CDE Detailed Report
Disease: Mitochondrial Disease
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 51 - 100 of 279
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 51 - 100 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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 |
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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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| C20191 | Mitochondrial disease current abdominal distension cause reason type | MtDisCrAbdmnlDstnCausRsnTyp | Type of reason for current abdominal distension | Type of reason for current abdominal distension | Is current abdominal distension caused by air or stool? | Air;Both;I don't know;Stool | Air;Both;I don't know;Stool | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:01.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20122 | Mitochondrial disease prior oral regurgitation occurrence time type | MitDisPriOralRegurgOccurTmTyp | Type of timing of the participant's prior episodes of oral regurgitation with respect to meals | Type of timing of the participant prior episodes of oral regurgitation with respect to meals | In the past, was the oral regurgitation before, during, or after meals? | After;Before;During;Variable | After;Before;During;Variable | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:52.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20239 | Mitochondrial disease other comment text | MitDisOtherCommentTxt | The free-text field to provide additional information | The free-text field to provide additional information | Please provide any additional comments | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:50.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20057 | Mitochondrial disease current vomit episode trigger indicator | MitDisCurntVomitEpisTrigInd | Indicator of whether there are particular triggers that induce current vomiting episodes in participant | Indicator of whether there are particular triggers that induce current vomiting episodes in participant | Are there particular triggers for vomiting episodes? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:03.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20159 | Mitochondrial disease current abdominal pain frequency type | MitDisCurntAbdomnlPainFreqTyp | Type of frequency with which the participant currently has abdominal pain | Type of frequency with which the participant currently has abdominal pain | How often does abdominal pain 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 | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:57:37.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20089 | Mitochondrial disease prior vomit detail text | MitDisDetPriVomitDetailTxt | The free-text field to specify additional details about participant's past vomiting symptoms | The free text field to specify additional details about participant's past vomiting symptoms | Please provide additional details about past vomiting symptoms | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:26.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20206 | Mitochondrial disease stool blood indicator | MitDisStoolBloodInd | Indicator of whether the participant has blood in their stools | Indicator of whether the participant has blood in their stools | Does the participant ever have blood in the stool? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:11.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20101 | Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn onset age category | MitDisPiGERDHtnMLCPEBnOsAgCat | Category of the participant's age at the onset of prior GERD, heartburn, mid-line chest, pain esophageal burning symptoms | Category of the participant's age at the onset of prior GERD, heartburn, mid-line chest, pain esophageal burning symptoms | For past GERD, heartburn, mid-line chest pain, esophageal burning episodes, what was the participant's age when the problems 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 | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:56:38.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20218 | Mitochondrial disease medication gastrointestinal problem prior worsen text | MitDisMedGIProblmPrirWorsenTxt | The free-text field to specify about which medications made the participant's past GI problems worse | The free-text field to specify about which medications made the participant's past GI problems worse | Has the participant taken any medications in the past that have worsened their GI problems? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:20.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20034 | Mitochondrial disease person relationship category | MitDisPersnRelatedCat | Type of relationship of participant to family member with mitochondrial disease | Type of relationship of participant to family member with mitochondrial disease | How are they related to the person with mitochondrial disease? | Mother;Father;Grandmother;Grandfather;Sister;Brother;Spouse;The person with mitochondrial disease;Guardian (not a relative);Other, specify | Mother;Father;Grandmother;Grandfather;Sister;Brother;Spouse;The person with mitochondrial disease;Guardian (not a relative);Other, specify | Alphanumeric |
Choose one. |
Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:55:41.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20133 | Mitochondrial disease prior burp stop text | MitDisPriorBurpStopSpTxt | The free-text field to specify what stopped the participant's past burping | The free-text field to specify what stopped the participant's past burping | What stopped the burping? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:00.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20068 | Mitochondrial disease current vomit detail text | MitDisCurrVomitDetTxt | The free-text field to specify additional details about participant's current vomiting symptoms | The free text field to specify additional details about participant's current vomiting symptoms | Please provide additional details about current vomiting symptoms | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:11.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20170 | Mitochondrial disease prior abdominal pain onset age category | MitDisPriAbdomnlPainOnstAgeCat | Category of the participant's age at the onset of prior abdominal pain | Category of the participant's age at the onset of prior abdominal pain | What was the participant's age when past abdominal pain 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 | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:57:45.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20112 | Mitochondrial disease current oral regurgitation frequency type | MitDisCurntOralRegurgFreqTyp | Type of frequency with which the participant currently has oral regurgitation | Type of frequency with which the participant currently has oral regurgitation | How often does oral regurgitation 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 | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:56:46.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20229 | Mitochondrial disease time gastrointestinal symptom occur prior diagnosis text | MitDisTimGISymtmOccrPriDiagTxt | The free-text field to provide how long participant had GI symptoms before being diagnosed with mitochondrial disease | The free-text field to provide how long participant had GI symptoms before being diagnosed with mitochondrial disease | How long did the participant have GI symptoms before they were diagnosed with mitochondrial disease? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:27.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20047 | Mitochondrial disease prior special diet type other text | MitDisPriorSpecialDietTypOTH | The free-text field related to 'Mitochondrial disease prior special diet type', specifying other text. Type of specialized diet the participant has been on in the past | The free-text field related to 'Mitochondrial disease prior special diet type', specifying other text. Type of specialized diet the participant has been on in the past | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:55:54.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20148 | Mitochondrial disease food stuck esophagus indicator | MitDisFoodStuckEsophagusInd | Indicator of whether the participant gets food stuck in their esophagus | Indicator of whether the participant's gets food stuck in their esophagus | Does the participant feel food get stuck in their esophagus? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:16.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20079 | Mitochondrial disease prior vomit before problem type | MitDisPriorVomitBeforeProbTyp | Types of problems that frequently occur before vomiting during participant's prior episodes of vomiting | Types of problems that frequently occur before vomiting during participant's prior episodes of vomiting | Did any of the following occur frequently before the vomiting started? | Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Right after feeding;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress | Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Right after feeding;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:18.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C20196 | Mitochondrial disease prior bloat abdominal distension stop text | MitDisPriBltAbdmlDistnsnStpTxt | The free-text field to specify what stopped participant's past abdominal bloating/distension | The free-text field to specify what stopped participant's past abdominal bloating/distension | What stopped the abdominal bloating/distension? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:04.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20181 | Mitochondrial disease prior abdominal pain trigger detail text | MitDisPriAbdomnlPainTrigrDlTxt | The free-text field to specify additional details about participant's past abdominal pain triggers | The free-text field to specify what specifically makes the participant's prior abdominal pain better | Please provide additional details about past abdominal pain triggers | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:54.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20207 | Mitochondrial disease stool blood color category | MitDisStoolColorBloodCat | Category of color of blood in the participant's stool | Category of color of blood in the participant's stool | What color is the blood in the stool? | Bright red;Dark red (maroon);Black;I don't know | Bright red;Dark red (maroon);Black;I don't know | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:12.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C20192 | Mitochondrial disease swallow air indicator | MitDisSwallowAirInd | Indicator of whether the participant is an air swallower | Indicator of whether the participant is an air swallower | Is the participant an air swallower? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:01.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20123 | Mitochondrial disease prior oral regurgitation detail text | MitDisPriOralRegurgDetlTxt | The free-text field to specify additional details about participant's past oral regurgitation symptoms | The free-text field to specify additional details about participant's past oral regurgitation symptoms | Please provide additional details about the participant's past oral regurgitation symptoms | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:53.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20328 | Mitochondrial disease bowel movements current medication type | MitDisBowelMvmntCurrMedsTyp | Type of medications that the participant is currently taking for help with bowel movements | Type of medications that the participant is currently taking for help with bowel movements | What treatment does the participant use to help with bowel movements? | Glycolax, PEG, Polyethylene Glycol;Mineral oil;Kondrumel;Milk of Magnesia;Senokot or other Senna;Colace;Dulcolax suppository;Prune juice, apple juice, Karo syrup;Fleets enema;Saline enema;Milk and molasses enema;Imodium;Lomotil;Pepto-Bismol;Linaclotide, Plecanatide, Lubiprostone, Tenapanor;Other, specify;Prucalopride | Glycolax, PEG, Polyethylene Glycol;Mineral oil;Kondrumel;Milk of Magnesia;Senokot or other Senna;Colace;Dulcolax suppository;Prune juice, apple juice, Karo syrup;Fleets enema;Saline enema;Milk and molasses enema;Imodium;Lomotil;Pepto-Bismol;Linaclotide, Plecanatide, Lubiprostone, Tenapanor;Other, specify;Prucalopride | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-03-18 15:21:17.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C20058 | Mitochondrial disease current vomit episode trigger text | MitDisCurntVomitEpisTrigTxt | The free-text field to specify the participant's current vomiting episode triggers | The free text field to specify the participant's current vomiting episode triggers | What triggers vomiting episodes? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:04.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20160 | Mitochondrial disease current abdominal pain frequency type other text | MitDisCrtAbdomnlPainFreqTypOTH | The free-text field related to 'Mitochondrial disease current abdominal pain frequency type', specifying other text. Type of frequency with which the participant currently has abdominal pain | The free-text field related to 'Mitochondrial disease current abdominal pain frequency type', specifying other text. Type of frequency with which the participant currently has abdominal pain | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:38.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20090 | Mitochondrial disease vomit diagnosis cyclic indicator | MitDisVomitDiagnosCyclicInd | Indicator of whether the participant has a cyclic vomiting diagnosis | Indicator of whether the participant has a cyclic vomiting diagnosis | Has the participant ever been diagnosed with cyclic vomiting or abdominal migraine? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 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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| C20102 | Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn stop age category | MitDisPrGERDHtnMLCPEBnStAgCat | Category of the participant's age at the end of prior GERD, heartburn, mid-line chest pain, esophageal burning symptoms | Category of the participant's age at the end of prior GERD, heartburn, mid-line chest pain, esophageal burning symptoms | How old was the participant when symptoms stopped? | 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 | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:56:38.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20219 | Mitochondrial disease alternative medicine treat GI problem indicator | MitDisAlternMedsTrtGIProblmInd | Indicator of whether the participant has tried to treat GI problems with alternative medicine | Indicator of whether the participant has tried to treat GI problems with alternative medicine | Has the participant tried any "alternative medicine approaches" to help with any of the problems we discussed? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:20.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
