CDE Detailed Report

Disease: Mitochondrial Disease
Subdomain Name: Laboratory Tests and Biospecimens/Biomarkers
CRF: Primary Mitochondrial Disease (PMD) Genetics

Displaying 1 - 50 of 114
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
C59114 Genetic study data sample category type GeneticStudyDataSampleCatTyp Type of sample category data expected for the genetics study Type of sample category data expected for the genetics study Sample Types Microbiome;Mitochondria;RNA;DNA;Tumor/Normal;Germline;From Repository;Other tissue, specify Microbiome;Mitochondria;RNA;DNA;Tumor/Normal;Germline;From Repository;Other tissue, specify Alphanumeric

Choose all that apply

Question and permissible values from dbGaP/database of Genotypes and Phenotypes/ National Center for Biotechnology Information, National Library of Medicine (NCBI/NLM)/https://www.ncbi.nlm.nih.gov/gap used and modified with permission. Adult;Pediatric Supplemental 2.00 2024-02-29 15:54:27.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

C12791 Gene exon last deleted duplicated name GeneExonLstDelDupName Name of the exon last deleted or duplicated Name of the exon last deleted or duplicated Last Exon affected Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:54:52.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C60267 Genetic test prevision software name GenTestPrevisionSoftName Name of the prevision software used in genetic testing Name of the prevision software used in genetic testing Prevision software Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:55:14.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C19516 Blood sample repository name BloodSampleRepositoryName Name of repository to which the participant gave a blood sample Name of repository to which the participant gave a blood sample Name of repository Alphanumeric Adult;Pediatric Supplemental 3.10 2024-02-29 15:54:11.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 4000

Free-Form Entry

C59168 Gene whole affect exon deleted duplicated indicator GeneWhlAffctExonDelDupInd Indicator of whether the whole gene was affected by exonic deletions/duplications Indicator of whether the whole gene was affected by exonic deletions/duplications Whole gene affected? No;Yes;Unknown No;Yes;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.10 2024-02-29 15:54:52.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12805 Gene mRNA variant mutation name GeneMRNAVarMutName Name using the Human Genome Organisation (HUGO) variant or mutation nomenclature of the messenger ribonucleic acid (mRNA) variant or mutation Name using the Human Genome Organisation (HUGO) variant or mutation nomenclature of the messenger ribonucleic acid (mRNA) variant or mutation mRNA Alphanumeric

If relevant

https://hgvs-nomenclature.org/stable/ Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:55:03.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C19604 Genetic test nuclear DNA experimental validation type GentTestNuclearDNAExpValTyp Type of experimental validation used for the basis of the evaluation of nuclear DNA genetic testing clinical category Type of experimental validation used for the basis of the evaluation of nuclear DNA genetic testing clinical category Experimental Validation Functional complementation in cultured cells;Other, specify Functional complementation in cultured cells;Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 2.00 2024-02-29 15:55:15.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12690 Gene name GeneName Name of the gene analyzed Name of the gene analyzed Gene Name Alphanumeric Adult;Pediatric Core 3.00 2013-07-24 11:38:01.2 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C60257 Blood sample identifier number BloodSampIDNum Identification (ID) number assigned to the blood sample in repository Identification (ID) number assigned to the blood sample in repository Sample ID Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:54:12.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C16198 Biological sample in repository consent form signed indicator BioSampInReposConsentFmSignInd Indicates whether the participant provided signed informed consent for the biological sample collection and storage in a repository Indicates whether the participant provided signed informed consent for the biological sample collection and storage in a repository Did the participant sign a consent form at the time the sample was taken? Yes;No;Unknown Yes;No;Unknown Alphanumeric Adult;Pediatric Supplemental 3.20 2024-02-29 15:54:09.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C59078 DNA known variant status DNAKnownVariantStat Status of known variant(s) in participant's DNA Status of known variant(s) in participant's DNA Known Variant/s in participant's DNA Absent;Present;Unknown Absent;Present;Unknown Alphanumeric

If present or absent, describe

Question and permissible values from Coriell Institute for Medical Research used and modified with permission.<br />https://www.coriell.org/1/About-Us/Legal-Notice Adult;Pediatric Supplemental 1.10 2024-02-29 15:54:05.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C59116 Genetic study data array data category type GeneticStudyDataArryDataCatTyp Type of array data category data expected for the genetics study Type of array data category data expected for the genetics study Array Data Methylation Array;Expression Array;SNP Array Methylation Array;Expression Array;SNP Array Alphanumeric

