CRF2A
Mathew Thorpe edited this page Jan 26, 2022
·
1 revision
Variable / Field Name | Section Header | Field Type | Field Label | Choices or Calculations |
---|---|---|---|---|
crf2a_version | radio | CRF2 Version Completed | 1, Unversioned ; 2, 1.0 ; 3, 1.1 ; 4, 1.2 ; 5, 1.3 ; 6, 1.4 ; 7, 1.5 ; 8, 2.0 | |
crf2a_date | text | Date of consultation | ||
crf2a_consulting_clinician | text | Consulting clinician | ||
crf2a_consultation_method | radio | Consultation Method | 1, Telephone Consultation ; 2, Face to face consultation | |
crf2a_not_completed | yesno | Unable to complete? | 1, Yes ; 0, No | |
crf2a_reason_not_done | radio | Reason unable to complete | 1, Language ; 2, Declined ; 3, Died ; 4, No answer ; 5, Other | |
crf2a_not_done_other | notes | Other(specify): | ||
crf2a_age | Patient details | text | Age | |
crf2a_sex | radio | Sex at birth | 1, Male ; 2, Female | |
crf2a_date_discharged | text | Date discharged from hospital | ||
crf2a_lives_with | text | Lives with | ||
crf2a_pre_con_pulm | Pre-existing conditions (prior to hospitalisation for COVID19) | radio | Pulmonary | 1, Yes ; 2, No |
crf2a_pre_con_card | radio | Cardiovascular | 1, Yes ; 2, No | |
crf2a_pre_con_diab | radio | Diabetes | 1, Yes ; 2, No | |
crf2a_pre_con_hypt | radio | Hypertension | 1, Yes ; 2, No | |
crf2a_pre_con_other | radio | Other | 1, Yes ; 2, No | |
crf2a_pre_con_other_detail | notes | Other (Specify) | ||
crf2a_consent | Introduction and consent | yesno | Patient consent to telephone triage | 1, Yes ; 0, No |
crf2a_sta_newmed | Status since discharge | radio | a) Have you had any new medical problems? | 1, Yes ; 0, No |
crf2a_sta_readm | radio | b) Have you needed readmission to hospital since your discharge? | 1, Yes ; 0, No | |
crf2a_sta_other | radio | c) Have you used any other health services since discharge (e.g. your GP?) | 1, Yes ; 0, No | |
crf2a_sta_newmed_detail | notes | New medical problems details: | ||
crf2a_sta_other_detail | notes | Other health services details: | ||
crf2a_recovered | radio | d) Do you feel fully recovered from COVID19 | 1, Yes ; 2, No ; 3, Unsure | |
crf2a_eq5d5l_done | Activity and Self Care Assessment | yesno | a) Have you completed a EQ-5D-5L form? | 1, Yes ; 0, No |
crf2a_gppaq_done | yesno | b) Have you completed a General Practice Physical Activity Questionnaire form? | 1, Yes ; 0, No | |
crf2a_sarcf_done | yesno | c) Have you completed a SARC-F Questionnaire form? | 1, Yes ; 0, No | |
crf2a_mrc_done | yesno | d) Have you completed MRC Dyspnoea Scale form? | 1, Yes ; 0, No | |
crf2a_rcfs_done | yesno | e) Have you completed a Rockwood Clinical Frailty Scale form? | 1, Yes ; 0, No | |
crf2a_health_problem_done | yesno | Have you completed Health Problems form (part of the Patient Symptom Questionnaire)? | 1, Yes ; 0, No | |
crf2a_mental_done | Mental Health Assessment | yesno | Have you completed a Mental Health Assessment form? | 1, Yes ; 0, No |
crf2a_nutrition_done | Nutrition | yesno | Have you completed a Nutrition form? | 1, Yes ; 0, No |
crf2a_new_problems | yesno | 10. Are you experiencing any new problems that we haven't mentioned? | 1, Yes ; 0, No | |
crf2a_new_problems_detail | notes | New problems experienced | ||
crf2a_info_at_discharge | notes | 11. What information would have been helpful to receive at discharge? | ||
crf2a_checklist_ai | Signposting checklist | radio | i) https://www.nhs.uk/live-well/ | 1, Yes ; 0, No |
crf2a_checklist_aii | radio | ii) Improving Access to Psychological Therapies (IAPT) | 1, Yes ; 0, No | |
crf2a_checklist_aiii | radio | iii) Sleep hygiene https://w ww.nhs.uk/live-well/sleep-and-tiredness/ | 1, Yes ; 0, No | |
crf2a_checklist_aiv | radio | iv) Mental wellbeing - Daylight app/weblink https://www.nhs.uk/conditions/stress-anxiety-depression/improve-mental- wellbeing/ | 1, Yes ; 0, No | |
crf2a_checklist_av | radio | v) Alcohol - 'Drink free days' https://www.nhs.uk/oneyou/apps/ | 1, Yes ; 0, No | |
crf2a_checklist_avi | radio | vi) Physical inactivity - 'couch to 5K' or 'Active 10' https://www.nhs.uk/live-well/exercise/ | 1, Yes ; 0, No | |
crf2a_checklist_avii1 | radio | vii) Smoking: Advice https://www.nhs.uk/live-well/quit-smoking/ | 1, Yes ; 0, No | |
crf2a_checklist_avii2 | radio | vii) Smoking cessation referral | 1, Yes ; 0, No | |
crf2a_checklist_avii3 | radio | vii) 'Smoke free' app | 1, Yes ; 0, No | |
crf2a_checklist_aviii | radio | viii) Weight management: http://www.nhs.uk/live-well/healthyweight/start-the-nhs-weight-loss-plan/ | 1, Yes ; 0, No | |
crf2a_checklist_aix | radio | ix) Healthy eating - add local links https://www.nhs.uk/live-well/eat-well/ | 1, Yes ; 0, No | |
