Engelsk

Pharmacogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär  
Pharmacogenetic (PGx) research consent / Blood sample collection
Beskrivning

Pharmacogenetic (PGx) research consent / Blood sample collection

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

Informed consent

Datatyp

boolean

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

Informed consent date

Datatyp

date

Has sample been collected for PGx research?
Beskrivning

Answer only if informed consent was obtained for PGx research.

Datatyp

boolean

If yes, record date sample taken
Beskrivning

date sample taken

Datatyp

date

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

reason absence informed consent

Datatyp

text

If other reason, specify:
Beskrivning

reason absence informed consent specification

Datatyp

text

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Similar models

Pharmacogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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
reason absence informed consent
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
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