CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Other Non-Motor
CRF: Rome III Constipation Module

Displaying 51 - 95 of 95
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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C09410 Rome III Constipation Module (RCM3) - food come back into mouth frequency RCM3FoodComeBckIntoMouthFreq The frequency for how often food has come back into the participant's mouth, as a part of Rome III Constipation Module (RCM3) The frequency for how often food has come back into the participant's mouth, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did food come back up into your mouth? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 39

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09421 Rome III Constipation Module (RCM3) - discomfort pain during menstrual bleed only indicator RCM3DcmfrtPnDrMnstrlBldOnlyInd The frequency for how often the women participant's had discomfort or pain occur during menstrual bleeding exclusively, as a part of Rome III Constipation Module (RCM3) The frequency for how often the women participant's had discomfort or pain occur during menstrual bleeding exclusively, as a part of Rome III Constipation Module (RCM3) Did this discomfort or pain occur only during your menstrual bleeding and not at other times? 0;1;2 No;Yes;Does not apply because I have had the change in life (menopause) or I am male Numeric Values

Question to be answered by women only

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09453 Rome III Constipation Module (RCM3) - pain stop activity see doctor emergency room frequency RCM3PnStpActvtySeeDrERFreq The frequency for how often the pain stopped the participant from engaging in usual activities or cause him or her to see a doctor urgently or be admitted to the emergency department, as a part of Rome III Constipation Module (RCM3) The frequency for how often the pain stopped the participant from engaging in usual activities or cause him or her to see a doctor urgently or be admitted to the emergency department, as a part of Rome III Constipation Module (RCM3) Did this pain stop your from your usual activities, or cause you to see a doctor urgently or to the emergency department? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09389 Rome III Constipation Module (RCM3) - uncomfortable full 6 month long indicator RCM3UncmfrtblFull6MnthLngInd The indicator for whether the participant has felt uncomfortably full after eating a regular-sized meal for 6 months or longer, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant has felt uncomfortably full after eating a regular-sized meal for 6 months or longer, as a part of Rome III Constipation Module (RCM3) Have you had this uncomfortable fullness after meals 6 months or longer? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09432 Rome III Constipation Module (RCM3) - hard lumpy stool frequency RCM3HrdLmpyStoolFreq The frequency for how often the participant has had hard or lumpy stools in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had hard or lumpy stools in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have hard or lumpy stools? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

Those who wish to use new criteria for subclassifying IBS patients into subtypes based on stool consistency may substitute the following response scale: 0 = Never or rarely; 1 = About 25% of the time; 2 = About 50% of the time; 3 = About 75% of the time;

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09464 Rome III Constipation Module (RCM3) - blood stool frequency RCM3BldStoolFreq The frequency for how often the participant has had blood in the stools in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had blood in the stools in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often have you noticed blood in your stools? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09400 Rome III Constipation Module (RCM3) - pain burn change bowel movement frequency RCM3PnBrnChngBwlMvmntFreq The frequency for how often the participant changed his or her bowel movements (either more or fewer) after the pain or burning started, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant changed his or her bowel movements (either more or fewer) after the pain or burning started, as a part of Rome III Constipation Module (RCM3) When this pain or burning started, did you usually have a change in the number of bowel movements (either more or fewer)? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09411 Rome III Constipation Module (RCM3) - food come back into mouth 6 month indicator RCM3FdComeBckIntoMouth6MnthInd The indicator for whether the participant has had the problem of food coming up back into the mouth for 6 months or longer, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant has had the problem of food coming up back into the mouth for 6 months or longer, as a part of Rome III Constipation Module (RCM3) Have you had this problem (food coming back up into your mouth) 6 months or longer? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09443 Rome III Constipation Module (RCM3) - frequent loose mushy watery stool 6 month long indicator RCM3FreqLsMshWtrStl6MnthLngInd The indicator for whether the frequent loose, mushy, or watery stools began more than 6 months ago, as a part of Rome III Constipation Module (RCM3) The indicator for whether the frequent loose, mushy, or watery stools began more than 6 months ago, as a part of Rome III Constipation Module (RCM3) Did you begin having frequent loose, mushy, or watery stools more than 6 months ago? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09475 Rome III Constipation Module (RCM3) - persistent worse hoarseness voice frequency RCM3PrstntWrseHoarsnssVceFreq The frequency for how often the participant has had persistent worsening hoarseness of the voice in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had persistent worsening hoarseness of the voice in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the past 3 months, how often did you have persistent or worsening hoarseness of the voice? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09422 Rome III Constipation Module (RCM3) - pain daily activity restriction frequency RCM3PnDailyActvtyRestrctnFreq The frequency for how often the participant was limited or restricted to daily activities due to pain, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant was limited or restricted to daily activities due to pain, as a part of Rome III Constipation Module (RCM3) When you had this pain, how often did it limit or restrict your daily activities (for example, work, household activities, and social events)? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09454 Rome III Constipation Module (RCM3) - gallbladder removal indicator RCM3GallblddrRemovlInd The indicator for whether the participant has had his or her gallbladder removed, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant has had his or her gallbladder removed, as a part of Rome III Constipation Module (RCM3) Have you had your gall bladder removed? 0;1 No;Yes Numeric Values

