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Infant Death Data Dictionary, 1981-2015Washington State Department of HealthCenter for Health Statistics, July, 2016

To help you find the variable you need, the variables are summarized by item number in the index.

The source of the field has been appended to each field description:Bir - Birth CertificateDth - Death Certificate

ASCII data files are fixed format with a record length of 1023.

______________________________________________________________________________INDEX BY FIELD NUMBER

Field FieldDescription Number Name Columns

Certificate Number, Encrypted - Bir 1 certno_e 1-10Certificate Type - Bir 2 certype 11-11Year of Birth - Bir 3 dob_yr 12-15Month of Birth - Bir 4 dob_mo 16-17Birth Hour - Bir 6 birth_hr 20-21Sex - Bir 7 sex 22-22Plurality - Bir 8 plural 23-23County and City of Occurrence - Bir 9 city_occ 24-27County of Occurrence - Bir 10 cnty_occ 24-25Facility or Institution of Birth - Bir 11 facility 28-30Mother's Age - Bir 12 age_mom 31-32Mother's Birth State - Bir 13 birplmom 33-34Mother's County and City of Residence - Bir 14 city_res 35-38Mother's County of Residence - Bir 15 cnty_res 35-36Father's Age - Bir 16 age_dad 39-40Father's Birth State - Bir 17 birpldad 41-42Classification of Attendant - Bir 18 attclass 43-44Father's Race - Bir 19 race_dad 45-45Mother's Race - Bir 20 race_mom 46-46Child's Calculated Race - Bir 21 raceccal 47-47Father's Education Level - Bir 22 educ_dad 48-49Mother’s Education Level - Bir 23 educ_mom 50-51Number of Prior Live Births, Now Living - Bir 24 lb_nl 52-54Total Prior Pregnancies – Bir 25 priorprg 55-57Filler 26-29 58-75Month Prenatal Care Began - Bir 30 pnatalmo 76-78Number of Prenatal Visits - Bir 31 pnatalvs 79-81Marital Status of Mother - Bir 32 married 82-82Birth Weight of Baby, Grams - Bir 33 wt_grams 83-86Facility Type for Place of Birth - Bir 35 fac_type 101-101Father's Occupation, Milham - Bir 36 occm_dad 102-104Mother's Occupation, Milham - Bir 37 occm_mom 105-107Number of Prior Live Births, Now Dead - Bir 38 lb_nd 108-110Number of Prior Fetal Deaths LT 20 Weeks - Bir 39 fd_lt20 111-113Number of Prior Fetal Deaths GE 20 Weeks - Bir 40 fd_ge20 114-116APGAR Score, 1 Minute - Bir 41 apgar1 117-119APGAR Score, 5 Minute - Bir 42 apgar5 120-122

Order at Birth - Bir 43 order 123-123Classification of Certifier - Bir 44 crt_clas 124-125Induced Terminations - Bir 46 ind_num 134-136Mother Transferred After Attempted Delivery - Bir 47 trnsferm 137-137Baby Transferred to Another Facility - Bir 48 trnsferb 138-138Malformation Code, Milham - Bir 50 malf_sam 145-147Father's Hispanic Origin - Bir 51 hisp_dad 148-148Mother's Hispanic Origin - Bir 52 hisp_mom 149-149Child's Calculated Hispanic Origin - Bir 53 hispccal 150-150Length of Residence - Bir 54 res_yymm 151-154Gestation Estimate, Clinical - Bir 56 gest_est 167-169ZIP Code of Residence - Bir 57 zipcode 170-174Medical Risk Factor - Bir 59-64 mrf1-6 179-190Diabetes - Bir 65 diabetes 191-191Genital Herpes - Bir 66 herpes 192-192Number of Cigarettes - Bir 67 smokenum 193-195Number of Drinks - Bir 68 drinknum 196-198Weight Gain During Pregnancy - Bir 69 wghtgain 199-201Obstetric Procedure - Bir 70-73 obproc1-4 202-205Amniocentesis, 1st Checked - Bir 74 amnio1 206-206Amniocentesis, 2nd Checked - Bir 75 amnio2 207-207Amniocentesis, 3rd Checked - Bir 76 amnio3 208-208Delivery Method - Bir 77-80 dmeth1-4 209-212Complications of Labor and/or Delivery - Bir 81-87 complab1-7 213-226Abnormal Conditions of Newborn - Bir 88-93 abcond1-6 227-238Congenital Malformations - Bir 94-100 malf1-7 239-252State of Occurrence - Bir 101 st_occ 253-254Mother's State of Residence - Bir 102 st_res 255-256Child's Designated Race - Bir 103 racecdes 257-257Child's Designated Hispanic Origin - Bir 104 hispcdes 258-258Principle Payment for Prenatal Care - Bir 105 carepay 259-259WIC Participation - Bir 106 wic 260-260First Steps Participation - Bir 107 firsteps 261-261AFDC Participation - Bir 108 afdc 262-262Service from Local Health Department - Bir 109 localhd 263-263Weight Prior to Pregnancy - Bir 110 wghtpre 264-266Uterine Bleeding, 1st Check - Bir 111 ubleed1 267-267Uterine Bleeding, 2nd Check - Bir 112 ubleed2 268-268Uterine Bleeding, 3rd Check - Bir 113 ubleed3 269-269Smoking Status - Bir 114 smoking 270-270Drinking Status - Bir 115 drinking 271-271Filler 117-118 272-280Num of Prior Live Births, Fullterm, Now Alive - Bir 119 lb_f_nl 281-283Num of Prior Live Births, Fullterm - Bir 120 lb_f84 284-286Num of Prior Live Births, Pre., Now Alive - Bir 121 lb_p_nl 287-289Num of Prior Live Births, Premature - Bir 122 lb_p84 290-292Num of Prior Live Births, Premature, Now Dead - Bir 123 lb_p_nd 293-295Num of Prior Live Births, Fullterm, Now Dead - Bir 124 lb_f_nd 296-298Num of Prior Fetal Deaths 20-36 Weeks - Bir 125 fd_2036 299-301Num of Prior Fetal Deaths GE 37 Weeks - Bir 126 fd_ge37 302-304Congenital Malformation ICD-9 - Bir 127-134 malficd1-8 305-336 Gestation, Calculated - Bir 135 gestcalc 337-338Gestation, Calculated Flag - Bir 136 gestflag 339-339Complications Not Related to Pregnancy - Bir 137-145 mrfnon1-9 340-357Filler 146 358-358Infant Death Flag - Bir 147 dthflg 359-359

