Registry Model Metadata

Registry Model Metadata

Registry Model Metadata

RegistryEntry

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
id ID BigAutoField True False
unique_id Unique ID IntegerField Unique identifier for the patient record. False False
institute_name Institute Name CharField Name of the institution where data was recorded. False False
ip_op_number IP/OP Number CharField In-patient or Out-patient number. True True
created_at Record Created At DateTimeField True False
updated_at Record Last Updated At DateTimeField True False

Demographics

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
first_name First Name CharField False False
last_name Last Name CharField False False
age Age PositiveSmallIntegerField Age in years. True True
gender Gender CharField True False male (Male), female (Female)
address_street Street/Village/City TextField True False
address_pin_code PIN Code CharField True True
address_state State CharField True False
address_country Country CharField True False
contact_number Contact Number CharField True False
email Email CharField True False
informant Informant CharField True True patient (Patient Himself), bystander (Bystander)
mode_of_arrival Mode of Arrival CharField True True self (Self), private_vehicle (Private Vehicle), ambulance (Ambulance/108 staff), police (Police/Firefighters), rescuers (Rescuers), bystanders (Bystanders/Neighbours), relatives (Relatives), others (Others (Please specify))
education Education Level CharField True False profession (Profession or Honours), graduate (Graduate or Postgraduate), intermediate (Intermediate or post high school diploma), high_school (High school certificate), middle_school (Middle school certificate), primary_school (Primary school certificate), illiterate (Illiterate)
occupation Occupation CharField True False legislators (Legislators, senior officials, and managers), professionals (Professionals), technicians (Technicians and associate professionals), clerks (Clerks), skilled_workers (Skilled workers and shop and market sales workers), agricultural_workers (Skilled agricultural and fishery workers), craft_workers (Craft and related trade workers), plant_operators (Plant and machine operators and assemblers), elementary (Elementary occupation), unemployed (Unemployed)
income Income Group CharField True False >20482 (>20,482), 10241-20481 (10,241-20,481), 7681-10240 (7681-10,240), 5120-7680 (5120-7680), 3072-5119 (3072-5119), 1034-3071 (1034-3071), <1033 (<1033)
marital_status Marital Status CharField True True married (Married), never_married (Never married), divorced (Divorced)
handedness Handedness CharField True False (---------), right (Right), left (Left), ambidextrous (Ambidextrous)
spoken_language Spoken Language(s) CharField True False
food_preference Food Preference CharField True False (---------), vegetarian (Vegetarian), non_vegetarian (Non-Vegetarian), vegan (Vegan)
sleep_pattern_description Sleep Pattern Description TextField True False

ClinicalHistorySummary

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
presenting_complaints_summary Presenting Complaints Summary TextField True False
loss_of_consciousness Loss of Consciousness (Event Flag) BooleanField False False False
loss_of_consciousness_duration loss of consciousness duration CharField Duration if LOC occurred. True True less_than_minute (Less than one minute), less_than_30_minutes (Less than 30 minutes), less_than_hour (Less than an hour), 1-24_hours (1-24 hours), 1-7_days (1-7 days), more_than_7_days (More than 7 days)
post_traumatic_amnesia Post-traumatic Amnesia (Event Flag) BooleanField False False False
post_traumatic_amnesia_duration post traumatic amnesia duration CharField Duration if PTA occurred. True True less_than_5_minutes (PTA less than 5 minutes), 5-60_minutes (PTA between 5-60 minutes), 1-24_hours (PTA between 1-24 hours), 1-7_days (PTA between 1-7 days), greater_than_7_days (PTA greater than 7 days)
lucid_interval Lucid Interval (Event Flag) BooleanField False False False
vomiting_assoc_injury Vomiting (Associated with Injury/Event Flag) BooleanField False False False
nausea_assoc_injury Nausea (Associated with Injury/Event Flag) BooleanField False False False
ear_bleed Ear Bleed (Otorrhagia Flag) BooleanField False False False
nasal_bleed Nasal Bleed (Epistaxis Flag) BooleanField False False False
oral_bleed Oral Bleed Flag BooleanField False False False
rhinorrhea Rhinorrhea (CSF Leak Flag) BooleanField False False False
otorrhoea Otorrhoea (CSF Leak Flag) BooleanField False False False
diabetes_history Diabetes History BooleanField False False False
hypertension_history Hypertension History BooleanField False False False
smoking_history Smoking History BooleanField False False False
smokeless_tobacco_history Smokeless Tobacco History BooleanField False False False
illicit_drug_use_history Illicit Drug Use History BooleanField False False False
anti_platelet_agent_use Anti-platelet Agent Use BooleanField False False False
clopidogrel_use Clopidogrel Use BooleanField False False False
oral_contraceptive_use Oral Contraceptive Use BooleanField False False False
sedative_use_history Sedative Use History BooleanField False False False
anticonvulsant_use_history Anticonvulsant Use History BooleanField False False False
alcohol_influence_at_event Under Influence of Alcohol (At Event) BooleanField False False False
drug_influence_at_event Under Influence of Drugs (At Event) BooleanField False False False
asa_ps ASA Physical Status CharField True True ASA-PS 1 (ASA-PS 1. A normal healthy patient), ASA-PS 2 (ASA-PS 2. A patient with mild systemic disease), ASA-PS 3 (ASA-PS 3. A patient with severe systemic disease), ASA-PS 4 (ASA-PS 4. A patient with severe systemic disease that is a constant threat to life), ASA-PS 5 (ASA-PS 5. A moribund patient who is not expected to survive without an operation), ASA-PS 6 (ASA-PS 6. A declared brain-dead patient whose organs are being removed for donor purposes), Unknown (Unknown)
other_relevant_history_summary Other Relevant History Summary TextField Any other relevant summary clinical history. True True

HeadacheHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
headache_hist_onset Headache History: Onset CharField True False
headache_hist_duration Headache History: Duration CharField True False
headache_hist_progression Headache History: Progression CharField True False
headache_hist_ictus Headache History: Ictus Description CharField True False
headache_hist_location Headache History: Location CharField True False (---------), frontal (Frontal), temporal (Temporal), occipital (Occipital), parietal (Parietal), generalized (Generalized)
headache_hist_nature_type Headache History: Nature/Type CharField True False
headache_hist_radiation Headache History: Radiation CharField True False
headache_hist_aggravating_factors Headache History: Aggravating Factors TextField True False
headache_hist_relieving_factors Headache History: Relieving Factors TextField True False
headache_hist_diurnal_variation Headache History: Diurnal Variation CharField True False
headache_hist_associated_symptoms Headache History: Associated Symptoms TextField True False
headache_hist_vomiting Headache History: Associated Vomiting BooleanField False False False
headache_hist_loss_of_consciousness Headache History: Associated LOC BooleanField False False False
headache_hist_visual_blurring Headache History: Associated Visual Blurring BooleanField False False False
headache_hist_diplopia Headache History: Associated Diplopia BooleanField False False False

SeizureHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
seizure_hist_age_of_onset Seizure History: Age of Onset IntegerField True True
seizure_hist_type_of_seizure Seizure History: Type CharField True False
seizure_hist_progression_of_seizure Seizure History: Progression CharField True False
seizure_hist_typical_time_of_occurrence Seizure History: Typical Time CharField True False
seizure_hist_prodrome Seizure History: Prodrome CharField True False
seizure_hist_aura Seizure History: Aura CharField True False
seizure_hist_ictus_description Seizure History: Ictus Description TextField True False
seizure_hist_ictus_time_of_onset Seizure History: Ictus Time of Onset CharField True False
seizure_hist_activity_at_onset Seizure History: Activity at Onset CharField True False
seizure_hist_precipitating_factors Seizure History: Precipitating Factors TextField True False
seizure_hist_event_definition Seizure History: Event Definition/Description TextField True False
seizure_hist_progression_of_symptoms Seizure History: Symptom Progression during Ictus TextField True False
seizure_hist_duration Seizure History: Ictus Duration CharField True False
seizure_hist_time_to_recovery Seizure History: Time to Recovery CharField True False
seizure_hist_postictal_confusion Seizure History: Postictal Confusion BooleanField False False False
seizure_hist_postictal_amnesia Seizure History: Postictal Amnesia BooleanField False False False
seizure_hist_postictal_deficits Seizure History: Postictal Deficits CharField True False
seizure_hist_frequency Seizure History: Frequency CharField True False
seizure_hist_last_episode_date Seizure History: Date of Last Episode DateField True True

MentalStatusHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
mental_hist_memory_problems Mental History: Memory Problems Reported BooleanField False False False
mental_hist_immediate_memory_issues Mental History: Immediate Memory Issues CharField True False
mental_hist_recent_memory_issues Mental History: Recent Memory Issues CharField True False
mental_hist_remote_memory_issues Mental History: Remote Memory Issues CharField True False
mental_hist_comprehension_problems Mental History: Comprehension Problems Reported BooleanField False False False
mental_hist_language_problems Mental History: Language Problems Reported BooleanField False False False
mental_hist_speech_issues Mental History: Speech Issues CharField True False
mental_hist_reading_issues Mental History: Reading Issues CharField True False
mental_hist_writing_issues Mental History: Writing Issues CharField True False
mental_hist_calculation_issues Mental History: Calculation Issues CharField True False
mental_hist_specific_speech_problems Mental History: Specific Speech Problems (Naming/Repeating) BooleanField False False False
mental_hist_naming_defining_objects_issues Mental History: Naming/Defining Object Issues CharField True False
mental_hist_perseveration Mental History: Perseveration Reported BooleanField False False False
mental_hist_repeating_words Mental History: Repeating Words Reported BooleanField False False False
mental_hist_unusual_behavior Mental History: Unusual/Bizarre Behavior Reported BooleanField False False False
mental_hist_poor_social_judgment Mental History: Poor Social Judgment Reported BooleanField False False False
mental_hist_attention_concentration_problems Mental History: Attention/Concentration Problems BooleanField False False False
mental_hist_geographic_orientation_difficulty Mental History: Geographic Orientation Difficulty BooleanField False False False
mental_hist_calculation_counting_issues Mental History: Calculation/Counting Specific Issues CharField True False

PsychiatricSymptoms

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
psych_hist_hallucinations Psych History: Hallucinations BooleanField False False False
psych_hist_delusions Psych History: Delusions BooleanField False False False
psych_hist_depression Psych History: Depression BooleanField False False False
psych_hist_anxiety Psych History: Anxiety BooleanField False False False
psych_hist_derealization Psych History: Derealization BooleanField False False False
psych_hist_depersonalization Psych History: Depersonalization BooleanField False False False
psych_hist_dissociation Psych History: Dissociation BooleanField False False False
psych_hist_obsessions Psych History: Obsessions BooleanField False False False
psych_hist_apathy Psych History: Apathy BooleanField False False False
psych_hist_euphoria Psych History: Euphoria BooleanField False False False

WeaknessHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
weakness_hist_limbs_involved Weakness History: Limbs Involved CharField True False
weakness_hist_onset Weakness History: Onset CharField True False
weakness_hist_duration Weakness History: Duration CharField True False
weakness_hist_progression Weakness History: Progression CharField True False
weakness_hist_functional_deficit Weakness History: Functional Deficit (e.g., Hand Grip) CharField True False
weakness_hist_gait_issues Weakness History: Gait Issues (Foot Drop / Buckling Knees) BooleanField False False False
weakness_hist_muscle_appearance Weakness History: Muscle Appearance Changes (Wasting etc.) BooleanField False False False
weakness_hist_fasciculation Weakness History: Fasciculations BooleanField False False False
weakness_hist_associated_tremors Weakness History: Associated Tremors BooleanField False False False
weakness_hist_stiffness Weakness History: Stiffness of Limbs BooleanField False False False
weakness_hist_difficulty_walking Weakness History: Difficulty Walking (General) BooleanField False False False
weakness_hist_recovery_pattern Weakness History: Recovery Pattern CharField True False

GiddinessHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
giddiness_hist_onset Giddiness History: Onset CharField True False
giddiness_hist_duration Giddiness History: Duration CharField True False
giddiness_hist_progression Giddiness History: Progression CharField True False
giddiness_hist_positional_trigger Giddiness History: Positional Trigger CharField True False
giddiness_hist_associated_history Giddiness History: Associated Symptoms/History TextField True False
giddiness_hist_ear_discharge Giddiness History: Associated Ear Discharge BooleanField False False False
giddiness_hist_tinnitus Giddiness History: Associated Tinnitus BooleanField False False False
giddiness_hist_hearing_loss Giddiness History: Associated Hearing Loss BooleanField False False False
giddiness_hist_vomiting Giddiness History: Associated Vomiting BooleanField False False False

SensoryDisturbanceHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
sensory_hist_loss_of_touch Sensory History: Loss of Touch BooleanField False False False
sensory_hist_loss_of_pain Sensory History: Loss of Pain BooleanField False False False
sensory_hist_loss_of_temperature Sensory History: Loss of Temperature BooleanField False False False
sensory_hist_paraesthesia Sensory History: Paraesthesia BooleanField False False False
sensory_hist_numbness Sensory History: Numbness BooleanField False False False
sensory_hist_area_involved Sensory History: Area Involved CharField True False
sensory_hist_proprioception_issues Sensory History: Proprioception Issues CharField True False
sensory_hist_difficulty_walking_dark Sensory History: Difficulty Walking in Dark BooleanField False False False
sensory_hist_looks_down_walking Sensory History: Looks Down While Walking BooleanField False False False
sensory_hist_difficulty_limb_position Sensory History: Difficulty Identifying Limb Position BooleanField False False False
sensory_hist_difficulty_footwear Sensory History: Difficulty Wearing Footwear BooleanField False False False
sensory_hist_pattern_of_loss Sensory History: Pattern of Loss CharField True False
sensory_hist_associated_ulcers Sensory History: Associated Ulcers BooleanField False False False

ImbalanceIncoordinationHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
imbalance_hist_swaying_walking Imbalance History: Swaying While Walking BooleanField False False False
imbalance_hist_slurring_speech Imbalance History: Slurring Speech BooleanField False False False
imbalance_hist_action_tremors Imbalance History: Action Tremors BooleanField False False False
imbalance_hist_resting_tremors Imbalance History: Resting Tremors/Shaking BooleanField False False False
imbalance_hist_dysmetria Imbalance History: Overshooting/Dysmetria BooleanField False False False
imbalance_hist_dysdiadochokinesia Imbalance History: Clumsiness/Dysdiadochokinesia BooleanField False False False
imbalance_hist_worse_dark_narrow Imbalance History: Worse in Dark/Narrow Spaces BooleanField False False False

SpinePainHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
pain_hist_spine_onset Spine Pain History: Onset CharField True False
pain_hist_spine_duration Spine Pain History: Duration CharField True False
pain_hist_spine_progression Spine Pain History: Progression CharField True False
pain_hist_spine_location Spine Pain History: Location CharField True False
pain_hist_spine_nature Spine Pain History: Nature CharField True False
pain_hist_spine_radiation Spine Pain History: Radiation CharField True False
pain_hist_spine_aggravating Spine Pain History: Aggravating Factors TextField True False
pain_hist_spine_relieving Spine Pain History: Relieving Factors TextField True False
pain_hist_spine_continuous_mechanical Spine Pain History: Continuous/Mechanical? BooleanField False False False
pain_hist_spine_specific_movements Spine Pain History: Worsened by Specific Movements? BooleanField False False False
pain_hist_spine_neck_tilt Spine Pain History: Associated Neck Tilt? BooleanField False False False
pain_hist_spine_neuro_deficits Spine Pain History: Associated Neuro Deficits? BooleanField False False False
pain_hist_spine_neuro_claudication Spine Pain History: Associated Neuro Claudication? BooleanField False False False
pain_hist_spine_erectile_dysfunction Spine Pain History: Associated Erectile Dysfunction? BooleanField False False False
pain_hist_spine_previous_surgery Spine Pain History: Previous Spine Surgery? BooleanField False False False
pain_hist_spine_other_malignancies Spine Pain History: History of Other Malignancies? BooleanField False False False
pain_hist_spine_night_cries Spine Pain History: Night Cries (Peds)? BooleanField False False False
pain_hist_spine_local_swelling Spine Pain History: Associated Local Swelling? BooleanField False False False
pain_hist_spine_scoliosis_kyphosis Spine Pain History: Associated Scoliosis/Kyphosis? BooleanField False False False

MedicationHistory

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
medication_hist_summary Medication History Summary (Drugs, Duration, Compliance, Effects) TextField True False

GeneralExaminationExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date_of_exam date of exam DateField Date this examination was performed. True True
gen_exam_consciousness_level Consciousness Level CharField True False (---------), alert (Alert), verbal (Responds to Verbal Stimuli), pain (Responds to Painful Stimuli), unresponsive (Unresponsive)
gen_exam_gcs_score GCS Score (if applicable) CharField True False
gen_exam_built Built CharField True False
gen_exam_nourishment Nourishment CharField True False
gen_exam_pallor Pallor BooleanField False False False
gen_exam_icterus Icterus BooleanField False False False
gen_exam_cyanosis Cyanosis BooleanField False False False
gen_exam_skin_findings Skin Findings (Swelling, Nodules, Patches) TextField True False
gen_exam_clubbing Clubbing BooleanField False False False
gen_exam_edema Edema BooleanField False False False
gen_exam_peripheral_pulses Peripheral Pulses CharField True False
gen_exam_lymphadenopathy Lymphadenopathy BooleanField False False False
gen_exam_pulse_rate_rhythm Pulse Rate/Rhythm CharField True False
gen_exam_bp_reading Blood Pressure Reading CharField True False
gen_exam_height Height CharField True False
gen_exam_weight Weight CharField True False
gen_exam_bmi BMI CharField True False
gen_exam_cvj_marker CVJ Marker CharField True False
gen_exam_facies Facies Description CharField True False
gen_exam_neck_appearance Neck Appearance/Height Ratio CharField True False
gen_exam_cervical_specifics Specific Cervical Case Findings TextField True False
gen_exam_single_breath_count Single Breath Count CharField True False
gen_exam_chest_expansion Chest Expansion CharField True False
gen_exam_tidal_percussion Tidal Percussion CharField True False
gen_exam_horners_syndrome Horner's Syndrome BooleanField False False False
gen_exam_face_sensation_summary Sensation Over Face Summary CharField True False
gen_exam_onion_peel_loss Onion Peel Sensory Loss BooleanField False False False
gen_exam_external_ear External Ear Exam CharField True False
gen_exam_external_nares External Nares Exam CharField True False
gen_exam_intra_oral Intra-Oral Exam CharField True False
gen_exam_meningeal_signs_summary Meningeal Signs Summary CharField True False
gen_exam_kernigs_sign Kernig's Sign BooleanField False False False
gen_exam_brudzinskis_sign Brudzinski's Sign BooleanField False False False

