BEE-spoke-data/govdocs1-by-extension huggingface dataset:
**BOX \_\_\_\_\_ of \_\_\_\_\_**

**INCIDENT HISTORY FILE**

*Incident History File* contains the official paper copy of
***[Permanent]{.underline}*** records, including signed original
decision documents and reports. **Keep on home unit with fire package
for three (3) years or until no further business need, then retire to
Federal Records Center for storage**.

**INCIDENT NAME: INCIDENT NUMBER:**

**DATE(S): LOCATION:**

**INCIDENT COMMANDER(S):**

**PLANNING SECTION CHIEF(S**):

+-------------------------------------------------+
| **Permanent Fire Incident Records**             |
|                                                 |
| **Transfer to National Archives**               |
+=================================================+
|                                                 |
+-------------------------------------------------+
| -   Delegation of Authority                     |
+-------------------------------------------------+
| -   Final Fire Behavior Analyst Report          |
+-------------------------------------------------+
| -   Final Fire Narrative                        |
+-------------------------------------------------+
| -   Final Statement of Costs                    |
+-------------------------------------------------+
| -   Fire Map -- Final Perimeter                 |
+-------------------------------------------------+
| -   Fire Map -- Final Progression               |
+-------------------------------------------------+
| -   ICS-201 Local IC Briefing                   |
+-------------------------------------------------+
| -   Individual Fire Report (FS 5100-29/DI-1202) |
+-------------------------------------------------+
| -   Infrared Imagery w/interpretation           |
+-------------------------------------------------+
| -   Newspaper Clippings                         |
+-------------------------------------------------+
| -   Press Releases/Daily Media Updates          |
+-------------------------------------------------+
| -   Photos, Essential annotated                 |
+-------------------------------------------------+
| -   WFSA (or WFIP)                              |
+-------------------------------------------------+
| -   Field Weather Obs (not already in WIMS)     |
+-------------------------------------------------+
| -   IAPs w/ICS-215/215A (Dates: )               |
+-------------------------------------------------+
| -                                               |
+-------------------------------------------------+
| -                                               |
+-------------------------------------------------+
Snowy Range Substation Stage02

Questions on Specifications and Response

1.  Need the new stringing requirements drawing SNG 2900.

> The material requirements are provided in other drawings. Western will
> provide the stringing requirements for SNG 2900 after award.
> Government determined that lack of stringing requirements will not
> impact bid amount.

2.  Can transformer delivery be delayed until May 09, when balance of
    > equipment arrives on site?

> No.

3.  What type of existing gravel surfacing was used on stage 01?

> Martin Marietta Materials, Granite Canyon Plant, \#2524-Grading w/Base
> surfacing materials.

4.  Will "Cable Termination Cabinet" be complete, other than grounding
    > the cabinet?

> No, see Division 9 -- Substation Electrical bidding schedule items B.
> 16 and B. 17.

5.  Is steel to be dulled for this stage?

> There is no requirement for dulling the steel.

6.  Can welded jumper terminals be used on duplex jumpers?

> Yes.

7.  Spec. Page 17 calls for Equipment cabinet platform Type I, is this
    > platform to use concrete Curb blocks or legs as detailed on
    > drawing 31-2044?

> Either blocks or legs are acceptable.

8.  Will Equipment cabinet platforms Type II and III require concrete
    > curb blocks or is contractor to pour in place?

> No concrete required for Type II and Type III equipment platforms

9.  Need anchor bolt design for 2BS6, 2BS7 and 2GM1 foundations. Anchor
    > bolt design not shown on drawing SNG 2300.\
    > Revised Drawings 2300 & 2304 will be issued by amendment

10. Drawing SNG 2300, should plan BS be 1-3/4" bolts?  anchor bolt
    > 2300-C, should this bolt be  1-1/4"? plan should be changed to C?

