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[;@[;@Formsf,,,,,,,,,,*  [;@[;@UserDefinedfA@DDD88888886 @ [;@>@SummaryInfof@DDD88888886 @[;@[;@MSysAccessObjectsfDDDDDDDDDDB +?[;@+?[;@MSysRelationshipsdDDDDDDDDDDB +?[;@+?[;@MSysQueriesd88888888886 +?[;@+?[;@MSysACEsd22222222220 +?[;@+?[;@MSysObjectsd88888888886 +?[;@+?[;@MSysDbf@:::......., @+?[;@+?[;@Relationshipsd<<<<<<<<<<: +?[;@+?[;@Databasesd44444444442 +?[;@+?[;@Tablesd.........., X{hUB/A S @ ,  |  B /   l Y 2 o\I"r_K8%f TYW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f  f  YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp  f f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f 2f 2YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp 2f f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f c f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f c f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f c f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f c f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f c f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f c f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f f f f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp TYW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp TYW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp YW;VUIAkr7~ҝ#Ǟi pSnsӚO! w" 1?pl9xͿyvPEOBA 0Zp f f f f c f c f f f f  LVALпϿϿϿϿϿϿϿϿϿϿϿϿϿϿϿϿϿϿ MR2GUID* Age D=욚EH dF@Assessing Secondary Care Service B.z/Jgꀯ?c4Audit ID ŝ4kM t(D& Date of referral :k(M’tnDid the patient lose consciousness or have convulsions? 5 %kMʷ2|Did the patient meet indications for 'epilepsy neuroimaging'?* ݥwI R4.Does the patient drive? iV¤#FK R4Hospital I;s.Jr@JbmB$Hospital Number g,ӟA|M)GZ<6How many weeks did it take? NtwJr|^XIf no, what was the diagnosis documented as? RbJ[?P2,If other, please state o$# DUܛEb\If so, did they have appropriate neuroimaging? oHnqvpIf so, did this occur within 4 weeks of being requested? 9J i:If so, why? *?D*ZES pjIf yes (or don t know), was a witness account sought? i,JC.cMR2GUID* Age D=욚EH dF@Assessing Secondary Care Service B.z/Jgꀯ?c4Audit ID ŝ4kM t(D& Date of referral :k(M’tnDid the patient lose consciousness or have convulsions? 5 %kMʷ2|Did the patient meet indications for 'epilepsy neuroimaging'?* ݥwI R4.Does the patient drive? iV¤#FK R4Hospital I;s.Jr@JbmB$Hospital Number g,ӟA|M)GZ<6How many weeks did it take? NtwJr|^XIf no, what was the diagnosis documented as? RbJ[?P2,If other, please state o$# DUܛEb\If so, did they have appropriate neuroimaging? oHnqvpIf so, did this occur within 4 weeks of being requested? 9J i:If so, why? *?D*ZES pjIf yes (or don t know), waMR20 Title AutMR20 Title MR2ANSI Query Mode(Themed Form ControlsAccessVersion BuildProjVerN    08.50  WMR2ANSI Query Mode(Themed Form ControlsAccessVersion BuildProjVerN    08.50  WMR20 Title AuthorCompany ILAE-UK Adult First Seizure Audit Tool_June 2011 v1.0 (BLANK COPY)& Joseph AndersonMR2( ReplicateProject  Y. N.Y Y KDataIDDDhJJYAOIndexJ00 @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @         ! 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NotesYYA v1b   11111  11111LVALʾILAE-UK Adult First Seizure Audit Tool DataCreate query in Design viewILAE-UK Adult First Seizure Audit Tool ProformaLK^5RY+?[;@NY  Y Y 4IdNameTypedv h=T)  M @  MSysNavPaneObjectIDs2. AccessLayout "ILAE-UK Adult First Seizure Audit Tool Proformahd2MSysAccessXML$ ILAE-UK Adult First Seizure Audit Tool Data`\DataAccessPages($SysRelModulesScriptsReportsFormsUserDefined SummaryInfo MSysAccessObjects,(MSysRelationships,(MSysQueries MSysACEsMSysObjects MSysDbRelationships$ DatabasesTablesLVALC d"fDE8hR8hRt  G??8NhR`8N (   x   P   `8h xHX0    (   X h(p8XX(X8h (   x   P   `8h x  d  d  d   d  d  d  d   d   d     d   d  d  d   d  d  d  d  d  d  d    d  d  d   d  d  d   d ! d " d # d $  gILAE-UK Adult First Seizure Audit Tool Data.Audit IDUILAE-UK Adult First Seizure Audit Tool DatagILAE-UK Adult First Seizure Audit Tool Data.HospitalILAE-UK Adult First Seizure Audit Tool Data.Assessing Secondary Care ServiceoILAE-UK Adult First Seizure Audit Tool Data.Patient Name]ILAE-UK Adult First Seizure Audit Tool Data.AgeuILAE-UK Adult First Seizure Audit Tool Data.Hospital NumberoILAE-UK Adult First Seizure Audit Tool Data.Referred By?ILAE-UK Adult First Seizure Audit Tool Data.If other, please statewILAE-UK Adult First Seizure Audit Tool Data.Date of referralILAE-UK Adult First Seizure Audit Tool Data.Was the patient seenG by a specialist in the epilepsies?*ILAE-UK Adult First Seizure Audit Tool Data.What date were they 'seen by this person?ILAE-UK Adult First Seizure Audit Tool Data.Time from referral t'o being seen (weeks)ILAE-UK Adult First Seizure Audit Tool Data.Was the diagnosis do)cumented as epilepsy?ILAE-UK Adult First Seizure Audit Tool Data.If no, what was the /diagnosis documented as?ILAE-UK Adult First Seizure Audit Tool Data.Was the patient offeIred contact with a specialist nurse?*ILAE-UK Adult First Seizure Audit Tool Data.If yes, did this occSur within 30 days of the first assessment?ILAE-UK Adult First Seizure Audit Tool Data.Time from first asse=ssment to nurse contact (weeks)ILAE-UK Adult First Seizure Audit Tool Data.Was this a telephone1 or a clinic appointment?ILAE-ULVAL+K Adult First Seizure Audit Tool Data.Was there an alterat?ion in the patient s awareness?*ILAE-UK Adult First Seizure Audit Tool Data.If yes (or don t knoAw), was a witness account sought?ILAE-UK Adult First Seizure Audit Tool Data.Was an attempt at seAizure classification documented?*ILAE-UK Adult First Seizure Audit Tool Data.Was an attempt at syUndrome category classification documented?*ILAE-UK Adult First Seizure Audit Tool Data.Was the patient referred for an EEG?ILAE-UK Adult First Seizure Audit Tool Data.Was this clearly inappropriate?*mILAE-UK Adult First Seizure Audit Tool Data.If so, why?ILAE-UK Adult First Seizure Audit Tool Data.Did the patient meetS indications for 'epilepsy neuroimaging'?*ILAE-UK Adult First Seizure Audit Tool Data.If so, did they have3 appropriate neuroimaging?ILAE-UK Adult First Seizure Audit Tool Data.If so, did this occuGr within 4 weeks of being requested?ILAE-UK Adult First Seizure Audit Tool Data.How many weeks did i t take?ILAE-UK Adult First Seizure Audit Tool Data.Did the patient loseE consciousness or have convulsions?ILAE-UK Adult First Seizure Audit Tool Data.If yes (or don't knoQw), was a current ECG result documented?*ILAE-UK Adult First Seizure Audit Tool Data.If yes (or don't knoWw), was a current 12-lead ECG filed in notesILAE-UK Adult First Seizure Audit Tool Data.Does the patient drive?ILAE-UK Adult First Seizure Audit Tool Data.Was appropriate driv?ing advice given and documented?ILAE-UK Adult First Seizure Audit Tool Data.Was there evidence oWf a discussion on risks of future seizures?*ILAE-UK Adult First Seizure Audit Tool Data.Was the clinic lette/r copied to the patient?aILAE-UK Adult First Seizure Audit Tool Data.NotesX$%%P$&X # B!@"# XEC XEC XEC XEC ( XEC  XEC XEC x XEC XEC  XEC P XEC  XEC  XEC `XEC XEC XEC XEC XEC 8XECXEC XEC XEC hXEC XEC XEC  XEC XEC XEC XEC XEC XEC XEC XEC XEC !XEC "XEC #xXECY$ILAE-UK Adult First SeiLVAL:$MR2 GUIDNameMap   *S CD4  Uzk-VUE9 [^=@ILAE-UK Adult First Seizure Audit Tool DataOzǖN. 3zk-VUE9 [Audit ID,N?6-~A zk-VUE9 [HospitalLb^@E}Szk-VUE9 [Assessing Secondary Care Service i1A+g(zk-VUE9 [Patient Name $ CSO­zk-VUE9 [Age67COjvzk-VUE9 [Hospital Number& ^Z)D2E2zk-VUE9 [Referred By?湦І|JAгzk-VUE9 [If other, please statex_5h@s=uzk-VUE9 [Date of referral8J`[FX?G{zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*nJ{D+Nzk-VUE9 [What date were they seen by this person?eg,C\zk-VUE9 [Time from referral to being seen (weeks)*'_MMĆ c+zk-VUE9 [Was the diagnosis documented as epilepsy?i0*LCY羂5zk-VUE9 [If no, what was the diagnosis documented as?e:ҎE4~zk-VUE9 [Was the patient offered contact with a specialist nurse?*fw*"MoXw zk-VUE9 [Time from first assessment to nurse contact (weeks)LKXdzk-VUE9 [Was this a telephone or a clinic appointment?L ALֿѾzk-VUE9 [Was there an alteration in the patient s awareness?*cCu ~FԘ zk-VUE9 [If yes (or don t know), was a witness account sought?gBJػ'Kzk-VUE9 [Was an attempt at seizure classification documented?*NSwg Gzk-VUE9 [Was an attempt at syndrome category classification documented?*K3 %BN9.7zk-VUE9 [Was the patient referred for an EEG?eG$zk-VUE9 [Was this clearly inappropriate?*nG~zk-VUE9 [If so, why?t)adNN<`)ߑzk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oSiOU̦vijzk-VUE9 [If so, did they have appropriate neuroimaging?ϠTIR zk-VUE9 [If so, did this occur within 4 weeks of being requested?fN2 @ B3zk-VUE9 [How many weeks did it take?_Ej~OI¤d%zk-VUE9 [Did the patient lose consciousness or have convulsions?8W1Jt z>zk-VUE9 [If yes (or don't know), was a current ECG result documented?*JK'C4y]zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesUOULqSzk-VUE9 [Doe LVAL s the patient drive?) hG©zk-VUE9 [Was appropriate driving advice given and documented?߆}JFf0qzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*vPL&!N%zk-VUE9 [Was the clinic letter copied to the patient?GeF灼Mzk-VUE9 [Notes 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"""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" 'dmvtEY1cf23]5`8aBb 3 Line74dYEKyKu耙f23]5`. abm3 Line75~MHf23]5`/+a bm3 Line76 ұ[Bq.x6f23W5`/+abm3 Line77CC uKf23U5`8ab`9c3 Line78bg+`(LĎkid5U`*aqbceLabel92"Updated June 2011O1Ow%(#nd5U`*abceLabel95(ILAE-UK Audit Group K7?R=:N@37d5U`*ab cLabel93݂Created by Dr Joseph Anderson Contact: j_anderson1981@hotmail.com+G}ŵd5U`8abtcd eLabel79v*Please refer to the guidance notes for further informationCalibrievWG(5BYd5U`8ab cd eLabel80.1. Referral InformationCalibri{FNz>GVd5W`8aBb cJd eLabel8102. Specialist AssessmentCalibriꮴ"E1;_d5W`. abjcd eLabel82P3. Assessm,K[ent Quality and InvestigationsCalibriW@#Asjd5W`/+a bjcd eLabel83L4. Patient Information and CounsellingCalibri:XI5A`FormFootert@aAS:udit Tool ProformaloT%Was_this_a_telointment_Was this a telephone or a clinic 0CB0 T&Was_this_a_telephone_or_a_clinic_appointmedefghijklmnoprz{3mdmdodmdmdmdodmdmdodmdmdodmdod- LVALʾILAE-UK Adult First Seizure Audit Tool DataCreate query in Design viewILAE-UK Adult First Seizure Audit Tool Profoma c^5LVAL,zure Audit Tool Data/%%%-X/@E^=@g~sq_fILAE-UK Adult First Seizure Audit Tool Proforma# + H+ + X+ , 0 , , ,  ,  ( (,  0,  8,  X @,  H, P, X, h`, (h, p, x, p, 8, , , X, , , X, (, , , X,  8,! ," ,# h,$ -HX0    (   X h(p8XX(X8h XEC XEC XEC XEC ( XEC  XEC XEC x XEC XEC  XEC P XEC  XEC  XEC `XEC XEC XEC XEC XEC 8XECXEC XEC XEC hXEC XEC XEC  XEC XEC XEC XEC XEC XEC XEC XEC XEC !XEC "XEC #xXECY$ILAE-UK Adult First Seizure Audit Tool Data 87 @7 H7 P7 ( X7 `7 h7 x p7 x7 7 P 7 7 7 `7 7 7 7 7 877 7 7 h7 7 7 8 8 8 8  8 (8 08 88 @8 H8 P8 xX8HX0    (   X h(p8XX(X8h  OH% 8h`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8`8xRK%/bd@E`bd@E bd@E bd@E bd@E bd@E bd@E bd@E bd@E bd@E  bd@E  bd@E  bd@E  bd@E  bd@E bd@E bd@E bd@E bd@E bd@E bd@E bd@E bd@E bd@E d@E $bd@E bd@E bd@E bd@E bd@E bd@E bd@E bd@E  bd@E! bd@E" bd@E# d@E$ $zLVAL+ MRMGC#(=`=XF=hF=xF>F@>Fx>F>F>F ?FX?F?F?G@G8@(Gp@8G@HG@XGAhGPAxGAGAGAG0BG hBGBGBGCGHCHCHC(HC8H(DHH`DXHDhHDxH EH(= d`= d= d=> d@> dx> d> d> d ? dX?? d? d@ d8@ dp@@ d@ dA dPA dA dA dA d0B hB dB dB dCHC dC dC dC d(D d`D dD dD EXL`LhLpLxLLLLLLLLLLLLLLLLLMMMM M(M0M8M@MHMPMXM`MhMpMxM(=`===>@>x>>> ?X???@8@p@@@APAAAA0BhBBBCHCCCC(D`DDDE@EUILAE-UK Adult First Seizure Audit Tool DataN NPrimaryKeyAudit ID@Nv Q0QQOOqOOOOOOOOOOOOOOOOOOOOOOOOOOOOR `8RQ`R]NILAE-UK Adult First Seizure Audit Tool DataPrimaryKeybdNQHQbdORQRHR@ELVALb d.MR2 GUIDNameMap   *S CD4  Uzk-VUE9 [^=@ILAE-UK Adult First Seizure Audit Tool DataOzǖN. 