CRF2A

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