CDE Detailed Report

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

Displaying 251 - 279 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
C20188 Mitochondrial disease bloat abdominal distension current prior status MitDisBloatAbdmlDstnCurPriStat Status of whether the participant's bloating or abdominal distension is current or prior Status of whether the participant's bloating or abdominal distension is current or prior Does the participant have bloating or abdominal distension or have they had it in the past? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:59.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20209 Mitochondrial disease bowel movement treat medicine indicator MitDisBowelMvmntTreatMedcinInd Indicator of whether the participant uses medicine to help with bowel movements Indicator of whether the participant uses medicine to help with bowel movements Does the participant use medicine or other treatment to help with bowel movements? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:13.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20119 Mitochondrial disease prior oral regurgitation consistent symptom indicator MtDisPriOrRgrgConsistSymInd Indicator of whether past symptoms of oral regurgitation were consistent day to day Indicator of whether past symptoms of oral regurgitation were consistent day to day Were the symptoms pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:50.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20130 Mitochondrial disease current burp detail text MitDisCurntBurpDetailTxt The free-text field to specify additional details about participant's current burping symptoms The free-text field to specify additional details about participant's current burping symptoms Please provide additional details about the participant's burping symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:58.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20065 Mitochondrial disease current black stool indicator MitDisCurntBlackStoolInd Indicator of whether the participant's current stools have been black Indicator of whether the participant's current stools have been black Does the participant have black stool? Note: If they answer yes, confirm that stool was really black not dark brown or dark green. I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:08.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20167 Mitochondrial disease current abdominal pain improve text MitDisCrtAbdomnlPainImproveTxt The free-text field to specify what makes the participant's current abdominal pain better The free-text field to specify what makes the participant's current abdominal pain better Is there anything specific that makes the pain better? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:43.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20097 Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn frequency type MitDzCrGRDHtnMLChtPnEsBnFrqTyp Type of frequency with which the participant currently has GERD, heartburn, mid-line chest pain, esophageal burning Type of frequency with which the participant currently has GERD, heartburn, mid-line chest pain, esophageal burning How often does 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 15:56:32.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20031 Mitochondrial disease DNA variant type MitDisDNAVariantTyp Type of DNA variant (nuclear or mitochondrial) present in the participant's genetic diagnosis Type of DNA mutation (nuclear or mitochondrial) present in the participant's genetic diagnosis Is this a nuclear or mitochondrial DNA variant/deletion? Mitochondrial;Nuclear Mitochondrial;Nuclear Alphanumeric

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

 Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:38.0 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
C20043 Mitochondrial disease current special diet type MitDisCurntSpecialDietTyp Type of specialized diet of the participant currently Type of specialized diet of the participant currently What type of specialized diet does the participant eat? 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

 Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:50.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
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
C20145 Mitochondrial disease swallow pain frequency type MitDisSwallowPainFreqTyp Type of frequency with which the participant has pain with swallowing Type of frequency with which the participant has pain with swallowing How often does pain 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 Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:11.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20076 Mitochondrial disease prior vomit time of day category MitDisPriVomitTimeDyCat Category for the time-of-day of the participant's prior episodes of vomiting Category for the time-of-day of the participant's prior episodes of vomiting Did the vomiting happen during a specific time of the day? Afternoon;All times of the day;Evening;I don't know;Morning;Overnight Afternoon (12pm - 5pm);All times of the day;Evening (5pm - Bed);I don't know;Morning (wake up until 12pm);Overnight (wakes from sleep) Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:17.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20178 Mitochondrial disease prior abdominal pain duration type MitDisPriorAbdomnlDuratnTyp Type of duration of the participant's prior abdominal pain Type of duration of the participant's prior abdominal pain How long did the past abdominal pain last when it occurred? 31 minutes to many hours;All day;Day and night;I don't know;Less than a minute;None of the above;One minute to 30 minutes;Variable;Until the participant ate;Until the participant fell asleep;Until the participant had a bowel movement;Until the participant passed gas;Until the participant urinated;Until the participant vomited 31 minutes to many hours;All day;Day and night;I don't know;Less than a minute;None of the above;One minute to 30 minutes;Variable;Until the participant ate;Until the participant fell asleep;Until the participant had a bowel movement;Until the participant passed gas;Until the participant urinated;Until the participant vomited Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:51.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
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
C20109 Mitochondrial disease oral regurgitation current prior status MitDisOralRegurgCurrPriorStat Status of whether the participant's episodes of oral regurgitation are current or prior Status of whether the participant's episodes of oral regurgitation are current or prior Does the participant have oral regurgitation or have they had oral regurgitation in the past? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:44.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20055 Mitochondrial disease current vomit episode intensity type MitDisCurntVomitEpisIntensTyp Type of intensity of the participant's current episodes of vomiting Type of intensity of the participant's current episodes of vomiting When the participant has vomiting, is it only a single episode or do they usually vomit repeatedly? Single episode;Vomit more than once;Vomit repeatedly until there is nothing left Single episode;Vomit more than once;Vomit repeatedly until there is nothing left Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:01.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
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
C20157 Mitochondrial disease current abdominal pain reason other text MitDisCurntAbdomnlPainRsnOTH The free-text field related to 'Mitochondrial disease current abdominal pain reason', specifying other text. Reason describing the current indication that the participant is experiencing abdominal pain The free-text field related to 'Mitochondrial disease current abdominal pain reason', specifying other text. Reason describing the current indication that the participant is experiencing abdominal pain Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:36.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20087 Mitochondrial disease prior vomit onset trigger type MitDisPriorVomitOnstTrigrTyp Type of trigger present at symptom onset of the participant's prior episodes of vomiting Type of trigger present at symptom onset of the participant's prior episodes of vomiting In past episodes of vomiting, 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;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;Other specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:25.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20189 Mitochondrial disease current bloat abdominal distension onset age category MitDisCrBloatAbdmlDstnOntAgCat Category of the participant's age at the onset of current abdominal bloating/distension Category of the participant's age at the onset of current abdominal bloating/distension What was the participant's age when the abdominal bloating/ distension 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 15:58:00.0 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
C20120 Mitochondrial disease prior oral regurgitation frequency type MitDisPriorOralRegurgFreqTyp Type of frequency with which the participant had prior oral regurgitation Type of frequency with which the participant had prior oral regurgitation In the past, how often did the 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 15:56:51.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20131 Mitochondrial disease prior burp onset age category MitDisPriorBurpOnsetAgeCat Category of the participant's age at the onset of prior burping episodes Category of the participant's age at the onset of prior burping episodes For the past burping problems, 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 15:56:58.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20066 Mitochondrial disease current vomit abdominal pain before indicator MitDisCurntVomitAbPainBefrInd Indicator of whether the participant experiences abdominal pain before current episodes of vomiting Indicator of whether the participant experiences abdominal pain before current episodes of vomiting Does the participant have abdominal pain before vomiting? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:09.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20168 Mitochondrial disease current abdominal pain worsen text MitDisCrntAbdomnlPainWorsenTxt The free-text field to specify what makes the participant's current abdominal pain worse The free-text field to specify what makes the participant's current abdominal pain worse Is there anything specific that makes the pain worse? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:44.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20098 Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn disrupt activity indicator MitDzCrGRDHtbnMLChPnEBDsrpActInd Indicator of whether current GERD, heartburn, mid-line chest pain, esophageal burning disrupts activity Indicator of whether current GERD, heartburn, mid-line chest pain, esophageal burning disrupts activity Does GERD, heartburn, mid-line chest pain, esophageal burning disrupt activity? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:34.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20032 Mitochondrial disease nuclear variant text MitDisNucVariantTxt The free-text field to specify the mitochondrial disease nuclear DNA variant The free-text field to specify the mitochondrial disease nuclear DNA mutation Nuclear variant (Specify) Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:39.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 255

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
CSV