3zk-VUE9 [Audit ID,N?6-~A zk-VUE9 [HospitalLb^@E}Szk-VUE9 [Assessing Secondary Care Service i1A+g(zk-VUE9 [Patient Name $ CSO­zk-VUE9 [Age67COjvzk-VUE9 [Hospital Number& ^Z)D2E2zk-VUE9 [Referred By?湦І|JAгzk-VUE9 [If other, please statex_5h@s=uzk-VUE9 [Date of referral8J`[FX?G{zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*nJ{D+Nzk-VUE9 [What date were they seen by this person?eg,C\zk-VUE9 [Time from referral to being seen (weeks)*'_MMĆ c+zk-VUE9 [Was the diagnosis documented as epilepsy?i0*LCY羂5zk-VUE9 [If no, what was the diagnosis documented as?e:ҎE4~zk-VUE9 [Was the patient offered contact with a specialist nurse?*fw*"MoXw zk-VUE9 [Time from first assessment to nurse contact (weeks)LKXdzk-VUE9 [Was this a telephone or a clinic appointment?L ALֿѾzk-VUE9 [Was there an alteration in the patient s awareness?*cCu ~FԘ zk-VUE9 [If yes (or don t know), was a witness account sought?gBJػ'Kzk-VUE9 [Was an attempt at seizure classification documented?*NSwg Gzk-VUE9 [Was an attempt at syndrome category classification documented?*K3 %BN9.7zk-VUE9 [Was the patient referred for an EEG?eG$zk-VUE9 [Was this clearly inappropriate?*nG~zk-VUE9 [If so, why?t)adNN<`)ߑzk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oSiOU̦vijzk-VUE9 [If so, did they have appropriate neuroimaging?ϠTIR zk-VUE9 [If so, did this occur within 4 weeks of being requested?fN2 @ B3zk-VUE9 [How many weeks did it take?_Ej~OI¤d%zk-VUE9 [Did the patient lose consciousness or have convulsions?8W1Jt z>zk-VUE9 [If yes (or don't know), was a current ECG result documented?*JK'C4y]zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesUOULqSzk-VUE9 [Doe LVAL s the patient drive?) hG©zk-VUE9 [Was appropriate driving advice given and documented?߆}JFf0qzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*vPL&!N%zk-VUE9 [Was the clinic letter copied to the patient?GeF灼Mzk-VUE9 [Notes LVALb d0MR2 GUIDNameMap   *S CD4  Uzk-VUE9 [^=@ILAE-UK Adult First Seizure Audit Tool DataOzǖN. 3zk-VUE9 [Audit ID,N?6-~A zk-VUE9 [HospitalLb^@E}Szk-VUE9 [Assessing Secondary Care Service i1A+g(zk-VUE9 [Patient Name $ CSO­zk-VUE9 [Age67COjvzk-VUE9 [Hospital Number& ^Z)D2E2zk-VUE9 [Referred By?湦І|JAгzk-VUE9 [If other, please statex_5h@s=uzk-VUE9 [Date of referral8J`[FX?G{zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*nJ{D+Nzk-VUE9 [What date were they seen by this person?eg,C\zk-VUE9 [Time from referral to being seen (weeks)*'_MMĆ c+zk-VUE9 [Was the diagnosis documented as epilepsy?i0*LCY羂5zk-VUE9 [If no, what was the diagnosis documented as?e:ҎE4~zk-VUE9 [Was the patient offered contact with a specialist nurse?*fw*"MoXw zk-VUE9 [Time from first assessment to nurse contact (weeks)LKXdzk-VUE9 [Was this a telephone or a clinic appointment?L ALֿѾzk-VUE9 [Was there an alteration in the patient s awareness?*cCu ~FԘ zk-VUE9 [If yes (or don t know), was a witness account sought?gBJػ'Kzk-VUE9 [Was an attempt at seizure classification documented?*NSwg Gzk-VUE9 [Was an attempt at syndrome category classification documented?*K3 %BN9.7zk-VUE9 [Was the patient referred for an EEG?eG$zk-VUE9 [Was this clearly inappropriate?*nG~zk-VUE9 [If so, why?t)adNN<`)ߑzk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oSiOU̦vijzk-VUE9 [If so, did they have appropriate neuroimaging?ϠTIR zk-VUE9 [If so, did this occur within 4 weeks of being requested?fN2 @ B3zk-VUE9 [How many weeks did it take?_Ej~OI¤d%zk-VUE9 [Did the patient lose consciousness or have convulsions?8W1Jt z>zk-VUE9 [If yes (or don't know), was a current ECG result documented?*JK'C4y]zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesUOULqSzk-VUE9 [Doe LVAL s the patient drive?) hG©zk-VUE9 [Was appropriate driving advice given and documented?߆}JFf0qzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*vPL&!N%zk-VUE9 [Was the clinic letter copied to the patient?GeF灼Mzk-VUE9 [Notes  .\ %YesYes   %YesYes   %YesYes   %YesYes   %YesYes   S YValidaN33Y  Y Y  Y  Y  Y Id LValueObjectGuidObjectNameProperty Value 34d YdY35 Y 36YYYId$ObjectGuidProperty$ObjectNameProperty3Hv1b@  2 2 2 LVALʾILAE-UK Adult First Seizure Audit Tool DataCreate query in Design viewILAE-UK Adult First Seizure Audit Tool ProformaLK^5LVAL99 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [¯Audit ID      r jUnique identifier for the patient's clinical episode.tHospital         m   F@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip     |Patient Name         m   Y Age       !  0  m$Hospital Number         m   Referred By?         o Value ListB :GP;A&E;General Medicine;Other      0twip     2,If other, please state         m   & Date of referral      \ TDate on referral letter to secondary care.   m   vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip     VPWhat date were they seen by this person?       If they did not see someone with expertise in epilepsy, still record the date theyLVAL: were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip  LVAL;   pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further infLVAL<ormation.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doc4 LVALD tor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVAL`nless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing theLVAL!9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesD@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqStHospital         m   F@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip     |Patient Name         m   Y Age       !  0  m$Hospital Number         m   Referred By?         o Value ListB :GP;A&E;General Medicine;Other      0twip     2,If other, please state         m   & Date of referral      \ TDate on referral letter to secondary care.   m   vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip     VPWhat date were they seen by this person?       