Get Cathpci Registry Data Collection Form V5

This guide provides step-by-step instructions on how to complete the Cathpci Registry Data Collection Form V5 online. By following these clear and concise directions, users can efficiently fill out all necessary sections to ensure accurate data collection.

Follow the steps to fill out the form effectively

1. Click the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin with Section A: Demographics. Input the patient's last name, first name, and middle name as required. Ensure you provide the correct social security number and patient ID if applicable. Record the birth date in the format mm/dd/yyyy. Select the patient's sex and race from the provided options. For race, be sure to select all that apply.
3. Proceed to Section B: Episode of Care (Admission). Enter the arrival date and time in the specified format. Fill in the admitting and attending provider's names along with their NPI numbers. Indicate whether the patient has health insurance and select the appropriate payment source if applicable.
4. In Section C: History and Risk Factors, provide details about the patient's medical history, including conditions such as hypertension, diabetes, and tobacco use. Indicate family history regarding coronary artery disease where applicable.
5. Move to Section D: Pre-Procedure Information. Document any relevant heart conditions and specify the electrocardiac assessment methods used prior to the procedure.
6. Complete Section E: Procedure Information by recording the procedure start and end dates and times. Document whether a diagnostic coronary angiography procedure or a percutaneous coronary intervention (PCI) was performed, along with operator details.
7. In Section F: Labs, fill in the required lab results for pre-procedure and post-procedure tests. Ensure to include values for troponin, creatinine, and other relevant lab markers.
8. Continue to Section G: Cath Lab Visit. Indicate the reasons for the visit and any symptoms the patient exhibited leading up to the procedure.
9. Fill out Section H: Coronary Anatomy. Document details regarding artery dominance and any stenosis measurements necessary depending on the procedure conducted.
10. If applicable, outline the details of the PCI procedure in Section I, including PCI status, indication, and medications administered.
11. Record any intra and post-procedure events in Section K, detailing complications that occurred during the procedure.
12. Complete the discharge information in Section L, including any interventions, medications prescribed at discharge, and follow-up plans.
13. Finally, review all entries across the form for accuracy. Users can then save changes, download, print, or share the form as needed.

Fill out the Cathpci Registry Data Collection Form V5 online today to streamline your documentation process.