Graded, cited and attributed before you sit down.
You’re seeing twenty-four patients today, and half of them are on trial. We read the notes, grade every toxicity against the CTCAE version your protocol names, and score which drug the evidence points at. You read the working and sign.
Amara Osei
ENC-2026-0114
3 suggested grades
Peripheral sensory neuropathy
G2 ModerateCTCAE v6 · peripheral sensory neuropathy · G2Accepted
Fatigue
Editing
Nausea
Dismissed · kept in record
G2
Grade 2 · Moderate
edit in place
dismissed stays in the record
The review surface: one grade accepted, one being edited, one dismissed and kept.
Every encounter has something in it.
Grade 1 fatigue gets the same reading as grade 3 colitis. Every cycle, every site, the same criteria applied the same way.
Is it better than it was before? Does it come and go?
You’ve asked those a thousand times. We carry the answers forward from cycle to cycle, so you open the visit already knowing how she tolerated line one, and that the diarrhoea is trending worse before you say hello.
“A couple more loose stools than usual.”
“Still going. Three or four a day.”
“Six a day now. She's tired.”
“Eight to nine a day. Admitted for IV fluids.”
One patient, one toxicity, four cycles of her own record. Illustrative rendering.
“This question I've asked like a thousand times. Tingling. Is it better than it was before? Does it come and go? All of these questions. It's critical, and that's a significant part of what I spend time on during the visit.”
Everything we hand you is a draft until you sign it.
Accept a grade as written, change it inline, or dismiss it. A dismissed suggestion is struck through and stays on the record, so the chart holds what we proposed and what you decided. That’s exactly what an auditor asks for.
Accepted as written
Peripheral sensory neuropathy
G2 Moderate
Signed and filed.
You changed it
Fatigue
G1 → G2 Moderate
Your grade, your reasoning, on the record.
Dismissed, still on the record
Nausea
G1 Mild
Struck through and kept, so the chart shows the call you made.
Every grade shows you its receipt.
The criterion it was graded against, and the sentence from your own SOAP note that triggered it, highlighted. Where the evidence holds, the grade stands. It takes about as long as re-reading the note, which you were going to do anyway.
“Patient reports 8 to 9 loose stools daily since C2D4, admitted for IV fluids.”
CTCAE v6.0 · GI-DIAR-3
Increase of ≥7 stools per day over baseline; hospitalization indicated.
G3
Diarrhoea · Grade 3 · Severe
yours to accept, change or dismiss
“Everything we do is backable by citation down to the exact thing that was said. That is our motto of the entire platform.”
The whole CTCAE, searchable, free.
Both versions, every term, every grade. Search it, read across the grades, cite the source. It’s open to any clinician, and it stays that way. We built it because we needed it.
peripheral sensory neuropathy
- G1
- Asymptomatic; clinical or diagnostic observations only.
- G2
- Moderate symptoms; limiting instrumental ADL.
- G3
- Severe symptoms; limiting self care ADL.
- G4
- Life-threatening consequences; urgent intervention indicated.