Inglés

Pharmacogenetik Research Consent Withdrawal

1 formularios  
Withdrawal of concent for PGx/Sample Destruction
Descripción

Withdrawal of concent for PGx/Sample Destruction

Has subject withdrawn consent for PGx research?
Descripción

Has subject withdrawn consent for PGx research?

Tipo de datos

boolean

If YES, record the date consent withdrawn
Descripción

If YES, record the date consent withdrawn

Tipo de datos

date

Has a request been made for sample destruction?
Descripción

Has a request been made for sample destruction?

Tipo de datos

boolean

If YES, check reason
Descripción

If YES, check reason

Tipo de datos

text

If OTHER, specify
Descripción

If OTHER, specify

Tipo de datos

text

Sample type
Descripción

Sample type

Tipo de datos

text

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Similar models

Pharmacogenetik Research Consent Withdrawal

1 formularios
Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de datos
Alias
Item Group
Withdrawal of concent for PGx/Sample Destruction
Has subject withdrawn consent for PGx research?
Item
Has subject withdrawn consent for PGx research?
boolean
If YES, record the date consent withdrawn
Item
If YES, record the date consent withdrawn
date
Has a request been made for sample destruction?
Item
Has a request been made for sample destruction?
boolean
Item
If YES, check reason
text
If YES, check reason
Code List
If YES, check reason
CL Item
Subject withdrew consent for PGx (1)
CL Item
Screen failure (2)
CL Item
Other (3)
If OTHER, specify
Item
If OTHER, specify
text
Sample type
Item
Sample type
text
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