User Interface Name

Field Identifier

Definition

Data Value Format (code or other value)

Value Sets

Date of Assessment

Assessment_Date

This is the date the actual risk assessment (or review) was carried out with the patient

8 digit numeric, CCYYMMDD
6 digit numeric: hh:mm:ss

Need help to get to the toilet

Toilet_Help

This is to indicate whether at this current time the patient needs help to get to the toilet

n1

1 Yes

2 No

Have any cognitive problems

Cognitive_Problems

This is to indicate whether at this current time the patient has any cognitive problems

n1

1 Yes

2 No

Have mobility problems

Mobility_Problems

This is to indicate whether at this current time the patient has mobility problems

n1

1 Yes

2 No

Need to rush to the toilet

Toilet_rush

This is to indicate whether at this current time the patient has a need to rush to the toilet

n1

1 Yes

2 No

Need to use the toilet frequently

Toilet_frequency

This is to indicate whether at this current time the patient has a need to use the toilet frequently

n1

1 Yes

2 No

Leak urine

Urine_Leak

This is to indicate whether the patient leaks urine and how frequently

n1

1 No

2 Occasionally

3 Regularly

Leak faeces

Faeces_Leak

This is to indicate whether the patient leaks faeces and how frequently

n1

1 No

2 Occasionally

3 Regularly

Have constipation

Constipation

This is to indicate whether at this current time the patient has constipation

n1

1 Yes

2 No

Have diarrhoea

Diarhhoea

This is to indicate whether at this current time the patient has diarrhoea

n1

1 Yes

2 No

Bristol stool type

Bristol_Stool_Type

This is to indicate the patients stool type as per the Bristol Stool Chart

Type 1

Type 2

Type 3

Type 4

Type 5

Type 6

Type 7

Have difficulty passing urine

Passing_Urine

This is to indicate whether at this current time the patient has difficulty passing urine

n1

1 Yes

2 No

Have difficulty passing faeces

Passing_Faeces

This is to indicate whether at this current time the patient has difficulty passing faeces

n1

1 Yes

2 No

Normally wear a pad or use other devices

Continence_devices

This is to indicate whether at this current time the patient normally wears a pad or use other devices

n1

1 Yes

2 No

Normally use a catheter

Catheter_Use

This is to indicate whether at this current time the patient normally uses a catheter

n1

1 No

2 Indwelling

3 Intermittent Self Catheterisation

Normally use any equipment to help with toileting

Toileting_Equipment

This is to indicate whether at this current time the patient normally uses any equipment to help with toileting

n1

1 Yes

2 No