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Ca abstract reporting form pdf

California abstract reporting form 2026

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The document is the California CABG Outcomes Reporting Program Abstract Reporting Form, Version 7, intended for use with patient discharges from July 1, 2017, onwards. It provides detailed instructions and fields for collecting data related to coronary artery bypass graft (CABG) surgeries, including patient demographics, medical history, surgical details, and outcomes. The form emphasizes the importance of accurate documentation in various health metrics and conditions affecting patients undergoing CABG.

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Click ‘Get Form’ to open the California Abstract Reporting Form in the editor.
Begin by entering the Medical Record Number and Type of CABG. Ensure you select the correct type from the options provided.
Fill in the Date of Surgery and Date of Birth using the format mmddyyyy. This is crucial for accurate patient identification.
Complete the Patient Age, Sex, and Race Documented sections. For race, ensure to check 'Yes' or 'No' as applicable.
Proceed to fill out health-related fields such as Diabetes, Hypertension, and any previous medical history like Previous CABG or MI. Use dropdowns for easy selection.
Review highlighted fields that must not be blank. If a parent field is marked 'No' or 'Unknown', leave child fields blank as instructed.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (100 Votes)
2009	4.3 Satisfied (149 Votes)

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