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To help healthcare professionals use the 4 As clinically, Passik and colleagues created a simple charting device called the Pain Assessment and Documentation Tool (PADT™). 34 The PADT is a two-sided chart note that can be easily included in the patient's medical record and is designed to be intuitive, pragmatic, and adaptable to clinical situations. 34 The value of assessing pain relief, side effects, and aspects of functioning has been emphasized repeatedly in the literature and the PADT acknowledges these standards.