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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Mitochondrial Disease
Sub-Domain: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Item count: 218 (218 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C20029
Mitochondrial disease diagnosis text
MitDisDiagnosisTxt
The free-text field specifying the mitochondrial disease diagnosis that is present.
What mitochondrial disease diagnosis is present?
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
255
Free-Form Entry
       
C20030
Mitochondrial disease known genetic diagnosis indicator
MitDisKnownGenDiagInd
Indicator of whether the participant/subject has a known genetically diagnosed mitochondrial disease.
Is there a known genetic diagnosis?
Yes;No;
Yes;No;
Alphanumeric
Choose one. Response is obtained from participant/ subject, family member, friend, or chart/medical record.
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C20031
Mitochondrial disease DNA mutation type
MitDisDNAMutatTyp
The type of DNA mutation (nuclear or mitochondrial) present in the participant/subject's genetic diagnosis
Is this a nuclear or mitochondrial DNA mutation?
Nuclear;Mitochondrial;
Nuclear;Mitochondrial;
Alphanumeric
Choose one. Response is obtained from participant/ subject, family member, friend, or chart/medical record.
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C20032
Mitochondrial disease nuclear mutation text
MitDisNucMutatTxt
The free text field to specify the mitochondrial disease nuclear DNA mutation.
Nuclear mutation
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
255
Free-Form Entry
       
C20033
Mitochondrial disease DNA mutation text
MitDisDNAMutatTxt
The free text field to specify the mitochondrial disease mitochondrial DNA mutation.
Mitochondrial DNA mutation
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
255
Free-Form Entry
       
C20034
Mitochondrial disease person relationship category
MitDisPersnRelatedCat
The type of relationship of participant/subject to family member with mitochondrial disease
How is person related to the person with mitochondrial disease?
Mother;Father;Grandmother;Grandfather;Guardian;Sister;Brother;Spouse;Other;The person with mitochondrial disease;
Mother;Father;Grandmother;Grandfather;Guardian;Sister;Brother;Spouse;Other;The person with mitochondrial disease;
Alphanumeric
Choose one.
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C01541
Weight measurement
WgtMeasr
Measurement of participant's/subject's weight
Weight (Specify)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
SCI CDEs: WEIGHT
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
Weight measurement
 
Free-Form Entry
0
500
kilogram
  
2179689
 
C01581
Weight unit of measure
WgtUoM
Unit of measure for the weight numerical value
Weight measurement
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
caBIG: PRSN_WT_UOM_UCUM_CD
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
Weight unit of measure
 
Single Pre-Defined Value Selected
     
2630200
 
C01522
Height measurement
HgtMeasr
Measurement of participant's/subject's height.
Height (Specify)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
SCI CDEs: HEIGHT
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
Height measurement
 
Free-Form Entry
0
400
centimeter
  
649
 
C01582
Height unit of measure
HgtUOM
Unit of measure for the height numerical value for subject/participant
Height measurement
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
Height unit of measure
 
Single Pre-Defined Value Selected
     
2538920
 
C20035
Height maternal measurement
HgtMaternalMeasr
Measurement of participant's/subject's Mother's height
Height (Specify)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
       
C20036
Height paternal measurement
HgtPaternalMeasr
Measurement of participant's/subject'sFather's height
Height (Specify)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Free-Form Entry
       
C20037
Mitochondrial disease problem type
MitDisProbTyp
Select the type of problems that participant/subject have
Have you/your child had any of the following problems?
Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Difficulty or pain with swallowing;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety;Problems with bowel movements;Poor appetite affecting growth;Cyclic vomiting;
Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Difficulty or pain with swallowing;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety (early fullness);Problems with bowel movements (diarrhea, constipation, straining, pain with bowel movements, blood in the stool);Poor appetite affecting growth;Cyclic vomiting;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C20038
Mitochondrial disease eat type
MitDisEatTyp
Select the type of ways that participant/subject eats
How does you/your child eat?
Eats by himself;Infant formula (not specialized);Infant formula (specialized);Liquid diet;Gastrostomy (G-tube);Jejunostomy (J-tube);Gastrojejunostomy (G-J tube);Nasogastric tube (NG tube);They do not take any food by mouth or feeding tube;TPN (total parenteral nutrition);
(regular diet);Infant formula (not specialized);Infant formula (specialized);Liquid diet;Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression;Surgical creation of an opening (fistula) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine);Surgical procedure that connects the stomach to the second section of the small intestine;Plastic tube inserted through the nose, past the throat, and down into the stomach used for feeding and administering drugs and other oral agents;They do not take any food by mouth or feeding tube;Feeding a person intravenously, bypassing the usual process of eating and digestion;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C20039
Mitochondrial disease infant formula text
MitDisInfFormTxt
The free text field to specify the kind of infant formula used by participant/subject
What kind of infant formula? (Specify)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
255
Free-Form Entry
       
