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PGx-Pharmacogenetic Research Withdrawal of Consent

1 Formulär  
PGx-Pharmacogenetic Research Withdrawal of Consent
Beskrivning

PGx-Pharmacogenetic Research Withdrawal of Consent

Has subject withdrawn consent for PGx-Pharmacogenetic research?
Beskrivning

Has subject withdrawn consent for PGx-Pharmacogenetic research?

Datatyp

boolean

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

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Similar models

PGx-Pharmacogenetic Research Withdrawal of Consent

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
PGx-Pharmacogenetic Research Withdrawal of Consent
Has subject withdrawn consent for PGx-Pharmacogenetic research?
Item
Has subject withdrawn consent for PGx-Pharmacogenetic research?
boolean
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 requested (1)
CL Item
Screen failure (2)
CL Item
Other (3)
If OTHER, specify
Item
If OTHER, specify
text
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