other_contributors>
    <other_contributors>Evelyn Hovenga, EJSH Consulting, Australia</other_contributors>
    <other_contributors>Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)</other_contributors>
    <other_contributors>Shinji Kobayashi, NPO openEHR Japan, Japan (openEHR Editor)</other_contributors>
    <other_contributors>Kanika Kuwelker, Helse Vest IKT, Norway (Nasjonal IKT redaktør)</other_contributors>
    <other_contributors>Jörgen Kuylenstierna, eWeave AB, Sweden</other_contributors>
    <other_contributors>Tomi Laptoš, Marand, Slovenia</other_contributors>
    <other_contributors>Liv Laugen, Oslo universitetssykehus, Norway (Nasjonal IKT redaktør)</other_contributors>
    <other_contributors>Heather Leslie, Atomica Informatics, Australia (openEHR Editor)</other_contributors>
    <other_contributors>Nina Louise Jebsen, Haukeland Universitetssykehus, Norway</other_contributors>
    <other_contributors>Hanne Marte Bårholm, Helse Vest IKT, Norway (Nasjonal IKT redaktør)</other_contributors>
    <other_contributors>Cecilie Moe, Oslo Universitessykehus, Norway</other_contributors>
    <other_contributors>Bjoern Naess, DIPS ASA, Norway</other_contributors>
    <other_contributors>Arunakiry Natarajan, medondo, Germany</other_contributors>
    <other_contributors>Terje Nordberg, Helse Bergen, Norway</other_contributors>
    <other_contributors>Mikael Nyström, Cambio Healthcare Systems AB, Sweden</other_contributors>
    <other_contributors>Bjørn Næss, DIPS ASA, Norway</other_contributors>
    <other_contributors>Helge Pettersen, Helse Bergen, Norway</other_contributors>
    <other_contributors>Ragnhild Schultz, OUS, Norway</other_contributors>
    <other_contributors>Natalia Strauch, Medizinische Hochschule Hannover, Germany</other_contributors>
    <other_contributors>Norwegian Review Summary, Norwegian Public Hospitals, Norway</other_contributors>
    <other_contributors>Erik Sundvall, Sweden</other_contributors>
    <other_contributors>Venkatesh Thoppae, Dedalus, United Kingdom</other_contributors>
    <other_contributors>Anders Thurin, VGR, Sweden</other_contributors>
    <other_contributors>John Tore Valand, Helse Bergen, Norway (openEHR Editor)</other_contributors>
    <other_contributors>Ina Wille, Helse-Vest RHF, Norway</other_contributors>
    <other_contributors>Neill Yeoman, The Christie NHS Foundation Trust, United Kingdom</other_contributors>
    <lifecycle_state>published</lifecycle_state>
    <other_details id="licence">This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.</other_details>
    <other_details id="custodian_organisation">openEHR Foundation</other_details>
    <other_details id="references">NIH... Turning Discovery Into Health [Internet]. Maryland: National Institute of Health. Common Terminology Criteria for Adverse Events (CTCAE); last updated 2021 Sep 04 [cited 2023 Feb 22]. Available from: https://ctep.cancer.gov/protocoldevelopment/electronic_applications/ctc.htm.</other_details>
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      <language>
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          <value>ISO_639-1</value>
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        <code_string>de</code_string>
      </language>
      <purpose>Bereitstellung einer Rahmenstruktur für die Erfassung jeglicher ungünstiger und unbeabsichtigter Anzeichen, Symptome oder Krankheiten temporal unter Verwendung der CTCAE-Terminologie.</purpose>
      <keywords>CTCAE</keywords>
      <keywords>Anzeichen</keywords>
      <keywords>Symptom</keywords>
      <keywords>Krankheit</keywords>
      <keywords>unerwünscht</keywords>
      <keywords>Ereignis</keywords>
      <use>Verwenden Sie diesen Archetyp zur Bereitstellung einer Rahmenstruktur für die Darstellung einer CTCAE-Klassifikation unter Verwendung von Begriffen aus geeigneten MedDRA-Terminologiehierarchien.&#xD;
&#xD;
Dieser Archetyp ist dafür vorgesehen, im Kontext des Archetyps EVALUATION.problem_diagnosis (SLOT "Spezifische Angaben") oder CLUSTER.symptom_sign oder anderer klinisch relevanter Archetypen verwendet zu werden.</use>
      <misuse>Nicht zur Darstellung von Details über unerwünschte Ereignisse außerhalb der CTCAE-Klassifikation verwenden.</misuse>
      <copyright />
    </details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>pt-pt</code_string>
      </language>
