Data Item

Field Name

Coding Details

Patient Details

Patient surname

PATSNAME

Patient forename

PATSFNAM

Date of birth

DOB

Patient address

PATADD

Patient postcode

PATPCODE

Unit number (hospital patient identifier)

UNITNUM

CHI number

CHINUM

Named GP

GP

GP practice code

GPPRACT

Named consultant

CLINAM

Record GMC number

Hospital of consultant

HOSP

Pain Assessment

Assessment date

ASSDATE

Pain level

PAIN

1=None

2=Mild

3=Moderate

4=Severe

5=Patient not assessed

Assessment performed by

ASSESSMENT

1=Patient

2=Hospital doctor

3=GP

4=Nurse

5=Carer

Prescription Details

Date of prescription

DATEPRES

Type of analgesic

ANALTYPE

1=Opioid

2=Non-opioid

Name (analgesic)

ANALNAME

Dose (analgesic)

ANALDOSE

mg

Frequency (analgesic)

ANALFREQ

1= <4 hrs 2=Every 4 hrs 3=Every 6hrs 4=Every 12 hrs 5=Every 24 hrs
6=Every 72 hrs 7= As needed

Route of delivery (analgesic)

ANALROUT

1=Oral 2=Subcutaneous injection

3=Intravenous 4=Syringe driver

5=Transdermal 6=Suppository

Breakthrough medication

BRKNAME

Dose (breakthrough)

BRKDOSE

in mg

Number of breakthrough doses used in the past 24 hours

BRKFREQ

0 - 8

Route of delivery (breakthrough)

BRKROUT

1=Oral 2=Subcutaneous injection

3=Intravenous 4=Suppository
5 = Intramuscular

NSAID

NSAID

1=Yes 2=No 3=Contraindicated

Laxative

LAXATIVE

1=Yes 2=No

Form completed by

FORM

1=Hospital doctor 2=GP 3=Nurse 4=Carer