Last Induced Termination - Bir 148 indmm4y 360-365Last Live Birth - Bir 149 llbmm4y 366-371 Last Fetal Death or Spontaneous Outcome - Bir 150 lfdmm4y 372-377 Date of Last Normal Menses - Bir 151 mensmd4y 378-385Last Other Pregnancy Outcome - Bir 152 lothmm4y 386-391 Last Prior Pregnancy - Bir 153 lppmm4y 392-397Mother’s Birth Country Code - Bir 154 bctrymom 398-400Father’s Birth Country Code – Bir 155 bctrydad 401-403Zip code assigned by GIS software - Bir 156 birgeozp 404-408Child Alive at Discharge - Bir 157 alive 409-409Intended Facility Type for Place of Birth - Bir 158 fac_int 410-410Mother’s Residence Tribal Reservation Code - Bir 159 trib_res 411-413Mother’s Hispanic Origin, Not Hispanic- Bir 160 momh_no 414-414Mother’s Hispanic Origin, Mexican - Bir 161 momh_mex 415-415Mother’s Hispanic Origin, Puerto Rican - Bir 162 momh_pr 416-416Mother’s Hispanic Origin, Cuban - Bir 163 momh_cub 417-417Mother’s Hispanic, Other Hispanic - Bir 164 momh_oth 418-418Mother’s Race, White - Bir 165 momr_wht 419-419Mother’s Race, Black - Bir 166 momr_blk 420-420Mother’s Race, American Indian/Alaska Native - Bir 167 momr_ami 421-421Mother’s Race, Asian Indian - Bir 168 momr_asi 422-422Mother’s Race, Chinese - Bir 169 momr_chi 423-423Mother’s Race, Filipino - Bir 170 momr_fil 424-424Mother’s Race, Japanese - Bir 171 momr_jap 425-425Mother’s Race, Korean - Bir 172 momr_kor 426-426Mother’s Race, Vietnamese - Bir 173 momr_vie 427-427Mother’s Race, Other Asian - Bir 174 momr_oas 428-428Mother’s Race, Native Hawaiian - Bir 175 momr_haw 429-429Mother’s Race, Guamanian or Chamorro - Bir 176 momr_gua 430-430Mother’s Race, Samoan - Bir 177 momr_sam 431-431Mother’s Race, Other Pacific Islander - Bir 178 momr_opi 432-432Mother’s Race, Other - Bir 179 momr_oth 433-433Father’s Hispanic Origin, Not Hispanic - Bir 180 dadh_no 434-434Father’s Hispanic Origin, Mexican - Bir 181 dadh_mex 435-435Father’s Hispanic Origin, Puerto Rican - Bir 182 dadh_pr 436-436Father’s Hispanic Origin, Cuban - Bir 183 dadh_cub 437-437Father’s Hispanic Origin, Other Hispanic - Bir 184 dadh_oth 438-438Father’s Race, White - Bir 185 dadr_wht 439-439Father’s Race, Black - Bir 186 dadr_blk 440-440Father’s Race, American Indian/Alaska Native - Bir 187 dadr_ami 441-441Father’s Race, Asian Indian - Bir 188 dadr_asi 442-442Father’s Race, Chinese - Bir 189 dadr_chi 443-443Father’s Race, Filipino - Bir 190 dadr_fil 444-444Father’s Race, Japanese - Bir 191 dadr_jap 445-445Father’s Race, Korean - Bir 192 dadr_kor 446-446Father’s Race, Vietnamese - Bir 193 dadr_vie 447-447Father’s Race, Other Asian - Bir 194 dadr_oas 448-448Father’s Race, Native Hawaiian - Bir 195 dadr_haw 449-449Father’s Race, Guamanian or Chamorro - Bir 196 dadr_gua 450-450Father’s Race, Samoan - Bir 197 dadr_sam 451-451Father’s Race, Other Pacific Islander - Bir 198 dadr_opi 452-452Father’s Race, Other - Bir 199 dadr_oth 453-453Mother’s Education Years If LE 8th Grade - Bir 200 momle8ed 454-454Father’s Education Years If LE 8th Grade - Bir 201 dadle8ed 455-455Other Pregnancy Outcomes - Bir 202 otherout 456-458Date Other Pregnancy Outcomes - Bir 203 othmm4y 459-464

Delivery Source Of Payment - Bir 204 delivpay 465-465Date First Prenatal Visit - Bir 205 fpvmd4y 466-473Date Last Prenatal Visit - Bir 206 lpvmd4y 474-481Number Cigarettes Smoked 3 Months Before Preg - Bir 207 cigs_bef 482-483Number Cigarettes Smoked during 1st Trimester - Bir 208 cigs_1st 484-485Number Cigarettes Smoked during 2nd Trimester - Bir 209 cigs_2nd 486-487Number Cigarettes Smoked during 3rd Trimester - Bir 210 cigs_3rd 488-489APGAR Score - 10 Minute - Bir 211 apgar10 490-492Child’s Head Circumference, Centimeters - Bir 212 circumf 493-494Mother’s Weight At Delivery - Bir 213 wghtdelv 495-497Mother’s Height, Feet - Bir 214 ht_ft 498-498Mother’s Height, Inches - Bir 215 ht_in 499-500Infant Being Breastfed - Bir 216 breastfd 501-501WIC Benefits (beginning in 2003) - Bir 217 wic_new 502-502Hypertension Flag - Bir 218 hyperflg 503-503External Cephalic Version Flag - Bir 219 cephaflg 504-504Number of Previous Cesarean Deliveries - Bir 220 prev_cno 505-506Method of Delivery, Forceps Failed - Bir 221 forcfail 507-507Method of Delivery, Vacuum Extraction Failed - Bir 222 vacfail 508-508Method of Delivery, Fetal Presentation - Bir 223 fet_pres 509-509Method of Delivery, Final Route and Method - Bir 224 dmethfin 510-510Characteristics of Labor and Delivery - Bir 225-231 labchar1-7 511-524

