| Value | Code Name | Code | Code System | Code Description |
|---|---|---|---|---|
| Adverse Events | Adverse Events | Adverse Events | ||
| Form A | Form A | Form A | ||
| Form B | Form B | Form B | ||
| Form C | Form C | Form C | ||
| Form D | Form D | Form D | ||
| Form E | Form E | Form E | ||
| Form F | Form F | Form F | ||
| Prior and Concomitant Medications | Prior and Concomitant Medications | Prior and Concomitant Medications |