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Pharmacogenetic research Withdrawal of consent Subject Identification GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär  
Withdrawal of consent for PGx (DNA) / Blood sample destruction
Beskrivning

Withdrawal of consent for PGx (DNA) / Blood sample destruction

1. Has subject withdrawn consent for PGx research?
Beskrivning

withdrawal consent for PGx research

Datatyp

boolean

If subject has withdrawn consent for PGx research: date informed consent withdrawn
Beskrivning

date informed consent withdrawn

Datatyp

date

2. Has a request been made for blood sample destruction?
Beskrivning

request for blood sample destruction

Datatyp

boolean

If a request has been made for blood sample destruction, check reason
Beskrivning

request for blood sample destruction reason

Datatyp

text

If other reason applied, specify
Beskrivning

request for blood sample destruction other reason

Datatyp

text

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Similar models

Pharmacogenetic research Withdrawal of consent Subject Identification GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Withdrawal of consent for PGx (DNA) / Blood sample destruction
withdrawal consent for PGx research
Item
1. Has subject withdrawn consent for PGx research?
boolean
date informed consent withdrawn
Item
If subject has withdrawn consent for PGx research: date informed consent withdrawn
date
request for blood sample destruction
Item
2. Has a request been made for blood sample destruction?
boolean
Item
If a request has been made for blood sample destruction, check reason
text
undefined item
Code List
If a request has been made for blood sample destruction, check reason
CL Item
Subject withdrew consent for PGx (3)
CL Item
Other (Z)
request for blood sample destruction other reason
Item
If other reason applied, specify
text
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