(Seven 2-digit fields)Maternal Infections - Bir 232-238 minfect1-7 525-538

(Seven 2-digit fields)Maternal Morbidity - Bir 239-243 mmorbid1-5 539-548

(Five 2-digit fields)Onset Of Labor 244-246 labons1-3 549-554

(Three 2-digit fields)Down Syndrome Flag - Bir 247 downsflg 555-555Chromosomal Disorder Flag - Bir 248 chromflg 556-556Mother’s Summary Race - Bir 249 moracsum 557-558 Father’s Summary Race - Bir 250 faracsum 559-560Body Mass Index - Bir 251 bmi 561-564

Filler 252 565-610

Sex - Dth 253 dthsex 611-611Date of Death - Dth 254 dth_date 612-619Race - Dth 255 dthrace 620-620Type of Age Unit - Dth 256 dageunit 621-621Number of Age Units - Dth 257 dageunum 622-623Hispanic Origin - Dth 258 dthhisp 624-624Date of Birth, year - Dth 259 dthdobyr 625-628Date of Birth, month - Dth 260 dthdobmo 629-630County and City of Occurrence - Dth 261 dcityocc 633-636County of Occurrence - Dth 262 dcntyocc 633-634Facility or Institution of Death - Dth 263 dthfacil 637-639State of Birth of Decedent - Dth 264 dbstate 640-641County and City of Residence - Dth 265 dcityres 644-647County of Residence - Dth 266 dcntyres 644-645Contributory Cause - Dth 267 contrib 650-650Underlying Cause of Death - Dth 268 underly 651-654Autopsy - Dth 269 autopsy 655-655External Cause - Dth 270 inj_caus 656-656Injury Date - Dth 271 inj_date 657-664

Injury Hour - Dth 272 inj_hour 665-666Injury Minute - Dth 273 inj_min 667-668Injury at Work - Dth 274 injatwrk 669-669Place External Injury Occurred - Dth 275 injplace 670-670County and City of External Injury - Dth 276 city_inj 671-674County of External Injury - Dth 277 cnty_inj 671-672Death Hour - Dth 278 dth_hour 676-677Death Minute - Dth 279 dth_min 678-679Classification of Attendant - Dth 280 dattclas 680-681Facility Type for Place of Death - Dth 281 dfac_typ 691-691ZIP Code of Residence - Dth 282 dzipcode 692-696Length of Residence, Unit Type - Dth 283 dresunit 706-706Length of Residence, Number of Units - Dth 284 dresunum 707-708State of Residence - Dth 285 dst_res 709-710State of Occurrence - Dth 286 dst_occ 711-712Death AM or PM - Dth 287 dth_ampm 714-714Citizenship Status - Dth 288 dcitizen 715-715Age in Years - Dth 289 dthage 716-718Emergency Care Code - Dth 290 emergent 779-779Injury Time, AM or PM - Dth 291 inj_ampm 780-780State of External Injury - Dth 292 st_inj 781-782Inside City Limits Flag - Dth 293 dincity 788-788Disposition Type - Dth 294 disptype 789-789Disposition Date - Dth 295 dispdate 790-797Funeral Home Code - Dth 296 funeralc 798-801Coroner Referred - Dth 297 referred 802-802County Receive Date - Dth 298 drcvdt 803-810Filler 299 811-811External Event Code - Dth 300 ecode 812-812TRANSAX Conversion Flag - Dth 301 transax 813-813Injury Flag for up to 20 conditions - Dth 302 injflg1-20 814+ICD Cause of Death Code - Dth 303 mltcse1-20 815+ACME Place of Injury - Dth 304 injpnchs 914-914 Birth Country Code - Dth 305 bcountry 915-917 Zip code assigned by GIS software - Dth 306 deageozp 924-928**** New Variables Beginning in 2004***********Zip Code of Death Occurrence - Dth 307 zip_occ 929-933Education Years If LE 8th Grade - Dth 308 deale8ed 934Hispanic Origin, Not Hispanic - Dth 309 deah_no 935Hispanic Origin, Mexican - Dth 310 deah_mex 936Hispanic Origin, Puerto Rican - Dth 311 deah_pr 937Hispanic Origin, Cuban - Dth 312 deah_cub 938Hispanic Origin, Other Hispanic - Dth 313 deah_oth 939Race, White - Dth 314 dear_wht 940Race, Black - Dth 315 dear_blk 941Race, American Indian/Alaska Native - Dth 316 dear_ami 942Race, Asian Indian - Dth 317 dear_asi 943Race, Chinese - Dth 318 dear_chi 944Race, Filipino - Dth 319 dear_fil 945Race, Japanese - Dth 320 dear_jap 946Race, Korean - Dth 321 dear_kor 947Race, Vietnamese - Dth 322 dear_vie 948Race, Other Asian - Dth 323 dear_oas 949Race, Native Hawaiian - Dth 324 dear_haw 950Race, Guamanian or Chamorro - Dth 325 dear_gua 951Race, Samoan - Dth 326 dear_sam 952

Race, Other Pacific Islander - Dth 327 dear_opi 953Race, Other - Dth 328 dear_oth 954Residence Tribal Reservation Code - Dth 329 dres_trb 955-957Length of Residence at Address, Unit type - Dth 330 dres_len 958Length of Residence at Address, # units - Dth 331 dres_uni 959-960Informant Relationship - Dth 332 dinform 961-990Autopsy Available - Dth 333 dautoav 991Zip Code Where Injury Occurred - Dth 334 dzpinjoc 992-996Pregnancy Status - Dth 335 dprgstat 997Tobacco Use Contributed to Death - Dth 336 dtbcontr 998Transport Injury Role - Dth 337 dtrnsinj 999Date of Death Modifier - Dth 338 dod_modi 1000Occupation - Federal Code 2004 Revision - Dth 339 doccfd04 1001-1003Industry – Federal Code 2004 Revision - Dth 340 dindfd04 1004-1006Decedent’s Summary Race - Dth 342 deracsum 1022-1023Reported External Cause – Dth 345 rinj_caus 1024NCHS prenatal care – Bir 346 pnatfed 1025-1027

______________________________________________________________________________

Field Field Column Field DataNo. Name Loc. Len. Type Description____________________________________________________________________________

1 certno_e 1-10 10 C Encrypted Birth Certificate NumberThe first four digits indicate the

year of birth.

