CRF3A - isaric4c/wiki GitHub Wiki

Variable / Field Name Section Header Field Type Field Label Choices or Calculations
crf3a_version radio CRF3 Version Completed 1, Unversioned ; 2, 1.0 ; 3, 1.1 ; 4, 1.2 ; 5, 1.3 ; 6, 1.4 ; 7, 1.5 ; 8, 1.6 ; 9, 2.0
crf3a_consent_date text Date of consent
crf3a_visit_date text Date of consultation
crf3a_visit radio With which research visit does this clinical visit align? 3_months_arm_1, 3 months visit ; 12_months_arm_1, 12 months visit
crf3a_rest_spo2_done Resting observations radio a) Pulse Oximetry (SpO2) 1, Yes ; 0, No
crf3a_rest_hr_done radio b) Heart rate 1, Yes ; 0, No
crf3a_rest_bp_done radio c) Blood pressure 1, Yes ; 0, No
crf3a_rest_temp_done radio d) Temperature 1, Yes ; 0, No
crf3a_rest_height_done radio e) Height (cm) 1, Yes ; 0, No
crf3a_rest_weight_done radio f) Weight (kg) 1, Yes ; 0, No
crf3a_rest_spo2 text a) Resting Pulse Oximetry (SpO2):
crf3a_rest_hr text b) Resting heart rate:
crf3a_rest_bp_sys text c) Resting blood pressure (systolic):
crf3a_rest_bp_dia text c) Resting blood pressure (diastolic):
crf3a_rest_temp text d) Temperature:
crf3a_rest_height text e) Height (cm):
crf3a_rest_weight text f) Weight (kg):
crf3a_base_cxr_done Basic investigations radio a) Chest XR 1, Completed ; 2, Not done
crf3a_base_ecg_done radio b) ECG 1, Completed ; 2, Not done
crf3a_base_cxr radio a) Chest XR result: 1, Normal ; 2, Extensive persistent changes >1/3 lung involvement ; 3, Suggestive of fibrotic lung disease ; 4, Indeterminate ; 5, Other
crf3a_ecg radio b) ECG result: 1, Sinus rhythm ; 2, Atrial fibrillation/flutter ; 3, ST segment/T wave changes ; 4, RBBB ; 5, LBBB
crf3a_base_ecg_hr text b) ECG heart rate:
crf3a_outcome_fup Clinical review Outcome radio 1. Further follow up 1, Yes ; 0, No
crf3a_outcome_ras radio 2. Referred to another speciality 1, Yes ; 0, No
crf3a_outcome_rtc radio 3. Referred to a tertiary centre for specialised care 1, Yes ; 0, No
crf3a_outcome_rpc radio 4. Referred/discharged to palliative care 1, Yes ; 0, No
crf3a_outcome_rmhs radio 5. Referred to mental health services including IAPT 1, Yes ; 0, No
crf3a_outcome_rrh radio 6. Referred to Rehabilitation 1, Yes ; 0, No
crf3a_outcome_rdt radio 7. Referred to Dietician or similar 1, Yes ; 0, No
crf3a_outcome_rsss radio 8. Referred to a Stop Smoking Service 1, Yes ; 0, No
crf3a_outcome_dis radio 9. Discharged from clinical review 1, Yes ; 0, No
crf3a_tier radio 4. Tier allocation 1, Tier 1 ; 2, Tier 2
crf3a_blood_done Blood tests yesno Were any blood tests requested? 1, Yes ; 0, No
crf3a_blood_fbc radio FBC 1, Yes ; 0, No
crf3a_blood_ue radio U&Es 1, Yes ; 0, No
crf3a_blood_egfr radio eGFR 1, Yes ; 0, No
crf3a_blood_lfts radio LFTs 1, Yes ; 0, No
crf3a_blood_crp radio CRP 1, Yes ; 0, No
crf3a_blood_bp radio Bone profile 1, Yes ; 0, No
crf3a_blood_25oh radio 25-Hydroxyvitamin D (25-OH) 1, Yes ; 0, No
crf3a_blood_bnp radio BNP/Pro-NT BNP 1, Yes ; 0, No
crf3a_blood_trop radio Troponin 1, Yes ; 0, No
crf3a_blood_ddim radio D Dimer 1, Yes ; 0, No
crf3a_blood_fib radio Fibrinogen 1, Yes ; 0, No
crf3a_blood_inr radio INR 1, Yes ; 0, No
crf3a_blood_fer radio Ferritin 1, Yes ; 0, No
crf3a_blood_hba1c radio HbA1C 1, Yes ; 0, No
crf3a_blood_lp radio Lipid profile (non-fasting) 1, Yes ; 0, No
crf3a_blood_covid19 radio SARS-Cov-2 Serology 1, Yes ; 0, No
crf3a_link_routine_blood yesno If any blood tests performed, please enter results in the Laboratory Results Collection Log - Routine blood tests 1, Yes ; 0, No
crf3a_link_add_blood_sars yesno If Sars-CoV-2 Serology performed, please enter results in the Laboratory Results Collection Log - Additional blood tests 1, Yes ; 0, No
crf3a_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
crf3a_inv_cardiac 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