SystemicExamination

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
sys_exam_cardiovascular Cardiovascular Findings TextField True False
sys_exam_respiratory Respiratory Findings TextField True False
sys_exam_abdominal Abdominal Findings TextField True False
sys_exam_spine_inspection_palpation Spine Inspection/Palpation TextField True False
sys_exam_spine_tenderness Spine Tenderness BooleanField False False False
sys_exam_spine_deformity Spine Deformity BooleanField False False False
sys_exam_neck_rom Neck Movements ROM/Pain CharField True False
sys_exam_slr_test Straight Leg Raising Test CharField True False

CognitiveExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
hmf_attention_span Attention Span Assessment TextField True False
hmf_concentration Concentration Assessment TextField True False
hmf_orientation_time Orientation - Time CharField True False
hmf_orientation_place Orientation - Place CharField True False
hmf_orientation_person Orientation - Person CharField True False
hmf_language_spontaneous_speech Language - Spontaneous Speech TextField True False
hmf_language_word_output Language - Word Output CharField True False
hmf_language_prosody Language - Prosody CharField True False
hmf_grammar_word_finding_difficulty Grammar - Word Finding Difficulty BooleanField False False False
hmf_grammar_paraphrasias Grammar - Paraphrasias/Word Substitutions BooleanField False False False
hmf_grammar_neologisms Grammar - Neologisms BooleanField False False False
hmf_grammar_jargon_speech Grammar - Jargon Speech BooleanField False False False
hmf_fluency_animal_naming Fluency - Animal Naming Test CharField True False
hmf_fluency_fas Fluency - FAS Test CharField True False
hmf_comprehension Comprehension Assessment TextField True False
hmf_repetition Repetition Assessment TextField True False
hmf_naming Naming Assessment TextField True False
hmf_reading Reading Assessment TextField True False
hmf_writing Writing Assessment TextField True False
hmf_calculation Calculation Assessment TextField True False
hmf_abstract_reasoning Abstract Reasoning TextField True False
hmf_memory_immediate Memory - Immediate Recall TextField True False
hmf_memory_recent Memory - Recent Recall TextField True False
hmf_memory_remote Memory - Remote Recall TextField True False
hmf_new_learning New Learning Ability TextField True False
hmf_visuospatial Visuospatial Function TextField True False
hmf_executive Executive Functions TextField True False
hmf_adl_iadl_summary ADL/IADL Functional Assessment Summary TextField True False
mental_state_exam_apathy Mental State Exam: Apathy Observed BooleanField False False False
mental_state_exam_depression Mental State Exam: Depression Observed BooleanField False False False
mental_state_exam_affect_lability Mental State Exam: Affect Lability BooleanField False False False
mental_state_exam_panic_attacks Mental State Exam: Panic Attacks Observed BooleanField False False False
mental_state_exam_irritability Mental State Exam: Irritability Observed BooleanField False False False
mental_state_exam_euphoria Mental State Exam: Euphoria Observed BooleanField False False False
mental_state_exam_illusions Mental State Exam: Illusions Reported/Observed BooleanField False False False
mental_state_exam_delusions Mental State Exam: Delusions Reported/Observed BooleanField False False False
mental_state_exam_hallucinations Mental State Exam: Hallucinations Reported/Observed BooleanField False False False
mental_state_exam_intrusive_thoughts Mental State Exam: Intrusive Thoughts/Behavior BooleanField False False False
mental_state_exam_confusional_state Mental State Exam: Acute Confusional State BooleanField False False False
mental_state_exam_diurnal_variation Mental State Exam: Diurnal Variation Observed CharField True False
mental_state_exam_wandering Mental State Exam: Wandering Observed BooleanField False False False
drives_exam_summary Drives Exam Summary (Appetite, Weight, Libido, Sleep) TextField True False

MiniMentalExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date date DateField Date of examination True False
orientation_time Orientation - Time (0-5) IntegerField Knowledge of the date, day, and time. 0 False False
orientation_place Orientation - Place (0-5) IntegerField Awareness of location (city, hospital, room). 0 False False
registration Registration (0-3) IntegerField Immediate memory by repeating named objects. 0 False False
attention_calculation Attention/Calculation (0-5) IntegerField Serial sevens or spelling a word backward. 0 False False
recall Recall (0-3) IntegerField Delayed recall of previously registered words. 0 False False
language Language (0-9) IntegerField Naming, repetition, comprehension, reading, and writing skills. 0 False False
total_score Total Score (0-30) IntegerField Sum of all cognitive domain scores. Automatically calculated. 0 False False
comments Comments TextField Additional notes or observations. True True

CranialNerveExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
cn1_smell_identification CN I: Smell Identification CharField True False (---------), yes (Yes), no (No), reduced (Reduced)
cn1_parosmia CN I: Parosmia BooleanField False False False
cn2_visual_acuity_right CN II: Visual Acuity (Right) CharField True False
cn2_visual_acuity_left CN II: Visual Acuity (Left) CharField True False
cn2_visual_fields CN II: Visual Fields (Confrontation/Perimetry) CharField True False
cn2_color_vision CN II: Color Vision CharField True False
cn2_fundoscopy_right CN II: Fundoscopy (Right) TextField True False
cn2_fundoscopy_left CN II: Fundoscopy (Left) TextField True False
cn2_3_pupil_size_shape_right CN II/III: Pupil Size/Shape (Right) CharField True False
cn2_3_pupil_size_shape_left CN II/III: Pupil Size/Shape (Left) CharField True False
cn2_3_light_reflex_direct_right CN II/III: Light Reflex Direct (Right) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn2_3_light_reflex_direct_left CN II/III: Light Reflex Direct (Left) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn2_3_light_reflex_consensual_right CN II/III: Light Reflex Consensual (Right) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn2_3_light_reflex_consensual_left CN II/III: Light Reflex Consensual (Left) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn2_swinging_light_test CN II: Swinging Light Test (RAPD) CharField True False
cn3_ptosis_right CN III: Ptosis (Right) CharField True False
cn3_ptosis_left CN III: Ptosis (Left) CharField True False
cn346_eye_position_primary CN III/IV/VI: Eye Position (Primary Gaze) CharField True False
cn346_extraocular_movements CN III/IV/VI: Extraocular Movements (Description) TextField True False
cn3468_nystagmus CN III/IV/VI/VIII: Nystagmus Description CharField True False
cn346_diplopia_on_gaze CN III/IV/VI: Diplopia on Gaze CharField True False
cn5_sensation_v1_right CN V: Sensation V1 (Right) CharField True False
cn5_sensation_v1_left CN V: Sensation V1 (Left) CharField True False
cn5_sensation_v2_right CN V: Sensation V2 (Right) CharField True False
cn5_sensation_v2_left CN V: Sensation V2 (Left) CharField True False
cn5_sensation_v3_right CN V: Sensation V3 (Right) CharField True False
cn5_sensation_v3_left CN V: Sensation V3 (Left) CharField True False
cn5_7_corneal_reflex_right CN V/VII: Corneal Reflex (Right) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn5_7_corneal_reflex_left CN V/VII: Corneal Reflex (Left) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn5_motor_mastication CN V: Motor - Muscles of Mastication CharField True False
cn5_motor_jaw_deviation CN V: Motor - Jaw Deviation CharField True False
cn5_jaw_jerk CN V: Jaw Jerk CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn7_symmetry_rest CN VII: Facial Symmetry (Rest) CharField True False
cn7_forehead_wrinkle CN VII: Forehead Wrinkle CharField True False (---------), normal (Normal/Full Strength), mild (Mild Weakness), moderate (Moderate Weakness), severe (Severe Weakness/Paralysis)
cn7_eye_closure_strength CN VII: Eye Closure Strength CharField True False (---------), normal (Normal/Full Strength), mild (Mild Weakness), moderate (Moderate Weakness), severe (Severe Weakness/Paralysis)
cn7_nasolabial_fold CN VII: Nasolabial Fold CharField True False
cn7_smile_show_teeth CN VII: Smile / Show Teeth CharField True False (---------), normal (Normal/Full Strength), mild (Mild Weakness), moderate (Moderate Weakness), severe (Severe Weakness/Paralysis)
cn7_puff_cheeks CN VII: Puff Cheeks CharField True False (---------), normal (Normal/Full Strength), mild (Mild Weakness), moderate (Moderate Weakness), severe (Severe Weakness/Paralysis)
cn7_taste_anterior_tongue CN VII: Taste (Anterior 2/3 Tongue) CharField True False
cn7_hyperacusis CN VII: Hyperacusis BooleanField False False False
cn7_abnormal_movements CN VII: Abnormal Movements (Synkinesis/Spasm) CharField True False
cn8_hearing_acuity_right CN VIII: Hearing Acuity (Right) CharField True False
cn8_hearing_acuity_left CN VIII: Hearing Acuity (Left) CharField True False
cn8_weber_test CN VIII: Weber Test CharField True False
cn8_rinne_test_right CN VIII: Rinne Test (Right) CharField True False
cn8_rinne_test_left CN VIII: Rinne Test (Left) CharField True False
cn8_vestibular_tests CN VIII: Vestibular Testing (Gaze/Head Thrust/Dix-Hallpike) TextField True False
cn9_10_gag_reflex CN IX/X: Gag Reflex CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
cn9_10_palate_uvula CN IX/X: Palate Elevation / Uvula Deviation CharField True False
cn10_voice_quality CN X: Voice Quality (Hoarseness/Nasal) CharField True False
cn9_10_swallowing_assessment CN IX/X: Swallowing Assessment CharField True False
cn9_taste_posterior_tongue CN IX: Taste (Posterior 1/3 Tongue) CharField True False
cn11_trapezius_strength_right CN XI: Trapezius Strength (Right) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
cn11_trapezius_strength_left CN XI: Trapezius Strength (Left) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
cn11_scm_strength_right CN XI: SCM Strength (Right) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
cn11_scm_strength_left CN XI: SCM Strength (Left) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
cn12_tongue_inspection CN XII: Tongue Inspection (Atrophy/Fasciculations) CharField True False
cn12_tongue_protrusion CN XII: Tongue Protrusion (Deviation) CharField True False
cn12_tongue_strength CN XII: Tongue Strength (Against Cheek) CharField True False
cn12_tongue_movements CN XII: Tongue Movements (Rapid Side-to-Side) CharField True False

MotorSystemExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
motor_exam_attitude_posture Attitude/Posture CharField True False
motor_exam_bulk_inspection Bulk Inspection (Wasting/Hypertrophy) TextField True False
motor_exam_fasciculations Fasciculations Observed BooleanField False False False
motor_exam_abnormal_movements Abnormal Movements (Tremor, Chorea, Dystonia, Myoclonus, etc.) TextField True False
motor_exam_tone_upper_limbs Tone (Upper Limbs - Spasticity/Rigidity/Hypotonia) CharField True False
motor_exam_tone_lower_limbs Tone (Lower Limbs - Spasticity/Rigidity/Hypotonia) CharField True False
power_shoulder_flexion_r R Shoulder Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_extension_r R Shoulder Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_abduction_r R Shoulder Abduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_adduction_r R Shoulder Adduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_elbow_flexion_r R Elbow Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_elbow_extension_r R Elbow Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_wrist_flexion_r R Wrist Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_wrist_extension_r R Wrist Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_flexion_r R Finger Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_extension_r R Finger Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_abduction_r R Finger Abduction (Interossei) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_adduction_r R Finger Adduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_thumb_abduction_r R Thumb Abduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_thumb_opposition_r R Thumb Opposition CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_flexion_l L Shoulder Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_extension_l L Shoulder Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_abduction_l L Shoulder Abduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_shoulder_adduction_l L Shoulder Adduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_elbow_flexion_l L Elbow Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_elbow_extension_l L Elbow Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_wrist_flexion_l L Wrist Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_wrist_extension_l L Wrist Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_flexion_l L Finger Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_extension_l L Finger Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_abduction_l L Finger Abduction (Interossei) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_finger_adduction_l L Finger Adduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_thumb_abduction_l L Thumb Abduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_thumb_opposition_l L Thumb Opposition CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_flexion_r R Hip Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_extension_r R Hip Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_abduction_r R Hip Abduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_adduction_r R Hip Adduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_knee_flexion_r R Knee Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_knee_extension_r R Knee Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_dorsiflexion_r R Ankle Dorsiflexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_plantarflexion_r R Ankle Plantarflexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_inversion_r R Ankle Inversion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_eversion_r R Ankle Eversion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_great_toe_extension_r R Great Toe Extension (EHL) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_toes_flexion_r R Toes Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_flexion_l L Hip Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_extension_l L Hip Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_abduction_l L Hip Abduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_hip_adduction_l L Hip Adduction CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_knee_flexion_l L Knee Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_knee_extension_l L Knee Extension CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_dorsiflexion_l L Ankle Dorsiflexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_plantarflexion_l L Ankle Plantarflexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_inversion_l L Ankle Inversion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_ankle_eversion_l L Ankle Eversion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_great_toe_extension_l L Great Toe Extension (EHL) CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)
power_toes_flexion_l L Toes Flexion CharField True False 0 (0 = No movement), 1 (1 = Flicker of contraction), 2 (2 = Active movement, gravity eliminated), 3 (3 = Active movement against gravity), 4 (4 = Active movement against some resistance), 5 (5 = Active movement against full resistance)

SensoryExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
sensory_exam_light_touch Light Touch Findings TextField True False
sensory_exam_pin_prick Pin Prick (Pain) Findings TextField True False
sensory_exam_temperature Temperature Findings TextField True False
sensory_exam_vibration Vibration Findings TextField True False
sensory_exam_joint_position Joint Position Sense Findings TextField True False
sensory_exam_cortical Cortical Sensation (Stereognosis, Graphesthesia, 2PD) TextField True False
sensory_exam_romberg_test Romberg's Test CharField True False

ReflexExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
reflex_biceps_right R Biceps CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_biceps_left L Biceps CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_triceps_right R Triceps CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_triceps_left L Triceps CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_brachioradialis_right R Brachioradialis (Supinator) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_brachioradialis_left L Brachioradialis (Supinator) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_knee_right R Knee (Patellar) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_knee_left L Knee (Patellar) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_ankle_right R Ankle (Achilles) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_ankle_left L Ankle (Achilles) CharField True False (---------), 0 (0 = Absent), 1+ (1+ = Trace or slight response), 2+ (2+ = Normal), 3+ (3+ = Brisk), 4+ (4+ = Hyperactive with clonus)
reflex_abdominal_upper Abdominal Upper (Superficial) CharField True False
reflex_abdominal_lower Abdominal Lower (Superficial) CharField True False
reflex_plantar_right R Plantar Response (Babinski) CharField True False
reflex_plantar_left L Plantar Response (Babinski) CharField True False
reflex_cremasteric_right R Cremasteric CharField True False present (Present), absent (Absent)
reflex_cremasteric_left L Cremasteric CharField True False present (Present), absent (Absent)
reflex_bulbocavernosus Bulbocavernosus CharField True False present (Present), absent (Absent)
reflex_anal_wink Anal Wink (Superficial Anal) CharField True False present (Present), absent (Absent)
reflex_hoffmans_right R Hoffman's Sign CharField True False present (Present), absent (Absent)
reflex_hoffmans_left L Hoffman's Sign CharField True False present (Present), absent (Absent)
reflex_finger_flexor_right R Finger Flexor CharField True False present (Present), absent (Absent)
reflex_finger_flexor_left L Finger Flexor CharField True False present (Present), absent (Absent)
reflex_clonus_ankle_right R Ankle Clonus CharField True False
reflex_clonus_ankle_left L Ankle Clonus CharField True False
reflex_frontal_release_signs Frontal Release Signs (Grasp, Snout, Palmomental etc.) TextField True False

CerebellarExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
cerebellar_exam_nystagmus Nystagmus CharField True False
cerebellar_exam_saccades_pursuits Saccades/Smooth Pursuits CharField True False
cerebellar_exam_speech Speech (Scanning/Ataxic) CharField True False
cerebellar_exam_titubation Titubation BooleanField False False False
cerebellar_exam_dysdiadochokinesia_right R Dysdiadochokinesia (RAM) CharField True False
cerebellar_exam_dysdiadochokinesia_left L Dysdiadochokinesia (RAM) CharField True False
cerebellar_exam_finger_nose_right R Finger-Nose Test CharField True False
cerebellar_exam_finger_nose_left L Finger-Nose Test CharField True False
cerebellar_exam_heel_shin_right R Heel-Shin Test CharField True False
cerebellar_exam_heel_shin_left L Heel-Shin Test CharField True False
cerebellar_exam_rebound_phenomenon_right R Rebound Phenomenon CharField True False
cerebellar_exam_rebound_phenomenon_left L Rebound Phenomenon CharField True False
cerebellar_exam_intention_tremor Intention Tremor BooleanField False False False
cerebellar_exam_stance Stance CharField True False
cerebellar_exam_gait Gait Description (Ataxia, Tandem) TextField True False
cerebellar_exam_truncal_ataxia Truncal Ataxia BooleanField False False False

SkullSpineMeningesExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
skull_exam_inspection Skull Inspection Findings (Deformities, Scars) TextField True False
skull_exam_palpation Skull Palpation Findings (Tenderness, Bumps) TextField True False
spine_exam_inspection Spine Inspection Findings (Posture, Alignment, Scars, Masses) TextField True False
spine_exam_palpation Spine Palpation Findings (Tenderness, Muscle Spasm) TextField True False
spine_exam_range_of_motion Spine Range of Motion (Flexion, Extension, Rotation, Lateral Flexion) TextField True False
meninges_exam_summary Meningeal Signs Summary (if present, Kernig's, Brudzinski's, etc.) TextField True False

AutonomicExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
autonomic_exam_postural_bp Postural Blood Pressure Changes (Orthostatic Hypotension) TextField True False
autonomic_exam_sweating Sweating (Excessive/Deficient) TextField True False
autonomic_exam_pupillary_response Pupillary Response (Size, Reactivity) TextField True False
autonomic_exam_bowel_bladder Bowel/Bladder Function Assessment (if relevant) TextField True False
autonomic_exam_other Other Autonomic Findings TextField True False