Choose all that apply

Question and permissible values from dbGaP/database of Genotypes and Phenotypes/ National Center for Biotechnology Information, National Library of Medicine (NCBI/NLM)/https://www.ncbi.nlm.nih.gov/gap used and modified with permission. Adult;Pediatric Supplemental 1.00 2022-07-28 10:11:54.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

C12793 Gene exon predicted reading frame type GeneExonPredReadFrameTyp Type of predicted reading frame Type of predicted reading frame Predicted reading frame IN;Out;Unknown IN;Out;Unknown Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-03-18 15:21:17.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60268 Genetic test experimental validation type other text GentTestExpValTypOTH Free-text field related to the 'Genetic test experimental validation type other text', specifying the experimental validation Free-text field related to the 'Genetic test experimental validation type other text', specifying the experimental validation Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:55:15.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 4000

Free-Form Entry

C19584 Genetic test performed year value GenetTestPerformYearVal Value of the year the genetic test was performed Value of the year the genetic test was performed What year was the genetic testing performed? Numeric Values Adult;Pediatric Supplemental 1.00 2014-12-29 16:40:16.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

C59169 Gene promoter affect exon deleted duplicated indicator GenePromoAffctExonDelDupInd Indicator of whether known gene promoters were affected by exonic deletions/duplications Indicator of whether known gene promoters were affected by exonic deletions/duplications Are known gene promoters affected No;Yes;Unknown No;Yes;Unknown Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.10 2024-02-29 15:54:54.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12806 Gene protein variant mutation name GeneProteinVarMutName Name using the Human Genome Organisation (HUGO) variant or mutation nomenclature of the protein variant or mutation Name using the Human Genome Organisation (HUGO) variant or mutation nomenclature of the protein variant or mutation Protein Alphanumeric

If relevant

https://hgvs-nomenclature.org/stable/ Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:55:04.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C19605 Genetic test mitochondrial DNA variant mutation quantitative analysis evaluation method type GeneTestMDNAVrMutQntAnEMTyp Type of evaluation method in quantitative analysis for mitochondrial DNA variant or mutation Type of evaluation method in quantitative analysis for mitochondrial DNA variant or mutation Evaluation method Restriction PCR;Deep sequencing;Allele specific PCR;qPCR (deletions, depletion);Southern blot;Other, specify Restriction PCR;Deep sequencing;Allele specific PCR;qPCR (deletions, depletion);Southern blot;Other, specify Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 2.00 2024-02-29 15:55:05.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12782 Gene additional variants unknown significance indicator GeneAddVarUnknownSignfcnceInd Indicator of whether there are additional variants in other genes of unknown significance Indicator of whether there are additional variants in other genes of unknown significance Are there additional variants in other genes of unknown significance? Yes;No Yes;No Alphanumeric

If YES, indicate

Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:54:39.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60258 Organ donation register indicator OrgnDonationRegisterInd Indicator of whether the participant has registered for organ donation Indicator of whether the participant has registered for organ donation Has the participant registered for organ donation? No;Yes No;Yes Alphanumeric

If YES, name the repository

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:54:18.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C17399 Global unique identifier number GlobalUniqueIdNum Number representing the Global Unique ID (GUID) which uniquely identifies a participant Number representing the Global Unique ID (GUID) which uniquely identifies a participant GUID Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 3.10 2024-02-29 15:54:17.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C59079 DNA known variant description text DNAKnownVariantDescriptionTxt The free-text field describing the presence or absence of known variant(s) in participant's DNA The free-text field describing the presence or absence of known variant(s) in participant's DNA If present or absent, describe Alphanumeric Question and permissible values from Coriell Institute for Medical Research used and modified with permission.<br />https://www.coriell.org/1/About-Us/Legal-Notice Adult;Pediatric Supplemental 1.10 2024-02-29 15:54:06.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C59119 Genetic study data genotype category type GeneticStudyDataGenotypeCatTyp Type of genotype category data expected for the genetics study Type of genotype category data expected for the genetics study Genotypes Array CGH CNVs;Somatic SNV (MAF);Genotype calls derived from Sequence;CNV calls derived from Sequencing;CNV calls from microarray;Array derived genotypes Array CGH CNVs;Somatic SNV (MAF);Genotype calls derived from Sequence;CNV calls derived from Sequencing;CNV calls from microarray;Array derived genotypes Alphanumeric