crf2a_checklist_ax | radio | x) Rehabilitation services - add local links | 1, Yes ; 0, No | |
crf2a_checklist_axi | radio | xi) Social prescribing | 1, Yes ; 0, No | |
crf2a_checklist_b | yesno | 13.b) Follow locally agreed pathway where symptoms/ problems identified above (particularly progressive breathlessness) | 1, Yes ; 0, No | |
crf2a_checklist_c | yesno | 13.c) Send CXR request if no face to face follow up, and arrange review | 1, Yes ; 0, No | |
crf2a_checklist_d | yesno | 13.d) Discuss sending research PIS - Does the participant consent to being contacted about future research? | 1, Yes ; 0, No |
Contents
ISARIC
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Additional Fields
-
Case Report Form Definitions
- Participant Identification Number (PIN)
- Tier
- Inclusion Criteria
- Demographics
- Onset and Admission
- Admission Signs and Symptoms
- Comorbidities
- Preadmission Treatment
- Preadmission Medication
- Reinfection Form
- Daily Form
- Infectious Respiratory Disease Pathogen Diagnosis
- Infectious Respiratory Disease Pathogen Testing
- Treatment
- Complications
- Study Participation
- Outcome
- Final Outcome
- Core Additional Information
- Withdrawal Form
- Consent Ctu Dms
- Confirmed Negative PCR
- Follow up Consent
- Follow up Self Assessment
PHOSP
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Additional Fields
-
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
GPES
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Additional Fields
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Table Definitions
APC
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Additional Fields
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Table Definitions
IAPT
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Additional Fields
AE
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Additional Fields
-
Table Definitions
NIMS
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Additional Fields
-
Table Definitions
ECDS
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Additional Fields
-
Table Definitions
MHS
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Additional Fields
-
Table Definitions
- MHS Master Patient Index table
- MHS GP data table
- NHS Accommodation status table
- MHS Employment status table
- MHS Patient Ind table
- MHS MH Care Coord table
- MHS Disability type table
- MHS Care plan type table
- MHS Care plan arrangement table
- MHS Assistive technology to support disability type table
- MHS Social and Personal Circumstances table
- MHS Overseas Visitor Charging Category table
- MHS Service or Team Referral table
- MHS Service or Team Type Referred To table
- MHS Other Reason for Referral table
- MHS Referral to Treatment table
- MHS Onward Referral table
- MHS Discharge Plan Agreement table
- MHS Care Contact table
- MHS Care Activity table
- MHS Other in Attendance table
- MHS Indirect Activity table
- MHS Medical History (Previous Diagnosis) table
- MHS Provisional Diagnosis table
- MHS Primary Diagnosis table
- MHS Secondary Diagnosis table
- MHS Coded Scored Assessment (Referral) table
- MHS Coded Scored Assessment (Care Activity) table
- MHS Care Programme Approach (CPA) Care Episode table
- MHS Care Programme Approach (CPA) Review table
NDA
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Additional Fields
SGSS
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Additional Fields
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Table Definitions
GDPPR
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Additional Fields
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Table Definitions
VACCINATION
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Additional Fields
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Table Definitions
COG_UK
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Additional Fields
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Table Definitions
COG_UK_VOC
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Additional Fields
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Table Definitions
CHESS
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Additional Fields
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Table Definitions
SGTF
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Additional Fields
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Table Definitions
CIVIL_REG_DEATHS
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Additional Fields
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Table Definitions