> See 9 above.
**Agenda**

**Librarians and the EHR: Envisioning the Future**

> Presented by the National Network of Libraries of Medicine,
>
> Pacific Northwest Region (NN/LM PNR)
>
> and the Pacific Northwest Chapter/Medical Library Association
> (PNC/MLA)
>
> Watertown Hotel, Seattle, Washington
>
> October 3, 2008 from 8:00 AM until 1:00 PM

8:00  **Continental breakfast** and informal conversation\
\
8:30 ** Welcome**: *Cathy Burroughs*, Associate Director, NN/LM PNR\
**Introduction of speakers**: *Valerie Lawrence*, Acting Resource
Sharing Coordinator, NN/LM PNR\
\
8:45  **Keynote address and questions**: *Thomas Payne*, MD, FACP,
FACMI\
Medical Director, UW Medicine Information Technology Services; Clinical
Associate Professor, Departments of Medicine, Health Services, and
Medical Education and Biomedical Informatics, University of Washington,
Seattle, WA

9:45  **Break**\
\
10:00 **Panel speakers and questions:**

Moderator: *Valerie Lawrence*\
***Sara Pimental*, MLIS, AHIP,** Web Content Manager, Kaiser Permanente
Clinical Library, Oakland, CA

*Judith Hayes*, MA, Tuality Healthcare, Health Sciences Library,
Hillsboro, OR 

*Emily Hull*, MLS, Associate Director, Clinical Informatics, Group
Health Cooperative, Seattle, WA

11:15 **Introduction of working lunch exercise:** *Maryanne Blake*,
Outreach/Evaluation Coordinator, NN/LM PNR\
\
11:30 **Working lunch** -- Participants will meet in breakout groups to
work on a case-based scenario over lunch\
\
12:30 **Wrap-up** and evaluation: *Maryanne Blake*
Date: October 15, 2008

Topic: CTEP CTCAE v3.0 Help Desk Tickets : WG \# 2 SOC Cardiac disorders

From: Ann Setser

Requests for inclusion in CTCAE v4.0 -- MedDRA LLTs:

-   Cardiomegaly

-   Acute coronary syndrome (Added in Draft 1)

-   Cardiac failure/insufficiency

    -   Cardiac insufficiency is LLT for PT Cardiac failure

        -   Heart failure; Left ventricular failure (Both terms added in
            Draft 1)

-   Ventricular hypokinesia -- is not a MedDRA term. Options (all LLTs
    for PT Ventricular hypokinesia):

    -   Diffuse ventricular hypokinesia

    -   Left ventricular hypokinesia

    -   Regional ventricular hypokinesia

    -   Right ventricular hypokinesia

-   Cardiac tamponade -- MedDRA LLT & PT

-   Cardiogenic shock -- MedDRA LLT & PT

-   Cardiac asthma -- MedDRA LLT & PT

> \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--
>
> Myocarditis:  add grade 2: description would be something like
> "clinical evidence of myocarditis ( lab, imaging, EKG, etc) without
> physiological sequelae."
>
> Hypertension: Underline the headings for Pediatric (for consistent
> formatting with other AEs)
>
> **Hypertension.  With the new antiangiogenic drugs, hypertension needs
> more clinical /more detailed examples in CTCAE to better reflect
> patient status.   **

Date: October 15, 2008

Topic: CTCAE v3.0 Help Desk Tickets -- SOC Vascular disorders

From: Ann Setser

**Hypertension** Grade 1 states \'..(\<24 hrs)\' Grade 2 states \'\...
(\>24hrs)' what happens at = 24 hours, which grade should this be
incorporated into?

To be discussed:

THIS IS WHAT WE HAVE PREVIOUSLY SAID ABOUT THE \'24-HOUR ISSUE R/T
HOSPITALIZATION.

Hospitalization and Prolongation of Hospitalization

Hospitalization includes any overnight stay in a healthcare facility,
including the so-called \"23 hour observation\" status often used
because of reimbursement issues. It does not include extended infusions
or treatments in an outpatient facility. Evaluation and treatment in an
emergency medical department is not per-sea hospitalization, but
investigators should use good judgment when considering reporting
guidelines and definitions for a patient treated for extended periods of
time in emergency departments. Prolongation of hospitalization (longer
than expected) is either the result of the AE itself or intervention or
potential complications from the AE, including prevention and/or
monitoring

DOES THE SAME APPLY FOR DURATION OF AES?

