CRF Emergency Visit

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
crf_emergency_version		radio	CRF Emergency Visit Version Completed	1, Unversioned ; 2, 1.0 ; 3, 1.1 ; 4, 2.0
crfev_date		text	Date of completion
crfev_symptoms	Presenting symptoms	checkbox	Presenting symptoms	1, 1. Shortness of breath/difficulty breathing ; 2, 2. Cough ; 3, 3. Fatigue ; 4, 4. Fever ; 5, 5. Chest pain ; 6, 6. Palpitations ; 7, 7. Dizziness/lightheadness ; 8, 8. Fainting/blackouts ; 9, 9. Leg/ankle swelling ; 10, 10. Gastrointestinal symptoms (e.g. diarrhoea, vomiting, abdominal pain) ; 11, 11. Neurological symptoms (including limb weakness, speech disturbance) ; 12, 12. Mental health related symptoms (including panic attacks, suicidal thoughts, overdose) ; 13, 13. Confusion, altered level of consciousness ; 14, 14. Urinary tract symptoms ; 15, 15. Trauma/injuries/fractures ; 16, 16. Others (specify)
crfev_symptoms_other		notes	Other presenting symptom(s)
crfev_date_visit	Hospital visit details	text	Date of visit/admission
crfev_date_discharge		text	Date of discharge
crfev_stay_days		calc	Length of stay	datediff([crfev_date_visit], [crfev_date_discharge], "d", "dmy")
crfev_itu_hdu_adm		radio	ITU/HDU admission	1, Yes ; 0, No ; 2, Unknown
crfev_med_change		radio	Any change in medications?	1, Yes ; 0, No ; 2, Unknown
crfev_dis_diagnosis		checkbox	Diagnosis given upon discharge	1, COVID related ; 2, Non-COVID related
crfev_dis_diagnosis_detail		notes	Diagnosis given upon discharge - Details
crfev_cxr_done	Basic investigations	radio	a) Chest XR	1, Yes ; 0, No
crfev_ecg_done		radio	b) ECG	1, Yes ; 0, No
crfev_xr_result		checkbox	Chest X-Ray result	1, Normal ; 2, Extensive persistent changes >1/3 lung involvement ; 3, Suggestive of fibrotic lung disease ; 4, Indeterminate ; 5, Other
crfev_ecg_result		checkbox	ECG result	1, Sinus rhythm ; 2, Atrial fibrillation/flutter ; 3, ST segment/T wave changes ; 4, RBBB ; 5, LBBB
crfev_ecg_hr		text	ECG result: Heart rate
crfev_blood_done	Blood tests and imaging	radio	Any blood tests performed on admission?	1, Yes ; 0, No ; 2, Unknown
crfev_other_inv_done		radio	Any other investigations/procedures completed?	1, Yes ; 0, No ; 2, Unknown
crfev_blood_desc		yesno	If any blood tests performed, please enter results in the Laboratory Results Collection Log - Routine blood tests	1, Yes ; 0, No
crfev_add_inv_resp	Additional investigations/procedures	checkbox	Respiratory	1, Spirometry ; 2, Full pulmonary function tests ; 3, Fractional exhaled nitric oxide (FeNO) ; 4, Nijmegen questionnaire ; 5, Incremental shuttle walk test (ISWT) ; 6, Six-minute walk test ; 7, Cardio-pulmonary exercise test ; 8, CT chest with contrast ; 9, HRCT ; 10, CTPA ; 11, Pulmonary perfusion scan
crfev_add_inv_card		checkbox	Cardiac	1, Cardiac MRI ; 2, Echocardiogram ; 3, 24/48 hrs tape ; 4, Right heart catheterisation ; 5, Coronary angiogram/CT angiogram ; 6, Cardiac perfusion scan
crfev_add_inv_haema		checkbox	Haematological	1, Thyroid function tests ; 2, Blood borne viruses (BBV) screen ; 3, Haematinics
crfev_link_add_blood_haema		yesno	If Thyroid Function Tests or Haematinics (Haematological Profile) performed, please enter results in the Laboratory Results Collection Log - Additional Blood Tests. If BBV Screen performed, please enter results in the Laboratory Results Collection Log - Immunological Profile.	1, Yes ; 0, No
crfev_add_inv_renal		checkbox	Renal	1, USS abdomen ; 2, USS Kidneys ; 3, CT abdomen/pelvis ; 4, Urinalysis ; 5, Urine albumin: creatinine ratio ; 6, Urine protein: creatinine ratio ; 7, Renal biopsy
crfev_link_blood_urine		yesno	If Urinalysis, Urine albumin : creatinine ratio or Urine protein : creatinine ratio performed, please enter results in the Laboratory Results Collection Log - Urine Profile.	1, Yes ; 0, No
crfev_add_inv_immu		checkbox	Immunological	1, Vasculitis screen ; 2, Complements factors ; 3, Immunoglobulins ; 4, Rheumatoid factor/Anti-CCP
crfev_link_blood_immun		yesno	If any immunological procedures performed, please enter results in the Laboratory Results Collection Log - Immunological Profile.	1, Yes ; 0, No
crfev_add_inv_neuro		checkbox	Neurology/Mental health	1, CT brain ; 2, MRI brain ; 3, Nerve conduction studies ; 4, Mini-International Neuro-psychiatric ; 5, Interview (M.I.N.I.) ; 6, Columbia-Suicide Severity Rating Scale ; 7, Sleep Condition Indicator
crfev_add_inv_other		notes	Other tests
crfev_echo_date	Additional investigations/procedures results	text	Echocardiogram: Date performed
crfev_echo_right		radio	Echocardiogram: Results - Right ventricle	1, Normal ; 2, Mild dysfunction ; 3, Moderate dysfunction ; 4, Severe dysfunction ; 5, Unable to visualise
crfev_echo_left		radio	Echocardiogram: Results - Left ventricle	1, Normal ; 2, Mild dysfunction ; 3, Moderate dysfunction ; 4, Severe dysfunction ; 5, Unable to visualise
crfev_echo_pap		text	Echocardiogram: Estimated PAP
crfev_tape_done		yesno	24/48 hours tape: Symptom diary completed	1, Yes ; 0, No
crfev_tape_date		text	24/48 hours tape: Date performed
crfev_tape_finding		checkbox	24/48 hours tape: Findings	1, Sinus rhythm ; 2, Atrial flutter/fibrillation ; 3, Significant bradycardia ; 4, Significant tachycardia ; 5, Heart block ; 6, Sinus pause > 3 seconds ; 7, Burden of ectopic > 10%
crfev_tape_heartblock		text	24/48 hours tape: Heart block details
crfev_nij_date		text	Nijmegen questionnaire: Date performed
crfev_nij_result		text	Nijmegen questionnaire: Result
crfev_cpet_date		text	Cardio-pulmonary exercise test: Date performed
crfev_cpet_result		text	Cardio-pulmonary exercise test: Result (Peak Vo2)
crfev_feno_date		text	Fractional exhaled nitric oxide (FeNO): Date performed
crfev_feno_result		text	Fractional exhaled nitric oxide (FeNO): Result