Professional endoscopy report templates
A NewVision endoscopy report is assembled, not typed. Each procedure has its own template with coded findings, anatomical sections, therapeutic detail, specimen labelling and image placement already defined — so the document a patient and a referring physician receive is complete, consistent between clinicians, and produced in minutes rather than at the end of the list.
Ask for sample reports. We will send finished, anonymised PDF examples for the procedures your unit performs, so you can judge the templates on paper before any demo. Request sample reports.
What a template controls
| Layer | What it defines |
|---|---|
| Header block | Institution letterhead, unit name, clinician, patient identifiers, procedure date, indication, referring physician, accession number |
| Procedure detail | Scope used, sedation and monitoring notes, extent reached, tolerance, completion status, duration |
| Findings | Coded finding lists organised by anatomical segment, so the same lesion is described the same way by every clinician in the unit |
| Interventions | Therapeutic actions with the detail that follow-up depends on: technique, size, number, location, haemostasis, retrieval |
| Specimens | Numbered specimen table with site, container and requested test — the section that prevents pathology mismatches |
| Images | Rules for which captured images print, in what order, with captions and annotations |
| Conclusion and plan | Diagnosis, surveillance interval, follow-up instruction, patient advice text |
| Output | Print layout, PDF for the chart, language, and the discrete fields sent to the EMR |
Templates by procedure
Gastroenterology — upper GI
| Template | Fields the template is built around |
|---|---|
| Diagnostic gastroscopy (EGD) | Segment-by-segment findings for oesophagus, stomach and duodenum; oesophagitis grading; hiatal hernia; gastritis pattern and distribution; ulcer site, size and stigmata; biopsy sites |
| Variceal assessment and banding | Variceal grade and extent, red signs, number of bands, portal hypertensive gastropathy |
| Dilatation | Stricture site and length, dilator type and diameters achieved, complication check |
| PEG placement | Technique, insertion site, tube size, fixation, immediate complications |
Gastroenterology — lower GI
| Template | Fields the template is built around |
|---|---|
| Colonoscopy | Bowel preparation quality, extent reached with landmark confirmation, caecal intubation, withdrawal time, segment-by-segment findings, polyp inventory |
| Polypectomy | Per-polyp record: segment, size, morphology, resection technique, retrieval, haemostasis method |
| Endoscopic mucosal resection | Lesion size and morphology, lifting, resection completeness, clip placement |
| Sigmoidoscopy | Extent, findings, biopsy sites, preparation adequacy |
Advanced GI
| Template | Fields the template is built around |
|---|---|
| ERCP | Cannulation success, sphincterotomy, duct findings, stone extraction, stent type and position, contrast and fluoroscopy notes |
| Endoscopic ultrasound (EUS) | Station-by-station assessment, lesion dimensions and layer of origin, lymph node characterisation, FNA/FNB passes and needle gauge |
| Enteroscopy | Route, depth of insertion, findings, therapeutic actions |
Pulmonology, ENT and urology
| Template | Fields the template is built around |
|---|---|
| Flexible bronchoscopy | Airway inspection by lobe and segment, secretions, mucosal appearance, BAL site and volume, biopsy and brushing record |
| Nasal endoscopy | Septum, turbinates, meatus, polyp staging, post-nasal space |
| Laryngoscopy and stroboscopy | Vocal fold mobility and appearance, lesion site, glottic closure, stroboscopic parameters |
| Cystoscopy | Urethra and bladder inspection, lesion mapping by bladder wall, capacity, catheter and biopsy record |
| Ureteroscopy | Access, stone location and burden, treatment method, stent placement |
Why coded findings and not free text
Free-text narrative reads fine and measures nothing. Because NewVision findings are selected from coded lists, the same data that prints in the report is also countable, which is what makes unit-level quality reporting possible without a separate audit exercise.
- Caecal intubation rate, withdrawal time and preparation quality distribution across the unit.
- Polyp detection per endoscopist, per session, per list type.
- Specimen volume and pathology turnaround by clinician.
- Repeat and incomplete procedure counts, with reasons.
These come out of the archive because the fields were structured at the point of reporting — not because someone reviewed a year of PDFs.
Customisation during commissioning
- We start from the shipped template for each procedure your unit performs.
- Your lead clinician marks up section order, wording and which findings belong on the pick lists.
- Letterhead, signature block and the patient-facing text are set to your institution’s format.
- Language is configured per template; Turkish and English templates ship as standard.
- The revised templates are tested against real cases before go-live, then version-controlled so a later change is traceable.
Template changes after go-live are a configuration task, not a development request. Units typically revise finding lists once or twice in the first year as reporting habits settle.
Frequently asked questions
Can we keep our current report layout exactly?
In nearly all cases yes. Most units want the document to look like the one they already send out, so matching the existing layout is the normal starting point rather than an exception.
How many images can a report contain?
As many as the case needs. Which images print is rule-driven — for example key findings plus landmark confirmation — and the clinician can override the selection before sign-off.
Can different clinicians have different templates?
Yes, though we advise against it for findings. Personal preferences are best handled in the conclusion and plan sections; keeping the coded finding lists common across the unit is what makes the data comparable.
Is voice dictation supported for the narrative sections?
Narrative fields accept any input method your workstation supports, including dictation software, while coded fields are selected. This mix is deliberate: dictation is fast for the impression, and useless for countable data.
Do templates work in more than one language?
Yes. Templates are language-configured, which matters for clinics that report in Turkish internally and issue English documents to international patients.
What about the ultrasound side?
The same template engine drives NewVision ultrasound report templates, where device measurements populate the fields automatically through DICOM Structured Report.
See the templates on paper
Tell us which procedures your unit performs and we will send matching sample reports plus the finding lists behind them. Contact us · info@new-vision.net · +90 543 722 22 10
Related: Endoscopy PACS overview · DICOM integration · EMR and EHR integration