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pharmacogenetic research salmeterol/fluticasone propionate combination compared to salmeterol on COPD 100470

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Default Itemgroup
Beschrijving

Default Itemgroup

CONSENT FOR PGx-PHARMACOGENETIC RESEARCH
Beschrijving

CONSENT FOR PGx-PHARMACOGENETIC RESEARCH

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C2347500
Has informed consent been obtained for PGx-Pharmacogenetic research?
Beschrijving

informed consent for pharmacogenetic research

Datatype

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
record the date informed consent obtained for PGx-Pharmacogenetic research
Beschrijving

if informed consend has been obtained for pharmacogenetic research

Datatype

date

Alias
UMLS CUI [1]
C2985782
If "No" to informed consent, choose one reason.
Beschrijving

if no informed consent has been obtained for pharmacogenetic research

Datatype

text

Alias
UMLS CUI [1]
C2985782
BLOOD SAMPLE COLLECTION (DNA)
Beschrijving

BLOOD SAMPLE COLLECTION (DNA)

Alias
UMLS CUI-1
C0005834
Has a blood sample been collected for PGx-pharmacogenetic research?
Beschrijving

blood sample collection

Datatype

text

Alias
UMLS CUI [1]
C0005834
If blood sample collection taken, record the date sample taken.
Beschrijving

date of blood sample collection

Datatype

date

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0011008
WITHDRAWAL OF CONSENT
Beschrijving

WITHDRAWAL OF CONSENT

Alias
UMLS CUI-1
C1707492
Has subject withdrawn consent for PGx-Pharmacogenetic research?
Beschrijving

withdrawn consent for pharmacogenetic research

Datatype

text

Alias
UMLS CUI [1,1]
C1707492
UMLS CUI [1,2]
C0031325
BLOOD SAMPLE DESTRUCTION
Beschrijving

BLOOD SAMPLE DESTRUCTION

Alias
UMLS CUI-1
C1948029
UMLS CUI-2
C0178913
Has a request been made for sample destruction?
Beschrijving

request for blood sample destruction

Datatype

text

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
If request been made for blood sample destruction, choose one reason.
Beschrijving

request for blood sample destruction

Datatype

text

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
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pharmacogenetic research salmeterol/fluticasone propionate combination compared to salmeterol on COPD 100470

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
CONSENT FOR PGx-PHARMACOGENETIC RESEARCH
C0021430 (UMLS CUI-1)
C2347500 (UMLS CUI-2)
Item
Has informed consent been obtained for PGx-Pharmacogenetic research?
text
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
informed consent for pharmacogenetic research
Code List
Has informed consent been obtained for PGx-Pharmacogenetic research?
CL Item
Yes (Y)
CL Item
No (N)
informed consent date
Item
record the date informed consent obtained for PGx-Pharmacogenetic research
date
C2985782 (UMLS CUI [1])
Item
If "No" to informed consent, choose one reason.
text
C2985782 (UMLS CUI [1])
reason for no informed consent
Code List
If "No" to informed consent, choose one reason.
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other, specify (Z)
Item Group
BLOOD SAMPLE COLLECTION (DNA)
C0005834 (UMLS CUI-1)
Item
Has a blood sample been collected for PGx-pharmacogenetic research?
text
C0005834 (UMLS CUI [1])
blood sample collection
Code List
Has a blood sample been collected for PGx-pharmacogenetic research?
CL Item
Yes (Y)
CL Item
No (N)
date of blood sample collection
Item
If blood sample collection taken, record the date sample taken.
date
C0005834 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Item Group
WITHDRAWAL OF CONSENT
C1707492 (UMLS CUI-1)
Item
Has subject withdrawn consent for PGx-Pharmacogenetic research?
text
C1707492 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
withdrawn consent for pharmacogenetic research
Code List
Has subject withdrawn consent for PGx-Pharmacogenetic research?
CL Item
Yes (Y)
CL Item
No (N)
Item Group
BLOOD SAMPLE DESTRUCTION
C1948029 (UMLS CUI-1)
C0178913 (UMLS CUI-2)
Item
Has a request been made for sample destruction?
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
request for blood sample destruction
Code List
Has a request been made for sample destruction?
CL Item
Yes (Y)
CL Item
No (N)
Item
If request been made for blood sample destruction, choose one reason.
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
request for blood sample destruction
Code List
If request been made for blood sample destruction, choose one reason.
CL Item
Subject requested (1)
CL Item
Other, specify (Z)
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