Choose all that apply

Question and permissible values from dbGaP/database of Genotypes and Phenotypes/ National Center for Biotechnology Information, National Library of Medicine (NCBI/NLM)/https://www.ncbi.nlm.nih.gov/gap used and modified with permission. Adult;Pediatric Supplemental 1.00 2022-07-28 10:16:12.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

C12795 Gene coding region sequenced indicator GeneCodingRegionSeqInd Indicator of whether the entire coding region was sequenced for the allele of the gene for missense/nonsense variant or point mutations or pseudoexons Indicator of whether the entire coding region was sequenced for the allele of the gene for missense/nonsense variant or point mutations or pseudoexons Was the entire coding region sequenced Yes;No Yes;No Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:54:55.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60269 Genetic test mitochondrial DNA clinical evaluation type GentTestMtDNAClinEvalTyp Type of basis used for the evaluation of the clinical category of mitochondrial DNA (mtDNA) genetic test Type of basis used for the evaluation of the clinical category of mitochondrial DNA (mtDNA) genetic test Basis for the evaluation of the clinical category Previously reported;Familial segregation;Prevision software (name the software);Experimental validation;Tissular segregation Previously reported;Familial segregation;Prevision software (name the software);Experimental validation;Tissular segregation Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:55:16.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C19590 Genetic test mitochondrial DNA panel tissue type GentTestMTDNAPanTisTyp Type of tissue tested in the mtDNA panel test Type of tissue tested in the mtDNA panel test What tissue? Blood;Muscle;Liver;Other, please specify;Saliva;Urine sediment;Buccal smear Blood;Muscle;Liver;Other, please specify;Saliva;Urine sediment;Buccal smear Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 2.00 2024-02-29 15:54:43.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C59174 Genetic test result participant inform indicator GeneTestRsltPatInfrmInd Indicator of whether the participant was informed of the genetic test results Indicator of whether the participant was informed of the genetic test results Was the participant informed of the test results? No;Yes No;Yes Alphanumeric

If YES, indicate source of the information

Adult;Pediatric Supplemental 1.10 2024-02-29 15:54:03.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12807 Gene second disease allele indicator GeneSecondDiseaseAlleleInd Indicator of whether a second disease allele was identified Indicator of whether a second disease allele was identified Was a second disease allele identified? Yes;No Yes;No Alphanumeric

If NO, Skip to question on Mitochondrial DNA variant

Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:55:04.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C19607 Genetic test mitochondrial DNA variant mutation quantitative analysis heteroplasmy level type GenetcTestMDNAMQntAnHLTyp Type of heteroplasmy level in quantitative analysis for mitochondrial DNA variant or mutation Type of heteroplasmy level in quantitative analysis for mitochondrial DNA variant or mutation Heteroplasmy level Blood;Muscle;Urinary sediment;Buccal cells;Saliva;Other, specify Blood;Muscle;Urinary sediment;Buccal cells;Saliva;Other, specify Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 2.00 2024-02-29 15:55:07.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12783 Variant mutational analysis results available indicator VarMutAnlysisResltsAvailInd Indicator of whether the variant or mutational analysis results are available on this participant Indicator of whether the variant or mutational analysis results are available on this participant Variant analysis results available on this participant Yes;No Yes;No Alphanumeric

IF NO, Stop completing form

Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:54:36.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60259 Organ donation repository name OrgnDonationRepostoryNme Name of repository to which the participant registered for organ donation Name of repository to which the participant registered for organ donation If YES, name of repository Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:54:20.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C17889 Gene missense nonsense variant point mutation location exon text GeneMsNsVrPointMutLocExonTxt The free-text field about missense/nonsense variant or point mutation at the exon The free-text field about missense/nonsense variant or point mutation at the exon Exon (Point Variant) Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:54:58.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C59080 Biological sample in repository specimen type other text BioSampInReposSpecmnTypOTH The free-text field related to 'Biological sample in repository specimen type', specifying other text. Type of biological sample or specimen collected and stored in a repository The free-text field related to 'Biological sample in repository specimen type', specifying other text. Type of biological sample or specimen collected and stored in a repository Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2022-07-27 21:57:47.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 4000

Free-Form Entry

C59141 Genetic study data sequencing category type GeneticStudyDataSeqncngCatTyp Type of sequencing category data expected for the genetics study Type of sequencing category data expected for the genetics study Sequencing Whole Genome;Whole Exome;Targeted Genome;Targeted Exome;Targeted Transcriptome;Epigenomic Marks;Sanger;16S rRNA;Whole Transcriptome Whole Genome;Whole Exome;Targeted Genome;Targeted Exome;Targeted Transcriptome;Epigenomic Marks;Sanger;16S rRNA;Whole Transcriptome Alphanumeric

