CDE Detailed Report
Disease: Mitochondrial Disease
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 201 - 250 of 279
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 201 - 250 of 279
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C20143 | Mitochondrial disease swallow difficult change over time indicator | MitDisSwallwDfctChngOvrTimeInd | Indicator of whether the participant's difficulty swallowing has changed over time | Indicator of whether the participant's difficulty swallowing has changed over time | Has the difficulty in swallowing changed over time? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:07.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20074 | Mitochondrial disease prior vomit frequency type other text | MitDisPriorVomitFreqTypOTH | The free-text field related to 'Mitochondrial disease prior vomit frequency type', specifying other text. Type of frequency of with which the participant had prior episodes of vomiting | The free-text field related to 'Mitochondrial disease prior vomit frequency type', specifying other text. Type of frequency of with which the participant had prior episodes of vomiting | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:15.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20176 | Mitochondrial disease prior abdominal pain frequency type | MitDisPriorAbdomnlPainFreqTyp | Type of frequency with which the participant had prior abdominal pain | Type of frequency with which the participant had prior abdominal pain | How often did past 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 15:57:50.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20187 | Mitochondrial disease abdominal early fullness indicator | MitDisAbdomnEarlyFullnessInd | Indicator of whether the participant experiences early fullness | Indicator of whether the participant experiences early fullness | Does the participant experience early satiety after eating a small amount of food? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:57:58.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20118 | Mitochondrial disease prior oral regurgitation stop text | MitDisPriOralRegurgStopSpfcTxt | The free-text field to specify what stopped the participant's past oral regurgitation | The free-text field to specify what stopped the participant's past oral regurgitation | What stopped the oral regurgitation? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:50.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20235 | Mitochondrial disease concern Munchausen by proxy syndrome indicator | MitDisConcrnMchsnBPSynInd | Indicator of whether there is concern about the participant experiencing Munchausen by proxy | Indicator of whether there is concern about the participant experiencing Munchausen by proxy | Has there ever been concern about a Munchausen by proxy accusation? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:31.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20053 | Mitochondrial disease current vomit frequency type | MitDisCurntVomitFreqTyp | Type of frequency with which the participant currently has episodes of vomiting | Type of frequency with which the participant currently has episodes of vomiting | How often does 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 15:56:00.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20155 | Mitochondrial disease abdominal pain current prior status | MitDisAbdomnlPainCurrPriStat | Status of whether the participant's abdominal pain is current or prior | Status of whether the participant's abdominal pain is current or prior | Has the participant experienced abdominal pain in the past or currently? | Past;Present | Past;Present | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:34.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C20085 | Mitochondrial disease prior stool black indicator | MitDisPriorStoolBlackInd | Indicator of whether the participant's prior stools were black | Indicator of whether the participant's prior stools were black | Did the participant ever have black stools? | 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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| C20202 | Mitochondrial disease bowel movement consistency result type | MitDisBowlMovmntConsistResTyp | Type of the resulting consistency of the participant's bowel movements | Type of the resulting consistency of the participant's bowel movements | What is the consistency of bowel movements? | Formed;Hard;Hard and large;I don't know;Mushy;Soft;Type 1: Separate hard lumps, like nuts;Type 2: Sausage-shaped, but lumpy;Type 3: Like a sausage but with cracks on its surface;Type 4: Like a sausage or snake, smooth and soft;Type 5: Soft blobs with clear cut edges;Type 6: Fluffy pieces with ragged edges, a mushy stool;Type 7: Watery, no solid pieces. Entirely liquid;Variable;Watery;Greasy/oil droplets | Formed;Hard;Hard and large;I don't know;Mushy;Soft;(hard to pass);Type 2: Sausage-shaped, but lumpy;Type 3: Like a sausage but with cracks on its surface;Type 4: Like a sausage or snake, smooth and soft;(passed easily);Type 6: Fluffy pieces with ragged edges, a mushy stool;Type 7: Watery, no solid pieces. Entirely liquid;Variable;Watery;Greasy/oil droplets | Alphanumeric |
Bristol stool scale classification |
Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:08.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20214 | Mitochondrial disease poor appetite growth affect text | MitDisPoorAppetGrwthAffctTxt | The free-text field to specify affects of poor appetite on participant's growth | The free-text field to specify affects of poor appetite on participant's growth | Please provide additional details about poor appetite affecting growth | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:17.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20030 | Mitochondrial disease known genetic diagnosis indicator | MitDisKnownGenDiagInd | Indicator of whether the participant has a known genetically diagnosed mitochondrial disease | Indicator of whether the participant has a known genetically diagnosed mitochondrial disease | Is there a known genetic diagnosis? | No;Yes | No;Yes | Alphanumeric |
Choose one. Response is obtained from participant , family member, friend, or chart/medical record. |
Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:55:37.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20129 | Mitochondrial disease current burp specific food drink cause text | MitDisCrBurpSpfcFdDrinkCausTxt | The free-text field to specify which specific foods or drinks cause participant's current burping | The free-text field to specify which specific foods or drinks cause participant's current burping | What food or drink? | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:57.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20064 | Mitochondrial disease current vomit blood clot indicator | MitDisCurntVomitBloodClotInd | Indicator of whether the participant's vomit has blood clots in current episodes of vomiting | Indicator of whether the participant's vomit has blood clots in current episodes of vomiting | Does the participant ever see blood clots in what they vomit? | 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 |
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| C20166 | Mitochondrial disease current abdominal pain wake indicator | MitDisCrAbdomnlPainWakeInd | Indicator of whether current abdominal pain wakes the participant from sleep | Indicator of whether current abdominal pain wakes the participant from sleep | Does abdominal pain wake the participant from sleep? | 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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| C20096 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn symptom consistent indicator | MitDisCrtGERDHnMLCPEBnSymCnInd | Indicator of whether current symptoms of GERD, heartburn, mid-line chest pain, esophageal burning are consistent day to day | Indicator of whether current symptoms of GERD, heartburn, mid-line chest pain, esophageal burning 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 15:56:31.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20108 | Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn detail text | MtDzPriGERDHtnMLChPnEsBnDtlTxt | The free-text field to specify additional details about participant's past GERD, heartburn, mid-line chest pain, esophageal burning symptoms | The free-text field to specify additional details about participant's past GERD, heartburn, mid-line chest pain, esophageal burning symptoms | Please provide additional details about the participant's past GERD, heartburn, mid-line chest pain, esophageal burning symptoms | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:43.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20225 | Mitochondrial disease surgery type | MitDisSurgTyp | Select the type of surgery participant had | Select the type of surgery participant had | What type of surgery or procedures has the participant had? | Muscle biopsy;Organ transplant;Orthopedic surgery (bone or joint);Spleen surgery;Liver surgery;Kidney surgery;Airway surgery (tracheostomy, laryngomalacia);Lung surgery;Bladder surgery;Brain surgery;Esophageal impedance monitoring;Esophageal pH monitoring;Gastric emptying studies;Anorectal manometry;Colon manometry;Esophageal manometry;Antroduodenal manometry;Colonoscopy;Upper endoscopy;Botox injection;Bowel dilation;Bowel resection;Hirschsprung (Swenson, Duhamel, Soave);Cecostomy (to treat refractory constipation);Jejunostomy;Colostomy;G J - tube (e.g., for venting and feeding);J-tube;G-tube;Ileostomy;Fundoplication (Nissen, Toupet, Thal, Dor);Heart surgery | Muscle biopsy;Organ transplant;Orthopedic surgery (bone or joint);Spleen surgery;Liver surgery;Kidney surgery;Airway surgery (tracheostomy, laryngomalacia);Lung surgery;Bladder surgery;Brain surgery;Esophageal impedance monitoring;Esophageal pH monitoring;Gastric emptying studies;Anorectal manometry;Colon manometry;Esophageal manometry;Antroduodenal manometry;Colonoscopy;Upper endoscopy;Botox injection;Bowel dilation;Bowel resection;Hirschsprung (Swenson, Duhamel, Soave);Cecostomy (to treat refractory constipation);Jejunostomy;Colostomy;G J - tube (e.g., for venting and feeding);J-tube;G-tube;Ileostomy;Fundoplication (Nissen, Toupet, Thal, Dor);Heart surgery | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:24.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C20042 | Mitochondrial disease current special diet indicator | MidtDisCurntSpecialDietInd | Indicator of whether the participant is currently on a restricted/specialized diet | Indicator of whether the participant is currently on a restricted/specialized diet | Is the participant currently on a restricted/specialized diet? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:55:49.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20144 | Mitochondrial disease swallow problem detail text | MitDistSwallowPrblmDetailTxt | The free-text field to specify additional details about participant's swallowing problems | The free text field to specify additional details about participant's swallowing problems | Please provide additional details about the participant's swallowing problems | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:08.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20075 | Mitochondrial disease prior vomit episode intensity type | MitDisVomitPriorEpiIntTyp | Type of intensity of the participant's prior episodes of vomiting | Type of intensity of the participant's prior episodes of vomiting | In the past, when the participant had vomiting, was it only a single episode or did the participant usually vomit repeatedly? | Single episode;Vomited more than once;Vomited repeatedly until there was nothing left | Single episode;Vomited more than once;Vomited repeatedly until there was nothing left | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:56:16.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20177 | Mitochondrial disease prior abdominal pain frequency type other text | MitDisPriAbdomnlPainFrqTypOTH | The free-text field related to 'Mitochondrial disease prior abdominal pain frequency type', specifying other text. Type of frequency with which the participant had prior abdominal pain | The free-text field related to 'Mitochondrial disease prior abdominal pain frequency type', specifying other text. Type of frequency with which the participant had prior abdominal pain | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:57:51.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| 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 |
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| 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 |
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| C20236 | Mitochondrial disease Munchausen by proxy syndrome health care professional setting indicator | MitDisMBPSymHlthCrProSetInd | Indicator of whether a health care professional has had a concern about Munchausen by proxy | Indicator of whether a health care professional has had a concern about Munchausen by proxy | Has a health care professional ever had concern about Munchausen by proxy syndrome? | I don't know;No;Yes | I don't know;No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:32.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20054 | Mitochondrial disease current vomit frequency type other text | MitDisCurntVomitFreqTypOTH | The free-text field related to 'Mitochondrial disease current vomit frequency type', specifying other text. Type of frequency with which the participant currently has episodes of vomiting | The free-text field related to 'Mitochondrial disease current vomit frequency type', specifying other text. Type of frequency with which the participant currently has episodes of vomiting | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:56:00.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20156 | Mitochondrial disease current abdominal pain reason | MitDisCurntAbdomnPainReasn | Reason describing the current indication that the participant is experiencing abdominal pain | Reason describing the current indication that the participant is experiencing abdominal pain | What indicates that the participant has abdominal pain? | Cries all the time;Cries with meals;Cries without another obvious cause;Holds belly;Holds belly and cries or looks uncomfortable;I don't know;Irritability;Wakes up from sleep;The participant tells me;Other, specify | Cries all the time;Cries with meals;Cries without another obvious cause;Holds belly;Holds belly and cries or looks uncomfortable;I don't know;Irritability;Wakes up from sleep;The participant tells me;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:57:35.