CDE Detailed Report

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

Displaying 151 - 200 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
C20069 Mitochondrial disease prior vomit onset age category MitDisPriVomitOnsetAgeCat Category of the participant's age at the onset of prior vomiting Category of the participant's age at the onset of prior vomiting How old was the participant when they first started having issues with vomiting? 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 15:56:11.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20171 Mitochondrial disease prior abdominal pain stop age category MitDisPriAbdomnlPainStopAgeCat Category of the participant's age at the end of prior abdominal pain Category of the participant's age at the end of prior abdominal pain What was the participant's age when the abdominal pain stopped? 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 15:57:46.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20102 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn stop age category MitDisPrGERDHtnMLCPEBnStAgCat Category of the participant's age at the end of prior GERD, heartburn, mid-line chest pain, esophageal burning symptoms Category of the participant's age at the end of prior GERD, heartburn, mid-line chest pain, esophageal burning symptoms How old was the participant when symptoms stopped? 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
C20035 Height maternal measurement HgtMaternalMeasr Measurement of participant's mother's height Measurement of participant's Mother's height Mother's height in cm Numeric Values No references available Adult;Pediatric Supplemental 2.00 2024-03-18 15:25:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry

 400 centimeter
C20213 Mitochondrial disease bowel movement problem detail text MitDisBowelMovemntProblmDtlTxt The free-text field to specify additional details about the participant's bowel movement problems The free-text field to specify additional details about the participant's bowel movement problems Please provide additional details about bowel movement problems 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
C20134 Mitochondrial disease prior burp symptom consistent indicator MitDisPriBurpSymptmConsistInd Indicator of whether past symptoms of burping were consistent day to day Indicator of whether past symptoms of burping were consistent day to day Was the burping pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20080 Mitochondrial disease prior vomit green yellow indicator MitDisPriorVomitGrnYelInd Indicator of whether the participant's past vomit was green or yellow Indicator of whether the participant's past vomit was green or yellow Did the participant ever have bright green or yellow vomiting? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:19.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20182 Mitochondrial disease prior abdominal pain disrupt activity indicator MitDisPriAbdmlPainDsrptActvInd Indicator of whether the participant's prior abdominal pain disrupted activity Indicator of whether the participant's prior abdominal pain disrupted activity Did past abdominal pain disrupt activity? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:55.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20113 Mitochondrial disease current oral regurgitation frequency type other text MitDisCurntOralRegurgFrqTypOTH The free-text field related to 'Mitochondrial disease current oral regurgitation frequency type', specifying other text. Type of frequency with which participant currently has oral regurgitation The free-text field related to 'Mitochondrial disease current oral regurgitation frequency type', specifying other text. Type of frequency with which participant currently has oral regurgitation Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:46.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20048 Mitochondrial disease vomit current prior status MitDisVomitCurrPriorStat Status of whether the participant's vomiting is current or prior Status of whether the participant's vomiting is current or prior Does the participant have vomiting currently or in the past? Past;Present;Never Past;Present;Never Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20224 Mitochondrial disease surgery ever indicator MitDisSurgeryEverInd Indicator of whether the participant has had surgery Indicator of whether the participant has had surgery Has the participant ever had surgery? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:23.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20149 Mitochondrial disease food stuck esophagus anatomic site MitDisFoodStuckEsphgsAntmicSit Anatomic site of food getting stuck in the participant's esophagus Anatomic site of food getting stuck in the participant esophagus Where does the participant feel things get stuck? Back of the throat;Lower chest;Neck;Upper chest Back of the throat;Lower chest;Neck;Upper chest Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:16.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20161 Mitochondrial disease current abdominal pain duration type MitDisCurntAbdomnlPainDurTyp Type of duration of the participant's current abdominal pain Type of duration of the participant's current abdominal pain How long does the abdominal pain last when it occurs? 31 minutes to many hours;All day;Day and night;I don't know;Less than a minute;None of the above;One minute to 30 minutes;Variable;Until the participant eats;Until the participant falls asleep;Until the participant has a bowel movement;Until the participant passes gas;Until the participant urinates;Until the participant vomits 31 minutes to many hours;All day;Day and night;I don't know;Less than a minute;None of the above;One minute to 30 minutes;Variable;Until the participant eats;Until the participant falls asleep;Until the participant has a bowel movement;Until the participant passes gas;Until the participant urinates;Until the participant vomits Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:38.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20091 Mitochondrial disease migraine history indicator MitDisMigraineHistInd Indicator of whether the participant has a history of migraines Indicator of whether the participant has a history of migraines Does the participant have a history of migraines? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:28.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20193 Mitochondrial disease current bloat abdominal distension detail text MitDisBloatAbdmnlDistensnDtlTxt The free-text field to specify additional details about the participant's abdominal bloating/distension The free-text field to specify additional details about the participant's abdominal bloating/distension Please provide additional details about abdominal bloating and distension Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:02.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20202 Mitochondrial disease bowel movement consistency result type MitDisBowlMovmntConsistResTyp Type of the resulting consistency of the participant's bowel movements Type of the resulting consistency of the participant's bowel movements What is the consistency of bowel movements? Formed;Hard;Hard and large;I don't know;Mushy;Soft;Type 1: Separate hard lumps, like nuts;Type 2: Sausage-shaped, but lumpy;Type 3: Like a sausage but with cracks on its surface;Type 4: Like a sausage or snake, smooth and soft;Type 5: Soft blobs with clear cut edges;Type 6: Fluffy pieces with ragged edges, a mushy stool;Type 7: Watery, no solid pieces. Entirely liquid;Variable;Watery;Greasy/oil droplets Formed;Hard;Hard and large;I don't know;Mushy;Soft;(hard to pass);Type 2: Sausage-shaped, but lumpy;Type 3: Like a sausage but with cracks on its surface;Type 4: Like a sausage or snake, smooth and soft;(passed easily);Type 6: Fluffy pieces with ragged edges, a mushy stool;Type 7: Watery, no solid pieces. Entirely liquid;Variable;Watery;Greasy/oil droplets Alphanumeric

Bristol stool scale classification

 Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:08.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20124 Mitochondrial disease burp current prior status MitDisBurpCurrPriorStatus Status of whether the participant's episodes of burping are current or prior Status of whether the participant's episodes of burping are current or prior Does the participant have burping, or have they had burping in the past? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:54.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20059 Mitochondrial disease current vomit before problem type MitDisCurntVomitBeforeProbTyp Types of problems that frequently occur before the participant's current episodes of vomiting Types of problems that frequently occur before the participant's current episodes of vomiting Do any of the following occur frequently before vomiting starts? Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress;Right after or within 30 minutes of feeding Fasting more than 12 hours;Viral illness/Fever;Taking medicine;Seizure;Headache/Migraine/Light sensitivity;Exercise;Stress;Right after or within 30 minutes of feeding Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:05.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20235 Mitochondrial disease concern Munchausen by proxy syndrome indicator MitDisConcrnMchsnBPSynInd Indicator of whether there is concern about the participant experiencing Munchausen by proxy Indicator of whether there is concern about the participant experiencing Munchausen by proxy Has there ever been concern about a Munchausen by proxy accusation? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:31.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20070 Mitochondrial disease prior vomit stop age category MitDisPriVomitStopAgeCat Category of the participant's age at the end of prior vomiting Category of the participant's age at the end of prior vomiting How old was the participant when the vomiting stopped? 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 15:56:12.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20172 Mitochondrial disease prior abdominal pain stop text MitDisPriorAbdomnlPainStopTxt The free-text field to specify what stopped participant's past abdominal pain The free-text field to specify what stopped participant's past abdominal pain What stopped the abdominal pain? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:47.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20103 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn stop text MitDisPrirGERDHtnMLCPEBnStTxt The free-text field to specify what stopped participant's past GERD heartburn mid-line chest pain esophageal burning The free-text field to specify what stopped participant's past GERD heartburn mid-line chest pain esophageal burning What stopped the GERD, heartburn, mid-line chest pain, and esophageal burning? Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:39.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20036 Height paternal measurement HgtPaternalMeasr Measurement of participant's father's height Measurement of participant's Father's height Father's height in cm Numeric Values No references available Adult;Pediatric Supplemental 2.00 2024-03-18 15:26:25.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry

 400 centimeter
C20214 Mitochondrial disease poor appetite growth affect text MitDisPoorAppetGrwthAffctTxt The free-text field to specify affects of poor appetite on participant's growth The free-text field to specify affects of poor appetite on participant's growth Please provide additional details about poor appetite affecting growth Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:17.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20135 Mitochondrial disease prior burp reflux abdominal distention accompany type MitDisPriBrpReflxAbDistnAcpTyp Type of reflux or abdominal distention that accompanied prior burping episodes for the participant Type of reflux or abdominal distention that accompanied prior burping episodes for the participant Did the burping occur with reflux or abdominal distention? Abdominal distension;Both;Reflux Abdominal distension;Both;Reflux Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:01.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20081 Mitochondrial disease prior vomit green yellow frequency type MitDisPriorVomitGrnYlFrqTyp Type of frequency with which the participant's vomit was green or yellow in prior episodes of vomiting Type of frequency with which the participant's vomit was green or yellow in prior episodes of vomiting How often did the green or yellow vomiting occur? Only once;Less than half of vomiting episodes;Most vomiting episodes;All vomiting episodes Only once;Less than half of vomiting episodes;Most vomiting episodes;All vomiting episodes Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:20.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20183 Mitochondrial disease prior abdominal pain wake indicator MitDisPrioAbdomnlPainWakeInd Indicator of whether prior abdominal pain woke the participant from sleep Indicator of whether prior abdominal pain woke the participant from sleep Did past 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 15:57:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20114 Mitochondrial disease current oral regurgitation occurrence time type MitDisCurntOralRegurgOccrTmTyp Type of timing of the participant's episodes of oral regurgitation with respect to meals Type of timing of the participant episodes of oral regurgitation with respect to meals Is 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 15:56:47.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20049 Mitochondrial disease current vomit onset age category MitDisCurntVomitOnsetAgeCat Category of the participant's age at the onset of current vomiting Category of the participant's age at the onset of current vomiting 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 15:55:57.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20225 Mitochondrial disease surgery type MitDisSurgTyp Select the type of surgery participant had Select the type of surgery participant had What type of surgery or procedures has the participant had? Muscle biopsy;Organ transplant;Orthopedic surgery (bone or joint);Spleen surgery;Liver surgery;Kidney surgery;Airway surgery (tracheostomy, laryngomalacia);Lung surgery;Bladder surgery;Brain surgery;Esophageal impedance monitoring;Esophageal pH monitoring;Gastric emptying studies;Anorectal manometry;Colon manometry;Esophageal manometry;Antroduodenal manometry;Colonoscopy;Upper endoscopy;Botox injection;Bowel dilation;Bowel resection;Hirschsprung (Swenson, Duhamel, Soave);Cecostomy (to treat refractory constipation);Jejunostomy;Colostomy;G J - tube (e.g., for venting and feeding);J-tube;G-tube;Ileostomy;Fundoplication (Nissen, Toupet, Thal, Dor);Heart surgery Muscle biopsy;Organ transplant;Orthopedic surgery (bone or joint);Spleen surgery;Liver surgery;Kidney surgery;Airway surgery (tracheostomy, laryngomalacia);Lung surgery;Bladder surgery;Brain surgery;Esophageal impedance monitoring;Esophageal pH monitoring;Gastric emptying studies;Anorectal manometry;Colon manometry;Esophageal manometry;Antroduodenal manometry;Colonoscopy;Upper endoscopy;Botox injection;Bowel dilation;Bowel resection;Hirschsprung (Swenson, Duhamel, Soave);Cecostomy (to treat refractory constipation);Jejunostomy;Colostomy;G J - tube (e.g., for venting and feeding);J-tube;G-tube;Ileostomy;Fundoplication (Nissen, Toupet, Thal, Dor);Heart surgery Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:24.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20150 Mitochondrial disease remove food pill esophagus indicator MitDisRemvFoodPillEsophagusInd Indicator of whether the participant has had food or pill removed from esophagus Indicator of whether the participant has had food or pill removed from esophagus Has the participant ever had food or a pill removed from the esophagus? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:17.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20162 Mitochondrial disease current abdominal pain duration detail text MitDisCrntAbdmnlPainDurDetlTxt The free-text field specifying additional details about participant's current abdominal pain duration The free-text field specifying additional details about participant's current abdominal pain duration Please provide additional comments about duration of abdominal pain Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:39.