| Endoscopy - Quality and Measurement |
| Endoscopy |
| * Storage device identification number.
|
|
| * Reader ID number for overall video quality.
|
|
| * Was the overall video quality acceptable?
|
No Yes |
| If overall video quality was not acceptable, reason it was not acceptable. |
|
| If "Other", specify. |
|
| Reader ID number for quality and assessment of each GI segment. |
|
| Was the ileum able to be explored? |
No Yes |
| If ileum not explored, reason not explored. |
|
| If "Other", specify. |
|
| If the ileum was explored, what percent of the area is covered by ulcers? |
%
|
| If the ileum was explored, what is the number of strictures? |
|
| Was the right colon able to be explored? |
No Yes |
| If right colon not explored, reason not explored. |
|
| If "Other", specify. |
|
| If the right colon was explored, what percent of the area is covered by ulcers? |
%
|
| If the right colon was explored, what is the number of strictures? |
|
| Was the transverse colon able to be explored? |
No Yes |
| If transverse colon not explored, reason not explored. |
|
| If "Other", specify. |
|
| If the transverse colon was explored, what percent of the area is covered by ulcers? |
%
|
| If the transverse colon was explored, what is the number of strictures? |
|
| Was the left colon able to be explored? |
No Yes |
| If left colon not explored, reason not explored. |
|
| If "Other", specify. |
|
| If the left colon was explored, what percent of the area is covered by ulcers? |
%
|
| If the left colon was explored, what is the number of strictures? |
|
| Was the rectum able to explored? |
No Yes |
| If rectum not explored, reason not explored. |
|
| If "Other", specify. |
|
| If the rectum was explored, what percent of the area is covered by ulcers? |
%
|
| If the rectum was explored, what is the number of strictures? |
|