Inglés

Pharmacogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios  
Pharmacogenetic (PGx) research consent / Blood sample collection
Descripción

Pharmacogenetic (PGx) research consent / Blood sample collection

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

Informed consent

Tipo de datos

boolean

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

Informed consent date

Tipo de datos

date

Has sample been collected for PGx research?
Descripción

Answer only if informed consent was obtained for PGx research.

Tipo de datos

boolean

If yes, record date sample taken
Descripción

date sample taken

Tipo de datos

date

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

reason absence informed consent

Tipo de datos

text

If other reason, specify:
Descripción

reason absence informed consent specification

Tipo de datos

text

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Similar models

Pharmacogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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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