CDE Detailed Report

Disease: Mitochondrial Disease
Sub-Domain: Physical Examinations
CRF: Mitochondrial and Gastrointestinal Diseases Assessment

Displaying 51 - 100 of 218
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
C20101 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burning onset age category MitDisPiGERDHeBuMLCPEBuOsAgCat The category of the participant/subject's age at prior past GERD, heartburn, mid-line chest, pain esophageal burning onset The category of the participant/subject's age at prior past GERD, heartburn, mid-line chest, pain esophageal burning onset For past GERD, heartburn, mid-line chest pain, esophageal burning episodes, what was your/your child's age when the problems began? 13 mo to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 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 to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 y;Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20036 Height paternal measurement HgtPaternalMeasr Measurement of participant's/subject'sFather's height Measurement of participant's/subject'sFather's height Height (Specify) Numeric Values No references available Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry

C20133 Mitochondrial disease prior burp stopped specific text MitDisPriorBurpStopST The free text field to specify when participant's/subject's past burping stopped The free text field to specify when participant's/subject's past burping stopped What stopped the burping? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20210 Mitochondrial disease defecation other treatment text MitDisDefecateOtherTreatmntTxt The free text field to specify about the participant's/subject's use of other treatment to defecate The free text field to specify about the participant's/subject's use of other treatment to defecate Defecation Treatment Other (Specify) Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20069 Mitochondrial disease prior vomit onset age category MitDisPriVomitOnsetAgeCat The age category of the participant/subject when prior vomiting began The age category of the participant/subject when prior vomiting began How old were you/your child when you first started having issues with vomiting? 13 mo to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 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 to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 y;Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20165 Mitochondrial disease abdominal pain disrupt activity indicator MitDisAbdmnlPainDisrptActivInd Indicator of whether participant's/subject's abdominal pain disrupts activity Indicator of whether participant's/subject's 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 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20330 Mitochondrial disease special diet reason text MitDisSpeclDietReasonTxt The free text field to specify why the participant/subject is on a specialized diet The free text field to specify why the participant/subject is on a specialized diet Why are you/they on a specialized diet? Alphanumeric

(Specify)

Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20112 Mitochondrial disease oral regurgitation frequency MitDisOralRegurgFreq The frequency with which participant/subject has oral regurgitation The frequency with which participant/subject has oral regurgitation How often does oral regurgitation 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 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 Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20189 Mitochondrial disease bloat abdominal distension onset age category MitDisBloatAbdmlDstnOnstAgeCat The category of the participant/subject's age at onset of abdominal bloating/distension The category of the participant/subject's age at onset of abdominal bloating/distension What was your/your child's age when abdominal bloating/distension began? 13 mo to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 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 to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 y;Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20048 Mitochondrial disease vomit current prior status MitDisVomitCurrPriorStat The status of whether the participant/subject's vomiting is current or past The status of whether the participant/subject's vomiting is current or past Does you/your child have vomiting currently or in the past? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20144 Mitochondrial disease details swallow problem text MitDisDetSwallowPrblmTxt The free text field to specify additional details about participant's/subject's swallowing problems The free text field to specify additional details about participant's/subject's swallowing problems Please provide additional details about your/their swallowing problems Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20221 Mitochondrial disease alternative medicine treatment other text MitDisAlternMedsTreatOtherTxt The free text field to specify other alternative medicine used to treatment The free text field to specify other alternative medicine used to treatment What other alternative medicine have you/your child tried? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20080 Mitochondrial disease prior vomit bright green yellow indicator MitDisPriorVomitBrghtGrnYelInd Indicator of whether participant's/subject's past vomit was bright green or yellow Indicator of whether participant's/subject's past vomit was bright green or yellow Did you/your child ever have bright green or yellow vomiting? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20176 Mitochondrial disease prior abdominal pain frequency MitDisPriorAbdomnlPainFreq The frequency with which the participant/subject had prior abdominal pain The frequency with which the participant/subject 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 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 Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C01541 Weight measurement WgtMeasr Measurement of participant's/subject's weight Measurement of participant's/subject's weight Weight (Specify) Numeric Values Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Free-Form Entry

