CDE Detailed Report
Disease: Mitochondrial Disease
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 1 - 50 of 279
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 1 - 50 of 279
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C60280 | Mitochondrial disease prior vomit fail stop text | MitDisPriVomitFailStopTxt | The free-text field related to the participant's previous efforts that failed to stop vomiting | The free-text field related to the participant's previous efforts that failed to stop vomiting | What did the participant use that failed to stop vomiting? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:13.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60312 | Mitochondrial disease swallow study indicator | MitoDisSwallowStudyInd | Indicator of whether the participant has undergone a swallowing study | Indicator of whether the participant has undergone a swallowing study | Has the participant had a swallow study done? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:30.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60291 | Mitochondrial disease swallow difficult frequency type | MitDisSwllwDffcltFrqTyp | Type of frequency with which the participant has difficulty swallowing | Type of frequency with which the participant has difficulty swallowing | How often do problems with swallowing occur? | About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify | About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:06.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60323 | Mitochondrial disease pancreatitis episodes occur text | MitDisPancreatitisEpsdTxt | The free-text field to specify the amount of time that has elapsed since the participant's episodes have occurred | The free-text field to specify the amount of time that has elapsed since the participant's episodes have occurred | How long ago did the episode(s) occur? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:35.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60302 | Mitochondrial disease choke liquid indicator | MitDisChokeLiqdInd | Indicator of whether the participant chokes with liquids | Indicator of whether the participant chokes with liquids | Does the participant choke with liquids? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:22.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60334 | Mitochondrial disease pancreas imaging study indicator | MitDisPancreasImgStdyInd |
Indicator of whether the participant had an imaging study of their pancreas |
Indicator of whether the participant had an imaging study of their pancreas |
Has the participant had an imaging study of their pancreas? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:44.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60281 | Mitochondrial disease abdominal migraine diagnosis indicator | MitDisAbdMigrDiagnosInd | Indicator of whether the participant has an abdominal migraine diagnosis | Indicator of whether the participant has an abdominal migraine diagnosis | Has the participant ever been diagnosed with abdominal migraine? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:27.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60313 | Mitochondrial disease swallow study result type | MitDisSwallowStudyRsltTyp | Type of result the participant's swallowing study revealed | Type of result the participant's swallowing study revealed | If YES, did it show | Penetration without aspiration;Penetration with trace aspiration;Aspiration with protective cough;Silent aspiration | Penetration without aspiration;Penetration with trace aspiration;Aspiration with protective cough;Silent aspiration | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:31.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60292 | Mitochondrial disease swallow difficult frequency type other text | MitDisSwallowDffcltFreqTypOTH | The free-text field related to 'Mitochondrial disease swallow difficult frequency type', specifying other text. Type of frequency with which the participant has difficulty swallowing | The free-text field related to 'Mitochondrial disease swallow difficult frequency type', specifying other text. Type of frequency with which the participant has difficulty swallowing | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:07.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60324 | Mitochondrial disease pancreatitis episodes duration text | MitDisPancreasEpsdDuratnTxt | The free-text field to specify the duration of the participant's pancreatitis episodes occurred | The free-text field to specify the the duration of the participant's pancreatitis episodes occurred | Over what period of time did the episodes occur? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:36.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60271 | Mitochondrial disease DNA deletion text | MitDisDNADelTxt | The free-text field to specify the mitochondrial disease mitochondrial DNA deletion | The free-text field to specify the mitochondrial disease mitochondrial DNA deletion | Mitochondrial DNA Deletion (Specify) | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:40.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60303 | Mitochondrial disease choke solid indicator | MitDisChokeSolidInd | Indicator of whether the participant chokes with solids | Indicator of whether the participant chokes with solids | Does the participant choke with solids? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:22.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60335 | Mitochondrial disease pancreas imaging study type | MitDisPancreasImgStdyTyp | Type of imaging study of the pancreas the participant had | Type of imaging study of the pancreas the participant had | If YES, what study did the participant have? | MRI;MRCP;ERCP;US;CAT Scan abdomen;Endoscopic US | MRI;MRCP (magnetic resonance cholangiopancreatography);ERCP (endoscopic retrograde cholangiopancreatography);US (Ultrasound);CAT Scan abdomen;Endoscopic ultrasound | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:45.