Pharmacogenetic Research Consent, Saliva Sample Collection

Administrative Data
Beschreibung

Administrative Data

Alias
UMLS CUI-1
C1320722
Subject identification number
Beschreibung

Subject identification number

Datentyp

text

Alias
UMLS CUI [1]
C2348585
Date of visit/assessment
Beschreibung

Date of visit/assessment

Datentyp

date

Alias
UMLS CUI [1]
C1320303
UMLS CUI [2]
C2985720
Pharmacogenetic research consent
Beschreibung

Pharmacogenetic research consent

Has informed consent been obtained for Pax research?
Beschreibung

Informed consent for pharmacogenetic research

Datentyp

text

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
If yes, record Date informed consent obtained for PGx research
Beschreibung

Date informed consent for pharmacogenetics obtained

Datentyp

date

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C2347500
UMLS CUI [1,3]
C0011008
If yes, has saliva been collected for PGx research?
Beschreibung

Saliva collection for pharmacogenetic research

Datentyp

text

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0455046
If Saliva has been collected, record date sample taken
Beschreibung

Date Saliva Sample for pharmacogenetic research was collected

Datentyp

date

Alias
UMLS CUI [1,1]
C2347500
UMLS CUI [1,2]
C0455046
UMLS CUI [1,3]
C0011008
If no informed consent has been obtained, check reason
Beschreibung

Reason for not obtaining informed consent for pharmacogenetic research

Datentyp

integer

Alias
UMLS CUI [1,1]
C0566251
UMLS CUI [1,2]
C0021430
UMLS CUI [1,3]
C2347500
UMLS CUI [1,4]
C1882120
If other reason for not obtaining informed consent for pharmacogenetic research, specify
Beschreibung

Other reason for not obtaining informed consent for pharmacogenetic research

Datentyp

text

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

[hidden] This item will be calculated by InForm

Datentyp

text

Alias
UMLS CUI [1]
C2347029

Ähnliche Modelle

Pharmacogenetic Research Consent, Saliva Sample Collection

Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative Data
C1320722 (UMLS CUI-1)
Subject identification number
Item
Subject identification number
text
C2348585 (UMLS CUI [1])
Date of visit/assessment
Item
Date of visit/assessment
date
C1320303 (UMLS CUI [1])
C2985720 (UMLS CUI [2])
Item
Has informed consent been obtained for Pax research?
text
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
Code List
Has informed consent been obtained for Pax research?
CL Item
Yes (Y)
CL Item
No (N)
Date informed consent for pharmacogenetics obtained
Item
If yes, record Date informed consent obtained for PGx research
date
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
If yes, has saliva been collected for PGx research?
text
C2347500 (UMLS CUI [1,1])
C0455046 (UMLS CUI [1,2])
Code List
If yes, has saliva been collected for PGx research?
CL Item
No (N)
CL Item
Yes, record date sample taken (Y)
Date Saliva Sample for pharmacogenetic research was collected
Item
If Saliva has been collected, record date sample taken
date
C2347500 (UMLS CUI [1,1])
C0455046 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
If no informed consent has been obtained, check reason
integer
C0566251 (UMLS CUI [1,1])
C0021430 (UMLS CUI [1,2])
C2347500 (UMLS CUI [1,3])
C1882120 (UMLS CUI [1,4])
Code List
If no informed consent has been obtained, check reason
CL Item
Subject declined (1)
CL Item
Subject not asked by Investigator (2)
CL Item
Other, specify (3)
Other reason for not obtaining informed consent for pharmacogenetic research
Item
If other reason for not obtaining informed consent for pharmacogenetic research, specify
text
C0021430 (UMLS CUI [1,1])
C2347500 (UMLS CUI [1,2])
C1882120 (UMLS CUI [1,3])
C0205394 (UMLS CUI [1,4])
C0566251 (UMLS CUI [1,5])
Sample Type
Item
Sample Type
text
C2347029 (UMLS CUI [1])