CDE Detailed Report

Disease: Mitochondrial Disease
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment

Displaying 201 - 250 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
C20162 Mitochondrial disease current abdominal pain duration detail text MitDisCrntAbdmnlPainDurDetlTxt The free-text field specifying additional details about participant's current abdominal pain duration The free-text field specifying additional details about participant's current abdominal pain duration Please provide additional comments about duration of abdominal pain Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:39.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20173 Mitochondrial disease prior abdominal pain reason MitDisPriorAbdomnPainReasn Reason describing the past indication that the participant experienced abdominal pain Reason describing the past indication that the participant experienced abdominal pain What indicated that the participant had abdominal pain? Cried all the time;Cried with meals;Cried without another obvious cause;Held belly;Held belly and cried or looked uncomfortable;I don't know;Irritability;Woke up from sleep;Other, specify;The participant told me Cried all the time;Cried with meals;Cried without another obvious cause;Held belly;Held belly and cried or looked uncomfortable;I don't know;Irritability;Woke up from sleep;Other, specify;The participant told me Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:47.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20104 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn symptom consistent indicator MitDisPriGERDHnMLCPEBnSymCnInd Indicator of whether past symptoms of GERD, heartburn, mid-line chest pain, esophageal burning were consistent day to day Indicator of whether past symptoms of GERD, heartburn, mid-line chest pain, esophageal burning were consistent day to day In the past, were symptoms pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:40.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20037 Mitochondrial disease problem type MitDisProbTyp Type of problems that participant has Type of problems that participant has Has the participant had any of the following problems? Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety (early fullness);Poor appetite affecting growth;Cyclic vomiting;Difficulty swallowing;Pain with swallowing;Diarrhea;Straining;Pain with bowel movements;Blood in the stool;Nausea;Post-prandial distress;Fecal incontinence;Constipation Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety (early fullness);Poor appetite affecting growth;Cyclic vomiting;Difficulty swallowing;Pain with swallowing;Diarrhea;Straining;Pain with bowel movements;Blood in the stool;Nausea;Post-prandial distress;Fecal incontinence;Constipation Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:44.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20136 Mitochondrial disease prior burp occur specific drink food indicator MitDisPriBurpOccSpfcDrinkFdInd Indicator of whether the participant's past burping occurred with specific drinks or food Indicator of whether the participant's past burping occurred with specific drinks or food Did the burping occur with any specific drinks or food? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:02.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20221 Mitochondrial disease alternative medicine type other text MitDisAlternMedsTypOTH The free text field related to 'Mitochondrial disease alternative medicine type' specifying other text. Type of alternative medications that the participant has tried The free text field related to 'Mitochondrial disease alternative medicine type' specifying other text. Type of alternative medications that the participant has tried Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:21.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20071 Mitochondrial disease prior vomit stop text MitDisPriVomitStopTxt The free-text field to specify what stopped participant's past vomiting The free-text field to specify what stopped participant's past vomiting What stopped the vomiting? Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:12.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20082 Mitochondrial disease prior vomit blood indicator MitDisPriorVomitBloodInd Indicator of whether the participant had ever vomited blood Indicator of whether the participant had ever vomited blood Did the participant ever vomit blood? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:20.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20184 Mitochondrial disease prior abdominal pain improve text MitDisPriorAbdomnlPainImprvTxt The free-text field to specify what made the participant's prior abdominal pain better The free-text field to specify what made the participant's prior abdominal pain better Is there anything specific that made the pain better? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20115 Mitochondrial disease current oral regurgitation symptom detail text MitDisCurntOralRegurgSymDetTxt The free-text field to specify additional details about participant's current oral regurgitation symptoms The free-text field to specify additional details about participant's current oral regurgitation symptoms Please provide additional details about the participant's oral regurgitation symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:48.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20199 Mitochondrial disease prior bloat abdominal distension detail text MitDisPriBltAbdminlDstnsnDlTxt The free-text field to specify additional details about the participant's past abdominal bloating/distension The free-text field to specify additional details about the participant's past abdominal bloating/distension Please provide additional details about past abdominal bloating and distension Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:06.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20050 Mitochondrial disease current vomit episode trigger symptom onset type MtDsCrtVtEpTrgrSptmOnstTyp Type of triggers the participant may have had when symptoms began for the current vomiting episodes Type of triggers the participant may have had when symptoms began for the current vomiting episodes For the current vomiting episodes, were any of the following triggers present at the time symptoms began? After a seizure;After starting a medicine;After trauma;Diarrhea;During exercise;Fever;I don't know;Prolonged fasting (i.e., not eating well);Right after birth;Surgery;Upper respiratory infection;History of recent COVID-19 infection;Other specify After a seizure;After starting a medicine;After trauma;Diarrhea;During exercise;Fever;I don't know;Prolonged fasting (i.e., not eating well);Right after birth;Surgery;Upper respiratory infection;History of recent COVID-19 infection;Other specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:58.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20151 Mitochondrial disease remove food pill esophagus count MitDisRmvFdPillEsphgsCt The number of times participant has had food or pill removed from esophagus The number of times participant has had food or pill removed from esophagus How many times? Numeric Values Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:18.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry
C20232 Mitochondrial disease significant gastrointestinal symptom prior diagnosis text MitDisSignifGISymptmPriDiagTxt The free-text field to provide significant GI symptoms before mitochondrial disease diagnosis The free-text field to provide significant GI symptoms before mitochondrial disease diagnosis Were the participant's GI symptoms recognized as significant before diagnosis of mitochondrial disease? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:29.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20331 Mitochondrial disease prior vomit severe symptom type MitDisPriorVomitSevSympTyp Type of symptom that was most severe with the participant's prior vomiting episodes Type of symptom that was most severe with the participant's prior vomiting episodes Which symptom was most severe with past vomiting episodes? Abdominal pain;Nausea;Both Abdominal pain;Nausea;Both Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:24.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20093 Mitochondrial disease vision change aura experience type MitDisVisChngAuraExperTyp Type of vision change or aura experienced by the participant Type of vision change or aura experienced by the participant Has the participant ever experienced vision changes or auras? Vision Changes;Auras;Both;Neither Vision Changes;Auras;Both;Neither Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:29.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20195 Mitochondrial disease prior bloat abdominal distension stop age category MtDsPriBltAbdmlDistnsnStpAgCat Category of the participant's age at the end of prior abdominal bloating/distension Category of the participant's/ age at the end of prior abdominal bloating/distension What was the participant's age when the past abdominal bloating/distension 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 15:58:03.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C01522 Height measurement HgtMeasr Measurement of participant's height Measurement of participant's height Height in cm (Specify) Numeric Values Adult;Pediatric Supplemental 3.10 2024-02-29 15:49:20.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry

 0 400 centimeter 649
C20126 Mitochondrial disease current burp symptom consistent indicator MitDisCurrBurpSymptmConsistInd Indicator of whether current symptoms of burping are consistent day to day Indicator of whether current symptoms of burping are consistent day to day Is the burping pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:55.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20211 Mitochondrial disease prior bowel movement other treatment text MitDisPriBwlMvmntOthrTrtmntTxt The free-text field to specify if the participant used other treatments for to help with bowel movements in the past The free-text field to specify if the participant used other treatments for to help with bowel movements in the past Has the participant used any other treatments in the past to help with bowel movements? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:15.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20061 Mitochondrial disease current vomit green yellow frequency type MitDisCurntVomitGrnYelFreqTyp Type of frequency with which the participant's vomit is green or yellow in current episodes of vomiting Type of frequency with which the participant's vomit is green or yellow in current episodes of vomiting How often has green or yellow vomiting occurred? Only once;Less than half of vomiting episodes;Most vomiting episodes;All vomiting episodes Only once;Less than half of vomiting episodes;Most vomiting episodes;All vomiting episodes Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:06.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20163 Mitochondrial disease current abdominal pain trigger type MitDisCurntAbdomnlPainTrigrTyp Type of trigger of the participant's current abdominal pain Type of trigger of the participant's current abdominal pain Do any of the following occur frequently before abdominal pain starts? Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Right after feeding;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress;Depression;Anxiety;Other Psychological Issues;Particular Foods;Other, specify Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Right after feeding;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress;Depression;Anxiety;Other Psychological Issues;Particular Foods;Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:39.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20174 Mitochondrial disease prior abdominal pain reason detail text MitDisPriAbdomnlPainRsnDetlTxt The free-text field to specify additional details about reasons indicating the participant's past abdominal pain The free-text field to specify additional details about reasons indicating the participant's past abdominal pain Please provide additional details if desired about past indications that the participant had abdominal pain Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:49.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20105 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type MitDisPrirGERDHtnMLCPEBFrqTyp Type of frequency with which the participant had prior GERD, heartburn, mid-line chest pain, esophageal burning Type of frequency with which the participant had prior GERD, heartburn, mid-line chest pain, esophageal burning How often did the participant have GERD, heartburn, mid-line chest pain, esophageal burning? 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 15:56:40.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20038 Mitochondrial disease eat type MitDisEatTyp Type of ways that participant eats Type of ways that participant eats How does the participant eat? Gastrojejunostomy (G-J tube);Gastrostomy (G-tube);Infant formula (not specialized);Infant formula (specialized);Jejunostomy (J-tube);Nasogastric tube (NG tube);They do not take any food by mouth or feeding tube;TPN (total parenteral nutrition);Eats by oneself;Liquid diet (non-infant) Surgical procedure that connects the stomach to the second section of the small intestine;Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression;Infant formula (not specialized);Infant formula (specialized);Surgical creation of an opening (fistula) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine);Plastic tube inserted through the nose, past the throat, and down into the stomach used for feeding and administering drugs and other oral agents;They do not take any food by mouth or feeding tube;Feeding a person intravenously, bypassing the usual process of eating and digestion;Eats by oneself;Liquid diet (non-infant) Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:45.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20137 Mitochondrial disease prior burp specific food drink cause text MtDisPriBurpSpfcFdDrinkCausTxt This free-text field to specify which specific foods or drinks caused participant's past burping This free-text field to specify which specific foods or drinks caused participant's past burping What food or drink? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:02.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20222 Mitochondrial disease alternative medicine treatment gastrointestinal problem improve text MitDisAltrnMedRxGIPblmImpvTxt The free-text field to specify about which alternative medicine treatments made the participant's GI problems better The free-text field to specify about which alternative medicine treatments made the participant's GI problems better Did any of these alternative medicine treatments help with the participant's GI issues? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:22.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20072 Mitochondrial disease prior vomit symptom consistent indicator MitDisPriVomitSymptmConsistInd Indicator of whether past vomiting symptoms were consistent day to day Indicator of whether past vomiting symptoms were consistent day to day In the past, were the symptoms consistent from day to day? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:14.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20083 Mitochondrial disease prior vomit color blood category MitDisPriVomitClrBloodCat Category of color of the blood present in participant's vomit during prior episodes of vomiting Category of color of the blood present in participant's vomit during prior episodes of vomiting What color was the blood? Bright red;Dark red;Brown;Black;I don't know Bright red;Dark red;Brown;Black;I don't know Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:21.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20185 Mitochondrial disease prior abdominal pain worsen text MitDisPriorAbdomnlPainWorseTxt The free-text field to specify what made the participant's prior abdominal pain worse The free-text field to specify what made the participant's prior abdominal pain worse Is there anything specific that made the pain worse? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:57.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20116 Mitochondrial disease prior oral regurgitation onset age category MitDisPriOralRegurgOnstAgeCat Category of the participant's age at the onset of prior oral regurgitation episodes Category of the participant's age at the onset of prior oral regurgitation episodes In the past oral regurgitation 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 15:56:48.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20200 Mitochondrial disease bowel movement frequency type MitDisBowelMovemntFreqTyp Type of frequency with which the participant has bowel movements Type of frequency with which the participant has bowel movements How often does the participant have bowel movements? A few times a week;Every other day;I don't know;Less than one a week;More than once a day;Once a day;Once a week;Only after a suppository;Only after an enema/irrigation/suppository;Requires disimpaction with a finger;Uses a cecostomy to induce bowel movements;Requires polyethylene glycol solution by mouth or tube;Other, specify A few times a week;Every other day;I don't know;Less than one a week;More than once a day;Once a day;Once a week;Only after a suppository;Only after an enema/irrigation/suppository;Requires disimpaction with a finger;Uses a cecostomy to induce bowel movements;Requires polyethylene glycol solution by mouth or tube;Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:07.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20051 Mitochondrial disease current vomit episode trigger symptom onset type other text MtDsCrtVtEpTrgrSptmOnstTypOTH The free-text field related to 'Mitochondrial disease current vomit episode trigger symptom onset type ', specifying other text. Type of triggers the participant may have had when symptoms began for the current vomiting episodes The free-text field related to 'Mitochondrial disease current vomit episode trigger symptom onset type ', specifying other text. Type of triggers the participant may have had when symptoms began for the current vomiting episodes Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:58.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20152 Mitochondrial disease esophagus diagnosis ever type MitDisEsophagsDiagnEvrTyp Type of esophageal disorder with which the participant has ever been diagnosed Type of esophageal disorder with which the participant has ever been diagnosed Has the participant ever been diagnosed with any of the following Achalasia;Eosinophilic Esophagitis;Esophageal stricture Failure of smooth muscle fibers of the esophagus to relax, which can cause a sphincter to remain closed and fail to open when needed;Allergic inflammatory condition of the esophagus that involves eosinophils (white blood cells).;Narrowing or tightening of the esophagus that causes swallowing difficulties Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:18.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20233 Mitochondrial disease gastrointestinal problem not believe delay treatment indicator MtDzGIPrbNtBlvDelyTreatmtInd Indicator of whether the participant delayed treatment of GI problem due to fear of not being believed about symptoms Indicator of whether the participant delayed treatment of GI problem due to fear of not being believed about symptoms Has the participant's treatment for their GI symptoms ever been delayed for fear of not being believed about these symptoms? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:30.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20164 Mitochondrial disease current abdominal pain trigger detail text MitDisCrAbdmnlPainTrigrDetlTxt The free-text field to specify additional details about participant's current abdominal pain triggers The free-text field to specify additional details about participant's current abdominal pain triggers Please provide additional details about abdominal pain triggers Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:41.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20094 Mitochondrial disease GERD heartburn mid-line chest pain esophageal burn current prior status MtDsGERDHtnMLCPnEBrnCrtPriStat Status of whether the participant's GERD, heartburn, mid-line chest pain, esophageal burning symptoms are current or prior Status of whether the participant's GERD, heartburn, mid-line chest pain, esophageal burning symptoms are current or prior Has the participant had GERD, heartburn, mid-line chest pain, esophageal burning in the past or currently? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:30.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C01541 Weight measurement WgtMeasr Measurement of participant's weight Measurement of participant's weight Weight in kg (Specify) Numeric Values Adult;Pediatric Supplemental 3.10 2024-02-29 15:49:21.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry

 0 500 kilogram 2179689
C20127 Mitochondrial disease current burp reflux abdominal distention accompany type MitDisCrBurpReflxAbDistAcmpTyp Type of reflux or abdominal distention that accompanies current burping episodes for the participant Type of reflux or abdominal distention that accompanies current burping episodes for the participant Does the burping occur with reflux or abdominal distention? Abdominal distension;Both;Reflux Abdominal distension;Both;Reflux Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20212 Mitochondrial disease bowel movement treatment efficacy text MitDisBowelMovemntEfficacyTxt The free-text field to specify about participant's treatments helping or worsening bowel movement problem The free-text field to specify about participant's treatments helping or worsening bowel movement problem Did these treatments help or worsen the bowel movement problem? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:16.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20062 Mitochondrial disease current vomit blood indicator MitDisCurntVomitBloodInd Indicator of whether the participant has ever vomited blood in current episodes of vomiting Indicator of whether the participant has ever vomited blood in current episodes of vomiting Does the participant ever vomit blood? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:06.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20175 Mitochondrial disease prior abdominal pain anatomic site MitDisPriAbdomnlPainAnatSite Anatomic site where participant's past abdominal pain was located Anatomic site where participant's past abdominal pain was located Where was past abdominal pain located? Entire abdomen;Entire lower abdomen;Entire upper abdomen;I don't know;Left lower quadrant;Lower abdomen midline;Near the belly button;Right lower quadrant;Upper abdomen midline;Upper abdomen on the left;Upper abdomen on the right;Variable locations Entire abdomen;Entire lower abdomen;Entire upper abdomen;I don't know;Left lower quadrant;Lower abdomen midline;Near the belly button;(below umbilicus);(between umbilicus bottom of ribs);Upper abdomen on the left;Upper abdomen on the right;Variable locations Alphanumeric