2 certype 11-11 1 C Certificate TypeBefore using this field, see “Data

Quality Technical Notes - Certificate Type

(Delayed Births).”

***1980-Present***R - RegularD - Delayed (Selected years)O - Out-of-State

3 dob_yr 12-15 4 N Year of Birth

***1980-Present***9999 - Unknown/Not Stated

4 dob_mo 16-17 2 N Month of Birth

***1980-Present***01-12 99 - Unknown/Not Stated

5 blank 18-19 2 This field intentionally leftblank.

6 birth_hr 20-21 2 C Birth HourTime of birth in 24-hour format.

Midnight has a value of ‘24’, any time after midnight but before 1 am has a value of ‘00’. Prior to mid

1992, out of state occurrences were not coded.

***1993-Present***00-2499 - Unknown/Not Stated

***1980-1992***00-2499 - Unknown/Not Statedblank - Not Coded

7 sex 22-22 1 C Sex of Child

***1980-Present***F - FemaleM - MaleU - Unknown

8 plural 23-23 1 C PluralityNumber of children born.

***1980-Present***1 - Single2 - Twin3 - Triplet4 - Quadruplet5 - Quintuplet6 - Sextuplet7 - Septuplet8 - Octuplet9 - Unknown

9 city_occ 24-27 4 C County and City of OccurrenceCity in which the birth occurred.

If the birth occurred in Washington State, this field will be greater than “0000.”

If a birth occurs in a place with a population less than 2,500, it is

assigned to the rural portion of the county.

Note: Use this field to select births occurring in a specific county or city. See the

County and City of Residence (city_res) to select by place of residence.

Before using this field, see “Data Quality Technical Notes -

City/County/State of Residence and Occurrence” and see “How to

Use the Data” in TECHDOC\GUIDE

***1980-Present***

0000 - Non-Washington State or Unknown

0100 - Adams County rural 0103 - Othello

0200 - Asotin County rural 0203 - Clarkston

0300 - Benton County rural 0301 - Kennewick 0302 - Richland 0303 - Prosser 0304 - West Richland(1981-Present)0305 – Benton City (2001-Present)

0400 - Chelan County rural 0402 - Wenatchee 0403 - Chelan0404 - Cashmere (1992-Present)

0500 - Clallam County rural 0501 - Forks(1981-Present)0502 - Port Angeles 0503 - Sequim

0600 - Clark County rural 0602 - Vancouver 0603 - Camas 0604 - Washougal 0605 - Battle Ground0606 – Ridgefield0607 – La Center (2009-present)

0700 - Columbia County rural

0703 - Dayton(1980-1989, 1992-Present)

0800 - Cowlitz County rural 0802 - Longview 0803 - Kelso 0804 - Woodland(1984-Present)

0900 - Douglas County rural 0901 - East Wenatchee(1992-Present)

1000 - Ferry County rural

1100 - Franklin County rural 1102 - Pasco

1103 - Connell (1994-Present)

1200 - Garfield County rural

1300 - Grant County rural 1304 - Ephrata 1305 - Moses Lake 1306 - Quincy 1307 – Mattawa (2001-Present)1308 – Warden (2001-Present)

1400 - Grays Harbor County rural 1401 - Aberdeen 1402 - Hoquiam 1403 - Montesano1404 - Elma(1980-1984,1992-Present)1405 - Ocean Shores(1993-Present)

1500 - Island County rural 1503 - Oak Harbor

1600 - Jefferson County rural 1603 - Port Townsend

1700 - King County rural 1701 - Seattle 1702 - Renton 1703 - Auburn 1704 - Enumclaw 1705 - Kent 1706 - Kirkland 1707 - Bellevue 1708 - Normandy Park1709 - Mercer Island 1710 - Redmond1711 - Bothell1712 - Clyde Hill(1981,1987,

1992-Present)1713 - Des Moines1714 - Issaquah1715 - Lake Forest Park(1987-

Present)1716 - Medina1717 - Tukwila1718 - Pacific(1986-Present)1719 - Federal Way(1990-Present)1720 - SeaTac(1990-Present)1721 - Duvall(1992-Present)1722 - North Bend(1992-Present)1723 - Burien(1993-Present)1724 - Woodinville(1993-Present)1725 - Newcastle (1995-Present)1726 – Shoreline (1997-Present)1727 – Black Diamond (1998-Present)1728 – Covington (1998-Present)1729 – Maple Valley (1998-Present)

1730 – Kenmore (2000-Present)1731 – Sammamish (2000-Present1732 – Algona (2001-Present)1733 – Snoqualmie (2001-Present)

1800 - Kitsap County rural 1802 - Bremerton 1803 - Port Orchard 1804 - Poulsbo1805 - Bainbridge Island(formerly

Winslow) (1985-Present)

