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Pharmacogenetic Research Consent

1 forms  
Pharmacogenetic (PGx) Research Consent/ Sample Collection
Description

Pharmacogenetic (PGx) Research Consent/ Sample Collection

Alias
UMLS CUI-1
C0031325
UMLS CUI-2
C0035168
UMLS CUI-3
C1511481
UMLS CUI-4
C0200345
Has informed consent been obtained for PGx research?
Description

Has informed consent been obtained for PGx reearch?

Data type

boolean

Alias
UMLS CUI [1]
C0021430
UMLS CUI [2,1]
C0031325
UMLS CUI [2,2]
C0035168
if YES, record date informed consent obtained for PGx research
Description

if YES, record date informed consent obtained for PGx research

Data type

text

Alias
UMLS CUI [1]
C2985782
UMLS CUI [2,1]
C0031325
UMLS CUI [2,2]
C0035168
If NO, check reason for informed consent not being obtained.
Description

If NO, check reason

Data type

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1882120
UMLS CUI [1,3]
C0392360
If OTHER, specify
Description

If OTHER, specify

Data type

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C1882120
UMLS CUI [1,3]
C0392360
UMLS CUI [1,4]
C0205394
UMLS CUI [1,5]
C2348235
Has sample been collected for PGx research?
Description

Has sample been collected for PGx research?

Data type

boolean

Alias
UMLS CUI [1]
C0200345
UMLS CUI [2,1]
C0031325
UMLS CUI [2,2]
C0035168
If YES, record the date sample taken
Description

If YES, record the date sample taken

Data type

date

Alias
UMLS CUI [1]
C1302413
Sample Type
Description

Sample Type

Alias
UMLS CUI-1
C2347029
Record Sample Type
Description

Record Sample Type

Data type

text

Alias
UMLS CUI [1]
C2347029
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Similar models

Pharmacogenetic Research Consent

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Pharmacogenetic (PGx) Research Consent/ Sample Collection
C0031325 (UMLS CUI-1)
C0035168 (UMLS CUI-2)
C1511481 (UMLS CUI-3)
C0200345 (UMLS CUI-4)
Has informed consent been obtained for PGx reearch?
Item
Has informed consent been obtained for PGx research?
boolean
C0021430 (UMLS CUI [1])
C0031325 (UMLS CUI [2,1])
C0035168 (UMLS CUI [2,2])
if YES, record date informed consent obtained for PGx research
Item
if YES, record date informed consent obtained for PGx research
text
C2985782 (UMLS CUI [1])
C0031325 (UMLS CUI [2,1])
C0035168 (UMLS CUI [2,2])
Item
If NO, check reason for informed consent not being obtained.
text
C0021430 (UMLS CUI [1,1])
C1882120 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
If NO, check reason
Code List
If NO, check reason for informed consent not being obtained.
CL Item
[1] Subject declined (1)
CL Item
[2] Subject not asked by Investigator (2)
CL Item
[Z] Other (3)
If OTHER, specify
Item
If OTHER, specify
text
C0021430 (UMLS CUI [1,1])
C1882120 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
Has sample been collected for PGx research?
Item
Has sample been collected for PGx research?
boolean
C0200345 (UMLS CUI [1])
C0031325 (UMLS CUI [2,1])
C0035168 (UMLS CUI [2,2])
If YES, record the date sample taken
Item
If YES, record the date sample taken
date
C1302413 (UMLS CUI [1])
Item Group
Sample Type
C2347029 (UMLS CUI-1)
Record Sample Type
Item
Record Sample Type
text
C2347029 (UMLS CUI [1])
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