CDE Detailed Report

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

Displaying 151 - 200 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
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
C20237 Mitochondrial disease Munchausen by proxy syndrome health care professional setting type MitDisMBPSymHlthCrProSetTyp Type of setting the participant was in when a health care professional raised a concern about Munchausen by proxy syndrome Type of setting the participant was in when a health care professional raised a concern about Munchausen by proxy syndrome What setting was this in? ER;Outpatient;Clinic;Hospital;Other, specify ER;Outpatient;Clinic;Hospital;Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:32.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
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
C20216 Mitochondrial disease current medication type other text MitDisCurrMedsTypOTH The free-text field related to 'Mitochondrial disease current medication type', specifying other text. Type of other medications that the participant is currently taking The free-text field related to 'Mitochondrial disease current medication type', specifying other text. Type of other medications that the participant is currently taking Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:18.0 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
C20044 Mitochondrial disease current special diet type other text MitDisCurntSpecialDietTypOTH The free-text field related to 'Mitochondrial disease special diet type', specifying other text. Type of specialized diet of the participant currently The free-text field related to 'Mitochondrial disease special diet type', specifying other text. Type of specialized diet of the participant currently Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:50.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20146 Mitochondrial disease swallow pain disrupt activity wake type MitDisSwlwPnDsrptActWakTyp Type of activity or sleep disrupted by the participant's swallowing pain Type of activity or sleep disrupted by the participant swallowing pain Does pain with swallowing disrupt activity or wake the participant from sleep? I don't know;No;Pain disrupts activity;Pain wakes participant and disrupts activity;Pain wakes participant from sleep I don't know;No;Pain disrupts activity;Pain wakes participant and disrupts activity;Pain wakes participant from sleep Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:13.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20077 Mitochondrial disease prior vomit episode trigger indicator MitDisPriorVomitEpisTrigInd Indicator of whether there were particular triggers that induced prior vomiting episodes in participant Indicator of whether there were particular triggers that induced prior vomiting episodes in participant In the past, were there any particular triggers for vomiting episodes? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:17.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20179 Mitochondrial disease prior abdominal pain duration detail text MitDisPrAbdmnlPainDurDetlTxt The free-text field to specify additional details about participant's past abdominal pain duration The free-text field to specify additional details about participant's past abdominal pain duration Please provide additional comments about the duration of past abdominal pain Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:52.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20227 Mitochondrial disease life effect grade MitDisLifeEffectGrade Graded scale representing the effect of the symptoms on the participant's life Graded scale representing the effect of the symptoms on the participant's life How much do the symptoms we discussed affect the participant's life? 1;10;2;3;4;5;6;7;8;9 1;10;2;3;4;5;6;7;8;9 Numeric Values

