FLEXI Test procedures

These procedures are intended to provide an initial test of the mapping process from ERS systems to NED, they are not exhaustive and do not cover every possible permutation. Ideally these should be entered on to a test copy of your ERS that is pointing to the test instance of NED. Please use the dummy trainee and trainer GMC codes that you have been using for your testing. Once you have uploaded the test procedures please contact and we will run a comparison between the test data and the data that has been uploaded. This will show any discrepancies which you will need to correct and reload to NED it is recognised that this may be an iterative process.

It is important that you use the gender and age as specified for each patient as this is the only way we can match your procedures with the test procedures. The table below summarises the patients age and gender that you will need to create for the Flexi procedures. Similar test procedures are available for Colon and OGD.

Procedure Code / Gender / Age
TESTFLEXI01 / Male / 32
TESTFLEXI02 / Male / 75
TESTFLEXI04 / Female / 70
TESTFLEXI05 / Female / 50
TESTFLEXI06 / Male / 80
TESTFLEXI07 / Male / 85
TESTFLEXI08 / Male / 90
TESTFLEXI09 / Male / 69
TESTFLEXI10 / Male / 72
TESTFLEXI11 / Female / 68

Please note:

  • The test data contains the information for the trainee and where appropriate the information that should be captured and loaded to NED for the trainer (for example extent and therapies performed)
  • Where Trainee is used for Endoscopist 1 and it’s an independent list (no trainer) this is purely to provide an account to load the data against it does not indicate their role, so in these instances they are an independent Endoscopist.