      <purpose>Providenciar uma estrutura para registar a classificação CTCAE.</purpose>
      <keywords>ctcea</keywords>
      <keywords>sinal</keywords>
      <keywords>sintoma</keywords>
      <keywords>doença</keywords>
      <keywords>adverso</keywords>
      <keywords>evento</keywords>
      <use>Usar para providenciar uma estrutura para registo da classificação CTCAE, utilizando termos da hierarquia de terminologia MedDRA apropriada.&#xD;
&#xD;
É pretendido que este arquétipo seja colocado na SLOT 'Specific details' do arquétipo EVALUATION.problem_diagnosis ou do CLUSTER.symptom_sign, ou noutros arquétipos clinicamente relevantes.</use>
      <misuse>Não usar para registar detalhes de eventos adversos fora da classificação CTCAE.</misuse>
      <copyright />
    </details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>sv</code_string>
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      <purpose>Ett ramverk för att klassificera med med hjälp av CTCAE.</purpose>
      <keywords>CTCAE</keywords>
      <keywords>biverkan</keywords>
      <keywords>biverkningar</keywords>
      <keywords>tecken</keywords>
      <keywords>symptom</keywords>
      <keywords>sjukdom</keywords>
      <keywords>cytostatika</keywords>
      <use>Används som ett ramverk för att CTCAE-klassificera med med hjälp av termer från lämpliga hierarkier i MedDRA-terminologin.&#xD;
&#xD;
Denna arketyp är avsedd att infogas under fältet "Specifika detaljer" i antingen EVALUATION.problem_diagnosis eller CLUSTER.symptom_sign arketyperna, eller andra kliniskt relevanta arketyper.</use>
      <misuse>Får inte användas för att registrera detaljer om biverkningar på annat sätt än med CTCAE-klassificeringen.</misuse>
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          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>nb</code_string>
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      <purpose>Et rammeverk for å registrere CTCAE-klassifisering.</purpose>
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      <keywords>sykdomstegn</keywords>
      <keywords>symptom</keywords>
      <keywords>sykdom</keywords>
      <keywords>utilsiktet</keywords>
      <keywords>ugunstig</keywords>
      <keywords>uønsket</keywords>
      <keywords>hendelse</keywords>
      <keywords>bivirkning</keywords>
      <keywords>toksisitet</keywords>
      <keywords>toxicity</keywords>
      <keywords>legemiddel</keywords>
      <keywords>kreft</keywords>
      <keywords>malignitet</keywords>
      <keywords>kjemoterapi</keywords>
      <keywords>stråling</keywords>
      <keywords>proton</keywords>
      <keywords>CTC</keywords>
      <keywords>senskade</keywords>
      <use>Bruk som et rammeverk for å registrere CTCAE-klassifisering, ved å bruke koder fra hierarkiet av termer fra MedDRA-terminologien.&#xD;
&#xD;
Denne arketypen er tiltenkt å nøstes i CLUSTER.symptom_sign (Symptom/Sykdomstegn) eller EVALUATION.problem_diagnosis (Problem/diagnose) eller en annen klinisk relevant arketype.</use>
      <misuse>Skal ikke brukes for å registrere uønskede hendelser utenom å klassifisere CTCAE.</misuse>
      <copyright />
    </details>
    <details>
      <language>
        <terminology_id>
          <value>ISO_639-1</value>
        </terminology_id>
        <code_string>en</code_string>
      </language>
      <purpose>To provide a framework for recording a CTCAE classification.</purpose>
      <keywords>ctcae</keywords>
      <keywords>sign</keywords>
      <keywords>symptom</keywords>
      <keywords>disease</keywords>
      <keywords>adverse</keywords>
      <keywords>event</keywords>
      <use>Use to provide a framework for recording a CTCAE classification, using terms from appropriate MedDRA terminology hierarchies.&#xD;
&#xD;
This archetype is intended to be nested in the 'Specific details' SLOT within either the EVALUATION.problem_diagnosis or CLUSTER.symptom_sign archetypes, or other clinically relevant archetypes.</use>
      <misuse>Not to be used for recording details about adverse events outside of the CTCAE classification.</misuse>
      <copyright>© openEHR Foundation</copyright>
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    <author id="email">rehberg.alina@mh-hannover.de, Strauch.Natalia@mh-hannover.de</author>
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    <author id="organisation">Karolinska Institutet + Karolinska University Hospital, Region Stockholm + Linköping University, Oslo University Hospital</author>
