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PGx-Pharmacogenetic Research Withdrawal of Consent

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PGx-Pharmacogenetic Research Withdrawal of Consent
Beschrijving

PGx-Pharmacogenetic Research Withdrawal of Consent

Has subject withdrawn consent for PGx-Pharmacogenetic research?
Beschrijving

Has subject withdrawn consent for PGx-Pharmacogenetic research?

Datatype

boolean

Has a request been made for sample destruction?
Beschrijving

Has a request been made for sample destruction?

Datatype

boolean

If YES, check reason
Beschrijving

If YES, check reason

Datatype

text

If OTHER, specify
Beschrijving

If OTHER, specify

Datatype

text

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Similar models

PGx-Pharmacogenetic Research Withdrawal of Consent

1 Formulieren
Name
Type
Description | Question | Decode (Coded Value)
Datatype
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Has subject withdrawn consent for PGx-Pharmacogenetic research?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Has subject withdrawn consent for PGx-Pharmacogenetic research?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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