CDE Detailed Report

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

Displaying 251 - 279 of 279
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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
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
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
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
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
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
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
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
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
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
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
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
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
C20079 Mitochondrial disease prior vomit before problem type MitDisPriorVomitBeforeProbTyp Types of problems that frequently occur before vomiting during participant's prior episodes of vomiting Types of problems that frequently occur before vomiting during participant's prior episodes of vomiting Did any of the following occur frequently before the vomiting started? Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Right after feeding;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Right after feeding;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:18.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20181 Mitochondrial disease prior abdominal pain trigger detail text MitDisPriAbdomnlPainTrigrDlTxt The free-text field to specify additional details about participant's past abdominal pain triggers The free-text field to specify what specifically makes the participant's prior abdominal pain better Please provide additional details about past abdominal pain triggers Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:54.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20112 Mitochondrial disease current oral regurgitation frequency type MitDisCurntOralRegurgFreqTyp Type of frequency with which the participant currently has oral regurgitation Type of frequency with which the participant currently has oral regurgitation How often does 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 15:56:46.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20058 Mitochondrial disease current vomit episode trigger text MitDisCurntVomitEpisTrigTxt The free-text field to specify the participant's current vomiting episode triggers The free text field to specify the participant's current vomiting episode triggers What triggers vomiting episodes? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:04.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20234 Mitochondrial disease gastrointestinal symptom refer psychiatric professional indicator MitDisGISymReferPsychiatPrfInd Indicator of whether the participant has ever been referred to a psychiatric professional regarding GI symptoms Indicator of whether the participant has ever been referred to a psychiatric professional regarding GI symptoms Has there ever been a referral to a psychiatric professional related to the participant's GI symptoms? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:30.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20160 Mitochondrial disease current abdominal pain frequency type other text MitDisCrtAbdomnlPainFreqTypOTH The free-text field related to 'Mitochondrial disease current abdominal pain frequency type', specifying other text. Type of frequency with which the participant currently has abdominal pain The free-text field related to 'Mitochondrial disease current abdominal pain frequency type', specifying other text. Type of frequency with which the participant currently has abdominal pain Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:38.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20090 Mitochondrial disease vomit diagnosis cyclic indicator MitDisVomitDiagnosCyclicInd Indicator of whether the participant has a cyclic vomiting diagnosis Indicator of whether the participant has a cyclic vomiting diagnosis Has the participant ever been diagnosed with cyclic vomiting or abdominal migraine? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:27.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20192 Mitochondrial disease swallow air indicator MitDisSwallowAirInd Indicator of whether the participant is an air swallower Indicator of whether the participant is an air swallower Is the participant an air swallower? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:01.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20201 Mitochondrial disease bowel movement frequency type other text MitDisBowelMvmtFreqTypOTH The free-text field related to 'Mitochondrial disease bowel movement frequency type', specifying other text. Type of frequency with which the participant has bowel movements The free-text field related to 'Mitochondrial disease bowel movement frequency type', specifying other text. Type of frequency with which the participant has bowel movements Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:07.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20123 Mitochondrial disease prior oral regurgitation detail text MitDisPriOralRegurgDetlTxt The free-text field to specify additional details about participant's past oral regurgitation symptoms The free-text field to specify additional details about participant's past oral regurgitation symptoms Please provide additional details about the participant's past oral regurgitation symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:53.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
CSV