English

PGx- Pharmacogenetic

1 forms  
  1. StudyEvent: ODM
    1. PGx- Pharmacogenetic
PGx-PHARMACOGENETIC RESEARCH CONSENT (PGx Consent)
Description

PGx-PHARMACOGENETIC RESEARCH CONSENT (PGx Consent)

Alias
UMLS CUI-1
C0031325
UMLS CUI-3
C1511481
Has informed consent been obtained for PGx-Pharmacogenetic research?
Description

informed consent; Pharmacogenetic

Data type

text

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2]
C0031325
When informed consent been obtained, date informed consent obtained for PGx-Pharmacogenetic research
Description

date informed consent; Pharmacogenetic

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0021430
UMLS CUI [2]
C0031325
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
Description

blood sample

Data type

text

Alias
UMLS CUI [1]
C0005834
Yes, record date sample taken
Description

date sample taken

Data type

date

Alias
UMLS CUI [1]
C1302413
No, check reason
Description

reason

Data type

text

Alias
UMLS CUI [1]
C0566251
Other, specify
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
PGx-PHARMACOGENETIC RESEARCH WITHDRAWAL OF CONSENT (PGx Withdraw)
Description

PGx-PHARMACOGENETIC RESEARCH WITHDRAWAL OF CONSENT (PGx Withdraw)

Alias
UMLS CUI-1
C1707492
Has subject withdrawn consent for PGx-Pharmacogenetic research?
Description

Consent Withdrawn

Data type

text

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

sample destruction

Data type

text

Alias
UMLS CUI [1,1]
C0370003
UMLS CUI [1,2]
C1948029
When yes
Description

reason

Data type

text

Alias
UMLS CUI [1]
C0566251
Other, specify
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
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Similar models

PGx- Pharmacogenetic

1 forms
  1. StudyEvent: ODM
    1. PGx- Pharmacogenetic
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PGx-PHARMACOGENETIC RESEARCH CONSENT (PGx Consent)
C0031325 (UMLS CUI-1)
C1511481 (UMLS CUI-3)
Item
Has informed consent been obtained for PGx-Pharmacogenetic research?
text
C0021430 (UMLS CUI [1])
C0031325 (UMLS CUI [2])
informed consent; Pharmacogenetic
Code List
Has informed consent been obtained for PGx-Pharmacogenetic research?
CL Item
Yes (Y)
CL Item
No (N)
date informed consent; Pharmacogenetic
Item
When informed consent been obtained, date informed consent obtained for PGx-Pharmacogenetic research
date
C0011008 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0031325 (UMLS CUI [2])
Item
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
text
C0005834 (UMLS CUI [1])
informed consent; Pharmacogenetic
Code List
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
CL Item
Yes (Y)
CL Item
No (N)
date sample taken
Item
Yes, record date sample taken
date
C1302413 (UMLS CUI [1])
Item
No, check reason
text
C0566251 (UMLS CUI [1])
undefined item
Code List
No, check reason
CL Item
Subject declined  (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other (Z)
Other
Item
Other, specify
text
C0205394 (UMLS CUI [1])
Item Group
PGx-PHARMACOGENETIC RESEARCH WITHDRAWAL OF CONSENT (PGx Withdraw)
C1707492 (UMLS CUI-1)
Item
Has subject withdrawn consent for PGx-Pharmacogenetic research?
text
C1707492 (UMLS CUI [1])
informed consent; Pharmacogenetic
Code List
Has subject withdrawn consent for PGx-Pharmacogenetic research?
CL Item
Yes (Y)
CL Item
No (N)
Item
Has a request been made for sample destruction?
text
C0370003 (UMLS CUI [1,1])
C1948029 (UMLS CUI [1,2])
informed consent; Pharmacogenetic
Code List
Has a request been made for sample destruction?
CL Item
Yes (Y)
CL Item
No (N)
Item
When yes
text
C0566251 (UMLS CUI [1])
undefined item
Code List
When yes
CL Item
Subject requested  (1)
CL Item
Screen failure  (2)
CL Item
Other (Z)
Other
Item
Other, specify
text
C0205394 (UMLS CUI [1])
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