Procedure Reference # / TESTFLEXI01
Gender / Male / Age / 32
List Type / Dedicated Training List / Training Role / Was assisted physically
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent / Sigmoid colon
Limitations / None
Rectal Retroversion performed by yourself / Weblogik Trainer
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 3
Magnetic endoscope imager used / Yes
Urgency / Routine
Inpatient/Outpatient / Outpatient
Indications / Abdominal pain / PR bleeding - altered blood
Pethidine (mg) / 0 / Midazolam (mg) / 3 / Fentanyl (µg) / 100
Buscopan (mg) / 0 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Was observed / Item10to19mm / Yes / Sigmoid Colon / 1 / 1 / 0
Polyp - snare hot / Was assisted physically / Item20OrLargermm / Yes / Descending Colon / 1 / 1 / 1
Polyp - cold biopsy / Was observed / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 1
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Independent (no trainer) / Item20OrLargermm / Yes / Caecum / 1 / 1 / 1
Polyp - EMR / I observed / Item10to19mm / Yes / Transverse Colon / 1 / 1 / 0
Polyp - snare hot / I assisted physically / Item20OrLargermm / Yes / Descending Colon / 1 / 1 / 1
Polyp - cold biopsy / I observed / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 1
Biopsies / Site / Count
Descending Colon / 3
Sigmoid Colon / 1
Rectum / 2
Bowel Prep / excellent / Endoscopist Discomfort Score / Mild / Nurse Discomfort Score / Mild
Adverse Events / None
Procedure Reference # / TESTFLEXI02
Gender / Male / Age / 75
List Type / Dedicated Training List / Training Role / Was assisted physically
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent / Descending Colon
Limitations / None
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 1
Magnetic endoscope imager used / Yes
Urgency / Routine
Inpatient/Outpatient / Outpatient
Indications / Anaemia
Pethidine (mg) / 0 / Midazolam (mg) / 1 / Fentanyl (µg) / 50
Buscopan (mg) / 0 / Propofol (mg) / 0
Entonox / Yes / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Argon beam photocoagulation / Was observed / N/A / No / Descending Colon / 1 / 1 / 0
Clip placement / Was observed / N/A / No / Descending Colon / 2 / 2 / 0
Polyp - EMR / Was observed / ItemLessThan10mm / No / Descending Colon / 1 / 1 / 1
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Argon beam photocoagulation / I observed / N/A / No / Caecum / 1 / 1 / 0
Clip placement / I observed / N/A / No / Caecum / 2 / 2 / 0
Polyp - EMR / I observed / ItemLessThan10mm / No / Caecum / 1 / 1 / 1
Banding of haemorrhoid / Independent (no trainer) / N/A / No / Anus / 3 / 3 / 0
Biopsies / Site / Count
None / 0
Bowel Prep / good / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Severe
Adverse Events / Perforation of lumen
Procedure Reference # / TESTFLEXI03
Gender / Female / Age / 70
List Type / Dedicated Training List / Training Role / Was observed
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Sigmoid colon / Trainee Extent / Sigmoid colon
Limitations / malignant stricture
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 0
Magnetic endoscope imager used / Yes
Urgency / Urgent
Inpatient/Outpatient / Outpatient
Indications / Abnormality on CT / barium / Chronic alternating diarrhoea / constipation / FHx of colorectal cancer
Pethidine (mg) / 50 / Midazolam (mg) / 1 / Fentanyl (µg) / 0
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / Yes / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis
Diagnosis (cont..) / Type / Tattooed / Site
Colorectal cancer / Yes / Sigmoid Colon
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Marking / tattooing / Was observed / N/A / No / Sigmoid Colon / 3 / 3 / 0
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Marking / tattooing / I observed / N/A / No / Ascending Colon / 3 / 3 / 0
Biopsies / Site / Count
Sigmoid Colon / 8
Bowel Prep / good / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Comfortable
Adverse Events / None
Procedure Reference # / TESTFLEXI04
Gender / Female / Age / 45
List Type / Dedicated Training List / Training Role / Was observed
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent / Descending Colon
Limitations / None
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 0
Magnetic endoscope imager used / Yes
Urgency / Urgent
Inpatient/Outpatient / Outpatient
Indications / Abnormality on CT / barium / Chronic alternating diarrhoea / constipation / FHx of colorectal cancer
Pethidine (mg) / 50 / Midazolam (mg) / 1 / Fentanyl (µg) / 0
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / Yes / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis
Diagnosis (cont..) / Type / Tattooed / Site
Colorectal cancer / No / Descending Colon
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Marking / tattooing / Was observed / N/A / No / Descending Colon / 3 / 3 / 0
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Marking / tattooing / I observed / N/A / No / Ascending Colon / 3 / 3 / 0
Biopsies / Site / Count
Descending Colon / 8
Bowel Prep / good / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Comfortable
Adverse Events / None
Procedure Reference # / TESTFLEXI05
Gender / Female / Age / 50
List Type / Dedicated Training List / Training Role / Was assisted physically
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent / Descending Colon
Limitations / None
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 1
Magnetic endoscope imager used / Yes
Urgency / Surveillance
Inpatient/Outpatient / Outpatient
Indications / Diarrhoea - chronic / IBD assessment / surveillance
Pethidine (mg) / 50 / Midazolam (mg) / 6 / Fentanyl (µg) / 0
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Crohn's colitis / Parasites / Polyp/s / Stricture - inflammatory
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - cold biopsy / Was observed / ItemLessThan10mm / No / Rectum / 1 / 1 / 1
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Independent (no trainer) / Item10to19mm / Yes / Ascending Colon / 1 / 0 / 0
Polyp - cold biopsy / I observed / ItemLessThan10mm / No / Rectum / 1 / 1 / 1
Biopsies / Site / Count
Descending Colon / 2
Sigmoid Colon / 2
Rectum / 2
Bowel Prep / fair / Endoscopist Discomfort Score / Mild / Nurse Discomfort Score / Comfortable
Adverse Events / None
Procedure Reference # / TESTFLEXI06
Gender / Male / Age / 80
List Type / Dedicated Training List / Training Role / Was assisted physically
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Sigmoid colon / Trainee Extent / Rectum
Limitations / Other (Trainee reason not specified)
Rectal Retroversion performed by yourself / Weblogik Trainer
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 3
Magnetic endoscope imager used / Yes
Urgency / Urgent
Inpatient/Outpatient / Inpatient
Indications / PR bleeding - anorectal
Pethidine (mg) / 0 / Midazolam (mg) / 0 / Fentanyl (µg) / 0
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / Yes
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Was assisted physically / Item10to19mm / Yes / Sigmoid Colon / 1 / 1 / 1
Polyp - snare hot / Was observed / Item10to19mm / Yes / Rectum / 1 / 1 / 1
Polyp - cold biopsy / Was observed / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 0
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / I assisted physically / Item10to19mm / Yes / Caecum / 1 / 1 / 1
Polyp - snare hot / I observed / Item10to19mm / Yes / Rectum / 1 / 1 / 1
Polyp - cold biopsy / I observed / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 0
Biopsies / Site / Count
None / 0
Bowel Prep / fair / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Not Specified
Adverse Events / None