1900 - Kittitas County rural 1903 - Ellensburg

2000 - Klickitat County rural 2003 - Goldendale

2100 - Lewis County rural 2103 - Centralia 2104 - Chehalis

2200 - Lincoln County rural

2300 - Mason County rural 2303 - Shelton

2400 - Okanogan County rural 2403 - Omak

2500 - Pacific County rural 2503 - Raymond

2600 - Pend Oreille County rural

2700 - Pierce County rural 2701 - Tacoma 2702 - Puyallup 2703 - Sumner 2704 - Buckley 2705 - Fircrest2706 - Bonney Lake2707 - Milton2708 - Steilacoom2709 - Gig Harbor(1984-Present)2710 - Fife(1987-Present)2711 - Edgewood (1996-Present)2712 - Lakewood (1996-Present)2713 - University Place (1996-

Present)2714 – Orting (1997-Present)2715 – DuPont (2001-Present)

2800 - San Juan County rural

2900 - Skagit County rural 2903 - Anacortes 2904 - Mount Vernon 2905 - Sedro Woolley 2906 - Burlington

3000 - Skamania County rural

3100 - Snohomish County rural 3101 - Arlington3102 - Everett 3103 - Snohomish 3104 - Edmonds 3105 - Lynnwood 3106 - Marysville 3107 - Mountlake Terrace 3108 - Brier3109 - Monroe3110 - Mukilteo(1982-Present)3111 - Mill Creek(1985-Present)3112 - Lake Stevens(1988-Present)3113 - Bothell(1993-Present)3114 - Sultan (1994-Present)3115 - Stanwood (1995-Present)3116 – Granite Falls (2001-Present)

3200 - Spokane County rural 3201 - Spokane (City)3203 - Medical Lake 3204 - Cheney 3205 - Airway Heights (1994-

Present)3206 - Deer Park (1994-Present)3207 – Liberty Lake (2003-present)3208 – Spokane Valley (2004-

present)

3300 - Stevens County rural 3303 - Colville

3400 - Thurston County rural 3402 - Olympia 3403 - Tumwater 3404 – Lacey3405 – Yelm (1998-Present)

3500 - Wahkiakum County rural

3600 - Walla Walla County rural 3602 - Walla Walla (City)3603 - College Place

3700 - Whatcom County rural 3702 - Bellingham 3703 - Lynden 3704 - Ferndale

3705 - Blaine(1980,1990-Present)3706 – Everson (2015-Present)

3800 - Whitman County rural 3802 - Pullman 3803 - Colfax

3900 - Yakima County rural 3902 - Yakima (City)3903 - Sunnyside 3904 - Toppenish 3905 - Grandview 3906 - Wapato 3907 - Selah 3908 - Union Gap3909 – Granger (2001-Present)3910 – Zillah

10 cnty_occ 24-25 2 C County of OccurrenceCounty in which the birth occurred.If the birth occurred in Washington State, this field will be greater

than “00.”

Note: Use this field to select births occurring in a specific county. See the County of

Residence (cnty_res) to select by county of residence. Before using this field, see “Data Quality Technical Notes - City/County/State of Residence and Occurrence.”

***1980-Present***00 - Non-Washington State

or Unknown01 - Adams County 02 - Asotin County 03 - Benton County 04 - Chelan County 05 - Clallam County 06 - Clark County 07 - Columbia County 08 - Cowlitz County 09 - Douglas County 10 - Ferry County 11 - Franklin County 12 - Garfield County 13 - Grant County 14 - Grays Harbor County 15 - Island County 16 - Jefferson County 17 - King County 18 - Kitsap County 19 - Kittitas County

20 - Klickitat County 21 - Lewis County 22 - Lincoln County 23 - Mason County 24 - Okanogan County 25 - Pacific County 26 - Pend Oreille County 27 - Pierce County 28 - San Juan County 29 - Skagit County 30 - Skamania County 31 - Snohomish County 32 - Spokane County 33 - Stevens County 34 - Thurston County 35 - Wahkiakum County 36 - Walla Walla County 37 - Whatcom County 38 - Whitman County 39 - Yakima County

11 facility 28-30 3 C Facility or Institution of Birth.Before using this field, see “Data

Quality Technical Notes - Facility of Birth.” For code table see ASCII file “facil.asc.”

12 age_mom 31-32 2 N Mother’s AgeBefore using this field, see “Data

Quality Technical Notes - Age (Mother, Father).”

***1980-Present***99 - Not Stated

13 birplmom 33-34 2 C Mother’s Birth State NCHS state code. In addition to

the 50 states, the District of Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico also receive unique codes in this field.

***1980-Present***01 - Alabama02 - Alaska03 - Arizona04 - Arkansas05 - California06 - Colorado07 - Connecticut08 - Delaware09 - District of Columbia10 - Florida

11 - Georgia12 - Hawaii13 - Idaho14 - Illinois15 - Indiana16 - Iowa17 - Kansas18 - Kentucky19 - Louisiana20 - Maine21 - Maryland22 - Massachusetts23 - Michigan24 - Minnesota25 - Mississippi26 - Missouri27 - Montana28 - Nebraska29 - Nevada30 - New Hampshire31 - New Jersey32 - New Mexico33 - New York34 - North Carolina35 - North Dakota36 - Ohio37 - Oklahoma38 - Oregon39 - Pennsylvania40 - Rhode Island41 - South Carolina42 - South Dakota43 - Tennessee44 - Texas45 - Utah46 - Vermont47 - Virginia48 - Washington49 - West Virginia50 - Wisconsin51 - Wyoming52 - Puerto Rico53 - Virgin Islands54 - Guam55 - Canada56 - Cuba57 - Mexico59 - Other Foreign60 – American Samoa69 - Marianas90 - US (Unspecified)91 - Refused to State99 - Not Classifiable

14 city_res 35-38 4 C County and City of Residence

Mother’s Residence. If the residence is in Washington

State, this field will be greater than “0000.”

If the place of residence has a population less than 2,500, it

is assigned to the rural portion of the county.

Note: Use this field to select births for residents in a

specific county or city. See the County and City of Occurrence (city_occ) to select by place of occurrence.


City/County/State of Residence and Occurrence.”

For a list of the codes, see the county and city of occurrence (city_occ) field.

15 cnty_res 35-36 2 C County of Residence Mother’s residence. If the birth

occurred in Washington State, this field will be greater than “00.”