If they did not see someone with expertise in epilepsy, still record tLVALBhe date they were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know    LVALC  0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes forLVALD further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked docume LVAL, nted (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALFMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVALG9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip     |Patient Name         m   Y Age       !  0  m$Hospital Number         m   Referred By?         o Value ListB :GP;A&E;General Medicine;Other      0twip     2,If other, please state         m   & Date of referral      \ TDate on referral letter to secondary care.   m   vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip     VPWhat date were they seen by this person?       If they did not see someone with expertise in epilepsy, stLVALHill record the date they were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know  LVALI    0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidanLVALJce notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be re LVAL voked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALLMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVALM9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2CD@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2CD@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2CD@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2CD@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2CD@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m   vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip     VPWhat date were they seen by this person?   LVALj    If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to reLVALkcall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?   LVALl    i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was adt LVAL vice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALnMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVALo9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip     VPWhat date were they seen by this peLVALprson?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affected their aLVALqbility to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaLVALrging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATI\ LVALl ENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALtMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVALu9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALvn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affeLVALwcted their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriLVALxate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER D LVALT FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALzMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL{9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVAL|n by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&N=VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'evenLVAL}t' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they hLVAL~ave appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      , LVAL< $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness duringLVAL their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If soLVAL, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?   LVAL$    $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awarLVALeness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     LVALb\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and docLVAL umented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the paLVALtient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip  LVAL   b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice gLVALiven and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)sF|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteratiLVALon in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No    LVAL  0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate drivLVALing advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1〹lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there wasLVAL an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No  LVAL    0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas apprLVALopriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicaLVALte there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;LVALNo      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dLVALnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value LVALList  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip   LVAL  dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3ÞpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   LVALo Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0lLVAL|twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.LVAL   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented   TLVALd   0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neLVALuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented <LVALL     0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCk8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for LVAL'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not $LVAL4Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indiLVALcations for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2  LVAL*Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further informaLVALtion on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o VLVALalue List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~<|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]  LVAL o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATILVALENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)AHvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER LVALFOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      LVAL: 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?  |LVAL    : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a(zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patiendLVALtt drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.DoeLLVAL\s the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      ,]'@z4LVALDU$^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [1W=@ILAE-UK Adult First Seizure Audit Tool Dataŝ4kM t(zk-VUE9 [Audit IDI;s.Jr@Jbmzk-VUE9 [HospitalB.z/Jgꀯ?czk-VUE9 [Assessing Secondary Care ServiceCMb-zk-VUE9 [Patient NameD=욚EH zk-VUE9 [Ageg,ӟA|M)Gzk-VUE9 [Hospital Number}w*J1zk-VUE9 [Referred By?o$# DUܛEzk-VUE9 [If other, please state:k(Mzk-VUE9 [Date of referral MNy+zk-VUE9 [Was the patient seen by a specialist in the epilepsies?*VaEވFzk-VUE9 [What date were they seen by this person?}rP2,cIQ/Kuqzk-VUE9 [Time from referral to being seen (weeks)t9v݊IgYzk-VUE9 [Was the diagnosis documented as epilepsy?RbJ[?zk-VUE9 [If no, what was the diagnosis documented as?+sGFazk-VUE9 [Was the patient offered contact with a specialist nurse?*qSI9zk-VUE9 [If yes, did this occur within 30 days of the first assessment?S݃D%VuKzk-VUE9 [Time from first assessment to nurse contact (weeks)z0Gז+=zk-VUE9 [Was this a telephone or a clinic appointment?E^F kYzk-VUE9 [Was there an alteration in the patient s awareness?*i,JC.czk-VUE9 [If yes (or don t know), was a witness account sought?ô)o N#Kzk-VUE9 [Was an attempt at seizure classification documented?*Y LDʖ`%zk-VUE9 [Was an attempt at syndrome category classification documented?*"@U8iLOBzk-VUE9 [Was the patient referred for an EEG?=UED7zk-VUE9 [Was this clearly inappropriate?**?D*ZES zk-VUE9 [If so, why?ݥwI zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*oHnqzk-VUE9 [If so, did they have appropriate neuroimaging?9J izk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?NtwJrzk-VUE9 [How many weeks did it take?5 %kMʷ2zk-VUE9 [Did the patient lose consciousness or have convulsions?&.v GVk'zk-VUE9 [If yes (or don't know), was a current ECG result documented?*)2jLN5[vzk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesiV¤#FK Rzk-VUE9 [Does the patient drive?v @VzH[OҐzk-VUE9 [Was appropriate driving advice given and documented?SNi{A`-sd+uzk-VUE9 [Was there evidence of a discussion on risks of future seizures?*zJxFhWzk-VUE9 [Was the clinic letter copied to the patient?>D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      ,]'@zLVAL,U$v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      ,]'@zLVALU$v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVAL n by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVAL story indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      ,]'@zLVALU$v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      ,]'@zLVALU$v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      D@u;Ƿzk-VUE9 [Notes   zk-VUE9 [Audit ID      r jUnique identifier for the patient's clinical episode. y 'OᶝqSHospital         m    wb.R:EF@Assessing Secondary Care Service         o Value List Epilepsy Clinic;Neurology Clinic;General Medicine/Elderly Care;Learning Disabilities;Other      0twip      ',2C>GE T5& Date of referral      \ TDate on referral letter to secondary care.   m    93#yB8vpWas the patient seen by a specialist in the epilepsies?*      \ T[ANSWER FOR ALL PATIENTS] *Neurology Consultant or SpR or other clinician with training/expertise in epilepsy (see guidelines and/or discuss with Audit lead if in doubt).   o Value List  Yes;No      0twip      cO4vRVPWhat date were they seeLVALn by this person?       If they did not see someone with expertise in epilepsy, still record the date they were seen in secondary care.   m    0ܰwLŠa&NUVPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m FÕZF9q>XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      "?K8^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    θ>B1 vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip       adI)s^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      ?جtEP!g1lfTime from first assessment to nurse contact (weeks)       !  0  m ظh7A|eXЭ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip       IX|Hʭ&inhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      p}('N3öpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      ]utܰIPLu\pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      $ *fZL]aU~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      `;tӸRCkPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip       E? F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      8lf^J~$If so, why?      h `e.g. diagnosis was clearly documented as syncope      F&VF+~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      zr.N֍@ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      }IoCD)A`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      u+vAJS [<6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m mkpaǾHj2ltnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      ^]HO>a@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      1(3I(g.*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      ,]'@zLVALU$v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      >GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL%9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL+9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL19 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL79 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL=9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesmeone with expertise in epilepsy, still record the date they were seen in secondary care.   m   =VPTime from referral to being seen (weeks)       Record in weeks the time from referral to being seen by the 'specialist'. !  