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:

• 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

*those with an asterisk are shared with the PCS screen