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Pharmacogenetic Research Consent

1 forms  
Pharmacogenetic (PGx) Research Consent/ Sample Collection
Description

Pharmacogenetic (PGx) Research Consent/ Sample Collection

Has informed consent been obtained for PGx reearch?
Description

Has informed consent been obtained for PGx reearch?

Data type

boolean

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

if YES, record date informed consent obtained for PGx research

Data type

text

If NO, check reason
Description

If NO, check reason

Data type

text

If OTHER, specify
Description

If OTHER, specify

Data type

text

Has sample been collected for PGx research?
Description

Has sample been collected for PGx research?

Data type

boolean

If YES, record the date sample taken
Description

If YES, record the date sample taken

Data type

date

Sample Type
Description

Sample Type

Record Sample Type
Description

Record Sample Type

Data type

text

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Similar models

Pharmacogenetic Research Consent

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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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