CDE Detailed Report

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

Displaying 251 - 279 of 279
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C20201 Mitochondrial disease bowel movement frequency type other text MitDisBowelMvmtFreqTypOTH The free-text field related to 'Mitochondrial disease bowel movement frequency type', specifying other text. Type of frequency with which the participant has bowel movements The free-text field related to 'Mitochondrial disease bowel movement frequency type', specifying other text. Type of frequency with which the participant has bowel movements Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:58:07.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20052 Mitochondrial disease current vomit symptom consistent indicator MitDisCurntVmtSymptmConsistInd Indicator of whether current vomiting symptoms are consistent day to day Indicator of whether current vomiting symptoms are consistent day to day Are the symptoms pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:55:59.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20154 Mitochondrial disease current abdominal pain onset age category MitDisCrAbdomnlPainOnsetAgeCat Category of the participant's age at the onset of current abdominal pain Category of the participant's age at the onset of current abdominal pain What was the participant's age when abdominal pain began? Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:34.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

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

Single Pre-Defined Value Selected
C20165 Mitochondrial disease current abdominal pain disrupt activity indicator MitDisCrAbdmPainDisrptActivInd Indicator of whether the participant's current abdominal pain disrupts activity Indicator of whether the participant's current abdominal pain disrupts activity Does 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 15:57:42.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20095 Mitochondrial disease current GERD heartburn mid-line chest pain esophageal burn onset age category MitDisCrtGERDHtnMLCPEBnOsAgCat Category of the participant's age at the onset of current GERD, heartburn, mid-line chest pain, esophageal burning symptoms Category of the participant's age at the onset of current GERD, heartburn, mid-line chest pain, esophageal burning symptoms For current GERD, heartburn, mid-line chest pain, esophageal burning episodes, what was the participant's age when the problems began? Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth;13 mo through 18.9 mo;14 y through 18.9 y;19 mo through 3.9 y;2 mo through 5.9 mo;4 y through 6.9 y;6 mo through 12.9 mo;7 y through 13.9 y Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:56:30.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20029 Mitochondrial disease diagnosis text MitDisDiagnosisTxt The free-text field specifying the mitochondrial disease diagnosis that is present The free-text field specifying the mitochondrial disease diagnosis that is present What mitochondrial disease diagnosis is present? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 255

Free-Form Entry
C20128 Mitochondrial disease current burp occur specific drink food indicator MitDisCrBurpOccSpcDrnkFoodInd Indicator of whether the participant's burping occurs with specific drinks or food Indicator of whether the participant's burping occurs with specific drinks or food Does the burping occur with any specific drinks or food? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:56.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
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
C20063 Mitochondrial disease current vomit color blood category MitDisCurntVomitColorBloodCat Category of color of the blood present in participant's vomit in current episodes of vomiting Category of color of the blood present in participant's vomit in current episodes of vomiting What color is the blood? Bright red;Black;I don't know;Brown;Dark red Bright red;Black;I don't know;Brown;Dark red Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:07.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected
C20176 Mitochondrial disease prior abdominal pain frequency type MitDisPriorAbdomnlPainFreqTyp Type of frequency with which the participant had prior abdominal pain Type of frequency with which the participant had prior abdominal pain How often did past abdominal pain occur? About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify About once a year;At least once a week, but not daily;Daily;I don't know;Less than once a month, more than once a year;One to 4 times per month;Only once;Other, specify Alphanumeric Adult;Pediatric Supplemental 2.00 2024-02-29 15:57:50.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20107 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn wake indicator MitDisPriGERDHtbnMLCPEBnWakInd Indicator of whether prior GERD, heartburn, mid-line chest pain, esophageal burning woke the participant from sleep Indicator of whether prior GERD, heartburn, mid-line chest pain, esophageal burning woke the participant from sleep Did past GERD, heartburn, mid-line chest pain, esophageal burning wake the participant from sleep? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:42.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected
C20041 Mitochondrial disease liquid diet text MitDisLiqDietTxt The free-text field to specify the type of liquid diet used by the participant The free-text field to specify the type of liquid diet used by the participant What liquid diet does the participant use? Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:55:49.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
C20143 Mitochondrial disease swallow difficult change over time indicator MitDisSwallwDfctChngOvrTimeInd Indicator of whether the participant's difficulty swallowing has changed over time Indicator of whether the participant's difficulty swallowing has changed over time Has the difficulty in swallowing changed over time? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:57:07.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value 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
C20074 Mitochondrial disease prior vomit frequency type other text MitDisPriorVomitFreqTypOTH The free-text field related to 'Mitochondrial disease prior vomit frequency type', specifying other text. Type of frequency of with which the participant had prior episodes of vomiting The free-text field related to 'Mitochondrial disease prior vomit frequency type', specifying other text. Type of frequency of with which the participant had prior episodes of vomiting Other, specify Alphanumeric Adult;Pediatric Supplemental 1.10 2024-02-29 15:56:15.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry
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
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
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
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
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
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
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
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
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
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
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
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
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
CSV