0 500 kilogram 2179689
C20123 Mitochondrial disease prior oral regurgitation detail text MitDisPriOralRegurgDetlTxt The free text field to specify additional details about participant's/subject's past oral regurgitation symptoms The free text field to specify additional details about participant's/subject's past oral regurgitation symptoms Please provide additional details about your/their past oral regurgitation symptoms Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20200 Mitochondrial disease bowel movement frequency type MitDisBowelMovemntFreqTyp Select the participant's/subject's bowel movement frequency Select the participant's/subject's bowel movement frequency How often do you have bowel movements? A few times a week;Every other day;I don't know;Less than one a week;More than once a day;Once a day;Once a week;Only after a suppository;Only after an enema/irrigation/suppository;Other;Requires disimpaction with a finger;Requires Go Lightly by mouth or tube;Uses a cecostomy to induce bowel movements A few times a week;Every other day;I don't know;Less than one a week;More than once a day;Once a day;Once a week;Only after a suppository;Only after an enema/irrigation/suppository;Other;Requires disimpaction with a finger;(Laxative that works by drawing large amounts of water into the colon);Uses a cecostomy to induce bowel movements Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20059 Mitochondrial disease vomit prior problem type MitDisVomitPriorProbTyp The types of problems that frequently occur prior to participant's/subject's vomiting The types of problems that frequently occur prior to participant's/subject's vomiting Do any of the following occur frequently before vomiting starts? Exercise;Fasting more than 12 hours;Headache/Migraine/Light sensitivity;Right after feeding;Seizure;Stress;Viral illness/Fever;Taking medicine Exercise;Fasting more than 12 hours;Headache/Migraine/Light sensitivity;Right after feeding;Seizure;Stress;Viral illness/Fever;Taking medicine Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20155 Mitochondrial disease abdominal pain current prior status MitDisAbdomnlPainCurrPriStat Indicate whether participant/subject has/had abdominal pain Indicate whether participant/subject has/had abdominal pain Have you/your child experienced abdominal pain in the past or currently? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20232 Mitochondrial disease significant GI symptom prior diagnosis text MitDisSignifGISymptmPriDiagTxt The free text field to provide significant GI symptoms before mitochondrial diseas diagnosis The free text field to provide significant GI symptoms before mitochondrial diseas diagnosis Were your/your child's GI symptoms recognized as significant before diagnosis of mitochondrial disease? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20091 Mitochondrial disease migraine history indicator MitDisMigraineHistInd Indicator of whether participant/subject has a history of migraines Indicator of whether participant/subject has a history of migraines Do you/your child have a history of migraines No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20331 Mitochondrial disease severe vomit symptom type MitDisSevVomitSympTyp The type of symptom that was most severe with the patient/subject's vomiting episodes. The type of symptom that was most severe with the patient/subject's vomiting episodes. Which symptom was most severe with past vomiting episodes? Abdominal pain;Nausea;Both Abdominal pain;Nausea;Both Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-18 15:47:25.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20102 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burning stop age category MitDisPrGERDHeBuMLCPEBuStAgCat Select the pre-specified age of participant/subject when past GERD, heartburn, mid-line chest pain, esophageal burning stopped Select the pre-specified age of participant/subject when past GERD, heartburn, mid-line chest pain, esophageal burning stopped How old were you/your child when symptoms stopped? 13 mo to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 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 to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 y;Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20037 Mitochondrial disease problem type MitDisProbTyp Select the type of problems that participant/subject have Select the type of problems that participant/subject have Have you/your child had any of the following problems? Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Difficulty or pain with swallowing;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety;Problems with bowel movements;Poor appetite affecting growth;Cyclic vomiting Vomiting;GERD, heartburn, mid-line chest pain, esophageal burning;Oral regurgitation;Burping;Difficulty or pain with swallowing;Feeding difficulties;Abdominal pain;Abdominal bloating or distention;Early satiety (early fullness);Problems with bowel movements (diarrhea, constipation, straining, pain with bowel movements, blood in the stool);Poor appetite affecting growth;Cyclic vomiting Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20134 Mitochondrial disease prior burp consistent day to day indicator MitDisPriBurpConsistDytoDyInd Indicator of whether past burping was consistent day to day Indicator of whether past burping was consistent day to day Was the burping pretty consistent from day to day? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20211 Mitochondrial disease prior bowel movement other treatment text MitDisPriBwlMvmntOthrTrtmntTxt Indicate whether participant/subject used other treatments for bowel movements in the past Indicate whether participant/subject used other treatments for bowel movements in the past Have they used any other treatments in the past to help with bowel movements? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20070 Mitochondrial disease prior vomit stop age category MitDisPriVomitStopAgeCat The age category of the participant/subject when prior vomiting stopped The age category of the participant/subject when prior vomiting stopped How old were you/your child when the vomiting stopped? 13 mo to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 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 to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 y;Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20166 Mitochondrial disease abdominal pain wake indicator MitDisAbdomnlPainWakeInd Indicator of whether participant's/subject's abdominal pain wakes participant/subject from sleep Indicator of whether participant's/subject's abdominal pain wakes participant/subject from sleep Does abdominal pain wake child from sleep? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20113 Mitochondrial disease oral regurgitation frequency other text MitDisOralRegurgFreqOtherTxt The free text field to specify frequency of participant's/subject's other oral regurgitation The free text field to specify frequency of participant's/subject's other oral regurgitation Oral regurgitation other Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20190 Mitochondrial disease bloat abdominal distension time type MitDisBloatAbdmnlDstnsnTimeTyp The type, as time of day, at which the abdominal bloating/distension is worse for the participant/subject. The type, as time of day, at which the abdominal bloating/distension is worse for the participant/subject. Is the bloating or abdominal distension worse at any particular time of day? Afternoon;All times of the day;Evening;I don't know;Morning;Overnight (12pm - 5pm);All times of the day;(5pm - Bed);I don't know;(wake up until 12pm);(wakes from sleep) Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20049 Mitochondrial disease problem start age category MitDisProblStartAgeCat The age category of the participant/subject when problems began The age category of the participant/subject when problems began What was your/your child's age when the problems began? 13 mo to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 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 to 18 mo;14 y to 18 y;19 mo to 3 y;2 mo to 5 mo;4 y to 6 y;6 mo to 12 mo;7 y to 13 y;Greater than 18 y;I don't know;Less than 2 mo old (not on day of birth);On the day of birth Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20145 Mitochondrial disease swallow pain frequency MitDisSwallowPainFreq The frequency with which the participant/subject has pain with swallowing The frequency with which the participant/subject has pain with swallowing How often does pain with swallowing 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 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 Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20222 Mitochondrial disease alternative medicine treatment improve GI problem text MitDisAltrnMedTrtImpvGIPblmTxt The free text field to specify about what alternative medicines made the participant's/subject's GI problems better The free text field to specify about what alternative medicines made the participant's/subject's GI problems better Did any of these alternative medicine treatments help your/your child's GI problems? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20081 Mitochondrial disease prior vomit green yellow color frequency MitDisPriorVomitYelGrnColrFrq The frequency with which the participant's/subject's vomit was green or yellow in prior episodes of vomiting The frequency with which the participant's/subject'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 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20177 Mitochondrial disease prior abdominal pain frequency other text MitDisPriAbdomnlPainFrqOthrTxt The free text field to specify past frequency of participant's/subject's other abdominal pain The free text field to specify past frequency of participant's/subject's other abdominal pain Past Abdominal Pain Other (Specify) Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C01581 Weight unit of measure WgtUoM Unit of measure for the weight numerical value Unit of measure for the weight numerical value Weight measurement Pounds;Kilograms Pounds;Kilograms Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