Choose all that apply

Question and permissible values from dbGaP/database of Genotypes and Phenotypes/ National Center for Biotechnology Information, National Library of Medicine (NCBI/NLM)/https://www.ncbi.nlm.nih.gov/gap used and modified with permission. Adult;Pediatric Supplemental 2.00 2024-03-18 15:21:17.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

C12796 Gene targeted variant mutational analysis indicator GeneTargetedVarMutAnlysisInd Indicator of whether variant or mutational analysis was targeted at a particular variant or mutation Indicator of whether variant or mutational analysis was targeted at a particular variant or mutation Targeted variant analysis only Yes;No Yes;No Alphanumeric

If YES, answer type of analysis

Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:54:55.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60270 Genetic test mitochondrial DNA experimental validation type GentTestMtDNAExpValTyp Type of experimental validation used for the basis of the evaluation of mitochondrial DNA (mtDNA) genetic testing clinical category Type of experimental validation used for the basis of the evaluation of mitochondrial DNA (mtDNA) genetic testing clinical category Experimental Validation Single muscle fiber;Transfer into cybrid cells Single muscle fiber;Transfer into cybrid cells Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:55:17.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C19592 Genetic test mitochondrial DNA genome deletion duplication analysis tissue type GentTestMTDNAGenDelDupAnTisTyp Type of tissue tested in the mtDNA genome deletion/duplication analysis test Type of tissue tested in the mtDNA genome deletion/duplication analysis test What tissue? Blood;Muscle;Liver;Other, please specify;Saliva;Urine sediment;Buccal smear Blood;Muscle;Liver;Other, please specify;Saliva;Urine sediment;Buccal smear Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 2.00 2024-02-29 15:54:45.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C59178 Blood sample repository indicator BloodSampRepositoryInd Indicator whether the participant provided a blood sample to a repository Indicator whether the participant provided a blood sample to a repository Has the participant given a sample of blood to a repository? No;Yes No;Yes Alphanumeric

If YES, name the repository

Adult;Pediatric Supplemental 1.10 2024-02-29 15:54:11.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12808 Gene sequenced with no variant mutation indicator GeneSeqNoVarMutationsInd Indicator of whether there are additional genes sequenced with no variants or mutations detected Indicator of whether there are additional genes sequenced with no variants or mutations detected Are there additional genes sequenced with no variants detected? Yes;No Yes;No Alphanumeric

If YES, indicate

Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:54:41.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C19609 Genetic test sequence range GentTestSeqRng Range of area of coverage for genetic testing Range of area of coverage for genetic testing Region Tested: Coverage Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.10 2024-02-29 15:55:11.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 100

Free-Form Entry

C12784 Variant mutational analysis performed family member indicator VarMutAnlysisPerfFamMembrInd Indicator of whether the mutational analysis was performed on a family member Indicator of whether the mutational analysis was performed on a family member If NO, was variant analysis performed on a family member? Yes;No Yes;No Alphanumeric

No instructions available

Adult;Pediatric Supplemental 3.20 2024-02-29 15:54:37.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60260 Family history relative tissue specimen name FamHistRelTissSpecmnName Name of tissue specimen collected from the participant's family member Name of tissue specimen collected from the participant's family member Type of tissue collected Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental 1.00 2024-02-29 15:54:22.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C17891 Gene additional variants unknown significance text GeneAddVarUnkSignfcnceTxt The free-text field about additional variants in other genes of unknown significance The free-text field about additional variants in other genes of unknown significance If YES, indicate Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:54:40.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations 255

Free-Form Entry

C59081 Biological sample allow share consent form indicator BioSampAllowShareConsentFrmInd Indicates whether the participant's provided signed informed consent form for the biological sample collection and storage in a repository allows for sharing of the sample Indicates whether the participant's provided signed informed consent form for the biological sample collection and storage in a repository allows for sharing of the sample Does the consent form for this sample allow for sharing of the sample? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:54:10.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C59157 Genetic study data analysis category type GeneticStudyDataAnlysisCatTyp Type of analysis category data expected for the genetics study Type of analysis category data expected for the genetics study Analysis Bulk RNA Seq derived expression;Array-derived methylation;Array-derived expression;Association/Linkage results Bulk RNA Seq derived expression;Array-derived methylation;Array-derived expression;Association/Linkage results Alphanumeric