InjuryDetails

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date_of_injury Date of Injury DateField True True
time_of_injury Time of Injury TimeField True True
history_of_major_injury History of Major Injury (Prior) BooleanField False False False
history_of_major_injury_specify Specify Prior Major Injury TextField True True
mass_casuality Mass Casuality Incident BooleanField False False False
mass_casuality_specify Specify Mass Casuality TextField True True
time_elapsed_hospital_admission Time Elapsed to Admission CharField Time between injury and hospital admission. True True less_than_24_hours (< 24 hours), 24-72_hours (24-72 hours), 4-7_days (4-7 days), greater_than_7_days (>7days)
reason_for_delay Reason for Delay (If Any) CharField True True delayed_in_ed (Delayed in ED), transfer_from_other_hospital (Transfer from other hospital), distance_to_hospital (Distance to hospital from place of injury), no_transport (No transport facility), traditional_treatment (Sought traditional treatment), other (Other please specify)
reason_for_delay_other Other Reason for Delay CharField True True
cause_of_injury Cause of Injury CharField True True road_traffic (Road Traffic accident), ship (Ship accident), airplane (Airplane crash), train (Train accident), fall (Fall), assault (Assault), hanging (Hanging), sports (Sports), fall_of_object (Fall of object), crush (Crush), others (Others, please specify)
cause_of_injury_other Other Cause of Injury CharField True True
mechanism_of_injury Mechanism of Injury CharField True True animal_related (Animal related injury), bicycle_accident (Bicycle Accident), electrocution (Electrocution), fall_from_bed (Fall from bed), fall_from_height (Fall from Height/Building /Train/Bus), heavy_substance_falls (Heavy substance falls on head), hit_by_train (Hit by Train), lightening (Lightening), motor_vehicle_ejected (Motor Vehicle Trauma: Ejected), motor_vehicle_not_ejected (Motor Vehicle Trauma: not ejected), pedestrians (Pedestrians), penetrating_injury_gunshot (Penetrating injury gunshot), penetrating_injury_stab (Penetrating injury stab), road_traffic_accident (Road traffic accident), self_fall (Self-fall/Self hit on wall or door), three_wheeler (Three-wheeler), two_wheeler (Two-wheeler), unknown (Unknown)
type_of_vehicle Type of Vehicle CharField True True bicycle (Bicycle), animal_cart (Animal cart), four_wheeler_car (Four-wheeler car), four_wheeler_bus (Four-wheeler bus), four_wheeler_truck (Four-wheeler truck), motorized_two_wheeler (Motorized two-wheeler), three_wheeler (Three-wheeler)
vehicle_crash_pattern Vehicle Crash Pattern CharField True True vehicle_skidded (Vehicle skidded), hit_non_moving (Hit a non-moving object), fall_from_vehicle (Fall from vehicle), collision_animal (Collision with animal/others)
incident_victim Incident Victim Role CharField Role of the patient in the incident (Driver, Passenger, etc.) True True pillion_rider (Pillion rider), back_seat_passenger (Back seat passenger), driver (Driver), front_seat_passenger (Front seat passenger), pedestrian (Pedestrian), others (Others (please specify))
incident_victim_other Other Incident Victim Role CharField True True
air_bag Air Bag Deployed BooleanField False False False
seat_belt Seat Belt Used BooleanField False False False
driving_license Driving License Held BooleanField False False False
helmet_use Helmet Used BooleanField False False False
helmet_fastening Helmet Fastened BooleanField False False False
helmet_make Helmet Make CharField True True ISI (ISI), Non-ISI (Non-ISI)

PreHospitalCare

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
pre_hospital_care_provided Pre-hospital Care Provided BooleanField Was any pre-hospital care provided? False False False
arrive_from_injury_site arrive from injury site BooleanField Did the patient arrive directly from the injury site? False False False
resuscitation resuscitation BooleanField Was resuscitation performed pre-hospital? False False False
protective_equipment Pre-hospital Protective Equipment CharField Specify protective equipment used (e.g., C-collar, splint). True True
highest_level_pre_hospital_care Highest Level of Pre-hospital Care CharField True True Level I (Level I. No Field Care), Level II (Level II. Basic Life Support), Level III (Level III. Advanced Life Support -No Physician Present), Level IV (Level IV. Advanced Life Support -Physician Field Care)
attempt_to_control_bleeding Bleeding Control Attempted (Pre-hospital) BooleanField False False False
method_used_to_control_bleeding Bleeding Control Method (Pre-hospital) CharField True True Direct pressure (Direct pressure), Tourniquet (Tourniquet), Any Other (Any Other)
basic_life_support_given BLS Given (Pre-hospital) BooleanField False False False
prehospital_airway_management Airway Management (Pre-hospital) BooleanField False False False
fluids_at_scene IV Fluids at Scene BooleanField False False False

InjuryAssessment

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
external_bleeding external bleeding BooleanField Visible external bleeding noted. False False False
dominant_type_of_injury Dominant Injury Type CharField True True abrasion (Abrasion), amputation (Amputation), blast_injury (Blast injury), blunt (Blunt), bruise (Bruise), burn (Burn), contusion (Contusion), crush_injury (Crush injury), cut (Cut), dislocation (Dislocation), drowning (Drowning), fracture_limbs (Fracture limbs), laceration (Laceration), penetrating_injury (Penetrating injury), sprain (Sprain), others (Others (please specify)), penetrating_gunshot (Penetrating injury gunshot), penetrating_stab (Penetrating injury stab), self_fall (Self-fall/Self hit on wall or door)
dominant_type_of_injury_other Other Dominant Injury Type (Specify) CharField True True
body_regions_involved Body Regions Involved CharField True True abdomen (Abdomen), cervical_spine (Cervical spine), chest (Chest), face (Face), head (Head), lower_limbs (Lower limbs), lumbar_spine (Lumbar spine), neck (Neck), pelvic_cavity (Pelvic cavity), pelvic_girdle (Pelvic girdle), thorax (Thorax), thoracic_spine (Thoracic spine), upper_limbs (Upper limbs), genitalia (Genitalia), others (Others (please specify))
body_regions_involved_other Other Body Regions Involved (Specify) CharField True True
any_life_threatening_injuries Life Threatening Injuries CharField True True airway_obstruction (Airway Obstruction), tension_pneumothorax (Tension pneumothorax), open_pneumothorax (Open pneumothorax), massive_haemothorax (Massive haemothorax), flail_chest (Flail chest), cardiac_tamponade (Cardiac tamponade), simple_pneumohemothorax (Simple pneumohemothorax), aortic_rupture (Aortic rupture), tracheobronchial_rupture (Tracheobronchial rupture), pulmonary_contusion (Pulmonary contusion), blunt_cardiac_injury (Blunt cardiac injury), blunt_splenic_injury (Blunt splenic injury), diaphragmatic_rupture (Diaphragmatic rupture), others (Others (please specify))
any_life_threatening_injuries_other Other Life Threatening Injuries (Specify) CharField True True
minor_injury AIS - Minor Injury CharField True True head_neck (Head neck)
moderate_injury AIS - Moderate Injury CharField True True brain_injury (Brain injury)
serious_injury AIS - Serious Injury CharField True True cervical_spine (Cervical spine)
severe_injury AIS - Severe Injury CharField True True external_skin (External skin)
critical_injury AIS - Critical Injury CharField True True face (Face)
maximum_injury AIS - Maximum Injury CharField True True thorax_chest (Thorax chest), thoracic_spine (Thoracic spine), abdomen (Abdomen), pelvis (Pelvis), lumbar_spine (Lumbar spine), extremities (Extremities), pelvic_girdle (Pelvic girdle)

AdmissionExam

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date_first_key_intervention Date of Assessment DateField True True
time_first_key_intervention Time of Assessment TimeField True True
pulse_rate Pulse Rate PositiveSmallIntegerField Beats per minute. True True
blood_pressure_systolic Systolic BP PositiveSmallIntegerField Systolic BP (mmHg). True True
blood_pressure_diastolic Diastolic BP PositiveSmallIntegerField Diastolic BP (mmHg). True True
temperature Temperature Value FloatField Body temperature (specify units if not Celsius). True True
respiratory_rate Respiratory Rate PositiveSmallIntegerField Breaths per minute. True True
best_eye_response GCS Eye CharField True True no_opening (No eye opening), to_pain (Eye opening to pain), to_verbal (Eye opening to verbal command), spontaneous (Eyes open spontaneously), swollen (Eye swollen cannot be tested)
best_verbal_response GCS Verbal CharField True True no_response (No verbal response), incomprehensible (Incomprehensible sounds.), inappropriate (Inappropriate words.), confused (Confused), oriented (Orientated), not_tested (Not tested (Intubated Patient))
best_motor_response GCS Motor CharField True True no_response (No motor response), extension_to_pain (Extension to pain), flexion_to_pain (Flexion to pain), withdrawal_from_pain (Withdrawal from pain), localizing_pain (Localizing pain), obeying_commands (Obeying commands), not_tested (Not tested)
pupils_right_size Pupil Size (Right, mm) PositiveSmallIntegerField Right pupil size (mm). True True
pupils_left_size Pupil Size (Left, mm) PositiveSmallIntegerField Left pupil size (mm). True True
pupils_right_reaction Pupil Reaction (Right) CharField True True present (Present), absent (Absent), not_tested (Not Tested)
pupils_left_reaction Pupil Reaction (Left) CharField True True present (Present), absent (Absent), not_tested (Not Tested)
vision Vision (Trauma Assessment) CharField True True normal (Normal), normal_corrected (Normal using corrective lenses), visual_disability (Visual disability not corrected), unknown (Unknown)
decorticate_posturing Decorticate Posturing BooleanField False False False
decerebrate_posturing Decerebrate Posturing BooleanField False False False
oculocephalic_reflex_right Oculocephalic Reflex (Doll's Eyes) - Right BooleanField False False False
oculocephalic_reflex_left Oculocephalic Reflex (Doll's Eyes) - Left BooleanField False False False
blood_pressure_checked Blood Pressure Abnormal BooleanField False False False
heart_rate_checked Heart Rate Abnormal BooleanField False False False
respiratory_rate_checked Respiratory Rate Abnormal BooleanField False False False
temperature_checked Temperature Abnormal BooleanField False False False
level_of_consciousness Altered Level of Consciousness BooleanField False False False
orientation_time Disoriented to Time BooleanField False False False
orientation_place Disoriented to Place BooleanField False False False
orientation_person Disoriented to Person BooleanField False False False
short_term_memory Short-term Memory Impairment BooleanField False False False
long_term_memory Long-term Memory Impairment BooleanField False False False
language_fluency Language Fluency Impairment BooleanField False False False
language_comprehension Language Comprehension Impairment BooleanField False False False
language_repetition Language Repetition Impairment BooleanField False False False
pupillary_response Abnormal Pupillary Response BooleanField False False False
extraocular_movements Abnormal Extraocular Movements BooleanField False False False
facial_symmetry_strength Abnormal Facial Symmetry & Strength BooleanField False False False
hearing_function Hearing Impairment BooleanField False False False
vestibular_function Vestibular Dysfunction BooleanField False False False
swallowing_reflex Abnormal Swallowing Reflex BooleanField False False False
gag_reflex Abnormal Gag Reflex BooleanField False False False
tongue_movement Abnormal Tongue Movement BooleanField False False False
speech_articulation Speech Articulation Impairment BooleanField False False False
muscle_bulk Abnormal Muscle Bulk BooleanField False False False
muscle_tone Abnormal Muscle Tone BooleanField False False False
muscle_strength Abnormal Muscle Strength BooleanField False False False
deep_tendon_reflexes Abnormal Deep Tendon Reflexes BooleanField False False False
pathological_reflexes Presence of Pathological Reflexes BooleanField False False False
gait Abnormal Gait BooleanField False False False
posture Abnormal Posture BooleanField False False False
light_touch_sensation Abnormal Light Touch Sensation BooleanField False False False
pain_sensation Abnormal Pain Sensation BooleanField False False False
vibration_sensation Abnormal Vibration Sensation BooleanField False False False
proprioception Abnormal Proprioception BooleanField False False False
galactorrhea Galactorrhea BooleanField False False False
gynecomastia Gynecomastia BooleanField False False False
acromegaly Acromegaly BooleanField False False False

