Inglés

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

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

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

1. Has subject withdrawn consent for PGx research?
Descripción

withdrawal consent for PGx research

Tipo de datos

boolean

If subject has withdrawn consent for PGx research: date informed consent withdrawn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

date informed consent withdrawn

Tipo de datos

date

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

request for blood sample destruction

Tipo de datos

boolean

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

request for blood sample destruction reason

Tipo de datos

text

If other reason applied, specify
Descripción

request for blood sample destruction other reason

Tipo de datos

text

Volver a la parte superior de la página

Similar models

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

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
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 Has subject withdrawn consent for PGx research?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date informed consent withdrawn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If subject has withdrawn consent for PGx research: date informed consent withdrawn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
Volver a la parte superior de la página