CRF1A Part 2

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
crf1a2_version		radio	CRF1 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
crf1a_com_card_mi	Cardiovascular	yesno	i) Myocardial Infarction	1, Yes ; 0, No
crf1a_com_card_ihd		yesno	ii) Ischaemic Heart Disease	1, Yes ; 0, No
crf1a_com_card_af		yesno	iii) Atrial fibrillation	1, Yes ; 0, No
crf1a_com_card_ht		yesno	iv) Hypertension	1, Yes ; 0, No
crf1a_com_card_chf		yesno	v) Congestive heart failure	1, Yes ; 0, No
crf1a_com_card_chd		yesno	vi) Congenital heart disease	1, Yes ; 0, No
crf1a_com_card_vhd		yesno	vii) Valvular Heart Disease	1, Yes ; 0, No
crf1a_com_card_pid		yesno	viii) Pacemaker/Implantable defibrillator	1, Yes ; 0, No
crf1a_com_card_pvd		yesno	ix) Peripheral vascular disease	1, Yes ; 0, No
crf1a_com_card_hcd		yesno	x) Hypercholesterolaemia/dyslipidaemia	1, Yes ; 0, No
crf1a_com_card_catia		radio	xi) Cerebrovascular accident or transient ischemic attack	1, Previous but no residual weakness ; 2, Previous with residual hemiplegia ; 0, No
crf1a_com_card_other_yn		yesno	xii) Other chronic cardiovascular disease	1, Yes ; 0, No
crf1a_com_card_other		notes	xii) Other chronic cardiovascular disease - Detail
crf1a_com_neupsy_dem	Neurological and Psychiatric	yesno	i) Dementia	1, Yes ; 0, No
crf1a_com_neupsy_other_yn		yesno	ii) Any other chronic neurological disorder	1, Yes ; 0, No
crf1a_com_neupsy_da		yesno	iii) Depression or Anxiety	1, Yes ; 0, No
crf1a_com_neupsy_chron		yesno	iv) Chronic fatigue syndrome, fibromyalgia or chronic pain	1, Yes ; 0, No
crf1a_com_neupsy_pam		yesno	v) Any previous treatment with antidepressant medication	1, Yes ; 0, No
crf1a_com_neupsy_ptm		yesno	vi) Any previous treatment by a mental health professional (eg. psychologist, psychiatrist, councillor) for a mental health problem	1, Yes ; 0, No
crf1a_com_neupsy_other		notes	Other chronic neurological disorder
crf1a_com_res_copd	Respiratory	yesno	i) Chronic obstructive pulmonary disease	1, Yes ; 0, No
crf1a_com_res_ast		yesno	ii) Asthma	1, Yes ; 0, No
crf1a_com_res_ild_yn		yesno	iii) Interstitial lung disease	1, Yes ; 0, No
crf1a_com_res_bron		yesno	iv) Bronchiectasis	1, Yes ; 0, No
crf1a_com_res_osa		yesno	v) Obstructive sleep apnoea	1, Yes ; 0, No
crf1a_com_res_ohs		yesno	vi) Obesity hypoventilation syndrome	1, Yes ; 0, No
crf1a_com_res_pe		yesno	vii) Pleural effusion	1, Yes ; 0, No
crf1a_com_res_other_yn		yesno	viii) Other chronic respiratory disorder	1, Yes ; 0, No
crf1a_com_res_ild		notes	Interstitial lung disease - Detail
crf1a_com_res_other		notes	Other chronic respiratory disorder - Detail
crf1a_com_rheu_ctd	Rheumatological	yesno	i) Connective tissue disease	1, Yes ; 0, No
crf1a_com_rheu_ra		yesno	ii) Rheumatoid arthritis	1, Yes ; 0, No
crf1a_com_rheu_ost		yesno	iii) Osteoarthritis	1, Yes ; 0, No
crf1a_com_rheu_other_yn		yesno	iv) Other chronic rheumatological disease	1, Yes ; 0, No
crf1a_com_rheu_other		notes	Other chronic rheumatological disease - Detail
crf1a_com_gast_pud	Gastrointestinal	yesno	i) Peptic ulcer disease	1, Yes ; 0, No
crf1a_com_gast_ld		radio	ii) Liver Disease	1, Mild ; 2, Mod/severe ; 0, No
crf1a_com_gast_gord		yesno	iii) Gastro-oesophageal reflux disease	1, Yes ; 0, No
crf1a_com_gast_ibd		yesno	iv) Inflammatory bowel disease	1, Yes ; 0, No
crf1a_com_gast_ibs		yesno	v) Irritable bowel syndrome	1, Yes ; 0, No
crf1a_com_gast_other_yn		yesno	vi) Other chronic gastrointestinal disorder	1, Yes ; 0, No
crf1a_com_gast_other		notes	Other chronic gastrointestinal disorder - Detail
crf1a_com_mer_diab	Metabolic/Endocrine/Renal	radio	i) Diabetes	1, Type 1 ; 2, Type 2 ; 0, No
crf1a_com_mer_diab_com		radio	i) DiabetesComplications	1, Uncomplicated ; 2, End-organ damage
crf1a_com_mer_hypot		yesno	ii) Hypothyroidism	1, Yes ; 0, No
crf1a_com_mer_hypert		yesno	iii) Hyperthyroidism	1, Yes ; 0, No
crf1a_com_mer_ckd_yn		yesno	iv) Chronic kidney disease	1, Yes ; 0, No
crf1a_com_mer_other_yn		yesno	v) Other chronic metabolic/endocrine disorder	1, Yes ; 0, No
crf1a_com_mer_ckd_stage		radio	Chronic kidney disease Stage (if known)	1, 1 ; 2, 2 ; 3, 3 ; 4, 4 ; 5, 5
crf1a_com_mer_other		notes	Other chronic metabolic/endocrine disorder Specify:
crf1a_com_mh_stm	Malignancy/ Haematological	radio	i) Solid Tumour Malignancy	1, Localised ; 2, Metastatic ; 0, No
crf1a_com_mh_stm_detail		notes	i) Solid Tumour Malignancy - Detail
crf1a_com_mh_leuk_yn		yesno	ii) Leukaemia	1, Yes ; 0, No
crf1a_com_mh_lymp_yn		yesno	iii) Lymphoma	1, Yes ; 0, No
crf1a_com_mh_other_yn		yesno	iv) Other chronic haematological disorder	1, Yes ; 0, No
crf1a_com_mh_leuk_detail		notes	Leukaemia - Detail
crf1a_com_mh_lymp		notes	Lymphoma - Detail
crf1a_com_mh_other		notes	Other chronic haematological disorder - Detail
crf1a_com_id_aids	Infectious disease	yesno	i) AIDS (Not including HIV without complications)	1, Yes ; 0, No
crf1a_com_id_hiv		yesno	ii) HIV	1, Yes ; 0, No
crf1a_com_id_cvh		radio	iii) Chronic viral hepatitis	0, None ; 1, Hepatitis B ; 2, Hepatitis C
crf1a_com_id_mt		radio	iv) Mycobacterium Tuberculosis	0, Never ; 1, Current active TB ; 2, Previously treated active TB ; 3, Previously treated latent TB
crf1a_com_id_other_yn		yesno	v) Other chronic infectious disease	1, Yes ; 0, No
crf1a_com_id_other		notes	Other chronic infectious disease - Detail
crf1a_com_other		notes	9.i) Other co-morbidities