Manual CTCAE grading takes 15 to 20 minutes per adverse event because the coordinator reads the note, finds the CTCAE criterion across 850 terms and 26+ organ system classes, assigns a grade, documents attribution, and writes the narrative. Burna AI compresses this to seconds for the suggestion plus clinician review. Internal testing shows at least a 70% reduction in CTCAE grading time, with strong agreement with expert clinicians.