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PGx-Pharmacogenetic Research Withdrawal of Consent

1 forms  
PGx-Pharmacogenetic Research Withdrawal of Consent
Description

PGx-Pharmacogenetic Research Withdrawal of Consent

Has subject withdrawn consent for PGx-Pharmacogenetic research?
Description

Has subject withdrawn consent for PGx-Pharmacogenetic research?

Data type

boolean

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

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Similar models

PGx-Pharmacogenetic Research Withdrawal of Consent

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Has subject withdrawn consent for PGx-Pharmacogenetic research?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Has subject withdrawn consent for PGx-Pharmacogenetic research?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