Adding Data to the Key Information Summary
Adding, editing and viewing data in the KIS screen is easy. There is a combination of tick boxes, see Tick Boxes and data entry panes, see Data Entry Panes for the following information:
Note - Categories with an asterisk* are shared with the Palliative Care Summary screen.
- Capacity information and Care Plan Details - Displays and allows you to record the following:
- Has Guardianship Order - 13lo.00 Has guardian appointd Adult with Incapacity (Scot)Act 2000.
- Has Power of Attorney - select from:
- 13ln.00 Has welf attorney apt under Adults with Incap (Scot)Act 2000.
- 9W0..00 Power of attorney applied for.
- 9W2..00 Power of attorney held.
- 9W4..00 Lasting power of attorney property and their affairs.
- 9W5..00 Lasting power of attorney personal welfare.
- 9W6..00 Enduring power of attorney.
- Has Adult Incapacity Form - 13lm.00 Subj cert auth issued Adults with Incapacity (Scot)Act 2000.
- Has Single Shared Assessment Plan - select from:
- 9Ne..00 Single Assessment Process.
- 9Ne0.00 Single assessment process summary care plan completed.
- Has Anticipatory Care Plan - 8CMM.00 Has anticipatory care plan.
- Self-Management Plan details - Displays and allows you to record the following Read codes:
- 8CMA000 Patient has a written asthma personal plan.
- 8CR7.00 mental health personal health plan.
- 661M. Clinical management plan agreed.
- 661M0 Angina self-management plan agreed.
- 661M1 Asthma self-management plan agreed.
- 661M2 Chronic kidney disease self-management plan agreed.
- 661M3 Chronic obstructive pulmonary disease self-management plan agreed.
- 661M4 Diabetes self-management plan agreed.
- 661M5 Heart failure self-management plan agreed.
- 661M6 Hypertension self-management plan agreed.
- 661M7 Stroke self-management plan agreed.
- 661N Clinical management plan review.
- 661N0 Angina self-management plan review.
- 661N1 Asthma self-management plan review.
- 661N2 Chronic kidney disease self-management plan review.
- 661N3 Chronic obstructive pulmonary disease self-management plan review.
- 661N4 Diabetes self-management plan review.
- 661N5 Heart failure self-management plan review.
- 661N6 Hypertension self-management plan review.
- 661N7 Stroke self-management plan review.
- 8CG6 Care programme approach.
- 8CG60 Initial care programme approach review.
- 8CG61 Ongoing care programme approach review.
- 8CG62 Discharge care programme approach.
- 8CMG1 Review of mental health care plan.
- 8CR Clinical management plan.
- 8CR0 Asthma clinical management plan.
- 8CR1 Chronic obstructive pulmonary disease clinical management plan.
- 8CR2 Diabetes clinical management plan.
- 8CR3 Hyperlipidaemia clinical management plan.
- 8CR4 Hypertension clinical management plan.
- 8CR5 Hypothyroidism clinical management plan.
- 8CR6 Coronary heart disease risk clinical management plan.
- 8CR7 Mental health personal health plan.
- 8CR9 Benzodiazepine clinical management plan.
- 8CRA Ankle brachial pressure index management plan.
- 8CRB Transient ischaemic attack clinical management plan.
- 8CRC Cancer chemotherapy management plan.
- 8CY Mental health care programme approach.
- 8BC1 Treatment plan given.
- 8BC3 Cancer care plan given.
- 8CS Agreement of care plan.
- 8CS0 Diabetes care plan agreed.
- 8CS1 Multiple sclerosis care plan agreed.
- 8CS2 Health and social care plan agreed.
- 8CS3 Agreeing on leg ulcer treatment plan.
- 8CS5 Agreeing on health professional actions in care plan.
- 8CS6 Agreeing on patient actions in care plan.
- 8CS7 Agreeing on mental health care plan.
- 8CS8 Agreeing on care plan with legitimate patient representative.
- 9HC2 Substance misuse clinical management plan agreed.
- 9HC3 Substance misuse clinical management plan reviewed.
- Patient Contact List* - Displays all latest contacts for the patient and allows you to add new contact details. These details are from Registration contacts. Carer and Next of Kin details are recorded here.
- Relevant Medical History* - Displays all medical history records with a priority of 1 and allows you to add further medical histories. See Adding/Removing Items to/from Relevant Medical History.
