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PGx-Pharmacogenetic Research Consent

1 forms  
PGx-Pharmacogenetic Research Consent Question
Description

PGx-Pharmacogenetic Research Consent Question

Has Informed consent been obtained for PGx-Pharmacogenetic research?
Description

Has Informed consent been obtained for PGx-Pharmacogenetic research?

Data type

boolean

If YES, record Date informed consent obtained for PGx-Pharmacogenetic research
Description

If YES, record Date informed consent obtained for PGx-Pharmacogenetic research

Data type

date

If NO, check reason
Description

If NO, check reason

Data type

text

If OTHER, specify
Description

If OTHER, specify

Data type

text

Has a blood sample been collected for PGx-pharmacogenetic research?
Description

Has a blood sample been collected for PGx-pharmacogenetic research?

Data type

boolean

If YES, record date sample taken
Description

If YES, record date sample taken

Data type

boolean

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Similar models

PGx-Pharmacogenetic Research Consent

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
PGx-Pharmacogenetic Research Consent Question
Has Informed consent been obtained for PGx-Pharmacogenetic research?
Item
Has Informed consent been obtained for PGx-Pharmacogenetic research?
boolean
If YES, record Date informed consent obtained for PGx-Pharmacogenetic research
Item
If YES, record Date informed consent obtained for PGx-Pharmacogenetic research
date
Item
If NO, check reason
text
If NO, check reason
Code List
If NO, check reason
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other (3)
If OTHER, specify
Item
If OTHER, specify
text
Has a blood sample been collected for PGx-pharmacogenetic research?
Item
Has a blood sample been collected for PGx-pharmacogenetic research?
boolean
If YES, record date sample taken
Item
If YES, record date sample taken
boolean
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