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20092 Mitochondrial disease migraine family history indicator MitDisMigrainFamlyHistInd Indicator of whether the participant has a family history of migraines Indicator of whether the participant has a family history of migraines Does the participant have a family history of migraines? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:29.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20194 Mitochondrial disease prior bloat abdominal distension onset age category MtDsPriBltAbdmlDstnsnOnstAgCat Category of the participant's age at the onset of prior abdominal bloating/distension Category of the participant's age at the onset of prior abdominal bloating/distension What was the participant's age when the past abdominal bloating/distension problems began? Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:03.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20203 Mitochondrial disease toileting use type MitDisToiletingUseTyp Type of toileting used by the participant Type of toileting used by the participant Does the participant use a toilet or a diaper? Diaper;Toilet Diaper;Toilet Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:09.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20125 Mitochondrial disease current burp onset age category MitDisCurrBurpOnstAgeCat Category of the participant's age at the onset of current burping episodes Category of the participant's age at the onset of current burping episodes For the current burping problems, 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 15:56:54.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20060 Mitochondrial disease current vomit green yellow indicator MitDisCrntVomitGrnYelInd Indicator of whether the participant's vomit is green or yellow in current episodes of vomiting Indicator of whether the participant's vomit is green or yellow in current episodes of vomiting Does the participant ever have bright green or yellow vomiting? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:05.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20236 Mitochondrial disease Munchausen by proxy syndrome health care professional setting indicator MitDisMBPSymHlthCrProSetInd Indicator of whether a health care professional has had a concern about Munchausen by proxy Indicator of whether a health care professional has had a concern about Munchausen by proxy Has a health care professional ever had concern about Munchausen by proxy syndrome? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:32.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20071 Mitochondrial disease prior vomit stop text MitDisPriVomitStopTxt The free-text field to specify what stopped participant's past vomiting The free-text field to specify what stopped participant's past vomiting What stopped the vomiting? Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:12.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20173 Mitochondrial disease prior abdominal pain reason MitDisPriorAbdomnPainReasn Reason describing the past indication that the participant experienced abdominal pain Reason describing the past indication that the participant experienced abdominal pain What indicated that the participant had abdominal pain? Cried all the time;Cried with meals;Cried without another obvious cause;Held belly;Held belly and cried or looked uncomfortable;I don't know;Irritability;Woke up from sleep;Other, specify;The participant told me Cried all the time;Cried with meals;Cried without another obvious cause;Held belly;Held belly and cried or looked uncomfortable;I don't know;Irritability;Woke up from sleep;Other, specify;The participant told me Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:47.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20104 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn symptom consistent indicator MitDisPriGERDHnMLCPEBnSymCnInd Indicator of whether past symptoms of GERD, heartburn, mid-line chest pain, esophageal burning were consistent day to day Indicator of whether past symptoms of GERD, heartburn, mid-line chest pain, esophageal burning were consistent day to day In the past, were symptoms pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:40.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20037 Mitochondrial disease problem type MitDisProbTyp Type of problems that participant has Type of problems that participant has Has the participant had any of the following problems? Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety (early fullness);Poor appetite affecting growth;Cyclic vomiting;Difficulty swallowing;Pain with swallowing;Diarrhea;Straining;Pain with bowel movements;Blood in the stool;Nausea;Post-prandial distress;Fecal incontinence;Constipation Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety (early fullness);Poor appetite affecting growth;Cyclic vomiting;Difficulty swallowing;Pain with swallowing;Diarrhea;Straining;Pain with bowel movements;Blood in the stool;Nausea;Post-prandial distress;Fecal incontinence;Constipation Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:44.