Pharmacogenetic Research Consent

Administrative Data
Descrição

Administrative Data

Alias
UMLS CUI-1
C1320722
Date of Visit/Assessment
Descrição

Date of Visit/Assessment

Tipo de dados

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Site
Descrição

Study site

Tipo de dados

text

Alias
UMLS CUI [1]
C2825164
Patient
Descrição

Patient

Tipo de dados

text

Alias
UMLS CUI [1]
C1299487
Patient No.
Descrição

Subject No.

Tipo de dados

text

Alias
UMLS CUI [1]
C2348585
PGx-Pharmacogenetic research consent
Descrição

PGx-Pharmacogenetic research consent

Alias
UMLS CUI-1
C0021430
UMLS CUI-2
C2347500
Has informed consent been obtained for PGx-Pharmacogenetic research?
Descrição

If Yes, please fill in the Date informed consent obtained for PGx-Pharmacogenetic research and if a blood sample has been collected in the following items. If No, record reason.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
Date informed consent obtained for PGx-Pharmacogenetic research
Descrição

Date informed consent obtained for Pharmacogenetic research

Tipo de dados

date

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C0011008
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
Descrição

If Yes, please record the date sample taken in the following item.

Tipo de dados

boolean

Alias
UMLS CUI [1,1]
C0005834
UMLS CUI [1,2]
C2347500
Record date sample taken
Descrição

Date of sample taken of Pharmacogenetic research

Tipo de dados

date

Alias
UMLS CUI [1,1]
C1302413
UMLS CUI [1,2]
C2347500
Check reason no informed consent obtained for PGx
Descrição

If other, specify

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C1882120
UMLS CUI [1,3]
C0021430
UMLS CUI [1,4]
C2347500
Other reason for no informed consent obtained, specify
Descrição

Other reason for no informed consent obtained

Tipo de dados

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0566251
UMLS CUI [1,3]
C0021430
UMLS CUI [1,4]
C2347500
UMLS CUI [1,5]
C1882120

Similar models

Pharmacogenetic Research Consent

Name
Tipo
Description | Question | Decode (Coded Value)
Tipo de dados
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Date of Visit/Assessment
Item
Date of Visit/Assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Study site
Item
Site
text
C2825164 (UMLS CUI [1])
Patient
Item
Patient
text
C1299487 (UMLS CUI [1])
Subject No.
Item
Patient No.
text
C2348585 (UMLS CUI [1])
Item Group
PGx-Pharmacogenetic research consent
C0021430 (UMLS CUI-1)
C2347500 (UMLS CUI-2)
Informed consent for Pharmacogenetic research
Item
Has informed consent been obtained for PGx-Pharmacogenetic research?
boolean
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
Date informed consent obtained for Pharmacogenetic research
Item
Date informed consent obtained for PGx-Pharmacogenetic research
date
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Blood sample for Pharmacogenetic research
Item
Has a blood sample been collected for PGx-pharmacogenetic (DNA) research?
boolean
C0005834 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
Date of sample taken of Pharmacogenetic research
Item
Record date sample taken
date
C1302413 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
Item
Check reason no informed consent obtained for PGx
text
C0566251 (UMLS CUI [1,1])
C1882120 (UMLS CUI [1,2])
C0021430 (UMLS CUI [1,3])
C2347500 (UMLS CUI [1,4])
Code List
Check reason no informed consent obtained for PGx
CL Item
Subject declined (Subject declined)
CL Item
Subject not asked by Investigator (Subject not asked by Investigator)
CL Item
Other (Other)
Other reason for no informed consent obtained
Item
Other reason for no informed consent obtained, specify
text
C0205394 (UMLS CUI [1,1])
C0566251 (UMLS CUI [1,2])
C0021430 (UMLS CUI [1,3])
C2347500 (UMLS CUI [1,4])
C1882120 (UMLS CUI [1,5])