Date Case code Hospital Country Thailand Japan United Kingdom Specialty General Surgery HPB Endoscopy Colorectal Procedure Diagnosis Role Primary surgeon Supervised primary surgeon Assistant Trainer Observer Endoscopist ASA I II III IV V Primary surgeon First assistant Anesthetist Scrub nurse Start time Finish time Op Note Template No template Operative findings Estimated blood loss (mL) Drain No Yes Procedure narrative Post-operative plan Notes Patient label / document

Date Institution Activity / Procedure Role Primary surgeon Supervised primary surgeon Assistant Observer Trainer Endoscopist Specialty General Surgery HPB Endoscopy Colorectal Other Country Thailand Japan United Kingdom Other Learning points / Notes

Date OR Room OR1 OR2 OR3 OR4 OR5 Start time End time Procedure Surgeon Anesthetist Scrub nurse Notes

Date Scope Entire OR suite OR1 OR2 OR3 OR4 OR5 Start time End time Reason Holiday Maintenance Meeting / Training Emergency Only Reserved Other Recurrence One time Every Sunday Weekly

Research project Case Follow-up timepoint Index admission POD 1 30 days 3 months 6 months 1 year Data collector Project-specific CRF fields

ชื่อภาษาไทย English name Role Surgeon Anesthetist Scrub Nurse OR Coordinator Research Nurse Medical License No. Specialty Subspecialty