If 'No' is answered, skip to question 75

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09390 Rome III Constipation Module (RCM3) - unable finish regular size meal frequency RCM3UnblFinshRegSzMealFreq The frequency for how often the participant was unable to finish a regular-sized meal in the past 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant was unable to finish a regular-sized meal in the past 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often were you unable to finish a regular-sized meal? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 17

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09433 Rome III Constipation Module (RCM3) - bowel movement strain frequency RCM3BwlMvmntStrnFreq The frequency for how often the participant has experienced a strain during his or her bowel movements in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has experienced a strain during his or her bowel movements in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you strain during bowel movements? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09465 Rome III Constipation Module (RCM3) - black stool frequency RCM3BlckStoolFreq The frequency for how often the participant has had black stools in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had black stools in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often have you noticed black stools? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09401 Rome III Constipation Module (RCM3) - pain burn soft hard stool frequency RCM3PnBrnSftHrdStoolFreq The frequency for how often the participant has had softer or harder stools due to the onset of the pain or burning, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had softer or harder stools due to the onset of the pain or burning, as a part of Rome III Constipation Module (RCM3) When this pain or burning started, did you usually have softer or harder stools? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09412 Rome III Constipation Module (RCM3) - food stay mouth before swallow spit frequency RCM3FdStyMouthBfrSwllwSpitFreq The frequency for how often the food stayed in the mouth before spitting or swallowing when it came back up into the mouth, as a part of Rome III Constipation Module (RCM3) The frequency for how often the food stayed in the mouth before spitting or swallowing when it came back up into the mouth, as a part of Rome III Constipation Module (RCM3) When food came back up into your mouth, did it usually stay in your mouth for a while before you swallowed it or spit it out? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09444 Rome III Constipation Module (RCM3) - rush toilet bowel movement frequency RCM3RshToiltBwlMvmntFreq The frequency for how often the participant has to rush to the toilet to have a bowel movement in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had to rush to the toilet to have a bowel movement in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have to rush to the toilet to have a bowel movement? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09476 Rome III Constipation Module (RCM3) - persistent worse neck throat pain frequency RCM3PrstntWrseNckThrtPnFreq The frequency for how often the participant has had persistent worsening neck or throat pain in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had persistent worsening neck or throat pain in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the past 3 months, how often did you have persistent or worsening neck or throat pain? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09423 Rome III Constipation Module (RCM3) - abdomen discomfort 6 month long indicator RCM3AbdmnDiscmfrt6MnthLngInd The indicator for whether the participant has experienced this abdominal discomfort for 6 months or longer, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant has experienced this abdominal discomfort for 6 months or longer, as a part of Rome III Constipation Module (RCM3) Have you had this discomfort or pain 6 months or longer? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09455 Rome III Constipation Module (RCM3) - gallbladder remove pain frequency RCM3GallblddrRemovPnFreq The frequency for how often the participant has had the steady pain in the middle or right side of the upper right abdomen since having the gallbladder removed, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had the steady pain in the middle or right side of the upper right abdomen since having the gallbladder removed, as a part of Rome III Constipation Module (RCM3) How often have you had this pain since your gall bladder was removed? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09391 Rome III Constipation Module (RCM3) - unable finish regular size meal 6 month indicator RCM3UnblFinshRegSzMeal6MnthInd The indicator for whether the participant was unable to finish a regular-sized meal for 6 months or longer, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant was unable to finish a regular-sized meal for 6 months or longer, as a part of Rome III Constipation Module (RCM3) Have you had this inability to finish regular-sized meals 6 months or longer? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09434 Rome III Constipation Module (RCM3) - incomplete empty bowel movement frequency RCM3IncmpltEmptBwlMvmntFreq The frequency for how often the participant had a feeling of incomplete bowel movements in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant had a feeling of incomplete bowel movements in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have a feeling of incomplete emptying after bowel movements? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09466 Rome III Constipation Module (RCM3) - vomit blood frequency RCM3VomitBldFreq The frequency for how often the participant has vomited blood in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has vomited blood in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often have you vomited blood? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09402 Rome III Constipation Module (RCM3) - bothersome nausea frequency RCM3BthrsmeNausFreq The frequency for how often the participant has experienced bothersome nausea in the past 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has experienced bothersome nausea in the past 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have bothersome nausea? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 28