2630200
C20124 Mitochondrial disease burp current prior status MitDisBurpCurrPriorStatus The status, present or prior, of the participant/subject's episodes of burping The status, present or prior, of the participant/subject's episodes of burping Do you/your child have burping or have you/they had burping in the past? Past;Present Past;Present Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20201 Mitochondrial disease bowel movement other frequency text MitDisBowelMvmtOthrFrqTxt The free text field to specify the participant's/subject's other stool frequency The free text field to specify the participant's/subject's other stool frequency Stool Frequency Other (specify) Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20060 Mitochondrial disease vomit bright green yellow indicator MitDisVomitBrightGrnYelInd Indicator of whether participant's/subject's vomit is bright green or yellow Indicator of whether participant's/subject's vomit is bright green or yellow Does you/your child ever have bright green or yellow vomiting? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20156 Mitochondrial disease abdominal pain reason MitDisAbdomnPainReasn Select why you think participant/subject experiences abdominal pain Select why you think participant/subject experiences abdominal pain What makes you think they have abdominal pain? Cries all the time;Cries with meals;Cries without another obvious cause;Holds belly;Holds belly and cries or looks uncomfortable;I don't know;Irritability;Other;The child tells me;Wakes up from sleep Cries all the time;Cries with meals;Cries without another obvious cause;Holds belly;Holds belly and cries or looks uncomfortable;I don't know;Irritability;Other;The child tells me;Wakes up from sleep Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Multiple Pre-Defined Values Selected