Consider GRADE 1 = LESS THAN 24 HRS AND GRADE 2 = EQUAL TO OR GREATER
THAN 24 HOURS.

**Hot flashes/flushes** - Grade 3 - misspelling of \'interferring\'
should be changed to \'interfering\'.

CTEP Response: YES, THIS IS A TYPO AND SHOULD BE INTERFERING

Suggestion for addition to CTCAE v4.0 Oncology emergency:

-   MedDRA LLT Superior vena caval syndrome for PT Superior vena caval
    occlusion

-   MedDRA: LLT & PT Venoocclusive disease
SECTION 02730

AGGREGATE SURFACING

[PART 1: GENERAL]{.underline}

1.1 SUMMARY

> A. Section Includes: Furnishing and placing crushed aggregate for
> parking areas designated to receive surfacing and for 3 inch depth of
> aggregate base course beneath proposed concrete surfaces according to
> the requirements of this section and the drawings.
>
> B. Related Sections:
>
> General Information and Requirements Section 01009

2.  SUBMITTALS

> A. General: Submittals shall be according to Section 01009 -- General
> Information and Requirements.
>
> B. Certification: Furnish written certification from the supplier of
> the aggregate surfacing verifying that the Contractor Furnished
> Material conforms with the requirements of this section.
>
> C. Weight Tickets: For each load of crushed aggregate hauled and
> placed as required.

[PART 2: PRODUCTS]{.underline}

2.1 MATERIALS

> A. Crushed Aggregate: The crushed aggregate shall conform to the
> requirements of Class 6 (3/4 inch roadbase) as specified according to
> the most recent edition of the State Department of Highways Division
> of Highways State of Colorado Standard Specifications for Road and
> Bridge Construction, however the limits for liquid limit and
> plasticity index are exempted for this material.

[PART 3: EXECUTION]{.underline}

3.1 PREPARATION

A. General: Areas to receive aggregate surfacing shall be prepared
according to the requirements of Section 02315 -- Excavation and Fill.

3.2 CONSTRUCTION REQUIREMENTS

> A. Placing: The material shall be placed on the prepared surface with
> equipment that shall distribute the material in two uniform layers.
>
> Each layer shall be shaped and graded before the succeeding layer is
> placed.
>
> B. Mixing and Spreading: The material shall be spread smoothly to a
> uniform layer. During the mixing, water shall be added in the amount
> necessary to provide the optimum moisture content for compaction.
> Feather out edges to make a smooth transition between areas that do
> not receive aggregate.
>
> C. Compacting: Base course material shall be compacted using a flat
> plate compactor to 95 percent of maximum density. No compaction shall
> be required for surfacing material placed at the Coal Canyon,
> Dominguez or Pollock sites.

[PART 4: MEASUREMENT AND PAYMENT]{.underline}

4.1 METHODS OF MEASUREMENT

> A. Units: Surfacing aggregate will be measured and paid for by the
> number of tons of material as measured in haul trucks at the point of
> delivery. Weighing of material shall be at Contractor\'s expense. A
> weight receipt for each load of material shall be furnished by the
> Contractor.

2.  BASIS OF PAYMENT

> A Payment: Prices and payment will be full compensation for the work
> described in this section. Payment will be made under:

[Pay Item]{.underline} [Pay Unit]{.underline}

> 02730(1) Coal Canyon Surfacing . . . . . . . . . . . . . . . Ton
>
> 02730(2) Dominguez Surfacing. . . . . . . . . . . . . . . . . Ton
>
> 02730(3) Pollock Base Course. . . . . . . . . . . . . . . . . Ton

END OF SECTION
"Tissue Banks & Pathology Tools" Workspace

Developer / Adopter Weekly Meeting

Thursday, Oct 2nd, 2008

8:30 AM to 10:00 AM (ET)

**Dial-in Number**: 1-888-790-1566

 

**International Number**: 1-773-681-5890

 

**Passcode**: 97195

 

**Breeze Session Details:
[[https://webmeeting.nih.gov/catissuecore/]{.underline}](https://webmeeting.nih.gov/catissuecore/)**