Choose one. 1 being not at all, 10 being severe interruption

 Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:26.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20110 Mitochondrial disease current oral regurgitation onset age category MitDisCurrOralRegurgOnstAgeCat Category of the participant's age at the onset of current oral regurgitation episodes Category of the participant's age at the onset of current oral regurgitation episodes For the current 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 15:56:44.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20056 Mitochondrial disease current vomit time of day category MitDisCurntVomitTimeDyCat Category for the time-of-day of when the participant usually vomits Category for the time-of-day of when the participant usually vomits Does the vomiting happen during a specific time of the day? Afternoon;All times of the day;Evening;Morning;Overnight Afternoon (12pm - 5pm);All times of the day;Evening (5pm - Bed);Morning (wake up until 12pm);Overnight (wakes from sleep) Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:03.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20158 Mitochondrial disease current abdominal pain anatomic site MitDisCrtAbdomnlPainAnatSite Anatomic site where participant's current abdominal pain is located Anatomic site where participant's current abdominal pain is located Where is the 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 15:57:36.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20205 Mitochondrial disease bowel movement strain pass indicator MitDisBowelMovmntStrainPassInd Indicator of whether the participant has to strain to pass a bowel movement Indicator of whether the participant has to strain to pass a bowel movement Does the participant have to strain to pass bowel movements? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:10.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20088 Mitochondrial disease prior vomit trigger other text MitDisPriVomitTrigrOthrTxt The free-text field to specify additional details about what triggered the participant's past vomiting symptoms The free-text field to specify additional details about what triggered the participant's past vomiting symptoms Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:25.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20190 Mitochondrial disease current bloat abdominal distension worse time type MitDisCrBloatAbdmnlDstnWsTmTyp Type, as time of day, at which the abdominal bloating/distension is worse for the participant T ype, as time of day, at which the abdominal bloating/distension is worse for the participant Is the bloating or abdominal distension worse at any particular time of 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 15:58:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20238 Mitochondrial disease Munchausen by proxy syndrome health care professional setting other text MitDisMBPSymHlthCrProSetTypOTH The free-text field related to 'Mitochondrial disease Munchausen by proxy syndrome health care professional setting type', specifying other text. Type of setting the participant was in when a health care professional raised a concern about Munchausen by proxy syndrome The free-text field related to 'Mitochondrial disease Munchausen by proxy syndrome health care professional setting type', specifying other text. Type of setting the participant was in when a health care professional raised a concern about Munchausen by p Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:33.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20121 Mitochondrial disease prior oral regurgitation frequency type other text MitDisPriorOralRegurgFrqTypOTH The free-text field related to 'Mitochondrial disease prior oral regurgitation frequency type', specifying other text. Type of frequency with which the participant had prior oral regurgitation The free-text field related to 'Mitochondrial disease prior oral regurgitation frequency type', specifying other text. Type of frequency with which the participant had prior oral regurgitation Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:52.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20132 Mitochondrial disease prior burp stop age category MitDisPriorBurpStopAgeCat Category of the participant's age at the end of prior burping episodes Category of the participant's age at the end of prior burping episodes What was the participant's age when the burping problem 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 15:56:59.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20067 Mitochondrial disease current vomit severe symptom type MitDisCurntVomitSevSympTyp Type of symptom that is most severe during the participant's current vomiting episodes Type of symptom that is most severe during the participant's current vomiting episodes Which symptom is most severe with vomiting episodes? Abdominal pain;Nausea;Both Abdominal pain;Nausea;Both Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:10.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20169 Mitochondrial disease current abdominal pain detail text MitDisCurrAbdomnlPainDetlTxt The free-text field to specify additional details about the participant's present abdominal pain The free-text field to specify additional details about the participant's present abdominal pain Please provide additional details about present abdominal pain 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
C20217 Mitochondrial disease medication gastrointestinal problem prior help text MitDisMedGIProblmPriorHelpTxt The free-text field to specify about which medications helped with the participant's past GI problems The free-text field to specify about which medications helped with the participant's past GI problems Has the participant taken any medications in the past that helped any of their GI problems? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:19.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20099 Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn wake indicator MitDisCrGERDHtnMLCPEBnWakeInd Indicator of whether current GERD, heartburn, mid-line chest pain, esophageal burning wakes the participant from sleep Indicator of whether current GERD, heartburn, mid-line chest pain, esophageal burning wakes the participant from sleep Does GERD, heartburn, mid-line chest pain, esophageal burning wake the participant from sleep? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:35.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20033 Mitochondrial disease DNA variant text MitDisDNAVariantTxt The free-text field to specify the mitochondrial disease mitochondrial DNA variant The free-text field to specify the mitochondrial disease mitochondrial DNA mutation Mitochondrial DNA 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
C20046 Mitochondrial disease current special diet affect symptom text MitDisCrtSpeclDietAffctSymTxt The free-text field to specify whether the current specialized diet affected participant's symptoms The free-text field to specify whether the current specialized diet affected participant's symptoms Have the participant's symptoms changed since the diet started? Alphanumeric

(Specify)

 Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:52.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20147 Mitochondrial disease swallow pain text MitDisSwallwPainTxt The free-text field to specify comments about participant's pain with swallowing The free-text field to specify comments about participant's pain with swallowing Please provide additional comments about pain with swallowing Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:15.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20078 Mitochondrial disease prior vomit episode trigger text MitDisPriorVomitEpisTrigTxt The free-text field to specify the participant's past vomiting episode triggers The free text field to specify the participant's past vomiting episode triggers In the past, what had triggered vomiting episodes? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:18.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20180 Mitochondrial disease prior abdominal pain trigger type MitDisPriorAbdomnlPainTrigrTyp Type of trigger of the participant's prior abdominal pain T ype of trigger of the participant's prior abdominal pain Did any of the following triggers occur before past abdominal pain started? 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 15:57:53.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20228 Mitochondrial disease gastrointestinal clinical trial participate indicator MitDisGIClinTrialPartcipateInd Indicator of whether the participant would participate in a clinical trial regarding gastrointestinal issues Indicator of whether the participant would participate in a clinical trial regarding gastrointestinal issues If there was a clinical trial regarding GI issues, would the participant enroll? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:26.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20111 Mitochondrial disease current oral regurgitation symptom consistent indicator MitDisCurntOrlRegrgSymCnstInd Indicator of whether current symptoms of oral regurgitation are consistent day to day Indicator of whether current symptoms of oral regurgitation are consistent day to day Are the symptoms pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:45.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20122 Mitochondrial disease prior oral regurgitation occurrence time type MitDisPriOralRegurgOccurTmTyp Type of timing of the participant's prior episodes of oral regurgitation with respect to meals Type of timing of the participant prior episodes of oral regurgitation with respect to meals In the past, was the oral regurgitation before, during, or after meals? After;Before;During;Variable After;Before;During;Variable Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:52.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20057 Mitochondrial disease current vomit episode trigger indicator MitDisCurntVomitEpisTrigInd Indicator of whether there are particular triggers that induce current vomiting episodes in participant Indicator of whether there are particular triggers that induce current vomiting episodes in participant Are there particular triggers for vomiting episodes? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:03.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20159 Mitochondrial disease current abdominal pain frequency type MitDisCurntAbdomnlPainFreqTyp Type of frequency with which the participant currently has abdominal pain Type of frequency with which the participant currently has abdominal pain How often does abdominal pain occur? About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:37.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20206 Mitochondrial disease stool blood indicator MitDisStoolBloodInd Indicator of whether the participant has blood in their stools Indicator of whether the participant has blood in their stools Does the participant ever have blood in the stool? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:11.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20089 Mitochondrial disease prior vomit detail text MitDisDetPriVomitDetailTxt The free-text field to specify additional details about participant's past vomiting symptoms The free text field to specify additional details about participant's past vomiting symptoms Please provide additional details about past vomiting symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:26.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20191 Mitochondrial disease current abdominal distension cause reason type MtDisCrAbdmnlDstnCausRsnTyp Type of reason for current abdominal distension Type of reason for current abdominal distension Is current abdominal distension caused by air or stool? Air;Both;I don't know;Stool Air;Both;I don't know;Stool Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:01.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20239 Mitochondrial disease other comment text MitDisOtherCommentTxt The free-text field to provide additional information The free-text field to provide additional information Please provide any additional comments Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:50.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20133 Mitochondrial disease prior burp stop text MitDisPriorBurpStopSpTxt The free-text field to specify what stopped the participant's past burping The free-text field to specify what stopped the participant's past burping What stopped the burping? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20068 Mitochondrial disease current vomit detail text MitDisCurrVomitDetTxt The free-text field to specify additional details about participant's current vomiting symptoms The free text field to specify additional details about participant's current vomiting symptoms Please provide additional details about current vomiting symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:11.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20170 Mitochondrial disease prior abdominal pain onset age category MitDisPriAbdomnlPainOnstAgeCat Category of the participant's age at the onset of prior abdominal pain Category of the participant's age at the onset of prior abdominal pain What was the participant's age when past abdominal pain began? Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:45.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20218 Mitochondrial disease medication gastrointestinal problem prior worsen text MitDisMedGIProblmPrirWorsenTxt The free-text field to specify about which medications made the participant's past GI problems worse The free-text field to specify about which medications made the participant's past GI problems worse Has the participant taken any medications in the past that have worsened their GI problems? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:20.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20101 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn onset age category MitDisPiGERDHtnMLCPEBnOsAgCat Category of the participant's age at the onset of prior GERD, heartburn, mid-line chest, pain esophageal burning symptoms Category of the participant's age at the onset of prior GERD, heartburn, mid-line chest, pain esophageal burning symptoms For past GERD, heartburn, mid-line chest pain, esophageal burning episodes, what was the participant's age when the problems began? Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:38.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20034 Mitochondrial disease person relationship category MitDisPersnRelatedCat Type of relationship of participant to family member with mitochondrial disease Type of relationship of participant to family member with mitochondrial disease How are they related to the person with mitochondrial disease? Mother;Father;Grandmother;Grandfather;Sister;Brother;Spouse;The person with mitochondrial disease;Guardian (not a relative);Other, specify Mother;Father;Grandmother;Grandfather;Sister;Brother;Spouse;The person with mitochondrial disease;Guardian (not a relative);Other, specify Alphanumeric

Choose one.

 Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:41.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20047 Mitochondrial disease prior special diet type other text MitDisPriorSpecialDietTypOTH The free-text field related to 'Mitochondrial disease prior special diet type', specifying other text. Type of specialized diet the participant has been on in the past The free-text field related to 'Mitochondrial disease prior special diet type', specifying other text. Type of specialized diet the participant has been on in the past Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:54.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20148 Mitochondrial disease food stuck esophagus indicator MitDisFoodStuckEsophagusInd Indicator of whether the participant gets food stuck in their esophagus Indicator of whether the participant's gets food stuck in their esophagus Does the participant feel food get stuck in their esophagus? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:16.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
CSV