C20233 Mitochondrial disease delay treatment GI problem indicator MitDisDelayTreatmntGIProblmInd Indicator of whether participant/subject delayed treatment of GI problem Indicator of whether participant/subject delayed treatment of GI problem Have you ever delayed treatment for your/their GI problems for fear of not being believed about these symptoms? I don't know;No;Yes I don't know;No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20092 Mitochondrial disease migraine family history indicator MitDisMigrainFamlyHistInd Indicator of whether participant/subject has a family history of migraines Indicator of whether participant/subject has a family history of migraines Do you have a family history of migraines? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20103 Mitochondrial disease prior GERD heartburn mid-line chest pain esophageal burn stop reason MitDisPrirGERDHeBuMLCPEBuStRsn The free text field to specify when participant's/subject's past GERD heartburn mid-line chest pain esophageal burning stopped The free text field to specify when participant's/subject's past GERD heartburn mid-line chest pain esophageal burning stopped What stopped the GERD, heartburn, mid-line chest pain, and esophageal burning? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20038 Mitochondrial disease eat type MitDisEatTyp Select the type of ways that participant/subject eats Select the type of ways that participant/subject eats How does you/your child eat? Eats by himself;Gastrojejunostomy (G-J tube);Gastrostomy (G-tube);Infant formula (not specialized);Infant formula (specialized);Jejunostomy (J-tube);Liquid diet;Nasogastric tube (NG tube);They do not take any food by mouth or feeding tube;TPN (total parenteral nutrition) (regular diet);Surgical procedure that connects the stomach to the second section of the small intestine;Creation of an artificial external opening into the stomach for nutritional support or gastrointestinal compression;Infant formula (not specialized);Infant formula (specialized);Surgical creation of an opening (fistula) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine);Liquid diet;Plastic tube inserted through the nose, past the throat, and down into the stomach used for feeding and administering drugs and other oral agents;They do not take any food by mouth or feeding tube;Feeding a person intravenously, bypassing the usual process of eating and digestion Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20135 Mitochondrial disease prior burp reflux abdominal distention accompany type MitDisPriBrpReflxAbDistnAcpTyp The type of reflux or abdominal distention that accompanied prior burping episodes for the participant/subject. The type of reflux or abdominal distention that accompanied prior burping episodes for the participant/subject. Did the burping occur with reflux or abdominal distention? Abdominal distension;Both;Reflux Abdominal distension;Both;Reflux Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20212 Mitochondrial disease bowel movement treatment efficacy text MitDisBowelMovemntEfficacyTxt The free text field to specifyabout participant's/subject's treatments helping or worsening bowel movement problem The free text field to specifyabout participant's/subject's treatments helping or worsening bowel movement problem Did these treatments help or worsen the bowel movement problem? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20071 Mitochondrial disease prior vomit stop reason MitDisPriVomitStopRsn The reason why the participant's/subject's prior vomiting stopped The reason why the participant's/subject's prior vomiting stopped What stopped the vomiting? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20167 Mitochondrial disease abdominal pain improve text MitDisAbdomnlPainImproveTxt The free text field to specify about what specifically makes the participant's/subject's abdominal pain better The free text field to specify about what specifically makes the participant's/subject's abdominal pain better Is there anything specific that makes the pain better? Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations 4000

Free-Form Entry

C20114 Mitochondrial disease oral regurgitation occurrence timing type MitDisOralRegurgOccurTimngTyp The type of timing of the participant/subject's episodes of oral regurgitation with respect to meals The type of timing of the participant/subject's 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 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

C20191 Mitochondrial disease abdominal distension cause air stool reason MtDisAbdmnlDstnCausAirStoolRsn The reason the participant/subject thinks the belly is distended The reason the participant/subject thinks the belly is distended Do you think the belly is distended with air or with stool? Air;Both;I don't know;Stool Air;Both;I don't know;Stool Alphanumeric Adult;Pediatric Supplemental 1.00 2015-02-26 00:00:00.0 Mitochondrial and Gastrointestinal Diseases Assessment Physical Examinations Assessments and Examinations

Single Pre-Defined Value Selected

CSV