Note: Use this field to select births for residents in a

specific county. See the County of Occurrence (cnty_occ) to select by county of occurrence. Before using this field, see “Data Quality

Technical Notes - City/County/State of Residence and Occurrence.”

For a list of the codes, see the county of occurrence

(cnty_occ) field.

16 age_dad 39-40 2 N Father’s AgeBefore using this field, see “Data

Quality Technical Notes - Age (Mother, Father).”

***1980-Present***99 - Not Stated

17 birpldad 41-42 2 C Father’s Birth State NCHS state code. In addition to

the 50 states, the

District of Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico also receive unique codes in this field. For a list of codes, see the mother’s birth state

(birplmom) field.

18 attclass 43-44 2 C Attendant Classification Note that most Certified Nurse Midwives (CNM) practice in a hospital setting and most Licensed Midwives (LM) practice in a home setting. Lay midwives may act without a license if not charging or advertising.

Starting in 1985 this field will contain an entry

only if the attendant is other than the

certifier. Otherwise, this field will be blank. Before using this

field, see “Data Quality Technical Notes -

Attendant/Certifier Classification.”

***1989-Present***00 - Hospital Administrator01 - Physician, MD02 - Licensed Midwife03 - Osteopath, DO04 - Father/Mother05 - Certified Nurse Midwife06 - Nurse07 - Other Midwife08 - Other09 - Not StatedBlank - Not Applicable

***1987-1988***01 - Physician, MD02 - Licensed Midwife03 - Osteopath, DO04 - Father/Mother05 – Certified Nurse Midwife06 - Nurse07 - Other Midwife08 - Other09 - Not StatedBlank - Not Applicable

***1980-1986***01 - Physician, MD02 - Licensed/Certified Midwife

03 - Osteopath, DO04 - Father05 - Mother06 - Nurse07 - Other Midwife08 - Other09 - Not Stated

Blank - Not Applicable

19 race_dad 45-45 1 C Father’s Race Coding of race follows the National Center for Health Statistics (NCHS) guidelines. Before using this

field, see “Data Quality Technical Notes - Race/Hispanic Origin

(Mother, Father, Child).”

***2003-Present***Uses race assigned by NCHS bridging methods (see Data Quality Technical Notes for description). Coding same as in previous years, plus:Blank – Not processed by NCHS

***1992-2002***1 - White2 - Black3 - Native American4 - Chinese5 - Japanese6 - Other Non-White7 - Filipino8 - Refused to State9 - Unknown/Not StatedA - HawaiianB - Other Asian/Pacific IslanderC - Mexican/Chicano/HispanicD - Asian IndianE - KoreanF - SamoanG - VietnameseH - Guamanian

***1988-1991***1 - White2 - Black3 - Native American4 - Chinese5 - Japanese6 - Other Non-White7 - Filipino8 - Refused to State9 - Unknown/Not Stated

A - HawaiianB - Other Asian/Pacific IslanderC - Mexican/Chicano/HispanicNote: Code ‘C’ has different

meaning in 1980-1987.

***1980-1987***1 - White2 - Black3 - Native American4 - Chinese5 - Japanese6 - Other Non-White7 - Filipino8 - Refused to State9 - Unknown/Not StatedA - HawaiianB - Other Asian/Pacific IslanderC - Mexican/ChicanoNote: Code ‘C’ has different

meaning in 1988-1991.

20 race_mom 46-46 1 C Mother’s RaceCoding of race follows the NCHS

guidelines. Before using this field, see “Data Quality Technical

Notes - Race/Hispanic Origin (Mother, Father, Child).” For a

list of the codes, see the Father’sRace (race_dad) field.

21 raceccal 47-47 1 C Child’s Calculated RaceThe race code given here is from

the NCHS algorithm which uses

mother’s and father’s race to derive a code for the child’s race.

Before using this field, see “Data Quality Technical

Notes - Race/Hispanic Origin (Mother,

Father, Child).” For a list of the codes, see the Father’s Race

(race_dad) field. 22 educ_dad 48-49 2 N Father’s Education Level

Highest grade completed by the father.

***2003-Present***01 – 8th grade or less (see

dadle8ed, field 201)02 – 9th-12th grade, no diploma

03 – High school graduate or GED04 – Some college, no degree05 – Associate degree 06 – Bachelor’s degree07 – Master’s degree08 – Doctorate or Professional degree09 – Unknown (09 or 99?)

***1992-2002***00 - No education01 - Completed first grade02 - Completed second grade03 - Completed third grade04 - Completed fourth grade05 - Completed fifth grade06 - Completed sixth grade07 - Completed seventh grade08 - Completed eighth grade09 - Completed ninth grade10 - Completed tenth grade11 - Completed eleventh grade12 - High school graduate13 - Completed 1 year of college14 - Completed 2 years of college15 - Completed 3 years of college16 - College graduate17 - Post graduate work99 - Unknown/Not stated

***1980-1991***99 - Not Collected

23 educ_mom 50-51 2 N Mother’s Education LevelHighest grade completed by the

mother. For a list of the codes, see the father’s education level

(educ_dad) field.

24 lb_nl 52-54 3 N Number of Prior Live Births, Now Living


Notes - Previous Pregnancy History.”

***1989-Present***000 - None099 - Unknown/Not Stated

***1984-1988***099 - Not CollectedFor related information see prior

live births full

term now living (lb_f_nl) and live births full term (lb_f84)

***1980-1983***000 - None099 - Unknown/Not Stated

25 priorprg 55-57 3 N Total Prior Pregnancies. As of 2003, this field is calculated from prior pregnancy detail.


26-29 filler 58-75 Contained previous induced, live birth, and fetal

death dates and menses date which are now moved to end of file (fields 148-151)

30 pnatalmo 76-78 3 N Month Prenatal Care BeganIndicates the month from the

beginning of the pregnancy at which Mother entered prenatal care. Before using this field, see

“Data Quality Technical Notes - Month Prenatal Care Began.” As of

2003, this field is calculated from date of first prenatal visit (field 205) and menses date (field 151).

