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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C60277 | Mitochondrial disease stop diet reason text | MitDisStopDietRsnTxt | The free-text field to specify why the participant stopped their dietary restriction | The free-text field to specify why the participant stopped their dietary restriction | Why did the participant stop? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:55.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60320 | Mitochondrial disease bowel movements current medication type other text | MitDisBowelMvmntCurrMedsTypOTH | The free-text field related to 'Mitochondrial disease bowel movements current medication type', specifying other text. Type of other medications that the participant is currently taking to help with bowel movements | The free-text field related to 'Mitochondrial disease bowel movements current medication type', specifying other text. Type of other medications that the participant is currently taking to help with bowel movements | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:14.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60288 | Mitochondrial disease swallow difficult indicator | MitDisSwallowDiffcultInd | Indicator of whether the participant has difficulty with swallowing | Indicator of whether the participant has difficulty with swallowing | Does the participant have difficulty with swallowing? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:04.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60299 | Mitochondrial disease good appetite indicator | MitDisGoodApptiteInd | Indicator of whether the participant has a good appetite | Indicator of whether the participant has a good appetite | Does the participant have a good appetite? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:19.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60331 | Mitochondrial disease pancreas insufficiency indicator | MitDisPancreasInsuffInd | Indicator of whether the participant had pancreatic insufficiency | Indicator of whether the participant had pancreatic insufficiency | Has the participant been told they have pancreatic insufficiency? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:42.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60310 | Mitochondrial disease voice change eating indicator | MitDisVoiceChngEatInd | Indicator of whether the participant has a change in voice while eating | Indicator of whether the participant has a change in voice while eating | Does the participant have a change in voice with eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:28.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60278 | Mitochondrial disease prior special diet affect symptom text | MitDisPriorSpeclDietAffSymTxt | The free-text field to specify whether the prior specialized diet affected participant's symptoms | The free-text field to specify whether the prior specialized diet affected participant's symptoms | Did the diet affect symptoms? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:55.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60321 | Mitochondrial disease pancreatic diagnose indicator | MitDisPancrtcDiagnoseInd | Indicator of whether the participant has been diagnosed with pancreatic disease | Indicator of whether the participant has been diagnosed with pancreatic disease | Has the participant been told they have pancreatic disease? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:34.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60289 | Mitochondrial disease swallow difficult onset age category | MitDisSwallowDiffcltOnstAgeCat | Category of the participant's age at the onset of difficulty with swallowing | Category of the participant's age at the onset of difficulty with swallowing | What was the participant's age when difficulty with swallowing began? | Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y | Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:04.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60300 | Mitochondrial disease recent change appetite indicator | MitDisRcntChngApptiteInd | Indicator of whether the participant has had a recent change in appetite | Indicator of whether the participant has had a recent change in appetite | Has there been a recent change in appetite? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:20.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60332 | Mitochondrial disease symptom prompt check pancreatitis text | MitDisSymptmPrmprChckPanctsTxt | The free-text field specifying what symptoms prompted the participant's medical team to check for pancreatitis | The free-text field specifying what symptoms prompted the participant's medical team to check for pancreatitis | What symptoms did the participant have that prompted the medical team to check for pancreatitis? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:42.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60311 | Mitochondrial disease dysphagia diagnosis type | MitDisDysphagiaDxTyp | Type of dysphagia diagnosis the participant received | Type of dysphagia diagnosis the participant received | Has the participant received a diagnosis of | Oral phase dysphagia;Pharyngeal phase dysphagia or esophageal phase dysphagia | Oral phase dysphagia;Pharyngeal phase dysphagia or esophageal phase dysphagia | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:29.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C60279 | Mitochondrial disease vomit characteristic type | MitDisVomitCharTyp | Type of characteristics the participant experiences when vomiting | Type of characteristics the participant experiences when vomiting | Characteristics of vomiting | Effortless regurgitation;Projectile or expel regurgitant | Effortless regurgitation;Projectile or expel regurgitant | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:02.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60322 | Mitochondrial disease pancreatitis episode type | MitDisPancreatitisTyp | Type of pancreatitis episodes experienced by the participant | Type of pancreatitis episodes experienced by the participant | If they were told they had pancreatitis, have they had? | One episode;Multiple episodes | One episode;Multiple episodes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:35.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60290 | Mitochondrial disease swallow difficult occur liquid solid type | MitDisSwllwDfcltOccLiqdSoldTyp | Type of bolus consistency (solid and/or liquid) with which the participant has difficulty swallowing | Type of bolus consistency (solid and/or liquid) with which the participant has difficulty swallowing | Does the difficulty 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 15:57:05.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60301 | Mitochondrial disease early satiety indicator | MitDisErlySatietyInd | Indicator of whether the participant experiences early satiety | Indicator of whether the participant experiences early satiety | Does the participant have early satiety or get full fast? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:21.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60333 | Mitochondrial disease pancreatitis hospitalize indicator | MitDisPancreatitsHospInd | Indicator of whether the participant was hospitalized for pancreatitis | Indicator of whether the participant was hospitalized for pancreatitis | Was the participant hospitalized for pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:43.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60312 | Mitochondrial disease swallow study indicator | MitoDisSwallowStudyInd | Indicator of whether the participant has undergone a swallowing study | Indicator of whether the participant has undergone a swallowing study | Has the participant had a swallow study done? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:30.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60280 | Mitochondrial disease prior vomit fail stop text | MitDisPriVomitFailStopTxt | The free-text field related to the participant's previous efforts that failed to stop vomiting | The free-text field related to the participant's previous efforts that failed to stop vomiting | What did the participant use that failed to stop vomiting? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:13.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60323 | Mitochondrial disease pancreatitis episodes occur text | MitDisPancreatitisEpsdTxt | The free-text field to specify the amount of time that has elapsed since the participant's episodes have occurred | The free-text field to specify the amount of time that has elapsed since the participant's episodes have occurred | How long ago did the episode(s) occur? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:35.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60291 | Mitochondrial disease swallow difficult frequency type | MitDisSwllwDffcltFrqTyp | Type of frequency with which the participant has difficulty swallowing | Type of frequency with which the participant has difficulty swallowing | How often do problems with swallowing occur? | About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify | About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:06.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
Single Pre-Defined Value Selected |
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| C20052 | Mitochondrial disease current vomit symptom consistent indicator | MitDisCurntVmtSymptmConsistInd | Indicator of whether current vomiting symptoms are consistent day to day | Indicator of whether current vomiting symptoms are consistent day to day | Are the symptoms pretty consistent from day to day? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:55:59.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20154 | Mitochondrial disease current abdominal pain onset age category | MitDisCrAbdomnlPainOnsetAgeCat | Category of the participant's age at the onset of current abdominal pain | Category of the participant's age at the onset of current abdominal pain | What was the participant's age when 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 15:57:34.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20165 | Mitochondrial disease current abdominal pain disrupt activity indicator | MitDisCrAbdmPainDisrptActivInd | Indicator of whether the participant's current abdominal pain disrupts activity | Indicator of whether the participant's current abdominal pain disrupts activity | Does abdominal pain disrupt activity? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:42.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20095 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn onset age category | MitDisCrtGERDHtnMLCPEBnOsAgCat | Category of the participant's age at the onset of current GERD, heartburn, mid-line chest pain, esophageal burning symptoms | Category of the participant's age at the onset of current GERD, heartburn, mid-line chest pain, esophageal burning symptoms | For current 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 15:56:30.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| 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 |
