Baseline
Baseline is the complete concussion surveillance and medical-clearance record for a sport's national concussion panel and pitchside medical service.
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What's inside
About this template
Overview
Baseline is the complete concussion surveillance and medical-clearance record for a sport's national concussion panel and pitchside medical service. It documents every head injury assessment, baseline neurocognitive test, stage of graduated return-to-play progression, and the signatures that clear or stand down a player.
What you get
- Baseline Register: pre-season neurocognitive battery with five sub-scores (verbal memory, visual memory, visual motor speed, reaction time, impulse control), symptom score, balance and ocular-motor screens, validity indicator, and twenty-four-month expiry tracking
- Head injury assessments: removal circumstances (fixture, minute, mechanism), eleven visible signs checklist, three mandated off-field assessment timings, Maddocks questions, cervical spine screen, pitchside and independent doctor records, and decision reached
- Graduated return-to-play progression: six-stage chart traced from symptom-limited activity through light aerobic, sport-specific, non-contact, full-contact to return to play, with date entered, twenty-four-hour minimum per stage, symptom score, and regressions redrawn
- Clearance certificates: signed by clearing clinician and independent second signature where mandated, with criteria attested and post-injury sub-scores compared to baseline with delta stated
- Stand-down board: athletes unavailable to play with mandatory minimum applied to under-nineteens and affected fixtures listed
- Recurrence and case history: lifetime concussion count, interval between last two, modifiers (migraine, learning difficulty, prior prolonged recovery, age), cumulative days lost, and escalation threshold
- Symptom diaries: athlete-reported twenty-two-symptom scale plotted day by day as recovery curve
- Surveillance and incidence: concussions per thousand player-hours by position and phase of play against sport benchmark
- Mandatory concussion-recognition education: compliance tracking for coaches, officials and players
- Clinician portal: assessments awaiting completion, progressions awaiting review, certificates awaiting signature, today's stand-down board
The signature screen
The Baseline Register is the pre-season neurocognitive record every player must hold before any post-injury clearance is possible. It records the battery used, the five sub-scores, symptom score at rest, balance and ocular-motor screens, and the validity indicator with hard flags for NO VALID BASELINE, BASELINE EXPIRED, VALIDITY FAILED and RETEST DUE, all tracked against a twenty-four-month validity window.
Who it's for
Baseline is for national concussion panels, pitchside medical services, team doctors, independent match-day doctors, and sports organizations managing head injury protocols and athlete clearance.
Frequently asked questions
What is the Baseline template?
The concussion record of a sport's national panel — every head injury assessment, every baseline test, every day of the six-stage progression, and the signature that clears a player
Who is the Baseline template for?
Baseline is for national concussion panels, pitchside medical services, team doctors, independent match-day doctors, and sports organizations managing head injury protocols and athlete clearance.
How long does it take to build an app with the Baseline template?
Timing depends on your changes and setup. Review the generated app, connect any required services, and test the core workflow before sharing it.
Do I need to code to use the Baseline template?
You can start with plain-language instructions. Complex behavior, custom integrations, and production troubleshooting may need technical help.
How much does the Baseline template cost?
This template has no separate template purchase price. Building and AI edits require builder access and available credits. Hosting and connected services may have their own costs; check current pricing and provider terms.
Can I customize the Baseline template?
You can request changes to the design and behavior. Review each change, complete any connection setup, and test forms, permissions, and payments that your app uses.
Review current pricing and the template inspection guide before you start.
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