crf3c_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 |
crf3c_psqi |
Questionnaires |
yesno |
Pittsburgh Sleep Quality Index (PSQI) |
1, Yes ; 0, No |
crf3c_meq |
|
yesno |
Morningness-Eveningness Questionnaire (MEQ) |
1, Yes ; 0, No |
crf3c_lcq |
|
yesno |
Leicester Cough Questionnaire (LCQ) |
1, Yes ; 0, No |
crf3c_other_quest |
|
yesno |
Other questionnaire(s) |
1, Yes ; 0, No |
crf3c_quest_other_detail |
|
notes |
Other questionnaire(s) completed |
|
crf3c_t3_qmus |
Tier 3 studies |
radio |
Quadriceps muscles ultrasound (US) performed |
1, Yes ; 0, No |
crf3c_t3_mb |
|
radio |
Muscle biopsy performed |
1, Yes ; 0, No |
crf3c_t3_bs |
|
radio |
Breath samples |
1, Yes ; 0, No |
crf3c_t3_genomicc |
|
radio |
Consent to participate in GenOMICC |
1, Yes ; 0, No |
crf3c_t3_lir_turtle |
|
radio |
Longitudinal immune responses to SARS-CoV-2 in recovered hospitalised patients [PI: Turtle] |
1, Yes ; 0, No |
crf3c_t3_other |
|
radio |
Other |
1, Yes ; 0, No |
crf3c_genomicc_consent |
|
dropdown |
GenOMICC Consent Version |
1, v2.4 |
crf3c_t3_other_detail |
|
notes |
Other tests completed |
|
crf3c_gen_coenrol_yn |
|
yesno |
Has the participant already been recruited to the GenOMICC Study? |
1, Yes ; 0, No |
crf3c_gen_id_yn |
|
yesno |
Is the GenOMICC study ID known? |
1, Yes ; 0, No |
crf3c_gen_id |
|
text |
GenOMICC study ID |
|
crf3c_gen_coenrol_consent |
|
yesno |
Has the patient consented to co-enrolment in the GenOMICC Study? |
1, Yes ; 0, No |
crf3c_gen_consent_ver |
|
text |
If yes, please document the GenOMICC consent form version number: |
|
crf3c_genomicc_withdrawal |
|
checkbox |
GenOMICC Withdrawal Status |
1, Partial withdrawal ; 2, Full withdrawal |
crf3c_genomicc_p_with_date |
|
text |
GenOMICC Partial Withdrawal Date |
|
crf3c_genomicc_f_with_date |
|
text |
GenOMICC Full Withdrawal Date |
|