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C20086 | Mitochondrial disease prior vomit abdominal pain before indicator | MitDisPriorVomitAbdmPainBefInd | Indicator of whether the participant experienced abdominal pain before prior vomiting episodes | Indicator of whether the participant experienced abdominal pain before prior vomiting episodes | Did 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 15:56:23.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20203 | Mitochondrial disease toileting use type | MitDisToiletingUseTyp | Type of toileting used by the participant | Type of toileting used by the participant | Does the participant use a toilet or a diaper? | Diaper;Toilet | Diaper;Toilet | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:09.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C20215 | Mitochondrial disease current medication type | MitDisCurrMedsTyp | Type of other medicines that participant is currently taking | Type of other medicines that participant is currently taking | What other medicines is the participant taking now? | Antibiotics;Levbid/Levsin/Bentyl;Pancreatic enzyme supplements (Creon);Gabapentin (Neurontin);Oxcarbazepine (Trileptal);Topamax (Topiramate);Phenytoin (Dilantin);Pregabalin (Lyrica);Lamotrigine (Lamictal);Levetiracetam (Keppra);Tiagabine (Gabitril);Felbatol (Felbamate);Ethosuximide (Zarontin);Carbamazepine (Tegretol, Carbatrol);Folinic acid;Alpha lipoic acid;Vitamin C;Vitamin E;B vitamins (other);L-Carnitine;L-Arginine;L-Creatine;Riboflavin (vitamin B2);CoQ10 (Ubiquinol, Ubiquinone);Linaclotide (Linzess);Tegaserod (Zelnorm, Zelmac);Reglan (metaclopramide);Domperidone (Motilium);Cisapride (Propulsid);Erythromycin;SSRI: Citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertaline (Zoloft);Tricyclic antidepressant: Amitriptyline, desipramine, imipramine, nortiptyline;Ondansetron (Zofran);Carafate;H-2 receptor antagonist: Pepcid (famotidine), Zantac (ranitidine), Tagamet (cimetidine);Proton pump inhibitor: Prilosec (omeprazole), Nexium, Prevacid (lansoprazole), Protonix (pantoprazole), or Aciphex (rabeprazole);Other, specify;Prucalopride (Motegrity) | Antibiotics;Levbid/Levsin/Bentyl;Pancreatic enzyme supplements (Creon);Gabapentin (Neurontin);Oxcarbazepine (Trileptal);Topamax (Topiramate);Phenytoin (Dilantin);Pregabalin (Lyrica);Lamotrigine (Lamictal);Levetiracetam (Keppra);Tiagabine (Gabitril);Felbatol (Felbamate);Ethosuximide (Zarontin);Carbamazepine (Tegretol, Carbatrol);Folinic acid;Alpha lipoic acid;Vitamin C;Vitamin E;B vitamins (other);L-Carnitine;L-Arginine;L-Creatine;Riboflavin (vitamin B2);CoQ10 (Ubiquinol, Ubiquinone);Linaclotide (Linzess);Tegaserod (Zelnorm, Zelmac);Reglan (metaclopramide);Domperidone (Motilium);Cisapride (Propulsid);Erythromycin;SSRI: Citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertaline (Zoloft);Tricyclic antidepressant: Amitriptyline, desipramine, imipramine, nortiptyline;Ondansetron (Zofran);Carafate;H-2 receptor antagonist: Pepcid (famotidine), Zantac (ranitidine), Tagamet (cimetidine);Proton pump inhibitor: Prilosec (omeprazole), Nexium, Prevacid (lansoprazole), Protonix (pantoprazole), or Aciphex (rabeprazole);Other, specify;Prucalopride (Motegrity) | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:17.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| C20226 | Mitochondrial disease surgery type detail text | MitDisSurgTypeDetailTxt | The free-text field to provide additional details about the type of surgery participant had | The free-text field to provide additional details about the type of surgery participant had | Please provide additional details about the type of surgery | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:25.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| C20204 | Mitochondrial disease bowel movement problem onset age category | MitDisBowelMvmntPrblmOnstAgCat | Category of the participant's age at the onset of bowel movement problems | Category of the participant's age at the onset of bowel movement problems | What was the participant's age when the bowel movement 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 15:58:09.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| 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 |
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| 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 |