- Access information* - Displays and allows you to record the following Read codes:
- 9189 Key Holder.
- 9NFG Address instruction.
- Other Agencies involved* - Displays and allows you to record the following Read codes:
- 13G..00 Domiciliary services.
- 13G1.00 District nurse attends.
- 13G2.00 Health visitor visits.
- 13G5.00 Voluntary worker.
- 13G6100 Home help attends.
- 13G6300 Home help organised.
- 13G7.00 Meals on wheels.
- 13G8.00 Domiciliary chiropody.
- 13GZ.00 Domiciliary service NOS.
- 8HH0.00 Arrange care by relative.
- 8HH4.00 Arrange care attender.
- 8HH7.00 Referred to community specialist palliative care team.
- 8HHB.00 Referral to Social Services.
- 8HHJ.00 Referral to respiratory nurse specialist.
- 8HHN.00 Referral to voluntary service.
- 9N2i.00 Seen by diabetic liaison nurse.
- 9N2p.00 Seen by community heart failure nurse.
- 9NNA.00 Under care of practice nurse.
- 9NNK.00 Under care of dyspepsia specialist nurse.
- 9NNS.00 Under care of Macmillan nurse.
- 9NNY.00 Under multi-agency care.
- 9NNd.00 Under care of palliative care specialist nurse.
- 9Nh0.00 Under the care of community palliative care team.
- 9Nh1.00 Under care cancer primary healthcare multidisciplinary team.
- Special note* - Displays and allows you to submit additional free text information to assist OOH staff manage your patient's care, see Adding or Updating a Special Note for details.
- Other useful palliative information* - Displays and allows you to record the following:
- Resuscitation Status - Defaults to Priority 1 select from:
- 1R0..00 For resuscitation.
- 1R00.00 For attempted cardiopulmonary resuscitation.
- 1R1..00 Not for resuscitation.
- 1R10.00 Not for attempted CPR (cardiopulmonary resuscitation).
- Additional Drugs at Home - enter free text as required.
- Catheter and Incontinence Equipment at Home - select from:
- 9NgX.00 Catheter care equipment available at home.
- 9NgY.00 Continence care equipment available at home.
- Moving and Handling Equipment at Home - 13CX.00 Moving and handling equipment available at home.
- Has Oxygen for Home Use - select from:
- 6639.00 Home oxygen supply.
- 6639.11 Home oxygen supply started.
- 6639.12 Oxygen at home.
- 66Yj.00 Home oxygen supply - cylinder.
- 66Yk.00 Home oxygen supply - concentrator.
- 66YI.00 Home oxygen supply - liquid oxygen.
- 745E000 Home oxygen support.
- Preferred Place of Care - select from:
- 8Ce..00 Preferred place of care.
- 8Ce0.00 Preferred place of care - home.
- 8Ce1.00 Preferred place of care - hospice.
- 8Ce2.00 Preferred place of care - community hospital.
- 8Ce3.00 Preferred place of care - hospital.
- 8Ce4.00 Preferred place of care - nursing home.
- 8Ce5.00 Preferred place of care - residential home.
- 8Ce6.00 Preferred place of care - learning disability unit.
- 8Ce7.00 Preferred place of care - mental health unit.
- 8Ce8.00 Preferred place of care - discussed with patient.
- 8Ce9.00 Preferred place of care - discussed with family.
- 8CeA.00 Preferred place of care - patient unable to express preference.
- 8CeB.00 Preferred place of care - patient declined to participate.
- 8CeC.00 Preferred place of care for next exacerbation heart failure.
- 8CeD.00 Preferred place of care for next exacerbation of COPD.
- 8CeE.00 Preferred place of care - discussion not appropriate.
- Preferred Place of Final Care - select from:
- 94Z1.00 Preferred place of death: home.
- 94Z2.00 Preferred place of death: hospice.
- 94Z3.00 Preferred place of death: community hospital.
- 94Z4.00 Preferred place of death: hospital
- 94Z5.00 Preferred place of death: nursing home.
- Resuscitation Status - Defaults to Priority 1 select from:
*those with an asterisk are shared with the PCS screen
Note - Data added here cannot be deleted here. If you need to delete data added here, it must be deleted from the patient's Journal screen in the usual way.
Note - To print this topic select Print in the top right corner and follow the on-screen prompts.