Choose all that apply. Response is obtained from participant, family member, friend, or chart/medical record.

 Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:49.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20106 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn disrupt activity indicator MitDisPriGRDHnMLCPEBnDsrpAcInd Indicator of whether past GERD, heartburn, mid-line chest pain, esophageal burning disrupted activity Indicator of whether past GERD, heartburn, mid-line chest pain, esophageal burning disrupted activity Did past GERD, heartburn, mid-line chest pain, esophageal disrupt activity? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20039 Mitochondrial disease infant formula text MitDisInfFormTxt The free-text field to specify the kind of infant formula used by participant The free-text field to specify the kind of infant formula used by participant Name of formula? (Specify) Alphanumeric

Please add as much detail as possible.

 Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:45.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 255

Free-Form Entry
C20138 Mitochondrial disease prior burp detail text MitDisPriorBurpDetailTxt The free-text field to specify additional details about participant's past burping symptoms The free-text field to specify additional details about participant's past burping symptoms Please provide additional details about the participant's past burping symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:03.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20223 Mitochondrial disease alternative medicine treatment gastrointestinal problem worsen text MitDisAltrnMedRxGIPblmWrsnTxt The free-text field to specify about which alternative medicine treatments made the participant's GI problems worse The free-text field to specify about which alternative medicine treatments made the participant's GI problems worse Did any of these alternative medicine treatments worsen the participant's GI problems? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:23.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20073 Mitochondrial disease prior vomit frequency type MitDisPriorVomitFreqTyp Type of frequency with which the participant had prior episodes of vomiting Type of frequency with which the participant had prior episodes of vomiting During that period, how often did the participant vomit? Multiple times a day;Once a day;At least once a week, but not daily;One to 4 times per month;Less than once a month, more than once a year;About once a year;Only once;Other, specify Multiple times a day;Once a day;At least once a week, but not daily;One to 4 times per month;Less than once a month, more than once a year;About once a year;Only once;Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:15.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20084 Mitochondrial disease prior vomit blood clot indicator MitDisPriorVomitBloodClotInd Indicator of whether the participant's prior vomit had blood clots Indicator of whether the participant's prior vomit had blood clots Did the participant ever see blood clots in what they vomited? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:22.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20186 Mitochondrial disease prior abdominal pain detail text MitDisPriorAbdomnlPainDetlTxt The free-text field to specify additional details about the participant's past abdominal pain The free-text field to specify additional details about the participant's past abdominal pain Please provide additional details about past abdominal pain Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:58.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20117 Mitochondrial disease prior oral regurgitation stop age category MitDisPriOralRegurgStopAgeCat Category of the participant's age at the end of prior oral regurgitation episodes Category of the participant's age at the end of prior oral regurgitation episodes How old was the participant when the 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 15:56:49.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

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