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09413 Rome III Constipation Module (RCM3) - heave food mouth frequency RCM3HeavFoodMouthFreq The frequency for how often the participant experienced retching (heaving) before the food came into the mouth, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant experienced retching (heaving) before the food came into the mouth, as a part of Rome III Constipation Module (RCM3) Did you have retching (heaving) before food came into your mouth? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09445 Rome III Constipation Module (RCM3) - mucus slime bowel movement frequency RCM3MucsSlimBwlMvmntFreq The frequency for how often the participant's bowel movements contained mucus or slime in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant's bowel movements contained mucus or slime in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often was there mucus or clime in your bowel movement? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09477 Rome III Constipation Module (RCM3) - chest pain exertion heart problem frequency RCM3ChstPnExrtnHrtPrblmFreq The frequency for how often the participant has chest pain on exertion or chest pain related to heart problems in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has chest pain on exertion or chest pain related to heart problems in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the past 3 months, how often did you have chest pain on exertion, or chest pain related to heart problems? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09424 Rome III Constipation Module (RCM3) - abdomen discomfort relieve bowel movement frequency RCM3AbdmnDcmfrtRlvBwlMvmntFreq The frequency for how often the participant was able to relieve or stop the pain or discomfort after a bowel movement, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant was able to relieve or stop the pain or discomfort after a bowel movement, as a part of Rome III Constipation Module (RCM3) How often did this discomfort or pain get better or stop after you had a bowel movement? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09456 Rome III Constipation Module (RCM3) - accident leak liquid solid stool frequency RCM3AccdntLkLiqdSolidStoolFreq The frequency for how often the participant has accidentally leaked liquid or a solid stool in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has accidentally leaked liquid or a solid stool in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often have you accidentally leaked liquid or solid stool? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 78

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09392 Rome III Constipation Module (RCM3) - pain burn middle abdomen frequency RCM3PnBrnMidAbdmnFreq The frequency for how often the participant has had a burning pain in the middle of the abdomen, above the belly button but not in the chest, in the past 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had a burning pain in the middle of the abdomen, above the belly button but not in the chest, in the past 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have pain or burning in the middle of your abdomen, above your belly button but not in your chest? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 26

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09435 Rome III Constipation Module (RCM3) - no bowel movement sensation frequency RCM3NoBwlMvmntSensnFreq The frequency for how often the participant have a sensation that a stool could not be passed when having a bowel movement in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant have a sensation that a stool could not be passed when having a bowel movement in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have a sensation that the stool could not be passed (i.e., was blocked), when having a bowel movement? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09467 Rome III Constipation Module (RCM3) - anemic doctor diagnose indicator RCM3AnmcDrDiagnsInd The indicator for whether the participant has been diagnosed as anemic (a low blood count or low iron) by a doctor. If female, not due to your menstrual period, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant has been diagnosed as anemic (a low blood count or low iron) by a doctor. If female, not due to your menstrual period, as a part of Rome III Constipation Module (RCM3) Have you been told by your doctor that you are anemic (a low blood count or low iron)? (If female, not due to your menstrual period) 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09403 Rome III Constipation Module (RCM3) - nausea more frequent indicator RCM3NausMoreFreqInd The indicator for whether the bothersome nausea started more than 6 months ago, as a part of Rome III Constipation Module (RCM3) The indicator for whether the bothersome nausea started more than 6 months ago, as a part of Rome III Constipation Module (RCM3) Did this nausea start more than 6 months ago? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09414 Rome III Constipation Module (RCM3) - food mouth vomit feel sick frequency RCM3FoodMouthVomitFeelSckFreq The frequency for how often the participant vomited or felt sick to the stomach when food came into the mouth, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant vomited or felt sick to the stomach when food came into the mouth, as a part of Rome III Constipation Module (RCM3) When food came into your mouth, how often did you vomit or feel sick to your stomach? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09446 Rome III Constipation Module (RCM3) - bloating distension frequency RCM3BloatDisntsnFreq The frequency for how often the participant had bloating or distension in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant had bloating or distension in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you have bloating or distension? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 68

