Engelsk

Pharmacogenetic Research Consent

1 Formulär  
Pharmacogenetic (PGx) Research Consent/ Sample Collection
Beskrivning

Pharmacogenetic (PGx) Research Consent/ Sample Collection

Has informed consent been obtained for PGx reearch?
Beskrivning

Has informed consent been obtained for PGx reearch?

Datatyp

boolean

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

if YES, record date informed consent obtained for PGx research

Datatyp

text

If NO, check reason
Beskrivning

If NO, check reason

Datatyp

text

If OTHER, specify
Beskrivning

If OTHER, specify

Datatyp

text

Has sample been collected for PGx research?
Beskrivning

Has sample been collected for PGx research?

Datatyp

boolean

If YES, record the date sample taken
Beskrivning

If YES, record the date sample taken

Datatyp

date

Sample Type
Beskrivning

Sample Type

Record Sample Type
Beskrivning

Record Sample Type

Datatyp

text

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Similar models

Pharmacogenetic Research Consent

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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