Informed Consent
Item
Has informed consent been obtained for Pharmacogenetic Research?
boolean
C0021430 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
Date
Item
If Yes, record the date informed consent obtained for pharmacogenetic
date
C0011008 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0031325 (UMLS CUI [1,3])
Item
If No, check one reason:
text
C0021430 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
C1705116 (UMLS CUI [1,3])
C3274861 (UMLS CUI [1,4])
Code List
If No, check one reason:
CL Item
Subject declined (1)
CL Item
Subject not asked by investigator (2)
CL Item
Other, specify (3)
Blood Sample Collection
Item
Has a blood sample been collected for Pharmacogenetic Research?
boolean
C0005834 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
Date
Item
If YES, record the date the sample was taken:
date
C0011008 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
C0031325 (UMLS CUI [1,3])
Withdrawal of Consent
Item
Has this subject withdrawn consent for Pharmacogenetic Research?
boolean
C1707492 (UMLS CUI [1])
Blood sample destruction
Item
Has a request been made for sample destruction?
boolean
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
Item
If Yes, check one reason
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
If Yes, check one reason
CL Item
Subject requested (1)
CL Item
Screen failure (2)
CL Item
Other, specify (3)