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      <items code="at0000">
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        <items id="description">A framework for recording the CTCAE classification for an unfavourable and unintended sign, symptom or disease.</items>
        <items id="comment">Formerly known as Common Toxicity Criteria (CTC).</items>
      </items>
      <items code="at0001">
        <items id="text">Category</items>
        <items id="description">The MedDRA System Organ Class (SOC) category corresponding to the CTCAE 'Term' (LLT).</items>
        <items id="comment">This element identifies the anatomical or physiological system, aetiology or purpose.</items>
      </items>
      <items code="at0002">
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      <items code="at0003">
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        <items id="description">The category representing the severity of the adverse event.</items>
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      </items>
      <items code="at0009">
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      <items code="at0015">
        <items id="text">Grade 1</items>
        <items id="description">Mild; OR asymptomatic or mild symptoms; OR clinical or diagnostic observations only; OR intervention not indicated.</items>
      </items>
      <items code="at0016">
        <items id="text">Grade 2</items>
        <items id="description">Moderate; OR minimal, local or non-invasive intervention indicated; OR limiting age-appropriate instrumental ADL.</items>
      </items>
      <items code="at0017">
        <items id="text">Grade 3</items>
        <items id="description">Severe or medically significant but not immediately life-threatening; OR hospitalization or prolongation of hospitalization indicated OR disabling; limiting self-care ADL.</items>
      </items>
      <items code="at0018">
        <items id="text">Grade 4</items>
        <items id="description">Life-threatening consequences OR urgent intervention indicated.</items>
      </items>
      <items code="at0019">
        <items id="text">Grade 5</items>
        <items id="description">Death related to AE.</items>
      </items>
      <items code="at0020">
        <items id="text">Grade description</items>
        <items id="description">The term or phrase representing the severity of the adverse event.</items>
        <items id="comment">This element is a placeholder for the term or phrase associated with an identified grade. In most implementations it will be sourced from an external CTCAE knowledge base or resource at run-time.</items>
      </items>
      <items code="at0021">
        <items id="text">Grade 0</items>
        <items id="description">Absence of an adverse event or within normal limits; found only in CTC versions 1 and 2.</items>
      </items>
    </term_definitions>
    <term_definitions language="de">
      <items code="at0000">
        <items id="text">Common Terminology Criteria of Adverse Events (CTCAE)</items>
        <items id="description">Eine Rahmenstruktur zur Darstellung der CTCAE-Klassifikation eines ungünstigen und unbeabsichtigten Anzeichens, Symptoms oder einer Krankheit.</items>
        <items id="comment">Früher bekannt als Common Toxicity Criteria (CTC).</items>
      </items>
      <items code="at0001">
        <items id="text">Kategorie</items>
        <items id="description">Die MedDRA-Systemorganklasse (SOC) welche den CTCAE-"Term" (LLT) einschließt.</items>
        <items id="comment">Dieses Element identifiziert das anatomische oder physiologische System, die Ätiologie oder den Zweck.</items>
      </items>
      <items code="at0002">
        <items id="text">Term</items>
        <items id="description">Der Name des beobachteten Anzeichens, Symptoms oder der Krankheit, dargestellt mit MedDRA Lowest Level Term (LLT).</items>
        <items id="comment">Dieses Element kann dem entsprechenden MedDRA-Code zugeordnet werden.</items>
      </items>
      <items code="at0003">
        <items id="text">Grad-Kategorie</items>
        <items id="description">Die Kategorie, die den Schweregrad des unerwünschten Ereignisses darstellt.</items>
        <items id="comment">Die klinischen Beschreibungen für jede „Grad-Kategorie“ sind in der veröffentlichten CTCAE v5.0-Spezifikation dokumentiert. Grad 0 wird seit CTCAE v2 nicht mehr verwendet, ermöglicht jedoch die Verwendung aller Versionen von CTCAE.</items>
      </items>
      <items code="at0009">
        <items id="text">CTCAE-Version</items>
        <items id="description">Die verwendete Version der CTCAE-Terminologie.</items>
      </items>
      <items code="at0015">
        <items id="text">Grad 1</items>
        <items id="description">Mild; ODER asymptomatisch oder milde Symptome; ODER nur klinische oder diagnostische Beobachtungen; ODER Intervention nicht indiziert.</items>
      </items>
      <items code="at0016">
        <items id="text">Grad 2</items>
        <items id="description">Mäßig; ODER minimale, lokale oder nicht-invasive Intervention angezeigt; ODER Einschränkung altersgerechter instrumenteller ADL (ADL=Activities of Daily Living).</items>
      </items>
      <items code="at0017">
        <items id="text">Grad 3</items>
        <items id="description">Schwerwiegend oder medizinisch bedeutsam, aber nicht unmittelbar lebensbedrohlich; ODER Krankenhausaufenthalt oder Verlängerung des Krankenhausaufenthalts angezeigt; ODER Behinderung; Einschränkung der Selbstversorgung ADL (ADL=Activities of Daily Living).</items>
      </items>
      <items code="at0018">
        <items id="text">Grad 4</items>
        <items id="description">Lebensbedrohliche Folgen ODER dringende Intervention indiziert.</items>
      </items>
      <items code="at0019">
        <items id="text">Grad 5</items>
        <items id="description">Tod in Zusammenhang zu AE.</items>
      </items>
      <items code="at0020">
        <items id="text">Beschreibung des Grades</items>
        <items id="description">Der Begriff oder Ausdruck, der die Schwere des unerwünschten Ereignisses angibt.</items>
        <items id="comment">Dieses Element ist ein Platzhalter für den Begriff oder die Phrase, die einem identifizierten Grad zugeordnet ist. In den meisten Implementierungen wird es zur Laufzeit aus einer externen CTCAE-Wissensdatenbank oder -Ressource bezogen.</items>
      </items>
      <items code="at0021">
        <items id="text">Grad 0</items>
        <items id="description">Das Fehlen eines unerwünschten Ereignisses oder innerhalb normaler Grenzen (nur in den CTC-Versionen 1 und 2 zu finden).</items>
      </items>
    </term_definitions>
    <term_definitions language="sv">
      <items code="at0000">
        <items id="text">Common Terminology Criteria for Adverse Events (CTCAE)</items>
        <items id="description">Ett ramverk för att med hjälp av CTCAE-terminologin registrera eventuella biverkningar eller ogynnsamma och oavsiktliga symptom eller sjukdomar.</items>
        <items id="comment">Tidigare känd som Common Toxicity Criteria (CTC).</items>
      </items>
      <items code="at0001">
        <items id="text">Kategori (SOC)</items>
        <items id="description">Kategorin i MedDRA System Organ Class (SOC) som den aktuella CTCAE-termen tillhör.</items>
        <items id="comment">Detta fält identifierar ett anatomiskt eller fysiologiskt system, etiologi eller syfte.</items>
      </items>
      <items code="at0002">
        <items id="text">Term</items>
        <items id="description">Namnet på tecknet, symtomet eller sjukdomen som observerats. Registreras som en MedDRA Lowest Level Term (LLT).</items>
        <items id="comment">Detta element kan mappas (terminologibindas) till motsvarande MedDRA-kod</items>
      </items>
      <items code="at0003">
        <items id="text">Allvarlighetsgrad</items>
        <items id="description">Kategorisering av biverkningens allvarlighetshetsgrad.</items>
        <items id="comment">De kliniska beskrivningarna av varje "allvarlighetsgrad" finns dokumenterade i CTCAE v5.0-specifikationen. Grad 0 har inte använts sedan CTCAE v2 men finns kvar i arketypen för att möjliggöra användning av alla versioner av CTCAE.</items>
      </items>
      <items code="at0009">
        <items id="text">CTCAE-version</items>
        <items id="description">Den version av CTCAE-terminologin som använts.</items>
      </items>
      <items code="at0015">
        <items id="text">Grad 1</items>
        <items id="description">Mild; ELLER asymtomatiska eller milda symtom; ELLER endast kliniska eller diagnostiska observationer; ELLER intervention ej indikerad.</items>
      </items>
      <items code="at0016">
        <items id="text">Grad 2</items>
