User Interface Name

Field Identifier

Definition

Data Display Format

Data Value Format (code or other value)

Value Sets

Date and Time of Assessment

Assessment_Date_Time

This is the date and time the assessment took place

Date and Time Picker

8 digit numeric, YYYY-MM-DD
4 digit numeric: hh:mm

 N/A

Has the patient opened their bowels today?

Bowels_opened

This is to indicate whether the patient has opened their bowels today

Radio Button (No Yes)

n1

1 - No
2 – Yes

Is this normal for you?

Bowels_normal

This is to indicate whether the patient’s bowels opening is normal for them

Radio Button (No Yes)

n1

1 - No
2 – Yes

Bowel Movement assessed by?

Bowels_assessed

This is to indicate that the patient’s bowel movement was assessed

Radio Button (Multiple Options - Single Select)

n1

1 - Nurse
2 - Patient/Others

Tip: Record stool information if bowel movement abnormal or follow organisational policy

Please enter details

Bowels_normal_details

This is to provide further details on the patient’s bowel habits if different to normal

Text Box

nvarchar(500)

 N/A

Date and time of bowel movement

Date_Time_Bowel_Movement

This is the actual date and time of the patient’s last bowel movement

Date and Time Picker

8 digit numeric, YYYY-MM-DD
4 digit numeric: hh:mm

 N/A

Using the chart below, below please select the appropriate bowel movement for the patient

Bristol Stool Chart

First published: Lewis S. J., and Heaton, K. W. (1997) ‘Stool form scale as a useful guide to intestinal transit time’. Scandinavian Journal of Gastroenterology 32 (9), pp.920–4

BS_Chart

A chart for clinical staff to identify the patient's bowel movement

Radio Button (Multiple Options – Single Select)

n1

1 - Type 1 Separate hard lumps, like nuts (hard to pass)
2 - Type 2 - Sausage shaped but lumpy
3 - Type 3 - Like a sausage but with cracks on the surface
4 - Type 4 - Like a sausage or snake, smooth and soft
5 - Type 5 - Soft blobs with clear cut edges
6 - Type 6 - Fluffy pieces with ragged edges, a mushy stool
7 - Type 7 - Watery, no solid pieces. Entirely liquid

Amount of stool movement

Stool_movement_amt

This is to indicate the amount of the patient’s stool movement

Radio Button (Multiple Options – Single Select)

n1

1 - Small
2 - Medium
3 - Large

4 – Unable to assess

Any Pain and/or Discomfort

Bowel_pain

This is to indicate whether the patient is in any pain / discomfort due to their bowels

Radio Button (No Yes)

n1

1 - No
2 – Yes

Details

Bowel_pain_details

This is to provide further information on the patient’s pain and/or discomfort

Text Box

nvarchar(500)

 N/A

Please enter comments in relation to the description of the bowel movement i.e. blood, mucus or pain details

Bowel_comments

This is to provide further details on the pain and discomfort the patient is in due to their bowels i.e., blood, and mucus.

Text Box

nvarchar(500)

 N/A

If sample taken, please enter date and time

StoolSample_date_time

To record the date and time of when the stool sample was taken

Date and Time Picker

8 digit numeric, YYYY-MM-DD

4 digit numeric: hh:mm

 N/A