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Pharmacogenetik Research Consent Withdrawal

1 forms  
Withdrawal of concent for PGx/Sample Destruction
Description

Withdrawal of concent for PGx/Sample Destruction

Alias
UMLS CUI-1
C0031325
UMLS CUI-2
C0035168
UMLS CUI-3
C1707492
UMLS CUI-4
C1948029
UMLS CUI-5
C0178913
Has subject withdrawn consent for PGx research?
Description

Has subject withdrawn consent for PGx research?

Data type

boolean

Alias
UMLS CUI [1,1]
C0031325
UMLS CUI [1,2]
C0035168
UMLS CUI [1,3]
C1707492
If YES, record the date consent withdrawn
Description

If YES, record the date consent withdrawn

Data type

date

Alias
UMLS CUI [1,1]
C0031325
UMLS CUI [1,2]
C0035168
UMLS CUI [1,3]
C1707492
UMLS CUI [1,4]
C0011008
Has a request been made for sample destruction?
Description

Has a request been made for sample destruction?

Data type

boolean

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
If YES, check reason
Description

If YES, check reason

Data type

text

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
UMLS CUI [1,4]
C0392360
If OTHER, specify
Description

If OTHER, specify

Data type

text

Alias
UMLS CUI [1,1]
C1948029
UMLS CUI [1,2]
C0178913
UMLS CUI [1,3]
C1272683
UMLS CUI [1,4]
C0392360
UMLS CUI [2,1]
C0205394
UMLS CUI [2,2]
C2348235
Sample type
Description

Sample type

Data type

text

Alias
UMLS CUI [1]
C2347029
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Similar models

Pharmacogenetik Research Consent Withdrawal

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Withdrawal of concent for PGx/Sample Destruction
C0031325 (UMLS CUI-1)
C0035168 (UMLS CUI-2)
C1707492 (UMLS CUI-3)
C1948029 (UMLS CUI-4)
C0178913 (UMLS CUI-5)
Has subject withdrawn consent for PGx research?
Item
Has subject withdrawn consent for PGx research?
boolean
C0031325 (UMLS CUI [1,1])
C0035168 (UMLS CUI [1,2])
C1707492 (UMLS CUI [1,3])
If YES, record the date consent withdrawn
Item
If YES, record the date consent withdrawn
date
C0031325 (UMLS CUI [1,1])
C0035168 (UMLS CUI [1,2])
C1707492 (UMLS CUI [1,3])
C0011008 (UMLS CUI [1,4])
Has a request been made for sample destruction?
Item
Has a request been made for sample destruction?
boolean
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
Item
If YES, check reason
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
If YES, check reason
Code List
If YES, check reason
CL Item
Subject withdrew consent for PGx (1)
CL Item
Screen failure (2)
CL Item
Other (3)
If OTHER, specify
Item
If OTHER, specify
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0205394 (UMLS CUI [2,1])
C2348235 (UMLS CUI [2,2])
Sample type
Item
Sample type
text
C2347029 (UMLS CUI [1])
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