PLEASE NOTE THIS PROCEDURE HAS 2 INDEPENDENT ENDOSCOPIST THIS IS WHY THERE ARE TWO TABLES FOR THIS PROCEDURE

Procedure Reference # / TESTFLEXI07
Gender / Male / Age / 85
List Type / Dedicated Training List / Training Role / Independent (no trainer)
Endoscopist 1 / Trainee
Endoscopist 2
Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent
Limitations / None
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 2
Magnetic endoscope imager used / Yes
Urgency / Urgent
Inpatient/Outpatient / Outpatient
Indications / BCSP
Pethidine (mg) / 0 / Midazolam (mg) / 0 / Fentanyl (µg) / 0
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Independent (no trainer) / Item20OrLargermm / No / Descending Colon / 1 / 1 / 1
Polyp - cold biopsy / Independent (no trainer) / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 1
Biopsies / Site / Count
None / 0
Bowel Prep / fair / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Minimal
Adverse Events / None
Procedure Reference # / TESTFLEXI07
Gender / Male / Age / 85
List Type / Dedicated Training List / Training Role / Independent (no trainer)
Endoscopist 1 / Trainee
Endoscopist 2
Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent
Limitations / None
Rectal Retroversion performed by yourself / No
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 0
Magnetic endoscope imager used / Yes
Urgency / Urgent
Inpatient/Outpatient / Outpatient
Indications / BCSP
Pethidine (mg) / 0 / Midazolam (mg) / 0 / Fentanyl (µg) / 0
Buscopan (mg) / 0 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / Yes
Diagnosis / Polyp/s
Therapies / Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Biopsies / Site / Count
None / 0
Bowel Prep / fair / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Minimal
Adverse Events / None
Procedure Reference # / TESTFLEXI08
Gender / Male / Age / 90
List Type / Dedicated Training List / Training Role / Was observed
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent / Descending Colon
Limitations / None
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 1
Magnetic endoscope imager used / Yes
Urgency / Routine
Inpatient/Outpatient / Outpatient
Indications / Abdominal mass / Constipation - chronic / Defaecation disorder
Pethidine (mg) / 0 / Midazolam (mg) / 3 / Fentanyl (µg) / 50
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Clip placement / Was observed / N/A / No / Sigmoid Colon / 1 / 1 / 0
Polyp - EMR / Was observed / Item10to19mm / No / Sigmoid Colon / 1 / 1 / 1
Injection therapy / Was observed / N/A / No / Sigmoid Colon / 1 / 1 / 0
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Clip placement / Independent (no trainer) / N/A / No / Sigmoid Colon / 6 / 4 / 0
Clip placement / I observed / N/A / No / Sigmoid Colon / 1 / 1 / 0
Polyp - EMR / I observed / Item10to19mm / No / Sigmoid Colon / 1 / 1 / 1
Injection therapy / I observed / N/A / No / Sigmoid Colon / 1 / 1 / 0
Biopsies / Site / Count
None / 0
Bowel Prep / good / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Minimal
Adverse Events / Bleeding
Procedure Reference # / TESTFLEXI09
Gender / Male / Age / 69
List Type / Dedicated Training List / Training Role / Was assisted physically
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Neo-terminal ileum / Trainee Extent / Sigmoid colon
Limitations / None
Rectal Retroversion performed by yourself / Weblogik Trainer
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 1
Magnetic endoscope imager used / No
Urgency / Routine
Inpatient/Outpatient / Outpatient
Indications / Colorectal cancer - follow up
Pethidine (mg) / 50 / Midazolam (mg) / 3 / Fentanyl (µg) / 0
Buscopan (mg) / 20 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Was observed / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 1