0  m&XRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip     ^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o ValLVAL?ue List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraLVAL@indicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and li LVAL kely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlBMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALC9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALI9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALO9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALU9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL[9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALat' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they hLVALbave appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      , LVAL< $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALldMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALe9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notes>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALk9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m   ^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the patient's awarLVALmeness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     LVALnb\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and docLVAL umented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlpMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALq9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5^xrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip     F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteration in the paLVALstient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip  LVALt   b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice gLVALiven and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlvMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVALw9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~F|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip     lfTime from first assessment to nurse contact (weeks)       !  0  mF`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicate there was an alteratiLVALyon in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No    LVALz  0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate drivLVALing advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALl|MR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL}9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*">GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw F`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip     nhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the history indicaLVALte there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;LVALNo      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dLVALnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip     pjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   o Value LVALList  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip   LVAL  dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٞpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip     pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.   LVALo Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0lLVAL|twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip     ~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neuroimaging'.LVAL   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented   TLVALd   0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip     8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for 'epilepsy neLVALuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented <LVALL     0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg G8NHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip     xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indications for LVAL'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not $LVAL4Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7xF@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip     If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further information on indiLVALcations for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2  LVAL*Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope     <|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for further informaLVALtion on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o VLVALalue List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~<|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip     b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]  LVAL o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑb\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip     HvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER FOR ALL PATILVALENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vijHvpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip     <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      : 2[ANSWER LVALFOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  mtnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?      LVAL: 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip     (zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patient drive?  |LVAL    : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%(zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip     If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.Does the patiendLVALtt drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip     ^4.DoeLLVAL\s the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      JK'C4LVALD4y]^4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip     dnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      JK'CLVAL,4y]v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      UOULqSdnhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip     \Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      JK'CLVAL4y]v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      UOULqS|nhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip      ) hG©\Was there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip     0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      JK'CLVAL4y]v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      UOULqS|nhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip      ) hG©tWas there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip      ߆}JFf0q0^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip     d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      JK'CLVAL4y]v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      UOULqS|nhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip      ) hG©tWas there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip      ߆}JFf0qH^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip      vPL&!N%d Notes           LVALlMR2ValidationRuleValidationTextOrientation FilterOrderByOrderByOnNameMapDefaultViewGUIDColumnWidthColumnOrderColumnHiddenDescription FormatCaptionSmartTagsInputMaskDefaultValueRequiredAllowZeroLengthDisplayControlIMEModeIMESentenceMode$UnicodeCompressionRowSourceTypeRowSourceBoundColumnColumnCountColumnHeadsColumnWidthsListRowsListWidthLimitToListDecimalPlaces%    Uzk-VUE9 [)z/X=@|ثILAE-UK Adult First Seizure Audit Tool Datay 'OᶝqSzk-VUE9 [Audit IDwb.R:Ezk-VUE9 [Hospital',2C>GE T5zk-VUE9 [If other, please state93#yB8zk-VUE9 [Date of referralcO4vRzk-VUE9 [Was the patient seen by a specialist in the epilepsies?*0ܰwLŠa&Nzk-VUE9 [What date were they seen by this person?FÕZF9qzk-VUE9 [Time from referral to being seen (weeks)"?K8zk-VUE9 [Was the diagnosis documented as epilepsy?θ>B1 zk-VUE9 [If no, what was the diagnosis documented as? adI)szk-VUE9 [Was the patient offered contact with a specialist nurse?*?جtEP!g1zk-VUE9 [If yes, did this occur within 30 days of the first assessment?ظh7A|eXЭzk-VUE9 [Time from first assessment to nurse contact (weeks) IX|Hʭ&izk-VUE9 [Was this a telephone or a clinic appointment?p}('N3zk-VUE9 [Was there an alteration in the patient s awareness?*]utܰIPLu\zk-VUE9 [If yes (or don t know), was a witness account sought?$ *fZL]aUzk-VUE9 [Was an attempt at seizure classification documented?*`;tӸRCkzk-VUE9 [Was an attempt at syndrome category classification documented?* E? zk-VUE9 [Was the patient referred for an EEG?8lf^J~$zk-VUE9 [Was this clearly inappropriate?*F&VF+~zk-VUE9 [If so, why?zr.N֍@zk-VUE9 [Did the patient meet indications for 'epilepsy neuroimaging'?*}IoCD)Azk-VUE9 [If so, did they have appropriate neuroimaging?u+vAJS [zk-VUELVAL9 [If so, did this occur within 4 weeks of being requested?mkpaǾHj2lzk-VUE9 [How many weeks did it take?^]HO>azk-VUE9 [Did the patient lose consciousness or have convulsions?1(3I(g.zk-VUE9 [If yes (or don't know), was a current ECG result documented?*,]'@zU$zk-VUE9 [If yes (or don't know), was a current 12-lead ECG filed in notesXRWas the diagnosis documented as epilepsy?       [ANSWER FOR ALL PATIENTS] Is it clear from the clinic letter that the assessing clinician has mad a diagnosis of epilepsy.   o Value List  Yes;No      0twip      *'_MMĆ c+^XIf no, what was the diagnosis documented as?       [ANSWER FOR ALL PATIENTS] Record as accurate a diagnosis as possible, using consistent language to enable easier analysis of audit results.   m    i0*LCY羂5vxrWas the patient offered contact with a specialist nurse?*       [ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] A nurse practitioner with training and expertise in epilepsy. This includes nursing staff working in conjunction with a Neurology department as well as those working with Learning Disability Psychiatrists.   o Value List$ Yes;Don't Know      0twip      e:ҎE4~^|If yes, did this occur within 30 days of the first assessment?       Was contact made by the epilepsy specialist nurse within 30 days of the initial secondary care assessment?   o Value List* "Yes;No;Don't Know      0twip      fw*"MoXw ^`ZWas this a telephone or a clinic appointment?         o Value List(  Telephone;Clinic      0twip      LKXdnhWas there an alteration in the patient s awareness?*      ` X[ANSWER FOR ALL PATIENTS] Does the hiLVALstory indicate there was an alteration in the patient's awareness during their 'event' that affected their ability to recall the event?   o Value List* "Yes;No;Don't Know      0twip      L ALֿѾٶpjIf yes (or don t know), was a witness account sought?      T LIf a witness account is obtained answer yes. If one is sought but the witness cannot be contacted, answer yes. If no witness was present during the event, answer N/A.   o Value List Yes;No;N/A      0twip      cCu ~FԘ pjWas an attempt at seizure classification documented?*      V N[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: simple partial, complex partial, generalized, unclassifiable (or frontal lobe, temporal lobe& & ).   o Value List  Yes;No      0twip      gBJػ'K~Was an attempt at syndrome category classification documented?*      D <[ANSWER ONLY IF PATIENT DIAGNOSED WITH EPILEPSY] Recorded at least as: idiopathic or symptomatic or cryptogenic; AND generalised or focal (or unclassifiable).   o Value List  Yes;No      0twip      NSwg GPNHWas the patient referred for an EEG?       [ANSWER FOR ALL PATIENTS] It is only required to document whether the clinician documented an intention to refer the patient for an EEG.   o Value List  Yes;No      0twip      K3 %BN9.7F@Was this clearly inappropriate?*      ` X*See guidance notes for further information.   o Value List  Yes;No      0twip      eG$If so, why?      h `e.g. diagnosis was clearly documented as syncope      nG~T|Did the patient meet indications for 'epilepsy neuroimaging'?*       [ANSWER FOR ALL PATIENTS] See guidance notes for furLVALther information on indications for 'epilepsy neuroimaging'.   