Engelsk

Pharmacogenetik Research Consent Withdrawal

1 Formulär  
Withdrawal of concent for PGx/Sample Destruction
Beskrivning

Withdrawal of concent for PGx/Sample Destruction

Has subject withdrawn consent for PGx research?
Beskrivning

Has subject withdrawn consent for PGx research?

Datatyp

boolean

If YES, record the date consent withdrawn
Beskrivning

If YES, record the date consent withdrawn

Datatyp

date

Has a request been made for sample destruction?
Beskrivning

Has a request been made for sample destruction?

Datatyp

boolean

If YES, check reason
Beskrivning

If YES, check reason

Datatyp

text

If OTHER, specify
Beskrivning

If OTHER, specify

Datatyp

text

Sample type
Beskrivning

Sample type

Datatyp

text

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Similar models

Pharmacogenetik Research Consent Withdrawal

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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Has subject withdrawn consent for PGx research?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Has subject withdrawn consent for PGx research?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If YES, record the date consent withdrawn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If YES, record the date consent withdrawn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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