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60282 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn frequency type other text | MtDzCrGRDHnMLChPnEsBnFrqTypOTH | The free-text field related to 'Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn frequency type', specifying other text. Type of frequency with which the participant currently has GERD, heartburn, mid-line chest pain, esophageal burning | The free-text field related to 'Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn frequency type', specifying other text. Type of frequency with which the participant currently has GERD, heartburn, mid-line chest pain, esoph | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:33.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60314 | Mitochondrial disease swallow center feed therapist indicator | MitDisSwalCntrFeedTherapistInd | Indicator of whether the participant has been evaluated for a feeding and swallowing center or feeding therapist | Indicator of whether the participant has been evaluated for a feeding and swallowing center or feeding therapist | Has the participant been evaluated for a feeding and swallowing center/feeding therapist? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:31.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60293 | Mitochondrial disease swallow pain indicator | MitDisSwallowPainInd | Indicator of whether the participant has pain with swallowing | Indicator of whether the participant has pain with swallowing | Does the participant have pain with swallowing? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:09.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60325 | Mitochondrial disease first pancreatitis episode age value | MitDisFrstPancreasEpisdAgeVal | Value for the participant's age at the first pancreatitis episode | Value for the participant's age at the first pancreatitis episode | Age at first episode | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:37.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
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| C60272 | Informant questionnaire text | InfrmntQstnnreTxt | The free-text field specifying the informant for the questionnaire | The free-text field specifying the informant for the questionnaire | Who is the informant for this questionnaire? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:41.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60304 | Mitochondrial disease swallow position change indicator | MitDisSwlwPosChngInd | Indicator of whether the participant's swallowing changes with position change | Indicator of whether the participant's swallowing changes with position change | Does the participant's swallowing change with position changes? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:23.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60336 | Mitochondrial disease genetic testing pancreas indicator | MitDisGentcTstPancreasInd | Indicator of whether the participant had genetic testing performed | Indicator of whether the participant had genetic testing performed | Has the participant had genetic testing for pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:45.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60283 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn meal timing interval | MtDzCrGRDHnMLChPnEsBnMTmIntrvl | Interval of the timing of the participant's current GERD, heartburn, mid-line chest pain, esophageal burning in relation to meals | Interval of the timing of the participant's current GERD, heartburn, mid-line chest pain, esophageal burning in relation to meals | Timing in relation to meals | After an hour;Within 5-10 minutes;After 20-30 minutes | After an hour;Within 5-10 minutes;After 20-30 minutes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:34.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60315 | Mitochondrial disease swallow center feed therapist recommendation type | MitDisSwlCntrFdThrpRecmTyp | Type of recommendation the participant received from the feeding and swallowing center or feeding therapist evaluation | Type of recommendation the participant received from the feeding and swallowing center or feeding therapist evaluation | If YES, what was the recommendation | Participant placed on recommendation to continue oral feed without any diet modification;Participant placed on recommendation to stop oral feed | Participant placed on recommendation to continue oral feed without any diet modification;Participant placed on recommendation to stop oral feed | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:32.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60294 | Mitochondrial disease swallow pain onset age category | MitDisSwallowPainOnsetAgeCat | Category of the participant's age at onset of pain with swallowing | Category of the participant's age at onset of pain with swallowing | What was the participant's age when pain with swallowing began? | Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y | Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:10.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60326 | Mitochondrial disease last pancreatitis episode age value | MitDisLastPancreasEpisdAgeVal | Value for the participant's age at the last pancreatitis episode | Value for the participant's age at the last pancreatitis episode | Age at last episode | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:38.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
