Date of Visit/Assessment
Pharmacogenetic (PGx) Research Withdrawal of Consent
Pharmacogenetic Test, Informed Consent, Withdraw
boolean
Pharmacogenetic Test, Informed Consent, Withdraw, Date in time
date
Pharmacogenetic Test, Blood specimen, Destruction, Request
boolean
Pharmacogenetic Test, Blood specimen, Destruction, Request, Reason and justification
text
Pharmacogenetic Test, Blood specimen, Destruction, Request, Reason and justification
text
Status of Treatment Blind
Blinded Clinical Study, Subject Unblinding Event Record
boolean
Blinded Clinical Study, Subject Unblinding Event Record, Date in time
date
Blinded Clinical Study, Subject Unblinding Event Record, Reason and justification
text
Blinded Clinical Study, Subject Unblinding Event Record, Reason and justification
text
Medical Device Question
Pregnancy Information
Study Conclusion
Completion Status, Date in time; Withdraw, Date in time
date
Patient withdrawn from trial
boolean
Patient withdrawn from trial, Reason and justification, Primary
text
Patient withdrawn from trial, Reason and justification, Primary
text
Clinical study case, Investigator Signature
boolean