Englisch

Pharmacogenetic Research Consent

1 Formulare  
Pharmacogenetic (PGx) Research Consent/ Sample Collection
Beschreibung

Pharmacogenetic (PGx) Research Consent/ Sample Collection

Has informed consent been obtained for PGx reearch?
Beschreibung

Has informed consent been obtained for PGx reearch?

Datentyp

boolean

if YES, record date informed consent obtained for PGx research
Beschreibung

if YES, record date informed consent obtained for PGx research

Datentyp

text

If NO, check reason
Beschreibung

If NO, check reason

Datentyp

text

If OTHER, specify
Beschreibung

If OTHER, specify

Datentyp

text

Has sample been collected for PGx research?
Beschreibung

Has sample been collected for PGx research?

Datentyp

boolean

If YES, record the date sample taken
Beschreibung

If YES, record the date sample taken

Datentyp

date

Sample Type
Beschreibung

Sample Type

Record Sample Type
Beschreibung

Record Sample Type

Datentyp

text

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Ähnliche Modelle

Pharmacogenetic Research Consent

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Pharmacogenetic (PGx) Research Consent/ Sample Collection
Has informed consent been obtained for PGx reearch?
Item
Has informed consent been obtained for PGx reearch?
boolean
if YES, record date informed consent obtained for PGx research
Item
if YES, record date informed consent obtained for PGx research
text
Item
If NO, check reason
text
If NO, check reason
Code List
If NO, check reason
CL Item
[1] Subject declined (1)
CL Item
[2] Subject not asked by Investigator (2)
CL Item
[Z] Other (3)
If OTHER, specify
Item
If OTHER, specify
text
Has sample been collected for PGx research?
Item
Has sample been collected for PGx research?
boolean
If YES, record the date sample taken
Item
If YES, record the date sample taken
date
Item Group
Sample Type
Record Sample Type
Item
Record Sample Type
text
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