Has informed consent been obtained for PGx-Pharmacogenetic research?
Item
Has informed consent been obtained for PGx-Pharmacogenetic research?
boolean
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
If informed consent has been obtained, record date informed consent obtained.
Item
If informed consent has been obtained, record date informed consent obtained.
date
C0021430 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
Item
If informed consent has been obtained, has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
boolean
C2347500 (UMLS CUI [1,1])
C0005834 (UMLS CUI [1,2])
Date sample taken
Item
If a blood sample has been collected for PGx-pharmacogenetic (DNA) research, record date sample taken.
date
C0031328 (UMLS CUI [1,1])
C1302413 (UMLS CUI [1,2])
Item
If no informed consent has been obtained for PGx-Pharmacogenetic research, check reason.
text
C0031325 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
Code List
If no informed consent has been obtained for PGx-Pharmacogenetic research, check reason.
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other, specify (Z)
Other reason for informed consent has not been obtained for PGx-Pharmacogenetic research
Item
If other reason for informed consent has not been obtained for PGx-Pharmacogenetic research, please specify.
text
C0031325 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C0392360 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C2348235 (UMLS CUI [1,5])
Has subject withdrawn consent for PGx research?
Item
Has subject withdrawn consent for PGx research?
boolean
C1707492 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
If subject has withdrawn consent for PGx research, record date informed consent withdrawn
Item
If subject has withdrawn consent for PGx research, record date informed consent withdrawn
date
C1707492 (UMLS CUI [1,1])
C0031325 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
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 a request has been made for sample destruction check reason
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
Code List
If a request has been made for sample destruction check reason
CL Item
Subject withdrew consent for PGx (3)
CL Item
Screen failure (2)
CL Item
Other, specify (Z)
If other reason for request has been made for sample destruction, please specify
Item
If other reason for request has been made for sample destruction, please specify
text
C1948029 (UMLS CUI [1,1])
C0178913 (UMLS CUI [1,2])
C1272683 (UMLS CUI [1,3])
C0392360 (UMLS CUI [1,4])
C0392360 (UMLS CUI [1,5])
C0205394 (UMLS CUI [1,6])
C2348235 (UMLS CUI [1,7])