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Pharmacogenetik Research Consent Withdrawal

1 forms  
Withdrawal of concent for PGx/Sample Destruction
Description

Withdrawal of concent for PGx/Sample Destruction

Has subject withdrawn consent for PGx research?
Description

Has subject withdrawn consent for PGx research?

Data type

boolean

If YES, record the date consent withdrawn
Description

If YES, record the date consent withdrawn

Data type

date

Has a request been made for sample destruction?
Description

Has a request been made for sample destruction?

Data type

boolean

If YES, check reason
Description

If YES, check reason

Data type

text

If OTHER, specify
Description

If OTHER, specify

Data type

text

Sample type
Description

Sample type

Data type

text

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Similar models

Pharmacogenetik Research Consent Withdrawal

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
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Has subject withdrawn consent for PGx research?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Has subject withdrawn consent for PGx research?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If YES, record the date consent withdrawn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If YES, record the date consent withdrawn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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