AdmissionBloodTests

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
hemoglobin Hemoglobin (g/dL) FloatField True True
hematocrit Hematocrit (%) FloatField True True
platelets Platelets (/mm3 or /mcL) FloatField True True
total_leucocyte_count Total Leucocyte Count (WBC) (/mm3 or /mcL) FloatField True True
blood_sugar_random Blood Sugar Random (mg/dL) FloatField True True
blood_sugar_fasting Blood Sugar Fasting (mg/dL) FloatField True True
blood_sugar_pp Blood Sugar Postprandial (mg/dL) FloatField True True
blood_group Blood Group (e.g., A+, O-, AB+) CharField e.g., A+, O-, AB+ True True
sodium Sodium (mmol/L) FloatField True True
potassium Potassium (mmol/L) FloatField True True
creatinine Creatinine (mg/dL) FloatField True True
bun Blood Urea Nitrogen (mg/dL) FloatField True True
ph Arterial pH FloatField True True
pco2 Arterial PCO2 (mmHg) FloatField True True
po2 Arterial PO2 (mmHg) FloatField True True
hco3 Arterial HCO3 (mEq/L) FloatField True True
arterial_base_excess Arterial Base Excess (mmol/L) FloatField True True
lactate Lactate (mmol/L) FloatField True True
prothrombin_time Prothrombin Time (PT) (seconds, ratio, or text) CharField True True
inr International Normalized Ratio (INR) FloatField True True
urine_pregnancy_test Urine Pregnancy Test CharField True True positive (Positive), negative (Negative)
troponin_c Troponin C FloatField True True
cerebrospinal_fluid_cytology Cerebrospinal fluid cytology performed BooleanField False False False
blood_csf_tumor_markers Blood or cerebrospinal fluid tumor markers tested BooleanField False False False

AdmissionEcgEcho

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date_of_ecg Date of ECG DateField True True
time_of_ecg Time of ECG TimeField True True
ecg_12_leads 12-Lead ECG Performed BooleanField False False False
ecg_results ECG Result Category CharField True True normal (Normal), abnormal (Abnormal)
rhythm ECG Rhythm CharField True True normal_sinus (Normal sinus), sinus_arrhythmia (Sinus arrhythmia), atrial_fibrillation (Atrial fibrillation), atrial_flutter (Atrial flutter), premature_ventricular_contraction (Premature ventricular contraction), other_arrhythmias (Other arrhythmias)
conduction ECG Conduction CharField True True normal (Normal), lbbb (LBBB), rbbb (RBBB), av_block (AV block), others (Others (Please specify))
conduction_other Other ECG Conduction Findings CharField True True
qrs_st_complex ECG QRS/ST Complex CharField True True normal (Normal), non_specific_st_changes (Non-specific ST changes), old_mi (Old MI), myocardial_ischemia (Myocardial ischemia), acute_myocardial_infarction (Acute myocardial infarction), others (Others (Please specify))
qrs_st_complex_other Other ECG QRS/ST Findings CharField True True
qt_interval QT Interval (ms) FloatField Corrected QT interval (QTc) in ms, if measured. True True
ecg_impression ECG Impression TextField Overall ECG interpretation/summary. True True
echocardiography Echocardiography Performed BooleanField Echocardiogram performed? False False False
ejection_fraction Ejection Fraction (%) FloatField Left Ventricular Ejection Fraction (%) True True
regional_wall_motion_abnormality Regional Wall Motion Abnormality (RWMA) CharField True True 0 (0 = None), 1+ (1+ = Hypokinesis), 2+ (2+ = Severe hypokinesis), 3+ (3+ = Akinesis), 4+ (4+ = Dyskinesis)

CtBrainFindings

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
performed Brain CT Performed BooleanField False False False
date_of_ct Date of Brain CT DateField True True
time_of_ct Time of Brain CT TimeField True True
contrast Contrast Used BooleanField Was contrast used for the Brain CT? False False False
hemorrhage_group_title Group Title CharField --- Hemorrhage --- False False
extradural_hemorrhage Extradural Hemorrhage (EDH) BooleanField False False False
acute_subdural_hemorrhage Acute Subdural Hemorrhage (ASDH) BooleanField False False False
chronic_subdural_hemorrhage Chronic Subdural Hemorrhage (CSDH) BooleanField False False False
intracerebral_hemorrhage Intracerebral Hemorrhage (ICH) BooleanField False False False
subarachnoid_haemorrhage Subarachnoid Hemorrhage (SAH) BooleanField False False False
intraventricular_haemorrhage Intraventricular Hemorrhage (IVH) BooleanField False False False
cerebral_contusion Cerebral Contusion BooleanField False False False
edh_details_title Group Title CharField --- EDH Details --- False False
extradural_hemorrhage_location EDH Location CharField True True frontal (Frontal), temporal (Temporal), parietal (Parietal), occipital (Occipital), posterior_fossa (Posterior fossa)
extradural_hemorrhage_side EDH Side CharField True True right (Right), left (Left), bilateral (Bilateral)
edh_volume EDH Volume (ml/cc) FloatField True True
edh_shape EDH Shape CharField e.g., Lenticular, Linear True True
asdh_details_title Group Title CharField --- ASDH Details --- False False
acute_subdural_hemorrhage_location ASDH Location CharField e.g., Fronto-parietal, Tentorial True True
acute_subdural_hemorrhage_side ASDH Side CharField True True right (Right), left (Left), bilateral (Bilateral)
asdh_volume ASDH Volume (ml/cc) FloatField True True
asdh_shape ASDH Shape CharField e.g., Crescentic True True
csdh_details_title Group Title CharField --- CSDH Details --- False False
chronic_subdural_hemorrhage_location CSDH Location CharField True True
chronic_subdural_hemorrhage_side CSDH Side CharField True True right (Right), left (Left), bilateral (Bilateral)
ich_details_title Group Title CharField --- ICH Details --- False False
intracerebral_hemorrhage_location ICH Location CharField True True frontal (Frontal), temporal (Temporal), parietal (Parietal), occipital (Occipital), posterior_fossa (Posterior fossa), basal_ganglion (Basal ganglion), thalamus (Thalamus), cerebellum (Cerebellum), brain_stem (Brain stem)
intracerebral_hemorrhage_side ICH Side CharField True True right (Right), left (Left), bilateral (Bilateral)
ich_volume ICH Volume (ml/cc) FloatField True True
ich_shape ICH Shape CharField e.g., Rounded, Irregular True True
contusion_details_title Group Title CharField --- Contusion Details --- False False
cerebral_contusion_location Contusion Location CharField True True
cerebral_contusion_side Contusion Side CharField True True right (Right), left (Left), bilateral (Bilateral)
sah_details_title Group Title CharField --- SAH Details --- False False
subarachnoid_haemorrhage_type SAH Type/Location CharField True True basal (Basal), cortical (Cortical), tentorial (Tentorial)
subarachnoid_hemorrhage_side SAH Side CharField True True right (Right), left (Left), bilateral (Bilateral)
skull_fracture Skull Fracture BooleanField False False False
skull_fracture_type Skull Fracture Type CharField True True closed (Closed), compound (Compound), depressed (Depressed), linear (Linear)
skull_fracture_location Skull Fracture Location CharField True True frontal (Frontal), temporal (Temporal), parietal (Parietal), occipital (Occipital), posterior_fossa (Posterior fossa)
mass_effect_pressure Mass Effect BooleanField Signs of increased intracranial pressure. False False False
midline_shift Midline Shift BooleanField False False False
midline_shift_mm Midline Shift (mm) FloatField Midline shift in millimeters. True True
basal_cisterns Basal Cisterns CharField True True normal (Normal), compressed (Compressed), absent (Absent)
third_ventricular_compression 3rd Ventricle Compression BooleanField False False False
obliteration_third_ventricle 3rd Ventricle Obliteration BooleanField False False False
contra_lateral_ventricle_dilated Contralateral Ventricle Dilated BooleanField False False False
hydrocephalus Hydrocephalus BooleanField False False False
any_herniation Herniation BooleanField False False False
parenchymal_lesions_small_shearing Parenchymal Lesions (DAI/Shearing) BooleanField False False False
petechial_hemorrhages Petechial Hemorrhages BooleanField False False False
cerebral_ischemia Cerebral Ischemia BooleanField False False False
penetrating_missile_tract Penetrating Missile Tract BooleanField False False False
air_sinus_involved Air Sinus Involved BooleanField False False False
intracranial_air Pneumocephalus BooleanField False False False
ct_classification_category CT Classification (e.g., Marshall, Rotterdam) CharField True True Diffuse Injury-I (Diffuse Injury-I), Diffuse Injury -II (Diffuse Injury -II), Diffuse Injury-III (Diffuse Injury-III), Diffuse Injury-IV (Diffuse Injury-IV), Evacuated Mass Lesion (Evacuated Mass Lesion), Non-evacuated Mass Lesion (Non-evacuated Mass Lesion)
fischers_grade Fischer Grade (for SAH) CharField True True I (I. No blood detected), II (II. Diffuse thin (<1 mm) SAH with no clots.), III (III. Localized clots and/or layers of blood >1 mm in thickness), IV (IV. Intracerebral or intraventricular blood (+/- SAH))
ct_findings_text CT Findings (Text Description) TextField True False