Choose all that apply

Question and permissible values from dbGaP/database of Genotypes and Phenotypes/ National Center for Biotechnology Information, National Library of Medicine (NCBI/NLM)/https://www.ncbi.nlm.nih.gov/gap used and modified with permission. Adult;Pediatric Supplemental 1.00 2022-07-28 11:24:29.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Multiple Pre-Defined Values Selected

C12797 Gene targeted variant mutational analysis type GeneTarVarMutAnlysisTyp Type of targeted variant or mutational analysis performed for the gene Type of targeted variant or mutational analysis performed for the gene If YES, type of analysis Hot-spot;Other, specify;Known familial variant Hot-spot;Other, specify;Known familial variant Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-02-29 15:54:56.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C19595 Genetic test karyotype tissue type GenetTestKaryotypeTisTyp Type of tissue tested in the karyotype test Type of tissue tested in the karyotype test What tissue? Blood;Amnio;Skin;Other, please specify Blood;Amnio;Skin;Other, please specify Alphanumeric Adult;Pediatric Supplemental-Highly Recommended 1.00 2014-12-30 17:00:40.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C60250 Diagnosis primary clinical mitochondrial disease type DiagnosPrimryClinMitoDzTyp Type of primary clinical mitochondrial disease diagnosis Type of primary clinical mitochondrial disease diagnosis Primary Clinical Diagnosis of Mitochondrial Disease Chronic progressive external ophthalmoplegia (CPEO ''plus'');Chronic progressive external ophthalmoplegia (CPEO);Alpers syndrome;Cardiomyopathy;Maternally Inherited Diabetes and Deafness (MIDD);Kearns-Sayre syndrome (KSS);Leber hereditary optic neuropathy (LHON);Leigh syndrome;Maternal-inherited deafness;MELAS;MNGIE;Multi-systemic syndrome;MERRF;Myopathy;Neuropathy, ataxia and retinitis pigmentosa (NARP);Pearson syndrome;Reversible infantile myopathy with cytochrome c oxidase deficiency;Ataxia Neuropathy syndrome;Other POLG related disorders;Aminoglycoside-induced deafness;Barth syndrome;Encephalomyopathy;Hepatocerebral syndrome;Leukoencephalopathy;Encephalopathy;Other clinical syndrome/symptom, specify Chronic progressive external ophthalmoplegia (CPEO ''plus'');Chronic progressive external ophthalmoplegia (CPEO);Alpers syndrome;Cardiomyopathy;Maternally Inherited Diabetes and Deafness (MIDD);Kearns-Sayre syndrome (KSS);Leber hereditary optic neuropathy (LHON);Leigh syndrome;Maternal-inherited deafness;MELAS;MNGIE;Multi-systemic syndrome;MERRF;Myopathy;Neuropathy, ataxia and retinitis pigmentosa (NARP);Pearson syndrome;Reversible infantile myopathy with cytochrome c oxidase deficiency;Ataxia Neuropathy syndrome;Other POLG related disorders;Aminoglycoside-induced deafness;Barth syndrome;Encephalomyopathy;Hepatocerebral syndrome;Leukoencephalopathy;Encephalopathy;Other clinical syndrome/symptom, specify Alphanumeric

Choose one

Question and permissible values from Coriell Institute for Medical Research used and modified with permission.<br />https://www.coriell.org/1/About-Us/Legal-Notice Adult;Pediatric Core 1.00 2024-02-29 15:53:47.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C12818 Gene second allele identical indicator GeneSecondAlleleIdenticalInd Indicator of whether allele #2 is identical to allele #1 Indicator of whether allele #2 is identical to allele #1 Is allele #2 identical to allele #1 Yes;No Yes;No Alphanumeric

Homozygous only
If YES, Skip to question on Mitochondrial DNA variant
If NO, repeat filling out allele specific information for Allele #2"

Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:55:05.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Single Pre-Defined Value Selected

C19610 Genetic test result date GentTestResltDat The date of reporting of the genetic test results The date of reporting of the genetic test results Date report issued Date or Date & Time Adult;Pediatric Supplemental-Highly Recommended 1.00 2014-12-31 12:04:57.0 Primary Mitochondrial Disease (PMD) Genetics Laboratory Tests and Biospecimens/Biomarkers Assessments and Examinations

Free-Form Entry

CSV