C20040
Mitochondrial disease eat reason text
MitDisWhyEatRsnTxt
The free text field to specify why participant/subject eats that way
Why do you/they eat that way?
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
4000
Free-Form Entry
       
C20041
Mitochondrial disease liquid diet text
MitDisLiqDietTxt
The free text field to specify the type of liquid diet used by participant/subject
What liquid diet do you/they use?
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
4000
Free-Form Entry
       
C20042
Mitochondrial disease restrict diet indicator
MidtDisRestrictDietInd
Indicator of whether participant/subject are on a restricted diet
Are you/your child currently on a restricted diet?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C20043
Mitochondrial disease special diet type
MitDisSpecialDietTyp
Select the type of specialized diet of the participant/subject
What type of specialized diet do you/they eat?
Ketogenic diet;Celiac diet / gluten free;Vegetarian;Vegan;Organic;Food allergen avoidance;Lactose free;Sucrose free;Fructose;Low fat;Low carbohydrate;Low protein;High fat;High carbohydrate;High protein;Low fermentable oligo-Di-Monosaccharides and Polyols;Other;
Ketogenic diet;Celiac diet / gluten free;Vegetarian;Vegan;Organic;(shellfish, eggs, nuts, etc.);Lactose free;Sucrose free;Fructose;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;Other;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C20044
Mitochondrial disease special diet other text
MitDisSpecialDietOthrTxt
The free text field to specify the type of specialized diet if not listed
Specialized diet other (Specify)
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
4000
Free-Form Entry
       
C20330
Mitochondrial disease special diet reason text
MitDisSpeclDietReasonTxt
The free text field to specify why the participant/subject is on a specialized diet
Why are you/they on a specialized diet?
  
Alphanumeric
(Specify)
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
4000
Free-Form Entry
       
C20046
Mitochondrial disease special diet affect symptom text
MitDisSpeclDietAffctSymptmTxt
The free text field to specify whether specialized diet affected participant/subject symptoms
Has your/their symptoms changed since the diet started?
  
Alphanumeric
(Specify)
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
4000
Free-Form Entry
       
C20329
Mitochondrial disease past restrict diet indicator
MitDisPastRestrictDietInd
Indicator of whether participant/subject has been on a restricted diet in the past
Are you/your child currently on a restricted diet?
Yes;No;
Yes;No;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C20047
Mitochondrial disease dietary other restriction text
MitDisDietOthRestrictnTxt
The free text field to specify whether participant/subject have other dietary retrictions
What other dietary restrictions does you/your child have?
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
 
4000
Free-Form Entry
       
C20048
Mitochondrial disease vomit current prior status
MitDisVomitCurrPriorStat
The status of whether the participant/subject's vomiting is current or past
Does you/your child have vomiting currently or in the past?
Present;Past;
Present;Past;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
C20049
Mitochondrial disease problem start age category
MitDisProblStartAgeCat
The age category of the participant/subject when problems began
What was your/your child's age when the problems began?
On the day of birth;Less than 2 mo old (not on day of birth);2 mo to 5 mo;6 mo to 12 mo;13 mo to 18 mo;19 mo to 3 y;4 y to 6 y;7 y to 13 y;14 y to 18 y;Greater than 18 y;I don't know;
On the day of birth;Less than 2 mo old (not on day of birth);2 mo to 5 mo;6 mo to 12 mo;13 mo to 18 mo;19 mo to 3 y;4 y to 6 y;7 y to 13 y;14 y to 18 y;Greater than 18 y;I don't know;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
2/26/2015
Aliases for variable name not defined
Mitochondrial and Gastrointestinal Diseases Assessment
Physical Examinations
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
07-20-2019
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