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QRISK3
Mathew Thorpe edited this page Aug 30, 2021
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1 revision
| Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
|---|---|---|---|---|
| qrisk3_done | yesno | Completed | 1, Yes ; 0, No | |
| qrisk3_visit | radio | Visit | 1, 3 months ; 2, 12 months | |
| qrisk3_date | text | Date completed | ||
| qrisk3_eth | radio | Ethnicity | 1, White or not stated ; 2, Indian ; 3, Pakistani ; 4, Bangladeshi ; 5, Other Asian ; 6, Black Caribbean ; 7, Black African ; 8, Chinese ; 9, Other ethnic group | |
| qrisk3_diab | radio | Diabetes status | 0, None ; 1, Type 1 ; 2, Type 2 | |
| qrisk3_smoke | radio | Smoking | 0, Non-smoker ; 1, Ex-smoker ; 2, Light smoker (less than 10) ; 3, Moderate smoker (10-19) ; 4, Heavy smoker (20 or above) | |
| qrisk3_other_heart | radio | Do you have a 1st degree relative who suffers from angina or who has had a heart attack before the age of 60 years? | 1, Yes ; 0, No | |
| qrisk3_other_ckd | radio | Do you have chronic kidney disease (stage 3, 4 or 5)? | 1, Yes ; 0, No | |
| qrisk3_other_af | radio | Do you have atrial fibrillation? | 1, Yes ; 0, No | |
| qrisk3_other_bpt | radio | Do you take blood pressure treatment? | 1, Yes ; 0, No | |
| qrisk3_other_migraines | radio | Do you have migraines? | 1, Yes ; 0, No | |
| qrisk3_other_ra | radio | Do you have rheumatoid arthritis? | 1, Yes ; 0, No | |
| qrisk3_other_sle | radio | Do you have systemic lupus erythematosus (SLE)? | 1, Yes ; 0, No | |
| qrisk3_other_smi | radio | Do you have severe mental illness? (Including schizophrenia, bipolar disorder & moderate/severe depression) | 1, Yes ; 0, No | |
| qrisk3_other_aam | radio | Do you take atypical antipsychotic medication? | 1, Yes ; 0, No | |
| qrisk3_other_rst | radio | Do you take regular steroid tablets? | 1, Yes ; 0, No | |
| qrisk3_other_ed | radio | Have you been diagnosed with or do you take treatment for erectile dysfunction? | 1, Yes ; 0, No |
Contents
Case Report Form Definitions
- Forms
- Timepoints
- PHOSP ID
- eConsent Tier 1
- eConsent Tier 2
- Informed Consent Form
- Split Tier Consent
- Eligibility Checklist
- CRF1A Part 1
- CRF1A Part 2
- CRF1A Part 3
- CRF1B
- CRF2A
- CRF2B
- CRF3A
- CRF3B
- CRF3C
- CRF4A
- CRF4B
- CRF Emergency Visit
- Adverse Event Log
- Withdrawals
- CRF Early Termination
- CRF Tier 2 Withdrawal
- Medications Log
- Activity Monitor Log
- Mental Health Assessment
- Nutrition
- Social History
- EQ-5D-5L
- GAD-7
- PHQ-9
- MRC Dyspnoea
- SARC-F
- GPPAQ
- Dyspnoea-12
- FACIT Fatigue
- PCL-5
- BPI
- NEADL
- MoCA
- Rockwood Clinical Frailty
- PSQI
- MEQ
- LCQ
- PFTs
- Walk Tests
- Tier 2 Core Test Checklist
- Tier 2 Research Samples
- Tier 2 Notification - Blood
- Tier 2 Notification - Oral Wash
- Tier 2 Notification - Sputum
- Tier 2 Notification - Urine
- QRISK3
- BIA
- DXA
- Muscle Strength
- SPPB
- Pre-PSQ
- PSQ
- Lab Log - Routine Blood
- Lab Log - Urine
- Lab Log - Immuno
- Lab Log - Additional Tests
- PCR Swab Tests