***1992-Present***000 - None001 to 010 - First through tenth

month999 - Unknown

***1980-1991***000 - None001 to 008 - First through eighth

month009 - Ninth month or greater999 - Unknown

31 pnatalvs 79-81 3 N Number of Prenatal VisitsIndicates the number of prenatal

visits for the entire pregnancy. The ‘95’ code was used until mid

1992.


***1980-1992***000 - None095 - Some099 - Unknown/Not Stated

32 married 82-82 1 C Marital Status of Mother

***1980-Present***Y - YesN - NoU - Not Stated

33 wt_grams 83-86 4 N Birth Weight of Baby - GramsIndicates gram weight of infant.

Pounds and ounces are converted as follows:

grams = [(lbs*16)+oz]*28.3495267(Rounded to the nearest gram)

In 1980-1991 data was stored in units of pounds

and ounces. This data has been converted to grams.

Since one ounce is equivalent to 28 grams, the converted data will

cluster in multiples of 28 grams.For more detail see “Data Quality

Technical Notes - Birth Weight.”



35 fac_type 101-101 1 C Facility Type for Place of Birth.

Note that ‘home’ can be the mother’s residence (the majority of

records), another person’s residence, or a midwife’s place of

business (if it’s her home and not a licensed birth

center). For further information please see the “Data Quality Technical Notes – Facility of Birth.”

***2003-Present***1 - Hospital2 - Enroute3 - Birth Center4 – Clinic/Doctor’s Office5 – Home – Unknown Planning

6 – Other7 – Home – Planned8 – Home - Unplanned9 - Unknown/Not StatedBlank - Not Coded

***1980-2002***1 - Hospital2 - Enroute3 - Birth Center4 - Other Medical Facility5 - Home6 - Other9 - Unknown/Not StatedBlank - Not Coded

36 occm_dad 102-104 3 C Father’s Occupation - Sam Milham code

Sam Milham occupation codes are obtained from a

computer program which uses the occupation and

industry literal fields. This program coded about 93-97% of the

records; the remaining 3-7% need to be hand-coded. The hand codinghas not been done for 1993-present and for a portion of the 1992 records. For further information

please see the “Data Quality Technical Notes - Occupation

(Milham Codes - Mother, Father).” For code table see ASCII file

“occmil.asc”. Note: there are codes on the file which are

invalid.

***1993-Present***See “occmil.asc” for codes.Note: About 7% not coded.

***1992***See “occmil.asc” for codes. Note:

About 3.5% not coded.

***1980-1991***See “occmil.asc” for codes.

37 occm_mom 105-107 3 C Mother’s Occupation - Sam Milham code

See Father’s Occupation - Sam Milham code

(occm_dad) field.

38 lb_nd 108-110 3 N Number of Prior Live Births, Now Dead




***1984-1988***099 - Not Collected


39 fd_lt20 111-113 3 N Fetal Deaths LT 20 WeeksNumber of spontaneous fetal deaths

of less than 20 weeks gestation. Before using this field, see “Data

Quality Technical Notes - Previous Pregnancy History.”

***2003-present***Not Collected – see ‘Other Pregnancy Outcomes’ (field 202).


40 fd_ge20 114-116 3 N Fetal Deaths GE 20 WeeksNumber of spontaneous fetal deaths

of 20 weeks gestation or later.





***1984-1988***099 - Not CollectedFor related information see fetal

deaths 20-36 weeks

(fd_2036) and fetal deaths GE 37 weeks (fd_ge37).


41 apgar1 117-119 3 N APGAR Score - 1 minuteThe numerical sum of points given

for heart rate, respirator effort, muscle tone, reflexes and color. Score taken at 1 minute.

***2003-present***Not Collected

***1980-2002***000-010 - Score999 - Unknown

42 apgar5 120-122 3 N APGAR Score - 5 minutesThe numerical sum of points given

for heart rate, respirator effort, muscle tone, reflexes and color. Score taken at 5 minutes. Before

using this field, see “Data Quality Technical

Notes – Apgar Score (5 minutes).”

***1980-Present***000-010 - Score999 - Unknown

43 order 123-123 1 C Multiple Birth Order

***1980-Present***0 - Single Birth 1 - First Born2 - Second Born3 - Third Born...9 - Unknown Order

44 crt_clas 124-125 2 C Classification of CertifierBefore using this field, see “Data

Quality Technical Notes -

Attendant/Certifier Classification.”

***1989-Present***00 - Hospital Administrator

01 - Physician, MD02 - Licensed Midwife03 - Osteopath, DO04 - Father/Mother05 - Certified Nurse Midwife06 - Nurse07 - Other Midwife08 - Other09 - Not Stated

***1987-1988***01 - Physician, MD02 - Licensed Midwife03 - Osteopath, DO04 - Father/Mother05 - Certified Nurse Midwife06 - Nurse07 - Other Midwife08 - Other09 - Not Stated

***1985-1986***01 - Physician, MD02 - Licensed/Certified Midwife03 - Osteopath, DO04 - Father05 - Mother06 - Nurse07 - Other Midwife08 - Other09 - Not Stated

***1980-1984***Blank Field - Not CollectedFor related information see the

attendant classification (att_clas) field.


46 ind_num 134-136 3 N Induced TerminationsTotal number of induced

terminations the mother has had. An edit check was implemented in 1989, causing the number of

Unknown/Not Stated values to decrease, for more information see

“Data Quality Technical Notes - Previous Pregnancy History.”


***1984-2002***099 - Unknown/Not Stated

***1980-1983***099 - Not Collected

47 trnsferm 137-137 1 C Mother Transferred After Attempted Delivery

Place transfer was from, if transferred.

