EPaCCS Template and Readcodes – Help Centre

Where possible, fields are pre-populated on first creation of the record. These are highlighted in green in the tables below.

Where a readcode is shown, on first creating the record these will be picked up from the EMIS record. On every save, where present in the form these codes will be written back to the EMIS record.

Section	Field	Readcode
Patient Consent	Consent given for sharing end of life care coordination record	9Nu6.
	Consent given by appointed person with lasting power of attorney for personal welfare (Mental Capacity Act 2005) for sharing end of life care coordination record	9Nu90
	Best interest decision taken (Mental Capacity Act 2005) for sharing end of life care coordination record	9Nu8.

Section	Field	Readcode
EPaCCS form	Date EPaCCS form created
	Created on
	Last amended by: of:
	Date of next review

Section	Field	Readcode
Patient Details	Forename
	Preferred name
	Surname
	NHS Number
	Date of Birth
	Gender
	Home Address
	Home Telephone
	Mobile
	Email
	Usual address if different

Section	Field	Readcode
Patient’s GP Details Pre-populated	Name
	Practice
	Practice Address
	Telephone
	Email
	Practice code

Section	Field	Readcode
Functional status, disability and communication	Functional status
Disability	Visual impairment Cognitive impairment Impaired ability to recognise safety risks Hearing impairment Difficulty communicating Unable to summon help in emergency Other	28E3.
Communication	Preferred Spoken Language Does the patient need an interpreter: - Interpreter needed - Interpreter not needed

Section	Field	Readcode
Carers
Key worker (if not usual GP)	Name of key worker Telephone number
Main informal carer	Does not have an informal carer Has informal carer support Availability Home Address Tel no Is main informal carer aware of diagnosis	91802 918u.
Other informal carers	Carer 2 – Name Carer 2 – Telephone Number Carer 3– Name Carer 3 – Telephone Number
Formal Carers	Carer 1 – Name Carer 1 – Professional Group Carer 1 – Telephone Number Carer 2 – Name Carer 2 – Professional Group Carer 2 – Telephone Number Carer 3 – Name Carer 3 – Professional Group Carer 3 – Telephone Number

Section

Field

Readcode

Clinical Summary

Pre-populated

Diagnosis

Readcoded

Past Medical History

GP Summary

Other relevant clinical issues

Allergies/Adverse Drug Reactions

Section

Field

Readcode

Just in Case Box

Anticipatory medicines have been prescribed

Anticipatory medicines not appropriate

Patient has Just in case box

Where are these medicines kept?

8B2a.

Anticipatory medicines

Analgesics

Antiemetic

McKinley Syringe Pump Chart Completed

Anxiolytics

Antisecretory

Section	Field	Readcode
Advanced Statement, Places of Care	Has an End of Life Care Plan
	AMBER care bundle
Preferred Place of Care	First choice: - Person’s own home - Hospital - Care home - NHS hospice - Voluntary hospice - Other Name of treatment Centre Second choice: as above Third choice: as above	8Ce0. 8Ce3. 8Ce5. 8Ce1. 8Ce1.
Preferred Place of Death	First choice: - Person’s own home - Hospital - Care home - NHS hospice - Voluntary hospice - Other Second choice: as above Third choice: as above	94Z1. 94Z4. 94ZC. 94Z2. 94Z2.

Section

Field

Readcode

DNACPR decision

Is DNACPR in place?

- Yes

- No

Is the patient aware?

If no, reason the patient is not aware?

- Patient does not have capacity

- Harmful to patient

Is the family aware?

If no, reason the family is not aware?

- Patient request

- Awaiting discussion

- Not possible e.g. unable to contact the family

1R00.

1R10.

DNACPR decision review

Date DNACPR decision made

Location of documentation

Date of next DNACPR review

Section

Field

Readcode

Advance decision to refuse treatment

Has ADRT (advance decision to refuse treatment)(Mental Capacity Act 2005)

9NgG.

Information about decision

Date the decision was made

Location of the documentation

Section	Field	Readcode
Lasting power of attorney	- No power of attorney appointed - Without authority to make life sustaining decisions - With authority to make life sustaining decisions
Power of attorney	Name Address Telephone Number
Person the patient wants to be involved in decisions about their care	Name Address Telephone Number

Section

Field

Readcode

Other relevant issues or preferences about provision of care

State other preferences

Is there further information available to ambulance crews?

If yes, further information

Section	Field	Readcode
Remove patient record
Reason for removal	Patient died Patient recovered Patient moved out of area Withdrawal of consent for sharing end of life care coordination record Form created in error Incorrect information recorded
Details of death	Date of death Actual place of death: - Person’s own home - Hospital - Care home - NHS hospice - Voluntary hospice - Other	9491. 9495. 949D. 949A. 949A.

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