**Meeting Facilitator:** LiMing Shen

AGENDA

1.  Suggestions for Topic Items (5 min)

2.  Deliverable Review Status (10 min)

3.  caTissueCore Instances, Web API, Grid (15 min)

4.  C2 Testing (20 min)

    a.  Adopter Test Matrix

    b.  Bug 9517(?) and Other Issues

5.  RC1 Test Preparation (15 min)

    a.  End User Functions (full coverage)

    b.  Adopter Test Matrix

6.  SNOMED conversion Status (10 min)

7.  caGrid Authentication and caTissue (20 min)

8.  Open Discussion (15 min)
Date: October 15, 2008
======================

Topic: CTCAE v3.0 Help Desk Tickets -- WG \#3 SOC: Eye disorders

From: Ann Setser

Issue: Transient blindness

How do we incorporate transient blindness for CAI?

CTEP Response: We would need to know more about the mechanism.

Add to the CTCAE revision list -- use the same grading as for blurred
vision?

Consider adding to CTCAE v4.0

-   Canalicular stenosis (dacryostenosis) from Docetaxel

    -   Canalicular stenosis is not a MedDRA term

    -   Dacryostenosis is not a MedDRA term. MedDRA LLT & PT options:

        -   Dacryostenosis acquired

        -   Dacryostenosis congenital

-   Watery eye (epiphora)

    -   Epiphora is MedDRA LLT for PT Lacrimation increased

    -   Watering eyes MedDRA LLT for PT Lacrimation increased is listed
        > in Draft 1

\--Blepharitis MedDRA LLT & PT
Appendix B: Scoresheet

National Fitness Challenge Scoresheet

Date of Test\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Test
Administered By\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

District/Station\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Test Certified Correct By (AFMO or (FMO)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

  Name   Raw Scores               Event Points   Final Score                                                   
  ------ ------------------------ -------------- ------------- --------- ----- ---------- ---------- --------- --
         Run (Circle if 3 mile)   Pull-ups       Push-ups      Sit-ups   Run   Pull-ups   Push-ups   Sit-ups   
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               
                                                                                                               

Page \_\_\_\_ of \_\_\_\_pages
**Scenic Drive Hiking Trails**

![Red Rock Canyon Trail Map](media/image1.jpeg){width="6.76875in"
height="8.49236111111111in"}

  **Trail \#**   **Trail Name**                       **Trail \#**   **Trail Name**
  -------------- ------------------------------------ -------------- ----------------------------------------------------
  1              Moenkopi Loop                        12             Ice Box Canyon
  2              Calico Hills                         13             Dale
  3              Calico Tanks                         14             Pine Creek
  4              Turtlehead Peak                      15             Fire Ecology
  5              Keystone Thrust                      16             Oak Creek
  6              White Rock - Willow Springs          17             Arnight
  7              White Rock Loop                      18             Knoll
  8              Children\'s Discovery - Lost Creek   19             First Creek Canyon
  9              Willow Spring Loop                   20             Grand Circle Loop
  10             LaMadre                              21             Base of the Escarpment (composed of 11, 13 and 17)
Date: October 15, 2008

Topic: CTCAE v3.0 Help Desk Tickets -- WG \# 8 SOC Skin disorders;
Musculoskeletal and connective tissue disorders

From: Ann Setser

\-\--currently going over our default grading rules and was somewhat
surprised to see that while there is no Grade 4 for Acne there is Grade
5 - Death.

Requests for addition to CTCAE v4.0:

-   Livedo reticularis MedDRA LLT & PT

-   Dermatitis -- not a MedDRA term. Options MedDRA LLT & PTs:

    -   Application site dermatitis

    -   Infusion site dermatitis

    -   Injection site dermatitis

    -   Interstitial granulomatous dermatitis

    -   Perivascular dermatitis

    -   Seborrhoeic dermatitis

    -   Stasis dermatitis

-   Acute febrile neutrophilic dermatosis -- MedDRA LLT & PT

-   Eczema = MedDRA LLT & PT

-   Piloerection = MedDRA LLT & PT

-   Scar pain = MedDRA LLT & PT

Topic: CTCAE Help Desk Tickets -- SOC Musculoskeletal

Consider adding to CTCAE v4.0:

-   Fibromyalgia MedDRA LLT & PT

-   Lumbago LLT for PT Back pain

-   Inguinal pain - not in MedDRA
November 12, 2008

Dear Teen Dating Violence Awareness and Prevention Initiative 2009
Partner:

Senators Hillary Rodham Clinton, Joe Lieberman, Lisa Murkowski and I
have asked our colleagues in the Senate to join us on November 17^th^ in
introducing a third annual Senate Resolution declaring February 2 -- 6,
2009, National Teen Dating Violence Awareness and Prevention Week, with
the intention to pass the resolution prior to the adjournment of the
110^th^ Congress. As in past years, we will also be asking each Governor
and the Mayor of Washington, D.C., for their support of National Teen
Dating Violence Awareness and Prevention Week 2009. I have included a
copy of the Senate Resolution and Dear Colleague, as well as a copy of
the current list of 2009 Partners, in which you are included. Thank you
very much for your support of this important education and awareness
effort.

I encourage your organization and/or agency to utilize the multiple
resources available through other partners on this list. Each
organization has approached raising awareness of the crime of teen
dating violence in its own unique manner. The best unified efforts are
those in which organizations network and build on each other's
particular expertise and experience.

I will be sending a news release out in early February announcing the
week to the media. In my home state of Idaho, there will be teen dating
violence week activities in February. My Senate colleagues in this
effort and I are hopeful that, like last year, a number of governors and
Washington, D.C. Mayor Adrian Fenti will promote events and recognition
in their respective states and political jurisdictions. You can help us
in these efforts by encouraging your U.S. Senators to join the
Resolution before the Senate adjourns, and encouraging your governors
and state legislators to publicize the Week in February. If one of the
Members who is currently co-sponsoring the resolution is your Senator,
please remember to thank them. If you would like to send me a statement
of support for this year's awareness effort, I encourage you to do so,
and I will post it on my Teen Dating Violence media page. Please visit
my website and the pages dedicated to this effort:
<http://crapo.senate.gov/issues/teen_dating_violence.cfm>

Thank you again for your diligent and persistent support in the national
effort to raise awareness about the oft-hidden tragedy of teen dating
violence that includes both physical and emotional abuse. Our teens
today will be parents tomorrow. It is our responsibility to help them
understand what constitutes healthy relationships. It is said that
family violence is a cycle; children indeed learn what they live. Let's
work together to stop the cycle of interpersonal violence today, before
destructive attitudes and behavior engulf yet another generation of
Americans.

Respectfully,

Mike Crapo

United States Senator, Idaho
**C3PR Tool Page Review**

**Overview:**

Part of the training material package created for the C3PR version 2
project by adopters included a tools page for the project to be set up
on the caBIG web page. However, such a page has already been created
using the template and the information that was available for version
1.1.

<https://cabig.nci.nih.gov/tools/c3pr>

Therefore, the adopters conducted a review of the existing page,
evaluating those aspects of the page that could be changed now and
identifying changes that could be made after version 2.0 is released.
This is a draft review will be re-evaluated after the final version of
C3PR 2.0 is released.

**Changes that should be made immediately:**

1)  The intended audience should be changed to Clinical Trial
    Coordinators and Registrars

2)  The current page makes no mention of version 2 being under
    construction. This should be added to the following sections with
    text below:

    a.  Product Description: Cancer Central Clinical Participant
        Registry (C3PR) is a web-based application for managing clinical
        trial patient registration across multiple cancer clinical
        trials. The tool is used to improve clinical trials activation
        and execution by providing a unified, large-scale and efficient
        web-based clinical trials registration interface for use by
        multiple cancer research centers across the country. Version 1
        was designed for use with the C3D clinical trials management
        system. Version 2 (slated for release in the fall of 2007 will
        extend its functionality to multi-center trials and work with
        other CTMS systems.

    b.  Current Version Number: Release 1.1 (Version 2 under
        development)

    c.  caBIG Compatibility level: 1.1: Legacy, Version 2: silver
        (planned)

    d.  Tool Maturity assessment: 1.1: Stable Release (adoption in
        progress), 2.0 under development

3)  The C3PR demo site for the latest iteration of 2.0 should be added
    to the Demo files and Exercises along with the current public logon
    and instructions.

