Endoscopy Procedure
Endoscopy Details
* What was the name of the procedure?
* Was an endoscopy performed?	No  Yes
Start date of endoscopy.	01 Jan 2000
Start time of endoscopy.	12:00
End date of endoscopy.	01 Jan 2000
End time of endoscopy.	12:00
What was the bowel preparation procedure agent used?	Magnesium citrate  Polyethylene glycol  Other
If "Other", specify.
What date was the bowel preparation started?	01 Jan 2000
What time was the bowel preparation started?	12:00
What was the individual dose of the agent per administration?
What is the unit of the agent per administration?	Choose CAPSULE g IU mg mL PUFF TABLET ug
What was the route of administration of the agent?	Choose INTRALESIONAL INTRAMUSCULAR INTRAOCULAR INTRAPERITONEAL NASAL ORAL RECTAL RESPIRATORY (INHALATION) SUBCUTANEOUS TOPICAL TRANSDERMAL VAGINAL
Were any biopsies taken?	No  Yes

* Mandatory field