diff --git a/src/enum/consciousness.ts b/src/enum/consciousness.ts
index d6f8784..6fb90c6 100644
--- a/src/enum/consciousness.ts
+++ b/src/enum/consciousness.ts
@@ -1,8 +1,30 @@
 export enum consciousness {
-    COMPOSMENTIS = 'COMPOS MENTIS',
-    APATHETIC = 'APATHETIC',
-    SOMNOLENT = 'SOMNOLENT',
-    SOPOR = 'SOPOR',
-    COMA = 'COMA',
-    DOA = 'DOA'
+    COMPOSMENTIS = 'Compos Mentis',
+    APATIS = 'Apatis',
+    DELIRIUM = 'Delirium',
+    SOMNOLEN = 'Somnolen',
+    SOPOR = 'Sopor',
+    SEMICOMA = 'Semi-Coma',
+    COMA = 'Coma',
+    DOA = 'Doa'
+}
+
+export function toConsciousness(val: string | null | undefined): consciousness | undefined {
+    if (!val) return undefined;
+    const clean = val.trim().toLowerCase();
+    for (const enumValue of Object.values(consciousness)) {
+        if (enumValue.toLowerCase() === clean) {
+            return enumValue;
+        }
+    }
+    // Fallback: handle legacy uppercase values or spelling differences
+    if (clean === 'compos mentis') return consciousness.COMPOSMENTIS;
+    if (clean === 'apathetic' || clean === 'apatis') return consciousness.APATIS;
+    if (clean === 'somnolent' || clean === 'somnolen') return consciousness.SOMNOLEN;
+    if (clean === 'sopor') return consciousness.SOPOR;
+    if (clean === 'coma') return consciousness.COMA;
+    if (clean === 'doa') return consciousness.DOA;
+    if (clean === 'delirium') return consciousness.DELIRIUM;
+    if (clean === 'semi-coma' || clean === 'semicoma') return consciousness.SEMICOMA;
+    return undefined;
 }
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