[https://sbdev1000.semanticbits.com:8031/C3PR/public/login](https://sbdev1000.semanticbits.com:8031/caaers/public/login)

**Other Recommended changes:**

1)  The c3pr sublink of c3d
    (<http://trials.nci.nih.gov/projects/trialmanagement/c3ds_project/c3pr>)
    linked to on this page via the Tool at a glance replaced with a
    powerpoint presentation (as the link says or edited to reflect the
    c3d independent goals of c3pr version 2.0

2)  A link to the c3PR v2 wiki page could be provided.

3)  Duke as a developer should be listed as leading the **construction**
    phase of version 2

4)  Semantic Bits should be listed as a developer.

5)  Adopter institutions should include Wake Forest University and Mayo
    Clinic

6)  Related tools should include: caAERS, Patient Study calendar, CTMSi
    and lab hub

Authored by

Robert Morrell 9/21/2007

Reviewed by

Submitted
The folder 'sim3051' contains zipped interchange files of the Arc
coverages used in generating the maps for each sheet. The interchange
files are to be made to be available for download.

Also included are the metadata, as xml files, for each of the Arc
coverages. These are to made available on the Water Resources NSDI node
at <http://water.usgs.gov/lookup/getgislist>. Each of the metadata files
have been run through the metadata parser with no errors. There are
links in the metadata, that are hopefully correct, to the above
interchange files for download (e.g.
<http://pubs.usgs.gov/sim/3051/data/sim3051-1_lst_bth_cont.e00>) and
links for distribution and metadata contacts and questions (e.g.
http://answers.usgs.gov/cgi-bin/gsanswers?pemail=h2oteam&subject=GIS+Dataset+sim3051-1\_lst\_bth\_cont).
Date: October 15, 2008

Topic: CTCAE v3.0 Help Desk Tickets -- WG \# 11 SOC: Respiratory,
thoracic and mediastinal disorders

From: Ann Setser

Voice Changes - Grade 5 - Can voice change toxicity cause Death?

CTEP -- Consider for CTCAE v3.0 Revision

One of our Pulmonology groups does a procedure to biopsy the upper nasal
tissue to look at the cilia. To do this they have a procedure called
nasal scrape.

The current pain category of the CTCAE v 3 does not have a location for
nose. Would your editorial board consider adding nose to the select
locations under pain? The implication is that it is internal nose pain
(vs. dermalogic).

Setser comment: Nasal pain is MedDRA LLT for PT Rhinalgia

Suggestions for addition in CTCAE v4.0:

-   MedDRA: Pulmonary veno-occlusive disease \-- SOC Respiratory,
    thoracic and mediastinal disorders

-   MedDRA: Bronchiolitis obliterans with organizing pneumonia \-- SOC
    Respiratory, thoracic and mediastinal disorders

-   MedDRA: Asthma

-   hemoptysis/haemoptysis

    -   Hemoptysis is LLT for PT Haemoptysis

-   pulmonary oedema

    -   Pulmonary edema is LLT for PT Pulmonary oedema

-   sinus problems -- not in MedDRA

    -   MedDRA PT Sinus disorder

all clinical studies for accurate reporting of safety profiles and the
comparability among publications.  We observed inconsistencies of
reporting among international investigators.  To better follow CTCAE, I
would like to confirm with you several common AE reporting practices and
post some questions.

1.  if a diagnosis can be established, diagnosis is preferred over signs
    and symptoms.  For example, coughing, fever, dyspnea are the
    symptoms of pneumonia.  Only pneumonia should be reported unless
    complications are not normally associated it, e.g. septic shock.

In my view, CTC is grading system, but not a dictionary.  CTC should be
carefully followed when reporting cancer-treatment related toxicities.
 Other events should be reported and coded by MedDra.  Training on CTC
should be given to promote good reporting

\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--