Send your patients the epilepsy review questionnaire, their answers will be added to their patient record with the associated clinical codes, along with the code Epilepsy annual review 850201000000104 when you send the response to the clinical.


No.
Question
Answer
Snomed Code
READ code
Next Question
1
How long has it been since your last epileptic fit?

Within the last week 


2
1 to 4 weeks


2
1 to 6 months


2
6 to 12 months


2
Over 12 months
Seizure free > 12 months    
407585000

2
2

Are you currently on treatment for epilepsy?


Yes

3
No

3
3

Do you get any side effects from your medication?


YesEpilepsy drug side effect
170709001
6677.
4
NoNo epilepsy drug side effects    
414860000
667X. 
5
4Tell us about the side effects
{freetext}
5
5

On average how often do you have an epileptic fit?






Never
6675.
6
Many seizures a day
Fit frequency + text many/day    
170707004
6675.
6
Daily seizures
Fit frequency + text daily seizures    
170707004
6675.
6
1 to 7 seizures a week
Fit frequency + text 1 to 7 seizures/week    
170707004
6675.
6
2 to 4 seizures a month
Fit frequency + text 2 to 4 seizures/month    
170707004
6675.
6
1 to 12 seizures a year
Fit frequency + text 1 to 12 seizures a year    
170707004
6675.
6
6

Do you hold a driving licence and drive?


Yes

7
No

End
7

Have you informed the DVLA that you have epilepsy?


Yes

End
No

End