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09478 Rome III Constipation Module (RCM3) - difficulty swallow frequency RCM3DiffSwallwFreq The frequency for how often the participant has had difficulty swallowing in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has had difficulty swallowing in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often have you had difficulty swallowing? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09425 Rome III Constipation Module (RCM3) - pain discomfort frequent bowel movement frequency RCM3PnDiscmfrtFreqBwlMvmntFreq The frequency for how often the participant experienced frequent bowel movements after the discomfort or pain started, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant experienced frequent bowel movements after the discomfort or pain started, as a part of Rome III Constipation Module (RCM3) When this discomfort or pain started, did you have more frequent bowel movement? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09457 Rome III Constipation Module (RCM3) - leakage range RCM3LkageRng The range of amounts of liquid or solid stools leaked in the last 3 months, as a part of Rome III Constipation Module (RCM3) The range of amounts of liquid or solid stools leaked in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, when this leakage occurred, about what amount was leaked? 1;2;3 A small amount (staining only);Moderate amount (more than staining, but less than a full bowel movement);Large amount (a full bowel movement) Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09393 Rome III Constipation Module (RCM3) - pain burn middle abdomen 6 month indicator RCM3PnBrnMidAbdmn6MnthInd The indicator for whether the participant has had this abdominal pain for 6 months or longer, as a part of Rome III Constipation Module (RCM3) The indicator for whether the participant has had this abdominal pain for 6 months or longer, as a part of Rome III Constipation Module (RCM3) Have you had this pain or burning 6 months or longer? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09436 Rome III Constipation Module (RCM3) - press bottom remove stool frequency RCM3PrssBttmRemvStoolFreq The frequency for how often the participant had to press on or around his or her bottom or remove stool in order to complete a bowel movement in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant had to press on or around his or her bottom or remove stool in order to complete a bowel movement in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you press on or around your bottom or remove stool in order to complete a bowel movement? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09468 Rome III Constipation Module (RCM3) - 99 degree temperature different day frequency RCM99DegrTempDiffDayFreq The frequency for how often the participant has taken his or temperature and found it to be over 99 degrees Fahrenheit (38 degrees Celsius) on different days in the last 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant has taken his or temperature and found it to be over 99 degrees Fahrenheit (38 degrees Celsius) on different days in the last 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often have you taken your temperature and found it to be over 99 degrees Fahrenheit (38 degrees Centigrade) on different days? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09404 Rome III Constipation Module (RCM3) - vomit frequency RCM3VomitFreq The frequency for how often the participant vomited in the past 3 months, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant vomited in the past 3 months, as a part of Rome III Constipation Module (RCM3) In the last 3 months, how often did you vomit? 0;1;2;3;4;5;6 Never;Less than one day a month;One day a month;Two or three days a month;One day a week;More than one day a week;Every day Numeric Values

If 'Never' is answered, skip to question 33

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09415 Rome III Constipation Module (RCM3) - food stop come up sour acidic frequency RCM3FoodStpComeUpSourAcdcFreq The frequency for how often the participant had food stop coming back up into the mouth when the food turned sour or acidic, as a part of Rome III Constipation Module (RCM3) The frequency for how often the participant had food stop coming back up into the mouth when the food turned sour or acidic, as a part of Rome III Constipation Module (RCM3) Did food stop coming back up into your mouth when it turned sour or acidic? 0;1;2;3;4 Never or rarely;Sometimes;Often;Most of the time;Always Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

C09447 Rome III Constipation Module (RCM3) - bloating distension 6 month long indicator RCM3BloatDisntsn6MnthLngInd The indicator for whether the bloating or distension symptoms began more than 6 months ago, as a part of Rome III Constipation Module (RCM3) The indicator for whether the bloating or distension symptoms began more than 6 months ago, as a part of Rome III Constipation Module (RCM3) Did your symptoms of bloating or distension begin more than 6 months ago? 0;1 No;Yes Numeric Values

No instructions available

Olafur S. Palsson, Marsha J. Turner, Rona L. Levy, Andrew D. Feld, Michael Von Korff, Douglas A. Drossman, William E. Whitehead. The ROME III Questionnaire Functional Constipation Module As a Constipation Severity Scale Gastroenterology 2008; 134(4, Supplement 1):A421. Adult Supplemental 3.00 2013-07-22 09:34:41.527 Rome III Constipation Module Other Non-Motor Outcomes and End Points

Single Pre-Defined Value Selected

CSV