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| C60273 | Mitochondrial disease infant formula choose reason text | MitDisInfFormChooseRsnTxt | The free-text field to specify the reason an infant formula was chosen | The free-text field to specify the reason an infant formula was chosen | Why was this formula chosen? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:46.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60305 | Mitochondrial disease cough eat indicator | MitDisCghEatInd | Indicator of whether the participant coughs while eating | Indicator of whether the participant coughs while eating | Does the participant cough while eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:24.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60337 | Mitochondrial disease genetic tests pancreas result text | MitDisGentcTestPancreasRsltTxt | The free-text field related to the participant's genetic test results | The free-text field related to the participant's genetic test results | What did the genetic tests show? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:46.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60284 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn trigger text | MtDzCrGERDHtbnMLChtPnEsBnTrTxt | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom triggers | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom triggers | Please provide additional details about the participant's GERD, heartburn, mid-line chest pain, esophageal burning symptoms. Triggers | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:36.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60316 | Mitochondrial disease fiberoptic endoscopic evaluation of swallowing indicator | MitDisFEESInd | Indicator of whether the participant has had a fiberoptic endoscopic evaluation of swallowing (FEES) procedure | Indicator of whether the participant has had a fiberoptic endoscopic evaluation of swallowing (FEES) procedure | Has the participant had a fiberoptic endoscopic evaluation of swallowing (FEES) procedure done by an ENT? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:33.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60295 | Mitochondrial disease swallow pain occur liquid solid type | MitDisSwllwPainOccLiqSoldTyp | Type of bolus consistency with which the participant has pain when swallowing | Type of bolus consistency with which the participant has pain when swallowing | Does the pain with swallowing occur with liquids or solids? | I don't know;Liquids and solids;Liquids only;Solids only | I don't know;Liquids and solids;Liquids only;Solids only | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:11.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60327 | Mitochondrial disease total pancreatitis episodes number | MitDisPancreatitisEpsdNum | Total number of pancreatitis episodes the participant experienced | Total number of pancreatitis episodes the participant experienced | Total number of episodes | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:38.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
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| C60274 | Mitochondrial disease infant formula recommendation type | MitDisInfFormRecmndTyp | Type of recommendation the participant received regarding the infant formula | Type of recommendation the participant received regarding the infant formula | Who recommended this formula? | Other, specify;Registered dietician;Doctor;Internet/social media;Parent | Other, specify;Registered dietician;Doctor;Internet/social media;Parent | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:47.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60306 | Mitochondrial disease tired eat indicator | MitDisTiredEatInd | Indicator of whether the participant gets tired when eating | Indicator of whether the participant gets tired when eating | Does the participant get tired while eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:25.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60338 | Mitochondrial disease fecal elastase test indicator | MitDisFecalElastaseTestInd | Indicator of whether the participant had fecal elastase testing | Indicator of whether the participant had fecal elastase testing | Has the participant had a fecal elastase test done? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:47.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60285 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn relief text | MtDzCrGERDHtbnMLChPnEsBnRlfTxt | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom relief | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom relief | Please provide additional details about the participant's GERD, heartburn, mid-line chest pain, esophageal burning symptoms. Relief | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:36.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60317 | Mitochondrial disease current abdominal pain trigger type other text | MitDisCurntAbdomnlPainTrigrTypOTH | The free-text field related to 'Mitochondrial disease current abdominal pain trigger type', specifying other text. Type of trigger of the participant's current abdominal pain | The free-text field related to 'Mitochondrial disease current abdominal pain trigger type', specifying other text. Type of trigger of the participant's current abdominal pain | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:40.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60296 | Mitochondrial disease swallow pain frequency type other text | MitDisSwallowPainFreqTypOTH | The free-text field related to 'Mitochondrial disease swallow pain frequency type', specifying other text. Type of frequency with which the participant has pain with swallowing | The free-text field related to 'Mitochondrial disease swallow pain frequency type', specifying other text. Type of frequency with which the participant has pain with swallowing | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:12.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60328 | Mitochondrial disease acute pancreatitis indicator | MitDisAcutPancreatitisInd | Indicator of whether the participant had acute pancreatitis | Indicator of whether the participant had acute pancreatitis | Has the participant been told they have acute pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:39.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60275 | Mitochondrial disease infant formula recommendation type other text | MitDisInfFormRecmndTypOTH | The free-text field related to 'Mitochondrial disease infant formula recommendation type', specifying other text. Type of recommendation the participant received regarding the infant formula | The free-text field related to 'Mitochondrial disease infant formula recommendation type', specifying other text. Type of recommendation the participant received regarding the infant formula. | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:48.