CRF1A part 1

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
crf1a1_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_date		text	Date of collection
crf1a_sex		radio	1) Sex at birth	M, Male; F, Female
crf1a_pregnant_yn	Pregnancy (females only)	radio	Pregnant?	1, Yes; 0, No; NK, Not known
crf1a_gestational_weeks		text	If pregnant, gestation weeks at admission
crf1a_post_partum_yn		radio	Post-partum?	1, Yes; 0, No; NK, Not known
crf1a_pregnancy_outcome		radio	Pregnancy outcome:	1, Live Birth; 2, Still Birth; NK, Not Known
crf1a_delivery_date_yn		yesno	Delivery date known?	1, Yes; 0, No
crf1a_delivery_date		text	Delivery date:
crf1a_infant_c19_tested_yn		radio	Has infant been tested for COVID?	1, Yes; 0, No; NK, Not known
crf1a_infant_c19_result_1		radio	Infant COVID-19 test result:	1, Positive; 0, Negative; 2, Indeterminate
crf1a_date_first_sympt_yn	Onset and Admission	yesno	Is the date of first/earliest symptoms known?	1, Yes; 0, No
crf1a_date_first_symptoms		text	Date of first/earliest symptoms
crf1a_date_adm_yn		yesno	Is the date of admission to this hospital known?	1, Yes; 0, No
crf1a_date_adm		text	Date of admission to this hospital
age_admission		calc	Age at Admission (Years)	round(datediff([date_of_birth], [crf1a_date_adm], "y","dmy"),0)
crf1a_re_adm_with_c19		radio	Is this a re-admission with COVID-19?	1, Yes; 0, No; NK, N/K
crf1a_re_adm_rsn		notes	If yes, reason for re-admission:
crf1a_xfer_in		radio	Was the patient transferred from another hospital?	1, Yes; 0, No; NK, N/K
crf1aprev_hosp_name_known		yesno	Is the name of the previous hospital known?	1, Yes; 0, No
crf1a_name_xfer_in_hosp		text	What was the name of the previous hospital?
crf1a_prev_adm_date_known		yesno	Is the date of the previous hospital admission known?	1, Yes; 0, No
crf1a_xfer_in_adm_date		text	If yes: What was the admission date?
crf1a_date_dis_yn		yesno	Is the date of discharge from hospital known?	1, Yes; 0, No
crf1a_date_dis		text	Date of discharge from hospital
duration_adm		calc	Duration of Admission (Days)	datediff([crf1a_date_adm], [crf1a_date_dis], "d","dmy")
crf1a_temperature	Vital Signs at Hospital Admission	text	Temperature
crf1a_hr		text	Heart Rate
crf1a_respiratory_rate		text	Respiratory Rate
crf1a_bp_sys		text	Blood pressure (Sys)
crf1a_bp_dia		text	Blood pressure (Dia)
crf1a_sev_dehydr		radio	i) Connective tissue disease	1, Yes; 0, No; NK, N/K
crf1a_stcap_refill_2s		radio	Sternal capillary refill time > 2 seconds	1, Yes; 0, No; NK, N/K
crf1a_o2_sat		text	Oxygen saturation
crf1a_supp_o2		radio	Supplemental oxygen	1, Air; 2, Any Oxygen therapy; NK, N/K
crf1a_fever_history	Admission signs and symptoms	radio	a) History of fever	1, Yes; 0, No; 2, N/K
crf1a_cough		radio	b) Cough	1, Yes; 0, No; 2, N/K
crf1a_cough_sputum		radio	bi) Cough With sputum	1, Yes; 0, No; 2, N/K
crf1a_cough_blood		radio	bii) Cough Blood/ haemoptysis	1, Yes; 0, No; 2, N/K
crf1a_sore_throat		radio	c) Sore throat	1, Yes; 0, No; 2, N/K
crf1a_runny_nose		radio	d) Runny nose (rhinorrhoea)	1, Yes; 0, No; 2, N/K
crf1a_ear_pain		radio	e) Ear pain	1, Yes; 0, No; 2, N/K
crf1a_wheezing		radio	f) Wheezing	1, Yes; 0, No; 2, N/K
crf1a_chest_pain		radio	g) Chest pain	1, Yes; 0, No; 2, N/K
crf1a_muscle_aches		radio	h) Muscle aches (Myalgia)	1, Yes; 0, No; 2, N/K
crf1a_join_pain		radio	i) Joint pain (Arthralgia)	1, Yes; 0, No; 2, N/K
crf1a_fatigue		radio	j) Fatigue/ Malaise	1, Yes; 0, No; 2, N/K
crf1a_shortness_breath		radio	k) Shortness of breath (dyspnoea)	1, Yes; 0, No; 2, N/K
crf1a_loss_taste		radio	l) Disturbance or loss of taste (Ageusia)	1, Yes; 0, No; 2, N/K
crf1a_loss_smell		radio	m) Disturbance or loss of smell (Anosmia)	1, Yes; 0, No; 2, N/K
crf1a_chest_indrawing		radio	n) Lower chest wall indrawing	1, Yes; 0, No; 2, N/K
crf1a_headache		radio	o) Headache	1, Yes; 0, No; 2, N/K
crf1a_confusion		radio	p) Altered consciousness/confusion	1, Yes; 0, No; 2, N/K
crf1a_seizures		radio	q) Seizures	1, Yes; 0, No; 2, N/K
crf1a_pain		radio	r) Abdominal Pain	1, Yes; 0, No; 2, N/K
crf1a_nausea		radio	s) Vomiting / Nausea	1, Yes; 0, No; 2, N/K
crf1a_diarrhoea		radio	t) Diarrhoea	1, Yes; 0, No; 2, N/K
crf1a_conjunctivitis		radio	u) Conjunctivitis	1, Yes; 0, No; 2, N/K
crf1a_skin_rash		radio	v) Skin rash	1, Yes; 0, No; 2, N/K
crf1a_skin_ulcers		radio	w) Skin ulcers	1, Yes; 0, No; 2, N/K
crf1a_lymphadenopathy		radio	x) Lymphadenopathy	1, Yes; 0, No; 2, N/K
crf1a_bleeding		radio	y) Bleeding (Haemorrhage)	1, Yes; 0, No; 2, N/K
crf1a_bleeding_site_known		yesno	Bleeding site known?	1, Yes; 0, No
crf1a_bleed_site		notes	If bleeding: specify site(s):
crf1a_immunosuppressant	Pre-admission medication (Were any of the following taken within 14 days of admission?)	radio	a) Immunosuppressant e.g. oral (not inhaled) corticosteroids (not low dose hydrocortisone)	1, Yes; 0, No; 2, N/K
crf1a_anti_infectives		radio	b) Anti-infectives for this illness episode prior to admission?	1, Yes; 0, No; 2, N/K
crf1a_acei		radio	c) Angiotensin converting enzyme inhibitors (ACEI)?	1, Yes; 0, No; 2, N/K
crf1a_abbs		radio	d) Angiotensin II receptor blockers (ARBs)?	1, Yes; 0, No; 2, N/K
crf1a_nsaid		radio	e) Non-steroidal anti-inflammatory (NSAID)?	1, Yes; 0, No; 2, N/K
crf1a_con_meds_comp_yn	Medication Log	yesno	Medication log complete?	1, Yes; 0, No