CDE Detailed Report
Disease: Mitochondrial Disease
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 51 - 100 of 279
Subdomain Name: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment
Displaying 51 - 100 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C60275 | Mitochondrial disease infant formula recommendation type other text | MitDisInfFormRecmndTypOTH | The free-text field related to 'Mitochondrial disease infant formula recommendation type', specifying other text. Type of recommendation the participant received regarding the infant formula | The free-text field related to 'Mitochondrial disease infant formula recommendation type', specifying other text. Type of recommendation the participant received regarding the infant formula. | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:48.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60307 | Mitochondrial disease distract eat indicator | MitDisDistractEatInd | Indicator of whether the participant is distracted while eating | Indicator of whether the participant is distracted while eating | Is the participant distracted while eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:26.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60339 | Mitochondrial disease fecal elastase test result status | MitDisFecalElastaseTstRsltStat | Status to the participant's fecal elastase test result status | Status to the participant's fecal elastase test result status | If YES, was the fecal elastase test result normal or abnormal? | Abnormal;Normal | Abnormal;Normal | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:48.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60286 | Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn season variation text | MtDzCrGERDHtbnMLChPnEsBnSVrTxt | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom seasonal variation | The free-text field to specify additional details about participant's current GERD, heartburn, mid-line chest pain, esophageal burning symptom seasonal variation | Please provide additional details about the participant's GERD, heartburn, mid-line chest pain, esophageal burning symptoms. Seasonal variation | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:37.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60318 | Mitochondrial disease prior abdominal pain reason other text | MitDisPriorAbdomnPainReasnOTH | The free-text field related to 'Mitochondrial disease prior abdominal pain reason', specifying other text. Reason describing the past indication that the participant experienced abdominal pain | The free-text field related to 'Mitochondrial disease prior abdominal pain reason', specifying other text. Reason describing the past indication that the participant experienced abdominal pain | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:48.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60297 | Mitochondrial disease swallow pain consistent indicator | MitDisSwallowPainConstntInd | Indicator of whether the participant's swallowing pain has been consistent day to day | Indicator of whether the participant's swallowing pain has been consistent day to day | Has the pain with swallowing been consistent day to day? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:14.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60329 | Mitochondrial disease recurrent acute pancreatitis indicator | MitDisRecrrntAcutePancretisInd | Indicator of whether the participant had recurrent acute pancreatitis | Indicator of whether the participant had recurrent acute pancreatitis | Has the participant been told they have acute recurrent pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:40.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60276 | Mitochondrial disease prior special diet type | MitDisPriorSpecialDietTyp | Type of specialized diet the participant has been on in the past | Type of specialized diet the participant has been on in the past | What type of specialized diet was the participant on? | 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 |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:53.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60308 | Mitochondrial disease difficult breath eat indicator | MitDisDiffBrthEatInd | Indicator of whether the participant has difficulty breathing while eating | Indicator of whether the participant has difficulty breathing while eating | Does the participant have difficulty breathing while eating? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:27.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60340 | Mitochondrial disease pancreatic enzyme replacement therapy indicator | MitDisPancEnzRplcmntThrpyInd | Indicator of whether the participant had pancreatic enzyme replacement therapy indicator | Indicator of whether the participant had pancreatic enzyme replacement therapy indicator | Is the participant on pancreatic enzyme replacement therapy? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:49.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60287 | Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type other text | MitDisPriGERDHtnCPEsBFrqTypOTH | The free text field related to 'Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type', specifying other text. Type of frequency of with which the participant had prior GERD, heartburn, mid-line chest pain, esophageal burning | The free text field related to 'Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn frequency type', specifying other text. Type of frequency of with which the participant had prior GERD, heartburn, mid-line chest pain, esophage | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:56:41.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60319 | Mitochondrial disease prior abdominal pain trigger type other text | MitDisPriorAbdmnPainTrgrTypOTH | The free-text field related to 'Mitochondrial disease prior abdominal pain trigger type', specifying other text. Type of trigger of the participant's prior abdominal pain | The free-text field related to 'Mitochondrial disease prior abdominal pain trigger type', specifying other text. Type of trigger of the participant's prior abdominal pain | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:54.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60298 | Mitochondrial disease swallow pain change status | MitDisSwallowPainChangeStat | Status related to the change in the participant's current pain with swallowing | Status related to the change in the participant's current pain with swallowing | If NO, has the pain with swallowing | Improved;Worsened | Improved;Worsened | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:14.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60330 | Mitochondrial disease chronic pancreatitis indicator | MitDisChrncPancreatitisInd | Indicator of whether the participant had chronic pancreatitis | Indicator of whether the participant had chronic pancreatitis | Has the participant been told they have chronic pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:41.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60277 | Mitochondrial disease stop diet reason text | MitDisStopDietRsnTxt | The free-text field to specify why the participant stopped their dietary restriction | The free-text field to specify why the participant stopped their dietary restriction | Why did the participant stop? | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:55:55.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60309 | Mitochondrial disease drool indicator | MitDisDroolInd | Indicator of whether the participant drools | Indicator of whether the participant drools | Does the participant drool? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:28.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60341 | Mitochondrial disease chronic pain medication pancreatitis indicator | MirDisChrncPainMedPancInd | Indicator of whether the participant is taking chronic pain medication for pancreatitis | Indicator of whether the participant is taking chronic pain medication for pancreatitis | Is the participant on chronic pain medication for the pancreatitis? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:49.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60288 | Mitochondrial disease swallow difficult indicator | MitDisSwallowDiffcultInd | Indicator of whether the participant has difficulty with swallowing | Indicator of whether the participant has difficulty with swallowing | Does the participant have difficulty with swallowing? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:04.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60320 | Mitochondrial disease bowel movements current medication type other text | MitDisBowelMvmntCurrMedsTypOTH | The free-text field related to 'Mitochondrial disease bowel movements current medication type', specifying other text. Type of other medications that the participant is currently taking to help with bowel movements | The free-text field related to 'Mitochondrial disease bowel movements current medication type', specifying other text. Type of other medications that the participant is currently taking to help with bowel movements | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:14.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60299 | Mitochondrial disease good appetite indicator | MitDisGoodApptiteInd | Indicator of whether the participant has a good appetite | Indicator of whether the participant has a good appetite | Does the participant have a good appetite? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:57:19.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60331 | Mitochondrial disease pancreas insufficiency indicator | MitDisPancreasInsuffInd | Indicator of whether the participant had pancreatic insufficiency | Indicator of whether the participant had pancreatic insufficiency | Has the participant been told they have pancreatic insufficiency? | No;Yes | No;Yes | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2024-02-29 15:58:42.0 | 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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| 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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| C20219 | Mitochondrial disease alternative medicine treat GI problem indicator | MitDisAlternMedsTrtGIProblmInd | Indicator of whether the participant has tried to treat GI problems with alternative medicine | Indicator of whether the participant has tried to treat GI problems with alternative medicine | Has the participant tried any "alternative medicine approaches" to help with any of the problems we discussed? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:20.0 | 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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| 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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| C20197 | Mitochondrial disease prior bloat abdominal distension worse time type | MitDisPriBltAbdmnlDstnWsTmTyp | Type, as time of day, at which prior abdominal bloating/distension was worse for the participant | Type, as time of day, at which prior abdominal bloating/distension was worse for the participant | Was the past bloating or abdominal distension worse at any particular time of day? | Afternoon;All times of the day;Evening;I don't know;Morning;Overnight | Afternoon (12pm - 5pm);All times of the day;Evening (5pm - Bed);I don't know;Morning (wake up until 12pm);Overnight (wakes from sleep) | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:05.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values 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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| C20230 | Mitochondrial disease gastrointestinal physician visit count | MitDisGIPhysVisitCount | Count of GI doctors seen by the participant | Count of GI doctors seen by the participant | How many GI doctors has the participant seen? | Numeric Values | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:58:28.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Free-Form Entry |
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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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| C20329 | Mitochondrial disease prior special diet indicator | MitDisPriorSpecialDietInd | Indicator of whether the participant has been on a restricted/specialized diet in the past | Indicator of whether the participant has been on a restricted/specialized diet in the past | Has the participant ever been on a restricted/specialized diet in the past? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.10 | 2024-02-29 15:55:52.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Single Pre-Defined Value 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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| C20208 | Mitochondrial disease stool blood amount type | MitDisStoolBloodAmountTyp | Type of amount of blood in the stool | Type of amount of blood in the stool | What is the largest amount of blood that has been in the stool? | Small clumps of clots;Small streaks;Big clots of blood | Small clumps of clots;Small streaks (i.e., not three dimensional);Big clots of blood (larger than a dime) | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:12.0 | 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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| 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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| 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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| C20220 | Mitochondrial disease alternative medicine type | MitDisAlternMedsType | Type of alternative medicine tried by the participant | Type of alternative medicine tried by the participant | What types of alternative medicine has the participant tried? | Meditation;Items bought over the internet;Over the counter medicine;Ginger;Marijuana;Supplemental vitamins (not prescribed);Antioxidants;Aromatherapy;Colon cleansing;Chiropractic care;Homeopathic medicine;Herbal supplements or medicines;Exercise;Massage;Prayer;Faith healer;Crystal;Acupuncture;Yoga;Energy therapies;Native American medicine;Other traditional forms of medicine;Other, specify;Traditional Chinese medicine | Meditation;Items bought over the internet;Over the counter medicine;Ginger;Marijuana;Supplemental vitamins (not prescribed);Antioxidants;Aromatherapy;Colon cleansing;Chiropractic care;Homeopathic medicine;Herbal supplements or medicines;Exercise;Massage;Prayer;Faith healer;Crystal;Acupuncture;Yoga;Energy therapies;Native American medicine;Other traditional forms of medicine;Other, specify;Traditional Chinese medicine | Alphanumeric | Adult;Pediatric | Supplemental | 2.00 | 2024-02-29 15:58:21.0 | Mitochondrial and Gastrointestinal Diseases Assessment | Physical Examinations | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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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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| 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 |
