California Code of Regulations › Title 22 - Social Security › Division 7 - Health Planning and Facility Construction › Chapter 10 - Health Facility Data › Article 7 - CABG Data Reporting Requirements › Section 97174 - Required Data Elements

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) For
				  patients discharged on or after July 1, 2020, a hospital shall submit the
				  following data elements for each CABG surgery in compliance with the California
				  CABG Outcomes Reporting Program (CCORP) Data Element Specifications Version
				  8.3, dated June 29, 2020, hereby incorporated by reference. This document is
				  available for download from the OSHPD website. The office will make a hardcopy
				  available on request. For all data elements categorized as postoperative
				  events, with the exception of Deep Sternal, report only if the postoperative
				  event occurred during the hospitalization for CABG surgery.
(1) Medical Record Number,
(2) Type of CABG,
(3) Date of Surgery,
(4) Date of Birth,
(5) Patient Age,
(6) Sex,
(7) Primary Payor,
(8) Secondary (Supplemental) Payor,
(9) Race Documented,
(10) Race -- White,
(11) Race -- Black/African
				  American,
(12) Race --
				  Asian,
(13) Race -- American
				  Indian/Alaskan Native,
(14) Race --
				  Native Hawaiian/Pacific Islander,
(15) Race -- Other,
(16) Hispanic or Latino or Spanish
				  Ethnicity,
(17) Hospital Discharge
				  Date,
(19) Patient Transfer to
				  Another Acute Hospital,
(20)
				  Patient Transferred to Acute Hospital -- Date,
(21) Mortality Date,
(22) Mort -- Status at 30 Days After Surgery
				  (either discharged or in-hospital),
(23) Responsible Surgeon Name (3 separate
				  fields),
(24) Responsible Surgeon
				  CA License Number,
(25) Height
				  (cm),
(26) Weight (kg),
(27) Diabetes,
(28) Diabetes Control,
(29) Dialysis,
(30) Hypertension,
(31) Endocarditis,
(32) Infectious Endocarditis Type,
(33) Chronic Lung Disease,
(34) Pneumonia,
(35) Liver Disease,
(36) Immunocompromised Present,
(37) COVID-19
(38) Cancer within 5 years,
(39) Peripheral Artery Disease,
(40) Cerebrovascular Disease,
(41) Prior CVA,
(42) Prior CVA When,
(43) CVD TIA,
(44) CVD -- Carotid Stenosis,
(45) CVD Carotid Stenosis -- Right,
(46) CVD Carotid Stenosis -- Left,
(47) CVD Prior Carotid Surgery,
(48) Last Creatinine Level,
(49) Total Albumin,
(50) Total Bilirubin,
(51) INR,
(52) Sodium,
(53) Previous CABG,
(54) Previous Valve,
(55) Previous PCI,
(56) Previous PCI -- Interval,
(57) Prior MI,
(58) MI -- When,
(59) Heart Failure,
(60) Heart Failure Timing,
(61) Classification -- NYHA,
(62) Cardiogenic Shock,
(63) Resuscitation,
(64) Cardiac Arrhythmia,
(65) Cardiac Arrhythmia --
				  Vtach/Vfib,
(66) Cardiac Arrhythmia
				  -- Aflutter,
(67) Cardiac
				  Arrhythmia -- Third Degree Heart Block,
(68) Cardiac Arrhythmia -- Atrial
				  Fibrillation,
(69) Atrial
				  Fibrillation-Type,
(70) Warfarin
				  Use (within 5 days),
(71) Coronary
				  Anatomy/Disease Known,
(72) Number
				  Diseased Vessels,
(73) Left Main
				  Stenosis >= 50% Known,
(74) Hemo
				  Data EF Done,
(75) Hemo Data
				  EF,
(76) PA Systolic Pressure
				  Measured,
(77) PA Systolic
				  Pressure,
(78) Mitral Valve
				  Regurgitation,
(79) Mitral
				  Regurgitation,
(80)
				  Incidence,
(81) Status,
(82) Urgent / Emergent/Emergent Salvage
				  Reason,
(83) Perfusion
				  Strategy,
(84) CPB Utilization --
				  Combination Plan,
(85) Internal
				  Mammary Artery Used,
(86) Reason
				  for No IMA,
(87) Valve,
(88) Aortic Valve,
(89) Aortic Valve Procedure
				  Performed,
(90) Mitral
				  Valve,
(91) Mitral Valve
				  Procedure,
(92) Tricuspid
				  Valve,
(93) Pulmonic
				  Valve,
(94) Reoperation for Bleed/
				  Tampanade,
(95) Unplanned Coronary
				  Artery Intervention,
(96) Unplanned
				  Coronary Artery Intervention-Vessels,
(97) Deep Sternal,
(98) Neuro-Stroke Permanent,
(99) Pulm -- Ventilation Prolonged,
(100) Renal -- Renal Failure,
(101) Renal -- Dialysis
				  Requirement,
(102) Other -- A
				  Fib,
(103) Facility Identification
				  Number