OpenTrauma Registry is a free, open-source, offline-first platform for standardized trauma data capture, quality improvement, and multicenter collaboration — built for hospitals where generic solutions fail.
Trauma registries are essential tools for quality improvement, injury surveillance, and system planning. But in resource-limited hospitals, they routinely fail — not because of lack of motivation, but because of structural barriers that generic platforms do not address.
Registry access depends on stable connectivity. In many hospitals, outages are frequent and unpredictable, making consistent data entry impossible.
Excessive data-entry burden leads to incomplete records, burnout among registry staff, and eventual discontinuation.
Generic platforms with cluttered navigation create barriers for clinical staff, especially during high patient volumes.
Bedside documentation requires mobile-ready tools. Desktop-only solutions fail at the point of care in most real-world hospitals.
OpenTrauma Registry was redesigned using structured stakeholder feedback from frontline registrars, trauma surgeons, and hospital administrators. Every design decision was driven by documented failure modes in the field.
Data is saved locally on the device and syncs automatically when internet is restored. Zero data loss from outages.
Structured intake following ATLS sequence: mechanism, airway, breathing, circulation, neurological, procedures, and follow-up.
Designed for bedside use on any device. Optimized for touch input, small screens, and clinical environments.
Fully bilingual with language toggle. Expandable to additional languages for regional and national programs.
ISS, RTS, TRISS, GCS, Shock Index, and predicted survival probability calculated automatically in real time.
Center-level configuration of data fields, local codes, and required fields. Adaptable to national protocols.
Case completeness tracking, non-blocking data quality alerts, and center-level summaries for QI and governance.
One-click export to Excel or CSV with field labels and formatted values. Ready for research, audit, and reporting.
Deploy a standalone trauma registry in any hospital. Minimal setup, no IT infrastructure required.
Connect multiple centers under a shared protocol. Centralized data governance, site-level autonomy.
Foundation for a national trauma surveillance system, compatible with ICD-10 and AIS coding.
Ongoing trauma performance improvement using completeness dashboards, mortality review, and benchmark data.
Rapid, streamlined intake for mass casualty events. Designed for high-volume, time-pressured environments.
The platform architecture is disease-agnostic. Future modules for burns, obstetric emergencies, and surgical outcomes.
OpenTrauma Registry began as a response to a documented registry failure at Hospital Roosevelt in Guatemala City — a 1,700-bed public hospital and the largest trauma center in Central America. A REDCap-based trauma registry, implemented between 2019 and 2021, was discontinued after failing to overcome structural barriers. A structured failure analysis and stakeholder engagement process informed the complete redesign of the platform.
Register my center2019–2021
REDCap-based trauma registry implemented at Hospital Roosevelt, Guatemala City
2021
Registry discontinued due to internet outages, registrar workload, and interface complexity
2024–2025
Stakeholder-informed failure analysis; LLM-assisted platform redesign initiated
2026
OpenTrauma Registry launched for multicenter implementation and global use
38th Pan-American Congress of Trauma (PTS 2026) · Cartagena, Colombia · August 18–21, 2026
Key findings
775 patients enrolled before discontinuation of the original registry
Key barriers: internet outages, long data-entry time, interface complexity, and mobile incompatibility
Clinically actionable variables — injury severity, procedures, outcomes — had marked missingness
Redesigned platform addressed all identified barriers through offline-first capture, bilingual interface, automated scoring, and streamlined 16-step workflow
OpenTrauma Registry is developed by researchers, surgeons, and implementation scientists across global surgery programs.
Dario Missael Rocha-Castellanos
Project Lead · Global Surgery Research
Surgeon and global surgery researcher. Led the failure analysis of the original REDCap registry and the full redesign of OpenTrauma Registry using LLM-assisted development.
Harvard Program in Global Surgery and Social Change
Sabrina Marie Asturias Simons
Guatemala Implementation · Clinical Collaborator
Led on-the-ground implementation at Hospital Roosevelt. Coordinated registrar training, stakeholder engagement, and clinical validation.
Hospital Roosevelt, Guatemala
Nardeen B. Dawood
Research Collaborator
Research collaborator on trauma registry design, data quality, and implementation science.
Harvard Program in Global Surgery and Social Change
Amelia Levi
Research Collaborator
Research collaborator contributing to implementation analysis, stakeholder methodology, and dissemination.
Harvard Program in Global Surgery and Social Change
Carlos Terraza
Guatemala Collaborator
Clinical collaborator at Hospital Roosevelt contributing to local implementation and surgical data capture.
Hospital Roosevelt, Guatemala
Jose Carlos Monzon
Guatemala Collaborator
Clinical collaborator at Hospital Roosevelt supporting trauma registry implementation and data quality.
Hospital Roosevelt, Guatemala
Gabriella Y. Hyman
Global Surgery · Research Collaborator
Global surgery researcher contributing to implementation framework and dissemination strategy.
Harvard Program in Global Surgery and Social Change
John G. Meara
Senior Advisor
Professor of Global Surgery at Harvard. Founder of the Program in Global Surgery and Social Change. Senior advisory role.
Harvard Program in Global Surgery and Social Change · Boston Children's Hospital
Juan Carlos Puyana
Trauma Surgery Advisor
Trauma surgeon and global health leader. Advisory role in ATLS alignment, trauma systems design, and implementation.
University of Pittsburgh · UPMC
Nakul Raykar
Faculty Mentor · Trauma Systems
Faculty mentor and trauma systems researcher. Led mentorship on registry design, implementation science, and global surgery evidence.
Harvard Program in Global Surgery and Social Change · Brigham and Women's Hospital
OpenTrauma Registry is developed in partnership with leading trauma and global surgery institutions.
RESPOND Guatemala
Hospital Roosevelt
Harvard Program in Global Surgery and Social Change
Brigham and Women's Hospital
Boston Children's Hospital
Panamerican Trauma Society
Interested in becoming an implementation partner? Contact us →
No registration required. Log in with either demo account to explore the full registry workflow.
International Demo
OpenTrauma Registry
Full platform with pre-loaded sample trauma cases. Explore the ATLS workflow, dashboards, exports, and all features without entering data from scratch.
No registration required · Instant access
OpenTrauma Registry is free and open-source. We support implementation at no cost for hospitals in resource-limited settings. Contact us to start.