EmergencyDepartmentManagement

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
arrival_time_er Time of Arrival in ER TimeField True True
left_time_er Time Left ER TimeField True True
brought_dead Brought Dead BooleanField False False False
pre_hospital_cardiac_arrest Pre-hospital Cardiac Arrest BooleanField False False False
activation_of_trauma_team Trauma Team Activation BooleanField False False False
trauma_team_activated Trauma Team Details CharField Specify level or 'Yes' if activated. True True
airway Airway Status in ER CharField True True Clear (Clear), Obstructed (Obstructed), Adjunctive airway (Adjunctive airway), Intubated (Intubated)
breathing Breathing Status in ER CharField True True Spontaneous, adequate (Spontaneous, adequate), Spontaneous, insufficient (Spontaneous, insufficient), Manual support with bag, valve, mask (Manual support with bag, valve, mask), Mechanical ventilation (Mechanical ventilation)
circulation Circulation Status in ER CharField True True No specific treatment (No specific treatment), IV fluids (IV fluids), Crystalloids (Crystalloids), Hypertonic saline (Hypertonic saline), Colloids (Colloids), Blood (Blood), Vasopressors (Vasopressors), CPR (CPR)
airway_management Airway Management in ER CharField True True No specific treatment (No specific treatment), Supplemental oxygen via nasal tube or mask (Supplemental oxygen via nasal tube or mask), Adjunctive airway (Adjunctive airway), Temporary support with bag, valve, mask (Temporary support with bag, valve, mask (for example ambubag)), Intubation (Intubation), Mechanical ventilation (Mechanical ventilation)
disposition_from_emergency Disposition from ER CharField True True Trauma surgery (Trauma surgery), Medicine (Medicine), Orthopaedics (Orthopaedics), Neurology (Neurology), Neurosurgery (Neurosurgery), Burn (Burn), ENT (ENT), Ophthalmology (Ophthalmology), Paediatrics (Paediatrics), Paediatric surgery (Paediatric surgery), Cardiology (Cardiology), Anaesthesia (Anaesthesia), Plastic surgery (Plastic surgery), Others (Others (please specify))
disposition_from_emergency_other Other Disposition from ER CharField True True

ConservativeManagement

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
bed_rest Bed Rest BooleanField False False False
blood_transfusion Blood Transfusion BooleanField False False False
central_line Central Line Insertion BooleanField False False False
cervical_collar Cervical Collar BooleanField False False False
cervical_traction Cervical Traction BooleanField False False False
chest_tube Chest Tube Insertion BooleanField False False False
colloid_administration Colloid Administration BooleanField False False False
crystalloid_administration Crystalloid Administration BooleanField False False False
hyperventilation_therapy Hyperventilation Therapy BooleanField False False False
hypothermia_therapy Hypothermia Therapy BooleanField False False False
intubation Intubation BooleanField False False False
mannitol_administration Mannitol Administration BooleanField False False False
nasogastric_tube Nasogastric Tube Insertion BooleanField False False False
nutrition_replacement Nutrition Replacement BooleanField False False False
seizure_prophylaxis Seizure Prophylaxis BooleanField False False False
steroids_administration Steroids Administration BooleanField False False False
tetanus_toxoid Tetanus Toxoid Administration BooleanField False False False
urinary_catheter Urinary Catheter Insertion BooleanField False False False
ventilation Ventilation BooleanField False False False
details Conservative Management Details TextField Details of conservative management strategies used. True True
days_on_ventilator Days on Ventilator PositiveSmallIntegerField True True
icp_monitoring Intracranial Pressure Monitoring Performed BooleanField False False False

SurgicalManagement

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date_of_primary_surgery Date of Primary Surgery DateField True True
intracranial_surgery Intracranial Surgery Performed BooleanField False False False
extracranial_surgery Extracranial Surgery Performed BooleanField False False False
any_re_surgery Re-Surgery Performed BooleanField False False False
cranial_surgical_intervention Cranial Surgical Intervention (Trauma) CharField True True Acute SDH (Acute SDH), Contusion (Contusion), Craniofacial surgery (Craniofacial surgery), CSF shunt (CSF shunt), Chronic SDH (Chronic SDH), Decompressive craniectomy (Decompressive craniectomy), Depressed skull fracture (Depressed skull fracture), Epidural hematoma (Epidural hematoma), Intracerebral hematoma (Intracerebral hematoma), Infection (Infection), Optic Nerve Decompression (Optic Nerve Decompression), Posterior fossa surgery (Posterior fossa surgery), External Ventricular drainage (External Ventricular drainage), Wound debridement (Wound debridement), Foreign body removal (Foreign body removal), Bone flap replacement (Bone flap replacement), Cranioplasty (Cranioplasty), Others (Others (Please specify))
cranial_surgical_intervention_other Other Cranial Intervention (Trauma) CharField True True
extracranial_surgical_intervention Extracranial Surgical Intervention (Trauma) CharField True True Maxillofacial intervention (Maxillofacial intervention), Lower limb fracture (internal fixation) (Lower limb fracture (internal fixation)), Lower limb fracture (external fixation) (Lower limb fracture (external fixation)), Upper limb fracture (internal fixation) (Upper limb fracture (internal fixation)), Upper limb fracture (external fixation) (Upper limb fracture (external fixation)), Laparotomy (Laparotomy), Pelvic fracture (internal fixation) (Pelvic fracture (internal fixation)), Pelvic fracture (external fixation) (Pelvic fracture (external fixation)), Spinal stabilization (cervical) (Spinal stabilization (cervical)), Spinal stabilization (thoracic) (Spinal stabilization (thoracic)), Spinal stabilization (lumbar) (Spinal stabilization (lumbar)), Thoracotomy (Thoracotomy), Tracheostomy (in ER) (Tracheostomy (in ER)), Tracheostomy (in ICU) (Tracheostomy (in ICU)), Others (Others (Please specify))
extracranial_surgical_intervention_other Other Extracranial Intervention (Trauma) CharField True True
hypotension_episode Hypotension Episode BooleanField Documented episode(s) of hypotension during admission. False False False
hypoxia_episode Hypoxia Episode BooleanField Documented episode(s) of hypoxia during admission. False False False
infections Infections BooleanField Any documented infection during admission (VAP, UTI, wound, etc.). False False False
deep_vein_thrombosis Deep Vein Thrombosis (DVT) BooleanField False False False
other_organ_damage Other Organ Damage BooleanField False False False
other_organ_damage_specify Specify Other Organ Damage CharField True True
treatment_modality Primary Treatment Modality CharField True False treated (Treated), untreated (Untreated)
initial_surgery_type Initial Surgery Type CharField True False yes (Yes), no (No)
date_of_onc_surgery Date of Oncological Surgery DateField True True
type_of_onc_surgery Type of Oncological Surgery CharField True False minor (Minor Surgery), major (Major Surgery), emergency (Emergency Surgery), elective (Elective Surgery)
primary_tumor_site Primary Tumor Site CharField True False head (Head), neck (Neck), chest (Chest), abdomen (Abdomen), limb (Limb)
extent_of_surgery Extent of Oncological Surgery CharField True False partial (Partial Surgery), total (Total Surgery), radical (Radical Surgery)
tumour_location Tumour Location CharField True False left (Left), right (Right), central (Central), multiple (Multiple)
operation_approach Operation Approach CharField True False
intraoperative_assistive_technologies Intraoperative Assistive Technologies CharField True False
extent_of_tumour_resection Extent of Tumour Resection CharField True False
blood_loss_volume_ml Intraoperative Blood Loss Volume (ml) IntegerField True True
secondary_operation_details Secondary Operation Details CharField True False
tumour_characteristics_multiplicity Tumour Characteristics: Multiplicity CharField True False (---------), single (Single), multiple (Multiple)
tumour_characteristics_laterality Tumour Characteristics: Laterality CharField True False (---------), right (Right), left (Left), bilateral (Bilateral), midline (Midline)
tumour_characteristics_tumor_location_detail Tumour Characteristics: Tumor Location Detail CharField True False (---------), intraaxial (Intra-axial), extraaxial (Extra-axial)
csf_drainage CSF Drainage Procedure CharField True False
complication_during_treatment Complication Summary During Treatment CharField True False (---------), surgical (Surgical), medical (Medical), radiation (Radiation), chemotherapy (Chemotherapy), none (None)
pattern_of_recurrence Pattern of Recurrence at Investigation CharField True False (---------), local (Local), distant (Distant), leptomeningeal (Leptomeningeal), none (None)
any_drug_therapy Any Drug Therapy During the Whole Treatment CharField True False (---------), yes (Yes), no (No)
any_therapy Any Other Therapy During Treatment CharField True False (---------), yes (Yes), no (No)

