Inglese

Pharmacogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

1 moduli  
Pharmacogenetic (PGx) research consent / Blood sample collection
Descrizione

Pharmacogenetic (PGx) research consent / Blood sample collection

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

Informed consent

Tipo di dati

boolean

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

Informed consent date

Tipo di dati

date

Has sample been collected for PGx research?
Descrizione

Answer only if informed consent was obtained for PGx research.

Tipo di dati

boolean

If yes, record date sample taken
Descrizione

date sample taken

Tipo di dati

date

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

reason absence informed consent

Tipo di dati

text

If other reason, specify:
Descrizione

reason absence informed consent specification

Tipo di dati

text

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Similar models

Pharmacogenetic research GSK study Chronic Coronary Heart Disease NCT00799903

1 moduli
Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
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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