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 |
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 | |||
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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) |
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 |
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 |
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 |
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 |
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 |
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) |
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 |
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) |
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 |
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 |
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) |
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 |
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 |
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 |
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) |
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) |
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)) |
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) |
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 |
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 |
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 |