RadiationTherapy

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
received_rt Received Radiation Therapy BooleanField False False False
start_date RT Start Date DateField True True
end_date RT End Date DateField True True
dose RT Dose CharField True False (---------), 30 Gy (30 Gy), 40 Gy (40 Gy), 50 Gy (50 Gy), 60 Gy (60 Gy)
fractions RT Fractions CharField True False (---------), 30 (30), 35 (35), 40 (40), 45 (45), 50 (50)
fields RT Fields CharField True False (---------), whole brain (Whole Brain), focal (Focal)
stereotactic_radiosurgery Stereotactic Radiosurgery Performed CharField True False (---------), yes (Yes), no (No)
completed RT Completed CharField True False (---------), yes (Yes), no (No)
reason_if_not_completed If RT not completed, Reason CharField True False (---------), toxicity (Toxicity), patient_refusal (Patient Refusal), disease_progression (Disease Progression)

Chemotherapy

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
received_chemo Received Chemotherapy BooleanField False False False
concurrent_chemotherapy_rt Concurrent Chemotherapy + RT CharField True False (---------), yes (Yes), no (No)
start_date Chemo Start Date DateField True True
end_date Chemo End Date DateField True True
drugs_used Chemo Drugs Used CharField True False (---------), temozolomide (Temozolomide), pcv (PCV (Procarbazine, CCNU, Vincristine)), other (Other (Please specify))
dose_reduction Chemo Dose Reduction Required CharField True False (---------), yes (Yes), no (No)
completed Chemo Completed CharField True False (---------), yes (Yes), no (No)
reason_if_not_completed If Chemo not completed, Reason CharField True False (---------), toxicity (Toxicity), patient_refusal (Patient Refusal), disease_progression (Disease Progression)
toxicity Chemo Toxicity CharField True False (---------), hematologic (Hematologic), neurologic (Neurologic), gi (Gastrointestinal (GI)), other (Other (Please specify))

Neuropathology

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
report_available Pathology Report Available BooleanField False False False
pathology_report_date Pathology Report Date DateField True True
site_of_tumor Site of Tumor (Pathology) CharField True False
laterality_of_tumor Laterality of Tumor (Pathology) CharField True False (---------), right (Right), left (Left), bilateral (Bilateral), midline (Midline)
histological_tumor_type Histological Tumor Type CharField True False
metastasis_primary_site Metastasis, Primary Site (If Applicable) CharField True False
tumor_size_l Tumor Size L (mm/cm) FloatField True True
tumor_size_w Tumor Size W (mm/cm) FloatField True True
tumor_size_h Tumor Size H (mm/cm) FloatField True True
tumor_type Tumor Type (Overall Classification) CharField True False
who_tumor_grade WHO Tumor Grade CharField True False (---------), grade_i (Grade I), grade_ii (Grade II), grade_iii (Grade III), grade_iv (Grade IV)
marker_testing_method Marker Testing: Test Type CharField True False (---------), ihc (IHC (Immunohistochemistry)), fish (FISH (Fluorescence In Situ Hybridization)), pcr (PCR (Polymerase Chain Reaction)), ngs (NGS (Next-Generation Sequencing))
p19q_analysis 1p19q Co-deletion Analysis CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
mgmt_methylation MGMT Methylation Status CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
ki_67_analysis Ki-67 Analysis (% or Category) CharField True False
idh1_analysis IDH1 Analysis Result CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
idh1_codon_132 IDH1 Codon 132 Mutation Detail CharField True False
idh2_analysis IDH2 Analysis Result CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
idh2_codon_172 IDH2 Codon 172 Mutation Detail CharField True False
p53_analysis p53 Analysis Result CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
braf_analysis BRAF Analysis Result CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
braf_kiaa1549_analysis BRAF-KIAA1549 Fusion CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
h3f3a_k27_analysis H3F3A K27 Mutation Analysis CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
h3f3a_g34_analysis H3F3A G34 Mutation Analysis CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
fgfr1_analysis FGFR1 Analysis CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
atrx_analysis ATRX Mutation/Loss Analysis CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)
egfr_analysis EGFR Amplification/Mutation Analysis CharField True False (---------), positive (Positive), negative (Negative), equivocal (Equivocal)

Diagnosis

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
primary_diagnosis_code Primary Diagnosis Code CharField True True
primary_diagnosis_description Primary Diagnosis Description CharField True True
other_diagnosis_codes Other Significant Diagnoses (Codes/Descriptions) TextField True True

DischargeOutcome

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
entry entry OneToOneField False False
date_of_admission Date of Admission DateField True True
time_of_admission Time of Admission TimeField True True
date_of_discharge Date of Discharge / Outcome Date DateField True True
survival_status_discharge Survival Status at Discharge CharField True True Dead (Dead), Alive (Alive)
discharge_destination_hospital Discharge Destination CharField True True home (Home), rehab (Rehabilitation Facility), nursing_home (Nursing Home), hospice (Hospice), other (Other)
discharge_destination_hospital_other Other Discharge Destination CharField True True
disability_consciousness_discharge GOS-E: Consciousness at Discharge CharField True True (---------), alert (Alert), verbal (Responds to Verbal Stimuli), pain (Responds to Painful Stimuli), unresponsive (Unresponsive)
disability_independence_home_discharge GOS-E: Independence at Home at Discharge CharField True True independent (Independent), assisted_living (Assisted Living), nursing_home (Nursing Home)
disability_independence_outside_discharge GOS-E: Independence Outside at Discharge CharField True True independent (Independent Outside), assisted (Requires Assistance Outside), homebound (Homebound)
disability_work_capacity_discharge GOS-E: Work Capacity at Discharge CharField True True full_time (Full-Time Work), part_time (Part-Time Work), unemployed (Unemployed), unable (Unable to Work)
disability_social_leisure_discharge GOS-E: Social & Leisure Activities at Discharge CharField True True active (Active Participation), limited (Limited Participation), none (No Participation)
disability_family_relationships_discharge GOS-E: Family Relationships at Discharge CharField True True good (Good), strained (Strained), severe_issues (Severe Issues)
outcome_summary_discharge Outcome Summary at Discharge CharField True False
neurological_examination_outcome Neurological Examination Findings at Discharge TextField True False
endocrine_examination_outcome Endocrine Examination Findings at Discharge TextField True False
postoperative_karnofsky_scale Karnofsky Performance Scale (KPS) at Discharge CharField True False
postoperative_ecog_performance_status ECOG Performance Status at Discharge CharField True False

FollowUp

Field Name Verbose Name Field Type Help Text Default Blank Null Choices
id ID BigAutoField True False
entry entry ForeignKey False False
follow_up_period Follow-Up Period CharField e.g., 3 Months, 6 Months, 1 Year False False (---------), 3_months (3 Months), 6_months (6 Months), 1_year (1 Year), 2_years (2 Years), 5_years (5 Years), 10_years (10 Years)
date_of_follow_up Date of Follow-Up DateField True True
disability_consciousness GOS-E: Consciousness CharField True True (---------), alert (Alert), verbal (Responds to Verbal Stimuli), pain (Responds to Painful Stimuli), unresponsive (Unresponsive)
disability_independence_home GOS-E: Independence at Home CharField True True independent (Independent), assisted_living (Assisted Living), nursing_home (Nursing Home)
disability_independence_outside GOS-E: Independence Outside CharField True True independent (Independent Outside), assisted (Requires Assistance Outside), homebound (Homebound)
disability_work_capacity GOS-E: Work Capacity CharField True True full_time (Full-Time Work), part_time (Part-Time Work), unemployed (Unemployed), unable (Unable to Work)
disability_social_leisure GOS-E: Social & Leisure Activities CharField True True active (Active Participation), limited (Limited Participation), none (No Participation)
disability_family_relationships GOS-E: Family Relationships CharField True True good (Good), strained (Strained), severe_issues (Severe Issues)
status Patient Status at Follow-Up CharField True False (---------), alive (Alive), deceased (Deceased)
evidence_of_recurrence Evidence of Recurrence CharField True False (---------), yes (Yes), no (No), uncertain (Uncertain)
progression Disease Progression CharField True False (---------), yes (Yes), no (No), stable (Stable)
stable_disease Stable Disease Status CharField True False (---------), stable (Stable), improving (Improving), worsening (Worsening)
patient_condition Patient Condition Details at Follow-Up TextField True False
treatment_after_discharge Treatment Received Since Last Follow-Up TextField True False
symptoms_physical_signs Symptoms and Physical Signs at Follow-Up TextField True False
follow_up_imaging_summary Follow-Up Imaging Summary TextField True False
follow_up_karnofsky_scale Karnofsky Performance Scale (KPS) at Follow-Up CharField True False
follow_up_ecog_performance_status ECOG Performance Status at Follow-Up CharField True False