Treatment Phase

  1. StudyEvent: ODM
    1. Treatment Phase
Administrative Documentation
Descrição

Administrative Documentation

Alias
UMLS CUI-1
C1320722
Subject Number
Descrição

Subject Number

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
Pharmacogenetic Research
Descrição

Pharmacogenetic Research

Alias
UMLS CUI-1
C0031325
Has informed consent been obtained for Pharmacogenetic Research?
Descrição

Informed Consent

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0031325
If Yes, record the date informed consent obtained for pharmacogenetic
Descrição

Date

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C0031325
If No, check one reason:
Descrição

Denial Reason

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0031325
UMLS CUI [1,3]
C1705116
UMLS CUI [1,4]
C3274861
Has a blood sample been collected for Pharmacogenetic Research?
Descrição

Blood Sample Collection

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C0031325
If YES, record the date the sample was taken:
Descrição

Date

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0005834
UMLS CUI [1,3]
C0031325
Has this subject withdrawn consent for Pharmacogenetic Research?
Descrição

Withdrawal of Consent

Tipo de dados

boolean

Alias
UMLS CUI [1]
C1707492
Has a request been made for sample destruction?
Descrição

Blood sample destruction

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
If Yes, check one reason
Descrição

Blood sample destruction reason

Tipo de dados

text

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C0392360

Similar models

Treatment Phase

  1. StudyEvent: ODM
    1. Treatment Phase
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative Documentation
C1320722 (UMLS CUI-1)
Subject Number
Item
Subject Number
text
C2348585 (UMLS CUI [1])
Item Group
Pharmacogenetic Research
C0031325 (UMLS CUI-1)
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)