        <items id="description">Måttlig; ELLER minimal, lokal eller icke-invasiv intervention indikerad; ELLER begränsar åldersanpassad instrumentell ADL.</items>
      </items>
      <items code="at0017">
        <items id="text">Grad 3</items>
        <items id="description">Svår eller medicinskt betydelsefull men inte omedelbart livshotande; ELLER sjukhusvistelse eller förlängning av sjukhusvistelse indikerat ELLER invalidiserande; begränsar egenvård enligt ADL.</items>
      </items>
      <items code="at0018">
        <items id="text">Grad 4</items>
        <items id="description">Livshotande konsekvenser ELLER brådskande ingripande behövs.</items>
      </items>
      <items code="at0019">
        <items id="text">Grad 5</items>
        <items id="description">Död relaterad till biverkan.</items>
      </items>
      <items code="at0020">
        <items id="text">Gradbeskrivning</items>
        <items id="description">Termen eller frasen som representerar svårighetsgraden av biverkningen.</items>
        <items id="comment">Detta fält är avsett termen eller frasen som är associerad med allvarlighetsgraden. I de flesta implementationer kommer den att hämtas från en extern CTCAE-kunskapsbas (frasen kan alltså väljas automatiskt av vissa IT-system).</items>
      </items>
      <items code="at0021">
        <items id="text">Grad 0</items>
        <items id="description">Frånvaro av en negativ händelse, eller klassificerat som inom normala gränser; finns endast i CTC version 1 och 2.</items>
      </items>
    </term_definitions>
    <term_definitions language="nb">
      <items code="at0000">
        <items id="text">Common Terminology Criteria for Adverse Events (CTCAE)</items>
        <items id="description">Et rammeverk for å registrere CTCAE klassifikasjon av en uønsket hendelse, symptom eller sykdomtilstand.</items>
        <items id="comment">Tidligere kjent som Common Toxicity Criteria (CTC).</items>
      </items>
      <items code="at0001">
        <items id="text">Kategori</items>
        <items id="description">Kategorien innenfor MedDRA System Organ Class (SOC) som er knyttet til CTCAE Term (LTT).</items>
        <items id="comment">Dette elementet identifiserer et anatomisk eller fysiologisk system, etiologi eller formål.</items>
      </items>
      <items code="at0002">
        <items id="text">Term</items>
        <items id="description">Navnet på sykdomstegnet, symptomet eller sykdommen som er observert, registrert som en MedDRA Lowest Level Term (LLT).</items>
        <items id="comment">Dette elementet kan mappes til den korresponderende MedDRA-koden.</items>
      </items>
      <items code="at0003">
        <items id="text">Kategori for grad</items>
        <items id="description">Kategorien som representerer alvorlighetsgraden av den uønskede hendelsen.</items>
        <items id="comment">Den kliniske beskrivelsen for hver "Kategori for grad" er dokumentert i den publiserte spesifikasjonen av CTCAE v5.0. Grad 0 har ikke vært i bruk siden CTCAE v2, men er tatt med for å kunne brukes for alle versjoner av CTCAE.</items>
      </items>
      <items code="at0009">
        <items id="text">CTCAE- versjon</items>
        <items id="description">Den versjonen av CTCAE-terminologien som er brukt.</items>
      </items>
      <items code="at0015">
        <items id="text">Grad 1</items>
        <items id="description">Mild, ELLER asymptomatisk eller milde symptomer, ELLER kun kliniske eller diagnostiske observasjoner, ELLER ikke grunnlag for intervensjon.</items>
      </items>
      <items code="at0016">
        <items id="text">Grad 2</items>
        <items id="description">Moderat, ELLER minimal, lokal eller indikasjon for ikke-invasiv intervensjon, ELLER begrenser alders-tilpasset ADL.</items>
      </items>
      <items code="at0017">
        <items id="text">Grad 3</items>
        <items id="description">Alvorlig eller medisinsk betydningsfull, men ikke umiddelbart livstruende, ELLER indikasjon for sykehusinnleggelse eller forlengelse av sykehusopphold, ELLER invalidiserende, begrenset evne til egenomsorg og ADL.</items>
      </items>
      <items code="at0018">
        <items id="text">Grad 4</items>
        <items id="description">Livstruende konsekvenser, ELLER indikasjon for øyeblikkelig intervensjon.</items>
      </items>
      <items code="at0019">
        <items id="text">Grad 5</items>