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20215 Mitochondrial disease current medication type MitDisCurrMedsTyp Type of other medicines that participant is currently taking Type of other medicines that participant is currently taking What other medicines is the participant taking now? Antibiotics;Levbid/Levsin/Bentyl;Pancreatic enzyme supplements (Creon);Gabapentin (Neurontin);Oxcarbazepine (Trileptal);Topamax (Topiramate);Phenytoin (Dilantin);Pregabalin (Lyrica);Lamotrigine (Lamictal);Levetiracetam (Keppra);Tiagabine (Gabitril);Felbatol (Felbamate);Ethosuximide (Zarontin);Carbamazepine (Tegretol, Carbatrol);Folinic acid;Alpha lipoic acid;Vitamin C;Vitamin E;B vitamins (other);L-Carnitine;L-Arginine;L-Creatine;Riboflavin (vitamin B2);CoQ10 (Ubiquinol, Ubiquinone);Linaclotide (Linzess);Tegaserod (Zelnorm, Zelmac);Reglan (metaclopramide);Domperidone (Motilium);Cisapride (Propulsid);Erythromycin;SSRI: Citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertaline (Zoloft);Tricyclic antidepressant: Amitriptyline, desipramine, imipramine, nortiptyline;Ondansetron (Zofran);Carafate;H-2 receptor antagonist: Pepcid (famotidine), Zantac (ranitidine), Tagamet (cimetidine);Proton pump inhibitor: Prilosec (omeprazole), Nexium, Prevacid (lansoprazole), Protonix (pantoprazole), or Aciphex (rabeprazole);Other, specify;Prucalopride (Motegrity) Antibiotics;Levbid/Levsin/Bentyl;Pancreatic enzyme supplements (Creon);Gabapentin (Neurontin);Oxcarbazepine (Trileptal);Topamax (Topiramate);Phenytoin (Dilantin);Pregabalin (Lyrica);Lamotrigine (Lamictal);Levetiracetam (Keppra);Tiagabine (Gabitril);Felbatol (Felbamate);Ethosuximide (Zarontin);Carbamazepine (Tegretol, Carbatrol);Folinic acid;Alpha lipoic acid;Vitamin C;Vitamin E;B vitamins (other);L-Carnitine;L-Arginine;L-Creatine;Riboflavin (vitamin B2);CoQ10 (Ubiquinol, Ubiquinone);Linaclotide (Linzess);Tegaserod (Zelnorm, Zelmac);Reglan (metaclopramide);Domperidone (Motilium);Cisapride (Propulsid);Erythromycin;SSRI: Citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), paroxetine (Paxil, Pexeva), sertaline (Zoloft);Tricyclic antidepressant: Amitriptyline, desipramine, imipramine, nortiptyline;Ondansetron (Zofran);Carafate;H-2 receptor antagonist: Pepcid (famotidine), Zantac (ranitidine), Tagamet (cimetidine);Proton pump inhibitor: Prilosec (omeprazole), Nexium, Prevacid (lansoprazole), Protonix (pantoprazole), or Aciphex (rabeprazole);Other, specify;Prucalopride (Motegrity) Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:58:17.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20136 Mitochondrial disease prior burp occur specific drink food indicator MitDisPriBurpOccSpfcDrinkFdInd Indicator of whether the participant's past burping occurred with specific drinks or food Indicator of whether the participant's past burping occurred with specific drinks or food Did the burping occur with any specific drinks or food? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:02.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20082 Mitochondrial disease prior vomit blood indicator MitDisPriorVomitBloodInd Indicator of whether the participant had ever vomited blood Indicator of whether the participant had ever vomited blood Did the participant ever vomit blood? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:20.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20184 Mitochondrial disease prior abdominal pain improve text MitDisPriorAbdomnlPainImprvTxt The free-text field to specify what made the participant's prior abdominal pain better The free-text field to specify what made the participant's prior abdominal pain better Is there anything specific that made the pain better? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20115 Mitochondrial disease current oral regurgitation symptom detail text MitDisCurntOralRegurgSymDetTxt The free-text field to specify additional details about participant's current oral regurgitation symptoms The free-text field to specify additional details about participant's current oral regurgitation symptoms Please provide additional details about the participant's oral regurgitation symptoms Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:48.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20050 Mitochondrial disease current vomit episode trigger symptom onset type MtDsCrtVtEpTrgrSptmOnstTyp Type of triggers the participant may have had when symptoms began for the current vomiting episodes Type of triggers the participant may have had when symptoms began for the current vomiting episodes For the current vomiting episodes, were any of the following triggers present at the time symptoms began? After a seizure;After starting a medicine;After trauma;Diarrhea;During exercise;Fever;I don't know;Prolonged fasting (i.e., not eating well);Right after birth;Surgery;Upper respiratory infection;History of recent COVID-19 infection;Other specify After a seizure;After starting a medicine;After trauma;Diarrhea;During exercise;Fever;I don't know;Prolonged fasting (i.e., not eating well);Right after birth;Surgery;Upper respiratory infection;History of recent COVID-19 infection;Other specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:58.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20226 Mitochondrial disease surgery type detail text MitDisSurgTypeDetailTxt The free-text field to provide additional details about the type of surgery participant had The free-text field to provide additional details about the type of surgery participant had Please provide additional details about the type of surgery Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:25.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20151 Mitochondrial disease remove food pill esophagus count MitDisRmvFdPillEsphgsCt The number of times participant has had food or pill removed from esophagus The number of times participant has had food or pill removed from esophagus How many times? Numeric Values Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:18.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry
CSV