HIQ |
2 |
Home Information Questionnaire |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
ANT |
2 |
Anthropometry Form |
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PDF
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Visit 5 (SPIROMICS II), Heart Failure |
BIO |
4 |
Biospecimen Collection Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
BPF |
3 |
Blood Pressure Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II), Heart Failure |
CBC |
3 |
CBC Results Form |
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PDF
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PDF
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Bronchoscopy, Visit 5 (SPIROMICS II), Heart Failure |
CSF |
1 |
Clinically Significant Findings Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
CIF |
3 |
Contact Information Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
CAT |
2 |
COPD Assessment Test |
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PDF
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PDF
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Visit 5 (SPIROMICS II), Exacerbation |
COV |
1 |
COVID-19 Questionnaire Wave 1 |
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PDF
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PDF
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C4R, Phone Call Follow-up, Visit 5 (SPIROMICS II) |
CVQ |
1 |
COVID-19 Vaccine Questionnaire |
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PDF
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PDF
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Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation, Phone Call Follow-up |
DEM |
4 |
Demographic Information Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
ECF |
3 |
e-Cigarette Use Assessment for Follow-Up Form |
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PDF
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PDF
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Phone Call Follow-up, Bronchoscopy, Visit 5 (SPIROMICS II), Exacerbation, Heart Failure |
EHA |
2 |
Employment History Form for Follow-Up |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
EBC |
1 |
Exhaled Breath Condensate Collection Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II), Bronchoscopy |
FEE |
1 |
Follow-Up Exacerbation Extended Questionnaire |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
FEQ |
1 |
Follow-Up Exacerbation Questionnaire |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
FUQ |
5 |
Follow-Up Phone Questionnaire |
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PDF
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PDF
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Phone Call Follow-up, Visit 5 (SPIROMICS II) |
FCT |
2 |
Functional Assessment of Chronic Illness Therapy-Fatigue |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
HBC |
1 |
Hair and Buccal Collection Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
HGS |
1 |
Hand Grip Strength Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
HDS |
2 |
Hospital Anxiety and Depression Scale |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
CTF |
3 |
Image Acquisition Form for Follow-Up |
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PDF
|
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Visit 5 (SPIROMICS II) |
ISW |
5 |
Induced Sputum Worksheet |
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PDF
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PDF
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Bronchoscopy, Visit 5 (SPIROMICS II) |
ISP |
5 |
Induced Sputum Worksheet |
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PDF
|
PDF
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Bronchoscopy, Visit 5 (SPIROMICS II) |
ITF |
4 |
Informed Consent Tracking Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
LAB |
2 |
Lab ID Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
LYS |
1 |
Lysate Lab ID Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
MHF |
3 |
Medical History Form for Follow-Up |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
MRC |
2 |
Modified Medical Research Council Dyspnea Scale |
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PDF
|
PDF
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Visit 5 (SPIROMICS II) |
MUC |
1 |
Mucin Lab ID Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II) |
NQT |
1 |
Nutritionquest Tracking Form |
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PDF
|
PDF
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Visit 5 (SPIROMICS II), Bronchoscopy |
NQS |
1 |
Nutritonquest Questionnaire ID Form |
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PDF
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PDF
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Visit 5 (SPIROMICS II), Bronchoscopy |
OSC |
1 |
Oscillometry Data Form |
|
PDF
|
PDF
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Visit 5 (SPIROMICS II), Bronchoscopy |
OSR |
1 |
Oscillometry Reading Center Data Form |
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PDF
|
PDF
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Visit 5 (SPIROMICS II), Bronchoscopy |
PAX |
1 |
Paxgene Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
PID |
3 |
Personal Identifiers Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
PLI |
2 |
Phantom Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
PFE |
1 |
Pulmonary Function Eligibility Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation |
MCQ |
2 |
Questionnaire for Ease and Cough and Sputum Clearance |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
RSW |
2 |
Reason for Study Withdrawal Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
RDF |
2 |
Respiratory Disease and Smoke Exposure Questionnaire for Follow-Up |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Exacerbation |
RRM |
1 |
Revised Respiratory Medication Use Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Exacerbation |
SFH |
3 |
SF12 Health Survey |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
SPB |
1 |
Short Physical Performance Battery |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
SMW |
4 |
Six Minute Walk Test |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
SDF |
2 |
Spirometry Data Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation |
SLY |
1 |
Sputolysin Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
SPW |
6 |
Sputum Processing Worksheet |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy, Exacerbation |
SPU |
3 |
Sputum Slide Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy, Exacerbation |
SLI |
1 |
Sputum Slide Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
SGR |
3 |
St. George's Respiratory Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
SKF |
1 |
Stool Kit ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
STL |
1 |
Stool Sample Collection Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
TEC |
2 |
Temporary Exclusion Criteria Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation, Phone Call Follow-up |
VSA |
2 |
Veterans Specific Activity Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |