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

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

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

1. Has subject withdrawn consent for PGx research?
Descrição

withdrawal consent for PGx research

Tipo de dados

boolean

If subject has withdrawn consent for PGx research: date informed consent withdrawn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

date informed consent withdrawn

Tipo de dados

date

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

request for blood sample destruction

Tipo de dados

boolean

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

request for blood sample destruction reason

Tipo de dados

text

If other reason applied, specify
Descrição

request for blood sample destruction other reason

Tipo de dados

text

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Similar models

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

1 Formulários
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
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 Has subject withdrawn consent for PGx research?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date informed consent withdrawn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If subject has withdrawn consent for PGx research: date informed consent withdrawn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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