o Value List  Yes;No      0twip      t)adNN<`)ߑ b\If so, did they have appropriate neuroimaging?       i.e. MRI unless contraindicated or impractical, see guidance notes for further information.   o Value List  Yes;No      0twip      oSiOU̦vij`vpIf so, did this occur within 4 weeks of being requested?         o Value List  Yes;No      0twip      ϠTIR <6How many weeks did it take?      , $From initial referral to date of scan. If the scan was already performed prior to the secondary care assessment please answer 0 for this question. !  0  m fN2 @ B3tnDid the patient lose consciousness or have convulsions?       [ANSWER FOR ALL PATIENTS] From the descriptions given in the history. This may not be clear; if so, answer 'Don't Know'. In particular this data needs to be collected for patients with syncope/blackouts.   o Value List* "Yes;No;Don't Know      0twip      _Ej~OI¤d%@zIf yes (or don't know), was a current ECG result documented?*        This would usually be a comment on the ECG in the either the referral letter or the clinic letter. A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid.   o Value List  Yes;No      0twip      8W1Jt z>*If yes (or don't know), was a current 12-lead ECG filed in notes        A  current ECG is defined as one recorded since the onset of the patient s attacks. An ECG taken prior to the events is not valid. This current ECG should be filed and easily visible in the patient s clinical notes.   o Value List  Yes;No      0twip      JK'CLVAL4y]v4.Does the patient drive?      : 2[ANSWER FOR ALL PATIENTS]   o Value List2 *Yes;No;Not Documented      0twip      UOULqS|nhWas appropriate driving advice given and documented?      $ [ANSWER FOR ALL PATIENTS] Was advice about informing the DVLA and likely length of time license to be revoked documented (by doctor or nurse).   o Value List  Yes;No      0twip      ) hG©tWas there evidence of a discussion on risks of future seizures?*       To pass this standard the user should seek written evidence that at least some discussion on the risk or further seizures and/or safety issues (bathing alone, occupation etc.) was made. This might be documented in the clinic letter or the clinical notes.   o Value List  Yes;No      0twip      ߆}JFf0qH^XWas the clinic letter copied to the patient?         o Value List  Yes;No      0twip      vPL&!N%| Notes            GeF灼MK[Assessing_Secondary_Care_ServiceAssessing Secondary Care Serviced dAssessing_Secondary_Care_Service_LabelAssessing Secondary Care Service_Labelmd Patient_NamePatient Named d Patient_Name_LabelPatient Name_Labelmd Aged d Age_Labelmd Hospital_NumberHospital Numberd dHospital_Number_LabelHospital Number_LabelodReferred_By_Referred By?d dReferred_By__LabelReferred By?_LabelmdIf_other__please_stateIf other, please stated dIf_other__please_state_LabelIf other, please state_LabelmdDate_of_referralDate of referrald dDate_of_referral_LabelDate of referral_LabelodWas_the_patient_seen_by_a_specialist_in_the_epilepsies__Was the patient seen by a specialist in the epilepsies?*d dWas_the_patient_seen_by_a_specialist_in_the_epilepsies___LabelWas the patient seen by a specialist in the epilepsies?*_LabelmdWhat_date_were_they_seen_by_this_person_What date were they seen by this person?d dWhat_date_were_they_seen_by_this_person__LabelWhat date were they seen by this person?_LabelmdTime_from_referral_to_being_seen__weeks_Time from referral to being seen (weeks)d dTime_from_referral_to_being_seen__weeks__LabelTime from referral to being seen (weeks)_LabelodWas_the_diagnosis_documented_as_epilepsy_Was the diagnosis documented as epilepsy?d dWas_the_diagnosis_documented_as_epilepsy__LabelWas the diagnosis documented as epilepsy?_LabelmdIf_no__what_was_the_diagnosis_documented_as_If no, what was the diagnosis documented as?d dIf_no__what_was_the_diagnosis_documented_as__LabelIf no, what was the diagnosis documented as?_LabelodWas_the_patient_offered_contact_with_a_specialist_nurse__Was the patient offered contact with a specialist nurse?*d d Was_the_patient_offered_contact_with_a_specialist_nurse___LabelWas the patient offered contact with a specialist nurse?*_Labelod!If_yes__did_this_occur_within_30_days_of_the_first_assessment_If yes, did this occur within 30 days of the first assessment?d d"If_yes__did_this_occur_within_30_days_of_the_first_assessm_LabelIf yes, did this occur within 30 days of the first assessm_Labelmd#Time_from_first_assessment_to_nurse_contact__weeks_Time from first assessment to nurse contact (weeks)d d$Time_from_first_assessment_to_nurse_contact__weeks__LabelTime from first assessment to nurse contact (weeks)_Labelod%Was_this_a_telephone_or_a_clinic_appointment_Was this a telephone or a clinic appointment?d d&Was_this_a_telephone_or_a_clinic_appointment__LabelWas this a telephone or a clinic appointment?_Labelod'Was_there_an_alteration_in_the_patients_awareness__Was there an alteration in the patients awareness?*d d(Was_there_an_alteration_in_the_patients_awareness___LabelWas there an alteration in the patients awareness?*_Labelod)If_yes__or_dont_know___was_a_witness_account_sought_If yes (or dont know), was a witness account sought?d d*If_yes__or_dont_know___was_a_witness_account_sought__LabelIf yes (or dont know), was a witness account sought?_Labelod+Was_an_attempt_at_seizure_classification_documented__Was an attempt at seizure classification documented?*d d,Was_an_attempt_at_seizure_classification_documented___LabelWas an attempt at seizure classification documented?*_Labelod-Was_an_attempt_at_syndrome_category_classification_documented__Was an attempt at syndrome category classification documented?*d d.Was_an_attempt_at_syndrome_category_classification_documen_LabelWas an attempt at syndrome category classification documen_Labelod/Was_the_