Informed Consent
Item
Has informed consent been obtained for Pharmacogenetic Research?
boolean
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
Date
Item
If Yes, record the date informed consent for Pharmacogenetic Research:
date
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
If no, check one reason:
integer
C0021430 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
Code List
If no, check one reason:
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other, specify (3)
Specification
Item
Specify other
text
C0021430 (UMLS CUI [1,1])
C2348235 (UMLS CUI [1,2])
Blood Sample Collection
Item
Has a blood sample been collected for Pharmacogenetic Research?
boolean
C0005834 (UMLS CUI [1])
Date sample taken
Item
If YES, record the date sample was taken:
date
C1302413 (UMLS CUI [1])
Withdrawal of Consent
Item
Has this subject withdrawn consent for Pharmacogenetic Research?
boolean
C1707492 (UMLS CUI [1])
Request for Sample Destruction
Item
Has a request been made for sample destruction?
boolean
C0178913 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
Item
If YES, check one reason
integer
C0178913 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
If YES, check one reason
CL Item
Subject requested (1)
CL Item
Screen failure (2)
CL Item
Other, specify (3)
Specification
Item
Specify other
text
C0178913 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
C2348235 (UMLS CUI [1,3])