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Polyp - EMR / Independent (no trainer) / Item10to19mm / No / Sigmoid Colon / 1 / 1 / 1
Polyp - EMR / I observed / ItemLessThan10mm / No / Sigmoid Colon / 1 / 1 / 1
Biopsies / Site / Count
None / 0
Bowel Prep / good / Endoscopist Discomfort Score / Comfortable / Nurse Discomfort Score / Not Specified
Adverse Events / None
Procedure Reference # / TESTFLEXI10
Gender / Male / Age / 72
List Type / Dedicated Training List / Training Role / Independent (no trainer)
Endoscopist 1 / Trainee
Endoscopist 2
Trainee
Procedure / FLEXI
Extent of Examination / Descending Colon / Trainee Extent
Limitations / None
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 1
Magnetic endoscope imager used / No
Urgency / Routine
Inpatient/Outpatient / Outpatient
Indications / Previous / known polyps
Pethidine (mg) / 50 / Midazolam (mg) / 4 / Fentanyl (µg) / 0
Buscopan (mg) / 60 / Propofol (mg) / 0
Entonox / Yes / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Polyp/s
Therapies / Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
Argon beam photocoagulation / Independent (no trainer) / N/A / No / Rectum / 1 / 1 / 0
Clip placement / Independent (no trainer) / N/A / No / Rectum / 4 / 3 / 0
Polyp - ESD / Independent (no trainer) / Item20OrLargermm / No / Rectum / 1 / 1 / 1
Biopsies / Site / Count
None / 0
Bowel Prep / good / Endoscopist Discomfort Score / Mild / Nurse Discomfort Score / Moderate
Adverse Events / Bleeding
Procedure Reference # / TESTFLEXI11
Gender / Female / Age / 68
List Type / Dedicated Training List / Training Role / Was observed
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Sigmoid colon / Trainee Extent / Sigmoid colon
Limitations / severe colitis
Rectal Retroversion performed by yourself / Trainee
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 0
Magnetic endoscope imager used / Yes
Urgency / Urgent
Inpatient/Outpatient / Inpatient
Indications / Diarrhoea - acute / PR bleeding - anorectal / IBD assessment / surveillance
Pethidine (mg) / 0 / Midazolam (mg) / 4 / Fentanyl (µg) / 100
Buscopan (mg) / 0 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / No
Diagnosis / Colitis - unspecified
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
None
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
None
Biopsies / Site / Count
None / 0
Bowel Prep / fair / Endoscopist Discomfort Score / Moderate / Nurse Discomfort Score / Moderate
Adverse Events / None
Procedure Reference # / TESTFLEXI12
Gender / Female / Age / 69
List Type / Dedicated Training List / Training Role / Was observed
Endoscopist 1 / Weblogik Trainer
Endoscopist 2
Trainee / Trainee
Procedure / FLEXI
Extent of Examination / Pouch / Trainee Extent / Pouch
Limitations / clinical intention achieved
Rectal Retroversion performed by yourself / No
Digital Rectal Examination Performed / Yes
Polyps detected (excl rectal hyperplastic polyps) / 0
Magnetic endoscope imager used / Yes
Urgency / Routine
Inpatient/Outpatient / Outpatient
Indications / PR bleeding - anorectal
Pethidine (mg) / 0 / Midazolam (mg) / 0 / Fentanyl (µg) / 0
Buscopan (mg) / 0 / Propofol (mg) / 0
Entonox / No / General Anaesthetic / No
No analgesic or sedative drugs given / Yes
Diagnosis / Normal
Therapies / Trainee
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
None
Weblogik Trainer
Type / Role / Size / Tattoo / Site / Performed / Successful / Retrieved
None
Biopsies / Site / Count
None / 0
Bowel Prep / fair / Endoscopist Discomfort Score / Moderate / Nurse Discomfort Score / Moderate
Adverse Events / None

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