CDE Detailed Report

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

Displaying 201 - 218 of 218
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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
C20131 Mitochondrial disease prior burp onset age category MitDisPriorBurpOnsetAgeCat The category of participant/subject's age at onset of prior burping episodes The category of participant/subject's age at onset of prior burping episodes For the past burping problems, 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

C20067 Mitochondrial disease vomit most severe episode type MitDisVomitMostSevEpTyp The type of symptom that is most severe during the participant/subject's vomiting episodes The type of symptom that is most severe during the participant/subject's vomiting episodes Which symptom is most severe with vomiting episodes? Abdominal pain;Nausea;Both Abdominal pain;Nausea;Both 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

C20188 Mitochondrial disease bloat abdominal distension current prior status MitDisBloatAbdmlDstnCurPriStat The status, present or past, of bloating or abdominal distension experienced by the participant/subject The status, present or past, of bloating or abdominal distension experienced by the participant/subject Do you/your child have bloating or abdominal distension or have they had it 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

C20163 Mitochondrial disease event frequent before abdominal pain type MisDisEventFrqBfrAbdmnlPainTyp The type of event frequently experienced by the particpant/subject before abdominal pain begins The type of event frequently experienced by the particpant/subject before abdominal pain begins Do any of the following occur frequently before abdominal pain starts? Anxiety;Depression;Exercise;Fasting more than 12 hours;Headache/Migraine/Light sensitivity;Other;Other Psychological Issues;Particular Foods;Right after feeding;Seizure;Stress;Taking medicine;Viral illness/Fever Anxiety;Depression;Exercise;Fasting more than 12 hours;Headache/Migraine/Light sensitivity;Other;Other Psychological Issues;Particular Foods;Right after feeding;Seizure;Stress;Taking medicine;Viral illness/Fever 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

C20174 Mitochondrial disease prior abdominal pain detail text MitDisPriAbdomnlPainDetlTxt The free text field to specify additonal details about participant's/subject's past abdominal pain The free text field to specify additonal details about participant's/subject's past abdominal pain Provide additional details if desired about what made you think they had abdominal pain. 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

C20110 Mitochondrial disease current oral regurgitation onset age category MitDisCurrOralRegurgOnstAgeCat The category of participant/subject's age at onset of current oral regurgitation episodes The category of participant/subject's age at onset of current oral regurgitation episodes For the current oral regurgitation episodes, what was your/their 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

C20231 Mitochondrial disease GI symptom result diagnosis text MitDisGISymptmResultDiagnosTxt The free text field to provide the GI symptoms that lead to a Mitochondrial disease diagnosis The free text field to provide the GI symptoms that lead to a Mitochondrial disease diagnosis Were these GI symptoms what led to your/your child's mitochondrial disease diagnosis? 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

C20046 Mitochondrial disease special diet affect symptom text MitDisSpeclDietAffctSymptmTxt The free text field to specify whether specialized diet affected participant/subject symptoms The free text field to specify whether specialized diet affected participant/subject symptoms Has your/their symptoms changed since the diet started? 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

C20142 Mitochondrial disease swallow problem frequency MitDisSwallowProblmFreq The frequency with which the participant/subject has problems swallowing The frequency with which the participant/subject has problems swallowing 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

C20078 Mitochondrial disease prior vomit episode trigger text MitDisPriorVomitEpisTrigTxt The free text field to specify the participant's/subject's past vomiting episode triggers The free text field to specify the participant's/subject's past vomiting episode triggers In the past, what had triggered 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 4000

Free-Form Entry

C20199 Mitochondrial disease prior bloat abdominal distension text MitDisPriBloatAbdminlDstnsnTxt The free text field to specify additional details about the participant's/subject's past abdominal bloating/distension The free text field to specify additional details about the participant's/subject's past abdominal bloating/distension Please provide additional details about past abdominal bloating and distension 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

C20089 Mitochondrial disease prior vomit other text MitDisDetPriVomitOthrTxt The free text field to specify additional details about participant's/subject's past vomiting symptoms The free text field to specify additional details about participant's/subject's past vomiting symptoms Please provide additional details about past vomiting 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

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

C20185 Mitochondrial disease prior abdominal pain worsen text MitDisPriorAbdomnlPainWorseTxt The free text field to specify about what specifically made the participant's/subject's prior abdominal pain worse The free text field to specify about what specifically made the participant's/subject's prior abdominal pain worse Is there anything specific that made the pain worse? 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

C20121 Mitochondrial disease prior oral regurgitation frequency other text MitDisPriorOralRegurgFrqOthTxt The free text field to specify past frequency of participant's/subject's other oral regurgitation The free text field to specify past frequency of participant's/subject's other oral regurgitation Past 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

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

C20057 Mitochondrial disease vomit episode trigger indicator MitDisVomitEpisTrigInd Indicator of whether there are particular triggers that induce vomiting episodes in participant/subject Indicator of whether there are particular triggers that induce vomiting episodes in participant/subject Are there particular triggers for vomiting episodes? 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

C20153 Mitochondrial disease feed difficult text MitDisFeedDifficulttxt The free text field to give detailed comments about participant's/subject's feeding difficulties The free text field to give detailed comments about participant's/subject's feeding difficulties Can you tell me about your/your child's feeding difficulties? 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

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