Pharmagogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

Pharmacogenetic (PGx) research consent / Blood sample collection
Beschrijving

Pharmacogenetic (PGx) research consent / Blood sample collection

1. Has informed consent been obtained for PGx research?
Beschrijving

Informed consent

Datatype

boolean

If yes, record: Date informed consent obtained for PGx research
Beschrijving

Informed consent date

Datatype

date

Has sample been collected for PGx research?
Beschrijving

Answer only if informed consent was obtained for PGx research.

Datatype

boolean

If yes, record date sample taken
Beschrijving

date sample taken

Datatype

date

If no informed consent for PGx research was obtained, check reason
Beschrijving

reason absence informed consent

Datatype

text

If other reason, specify:
Beschrijving

reason absence informed consent specification

Datatype

text

Similar models

Pharmagogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Pharmacogenetic (PGx) research consent / Blood sample collection
Informed consent
Item
1. Has informed consent been obtained for PGx research?
boolean
Informed consent date
Item
If yes, record: Date informed consent obtained for PGx research
date
sample collection
Item
Has sample been collected for PGx research?
boolean
date sample taken
Item
If yes, record date sample taken
date
Item
If no informed consent for PGx research was obtained, check reason
text
Code List
If no informed consent for PGx research was obtained, check reason
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other (Z)
reason absence informed consent specification
Item
If other reason, specify:
text