        <items id="description">Død relatert til uønsket medisinsk hendelse.</items>
      </items>
      <items code="at0020">
        <items id="text">Beskrivelse av grad</items>
        <items id="description">Termen eller frasen som representerer alvorlighetsgraden til den uønskede hendelsen.</items>
        <items id="comment">Dette elementet er en plassholder for term eller frase som tilhører en identifisert grad. I de fleste implementasjonene vil det bli utfylt via en eksterne kilde, som en CTCAE kunnskapsbase eller en annen kilde, under kjøring av dataprogrammet (run-time).</items>
      </items>
      <items code="at0021">
        <items id="text">Grad 0</items>
        <items id="description">Fravær av en uønsket hendelse eller innenfor normale verdier. Bare for CTC versjon 1 og 2.</items>
      </items>
    </term_definitions>
    <term_definitions language="pt-pt">
      <items code="at0000">
        <items id="text">Critérios de Terminologia Comuns para Eventos Adversos (CTCAE)</items>
        <items id="description">Uma estrutura para registar a classificação CTCAE de um sinal desfavorável ou não intencional, sintoma ou doença.</items>
        <items id="comment">Anteriormente conhecida como Critérios Comuns de Toxicidade (CTC).</items>
      </items>
      <items code="at0001">
        <items id="text">Categoria</items>
        <items id="description">A categoria do Grupo Sistémico MedDRA (SOC) correspondente ao 'Termo' CTCAE (LLT).</items>
        <items id="comment">Este elemento identifica o sistema anatómico ou fisiológico, etiologia ou propósito.</items>
      </items>
      <items code="at0002">
        <items id="text">Termo</items>
        <items id="description">O nome do sinal, sintoma ou doença observada, registado como um Termo MedDRA do Nível Mais Baixo (LLT).</items>
        <items id="comment">O elemento pode ser mapeado para o código MedDRA correspondente.</items>
      </items>
      <items code="at0003">
        <items id="text">Categoria do grau</items>
        <items id="description">A categoria que representa a severidade do evento adverso.</items>
        <items id="comment">As descrições clínicas para cada 'Categoria do grau' estão documentadas na especificação CTCAE v5.0 publicada. O Grau 0 não se encontra em uso desde a CTCAE v2 mas permite o uso de todas as versões CTCAE.</items>
      </items>
      <items code="at0009">
        <items id="text">Versão CTCAE</items>
        <items id="description">A versão da terminologia CTCAE utilizada.</items>
      </items>
      <items code="at0015">
        <items id="text">Grau 1</items>
        <items id="description">Ligeiro; OU sintomas assintomáticos ou leves; OU apenas observações clínicas ou diagnosticadas; OU intervenção não indicada.</items>
      </items>
      <items code="at0016">
        <items id="text">Grau 2</items>
        <items id="description">Moderado; OU indicação de intervenção mínima, local ou não invasiva; OU limitação de ADL instrumentais e apropriadas para a idade.</items>
      </items>
      <items code="at0017">
        <items id="text">Grau 3</items>
        <items id="description">Grave ou clinicamente significativo, mas não com risco de vida imediato; OU indicação de internamento hospitalar ou prolongamento do mesmo OU desabilitação; limitação de ADL de auto-cuidado.</items>
      </items>
      <items code="at0018">
        <items id="text">Grau 4</items>
        <items id="description">Consequências com risco de vida OU intervenção urgente indicada.</items>
      </items>
      <items code="at0019">
        <items id="text">Grau 5</items>
        <items id="description">Morte relacionada com o EA.</items>
      </items>
      <items code="at0020">
        <items id="text">Descrição do grau</items>
        <items id="description">O termo ou frase que representa a severidade do evento adverso.</items>
        <items id="comment">O elemento é um campo para o termo ou frase associados ao grau identificado. Na maioria das implementações terá como fonte uma base de dados externa CTCAE ou um recurso utilizado no momento.</items>
      </items>
      <items code="at0021">
        <items id="text">Grau 0</items>
        <items id="description">Ausência de um evento adverso ou dentro dos limites normais; verifica-se apenas nas versões 1 e 2 dos CTC.</items>
      </items>
    </term_definitions>
  </ontology>
</archetype>