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60307 | Mitochondrial disease distract eat indicator | MitDisDistractEatInd | Indicator of whether the participant is distracted while eating | Indicator of whether the participant is distracted while eating | Is the participant distracted while eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:26.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60339 | Mitochondrial disease fecal elastase test result status | MitDisFecalElastaseTstRsltStat | Status to the participant's fecal elastase test result status | Status to the participant's fecal elastase test result status | If YES, was the fecal elastase test result normal or abnormal? | Abnormal;Normal | Abnormal;Normal | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:48.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60286 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn season variation text | MtDzCrGERDHtbnMLChPnEsBnSVrTxt | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom seasonal variation | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom seasonal variation | Please provide additional details about the participant's GERD, heartburn, mid-line chest pain, esophageal burning symptoms. Seasonal variation | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:37.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60318 | Mitochondrial disease prior abdominal pain reason other text | MitDisPriorAbdomnPainReasnOTH | The free-text field related to 'Mitochondrial disease prior abdominal pain reason', specifying other text. Reason describing the past indication that the participant experienced abdominal pain | The free-text field related to 'Mitochondrial disease prior abdominal pain reason', specifying other text. Reason describing the past indication that the participant experienced abdominal pain | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:48.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60297 | Mitochondrial disease swallow pain consistent indicator | MitDisSwallowPainConstntInd | Indicator of whether the participant's swallowing pain has been consistent day to day | Indicator of whether the participant's swallowing pain has been consistent day to day | Has the pain with swallowing been consistent day to day? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:14.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60329 | Mitochondrial disease recurrent acute pancreatitis indicator | MitDisRecrrntAcutePancretisInd | Indicator of whether the participant had recurrent acute pancreatitis | Indicator of whether the participant had recurrent acute pancreatitis | Has the participant been told they have acute recurrent pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:40.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60276 | Mitochondrial disease prior special diet type | MitDisPriorSpecialDietTyp | Type of specialized diet the participant has been on in the past | Type of specialized diet the participant has been on in the past | What type of specialized diet was the participant on? | Ketogenic diet;Celiac diet / gluten free;Vegetarian;Vegan;Organic;Food allergen avoidance;Lactose free;Sucrose free;Fructose free;Low fat;Low carbohydrate;Low protein;High fat;High carbohydrate;High protein;Low fermentable oligo-Di-Monosaccharides and Polyols (Low FODMAP);Enteral feed;Other, specify | Ketogenic diet;Celiac diet / gluten free;Vegetarian;Vegan;Organic;(shellfish, eggs, nuts, etc.);Lactose free;Sucrose free;Fructose free;Low fat;Low carbohydrate;Low protein;High fat;High carbohydrate;High protein;short chain carbohydrates and related alcohols that are poorly absorbed in the small intestine;Enteral feed;Other, specify | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:53.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60308 | Mitochondrial disease difficult breath eat indicator | MitDisDiffBrthEatInd | Indicator of whether the participant has difficulty breathing while eating | Indicator of whether the participant has difficulty breathing while eating | Does the participant have difficulty breathing while eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:27.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60340 | Mitochondrial disease pancreatic enzyme replacement therapy indicator | MitDisPancEnzRplcmntThrpyInd | Indicator of whether the participant had pancreatic enzyme replacement therapy indicator | Indicator of whether the participant had pancreatic enzyme replacement therapy indicator | Is the participant on pancreatic enzyme replacement therapy? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:49.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60287 | Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type other text | MitDisPriGERDHtnCPEsBFrqTypOTH | The free text field related to 'Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type', specifying other text. Type of frequency of with which the participant had prior GERD, heartburn, mid-line chest pain, esophageal burning | The free text field related to 'Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type', specifying other text. Type of frequency of with which the participant had prior GERD, heartburn, mid-line chest pain, esophage | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:41.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60319 | Mitochondrial disease prior abdominal pain trigger type other text | MitDisPriorAbdmnPainTrgrTypOTH | The free-text field related to 'Mitochondrial disease prior abdominal pain trigger type', specifying other text. Type of trigger of the participant's prior abdominal pain | The free-text field related to 'Mitochondrial disease prior abdominal pain trigger type', specifying other text. Type of trigger of the participant's prior abdominal pain | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:54.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