crf3a_inv_haema checkbox Haematological 1, Thyroid function tests ; 2, Blood borne viruses (BBV) screen ; 3, Haematinics
crf3a_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
crf3a_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
crf3a_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
crf3a_inv_immu checkbox Immunological 1, Vasculitis screen ; 2, Complements factors ; 3, Immunoglobulins ; 4, Rheumatoid factor/Anti-CCP
crf3a_link_blood_immun yesno If any immunological procedures performed, please enter results in the Laboratory Results Collection Log - Immunological Profile. 1, Yes ; 0, No
crf3a_inv_neuro checkbox Neurology/Mental health 1, CT brain ; 2, MRI brain ; 3, Nerve conduction studies ; 4, Mini-International Neuro-psychiatric Interview (M.I.N.I.) ; 5, Columbia-Suicide Severity Rating Scale ; 6, Sleep Condition Indicator
crf3a_inv_other notes Other, please specify
crf3a_quest Questionnaires checkbox Questionnaires completed 1, MRC dyspnoea scale ; 2, EQ-5D-5L ; 3, Generalised Anxiety Disorder Assessment (GAD-7) ; 4, Patient Health Questionnaire (PHQ-9) ; 5, Sarcopenia screen (SARC-F) ; 6, General Practice Physical Activity Questionnaire (GPPAQ) ; 7, Dyspnoea-12 ; 8, Fatigue (FACIT) ; 9, Brief Pain Inventory (BPI) ; 10, Post-Traumatic Stress Disorder (PTSD) checklist (PCL-5) ; 11, Nottingham extended activity of daily living (NEADL)
crf3a_quest_mrc yesno 1. Have you completed a MRC dyspnoea scale form? 1, Yes ; 0, No
crf3a_quest_eq5d5l yesno 2. Have you completed a EQ-5D-5L form? 1, Yes ; 0, No
crf3a_quest_gad7 yesno 3. Have you completed a GAD-7 form? 1, Yes ; 0, No
crf3a_quest_phq9 yesno 4. Have you completed a PHQ-9 form? 1, Yes ; 0, No
crf3a_quest_sarcf yesno 5. Have you completed a SARC-F form? 1, Yes ; 0, No
crf3a_quest_gppaq yesno 6. Have you completed a GPPAQ form? 1, Yes ; 0, No
crf3a_quest_dys12 yesno 7. Have you completed a Dyspnoea-12 form? 1, Yes ; 0, No
crf3a_quest_facit yesno 8. Have you completed a FACIT form? 1, Yes ; 0, No
crf3a_quest_bpi yesno 9. Have you completed a BPI form? 1, Yes ; 0, No
crf3a_quest_pcl5 yesno 10. Have you completed a PCL-5 form? 1, Yes ; 0, No
crf3a_quest_neadl yesno 11. Have you completed a NEADL form? 1, Yes ; 0, No
crf3a_inv_quest Investigator completed assessments checkbox Assessments completed 1, Montreal Cognitive Assessment (MoCA) ; 2, Clinical Frailty Scale
crf3a_quest_moca yesno 1. Have you completed a MoCA form? 1, Yes ; 0, No
crf3a_quest_rcfs yesno 2. Have you completed a Rockwood Clinical Frailty Scale form? 1, Yes ; 0, No
crf3a_pft_done Pulmonary function tests yesno Have you completed a PFTs form? 1, Yes ; 0, No
crf3a_echo_date Additional investigations/procedures results text Echocardiogram: Date performed
crf3a_echo_right radio Echocardiogram: Results - Right ventricle 1, Normal ; 2, Mild dysfunction ; 3, Moderate dysfunction ; 4, Severe dysfunction ; 5, Unable to visualise
crf3a_echo_left radio Echocardiogram: Results - Left ventricle 1, Normal ; 2, Mild dysfunction ; 3, Moderate dysfunction ; 4, Severe dysfunction ; 5, Unable to visualise
crf3a_echo_pap text Echocardiogram: Estimated PAP
crf3a_tape_done yesno 24/48 hours tape: Symptom diary completed 1, Yes ; 0, No
crf3a10_tape_date text 24/48 hours tape: Date performed
crf3a_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%
crf3a10_tape_heartblock text 24/48 hours tape: Heart block details
crf3a_nijm_date text Nijmegen questionnaire: Date performed
crf3a_nijm_result text Nijmegen questionnaire: Result
crf3a_cpet_date text Cardio-pulmonary exercise test: Date performed
crf3a_cpet_result text Cardio-pulmonary exercise test: Result (Peak Vo2)
crf3a_feno_date text Fractional exhaled nitric oxide (FeNO): Date performed
crf3a_feno_result text Fractional exhaled nitric oxide (FeNO): Result
crf3a_6mwt_done 6 Minute Walk Test yesno Have you completed a Walk Test form? 1, Yes ; 0, No