Endoscopy - Quality and Measurements


This CRF collects information on the quality and measurements from an endoscopy.


Although a single reader is shown in this CRF, additional readers would be represented similarly with --EVALID changed to the proper value for each reader.


"Endoscopy - Quality and Measurement [CD_ENQM]" Form Preview
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?
* Mandatory field

Package(s)
CD ENQM Package