***2003-Present***N - Not TransferredY - YesU - Unknown

***1989-2002***0 - Not Transferred1 - Birth Center2 - Home3 - Other8 - Yes, Not Specified9 - Unknown

***1980-1988***Blank Field - Not Collected

48 trnsferb 138-138 1 C Baby Transferred to Another Facility

***1984-Present***Y - YesN - NoU - Unknown/Not Stated



50 malf_sam 145-147 3 C Malformation Code - Sam Milham

***1992-Present***000 - Not Collected

***1984-1991***000 - Not Coded010 - Anencephalus, Acephalus,

Acrania011 - Spina bifida, spinal fissure,

rachischisis012 - Hydrocephalus, internal or

external013 - Spina bifida plus

hydrocephalus

014 - Meningocele, meningoencephalocele,

meningomyelocele, myelocele, encephalocele

015 - Microcephalus016 - Eye agenesis, anophthalmos,

buphthalmos, Aplastic eye

017 - Congenital cataract018 - Ear, tragus019 - Aplasia, dysplasia of brain,

any part, nervous system spinal cord, hemicephalus, exencephalus, monster--NES

020 - Tetralogy of fallot021 - Patent ductus arteriosus022 - Interventricular septal

defect (except tetralogy of fallot)

023 - Interauricular septal defect (patent foramen ovale)

024 - Other unspecified and specified malformation

of heart025 - Coarctation of aorta026 - Other circulatory

malformations030 - Harelip and/or cleft palate;

cleft lip, palate or uvula; cheiloschisis, palatoschisis

031 - Pyloric stenosis, hypertrophic pyloric

stenosis, stenosis, stritcure of pylorus

032 - Imperforate anus, absence of anus or rectum,

occlusion of anus, stricture of anus, atresia ani, atresia of anus or rectum

033 - Tracheo-esophageal fistula, esophageal stricture,

esophageal atresia

034 - Umbilical hernia, exomphalos, omphalocele, evisceration,

gastroschisis, diastasis recti, schisis

035 - Diaphragmatic hernia, herniation of abdominal contents into thorax,

absence of diaphragm036 - Other malformations of

digestive system, meconium peritonitis

040 - Epispadias, hypospadias041 - Undescended testicle,

cryptorchidism042 - Polycystic disease of kidney,

cystic kidney, fibrocystic kidney

043 - Exstrophy of bladder (urinary), extroversion

of bladder044 - Other malformation of any

external genitourinary organ: absence, atresia, deformity, displacement, hypoplasia, male or female;

hermaphroditism, pseudohermaphroditism, anaspadias, anorchism, polyorchism, chordee

045 - Other malformation of any internal genitourinary

organ: absence, atresia, deformity, displacement, hypoplasia, male or female;

hydronephrosis, stricture or urethra, horseshoe kidney, patent urachus, persistent Gartner’s duct

046 - Hydrocele050 - Supernumerary digits,

polydactyly, extra or accessory fingers

or toes051 - Adactylism, absence of digits

or parts of digits052 - Absence of arms or legs or

parts thereof (except digits), absence

of radius, ulna, humerus, tibia, fibula, femur

053 - Syndactyly, fusion or webbing of fingers or toes

054 - Achondroplasia, chondrodystrophy,

dwarfism055 - Club foot: talipes

equinovarus valgus, calcaneo valgus, varus

056 - Congenital dislocation of hip057 - Brittle bones, osteogenesis

imperfecta058 - Other malformation of bone or

joint: Hallux valgus, eversion of feet, flat

foot, scoliosis, absence,

malformation displacement or deformity of any bone or joint not classifiable above; absence of chest wall, saddle nose, skull

060 - Hermangiomata, nevi, or birthmarks

061 - Other malformations of skin, tags

062 - Malformation of muscle or muscles, tendons or

bursae, muscle atrophy at birth

063 - Malformation of respiratory system: absence of

lung, part of lung, or nose; absence or malformation of any part of respiratory system (excluding tracheo-esophageal fistula), cystic disease of lung, atresia of trachea or larynx (thyroid cartilage)

064 - Albinism065 - Hernia of abdominal cavity

(excluding umbilical hernia, omphalocele, and

diaphragmatic hernia), inguinal, scrotal, ventral

066 - Tumor, mass or growth067 - Siamese twins, conjoined

twins, syncephalus, thoracopagus,

ischiopagus068 - Malformation, other

specified, absence of thyroid, thymus, bronchiogenic

fistula069 - Malformation, type

unspecified, maldevelopment

084 - Mongolism085 - Trisomy, Klinefelter’s,

aneuploidy, Turner’s syndrome

086 - Inborn error metabolism, sickle cell

***1980-1983***000 - Not Collected

51 hisp_dad 148-148 1 C Father’s Hispanic Origin

Note: Hispanic ethnicity data are not complete for

1988. Before using this field, see “Data Quality Technical Notes - Race/Hispanic Origin (Mother, Father, Child).”

***1996-present***0 - Non-Hispanic 1 - Mexican2 - Puerto Rican3 - Cuban4 - Central or South American5 - Other and Unknown Hispanic9 - Unknown/Not Stated

***1988-1995***0 - Non-Hispanic 1 - Mexican2 - Puerto Rican3 - Cuban4 - Central or South American5 - Other Hispanic6 - Unknown Hispanic9 - Unknown/Not Stated


52 hisp_mom 149-149 1 C Mother’s Hispanic Origin



***1996-present***0 - Non-Hispanic 1 - Mexican2 - Puerto Rican3 - Cuban4 - Central or South American5 - Other and Unknown Hispanic9 - Unknown/Not Stated

***1988-1995***0 - Non-Hispanic 1 - Mexican2 - Puerto Rican3 - Cuban4 - Central or South American5 - Other6 - Unknown Hispanic9 - Unknown/Not Stated

***1980-1987***

Blank Field - Not Collected

53 hispccal 150-150 1 C Child’s Calculated Hispanic Ethnicity

The ethnicity code given here is from the NCHS

algorithm which uses mother’s and father’s Hispanic

ethnicity to derive a code for the child’s Hispanic ethnicity.



***1996-Present***0 - Non-Hispanic 1 - Mexican2 - Puerto Rican3 - Cuban4 - Central or South American5 - Other and Unknown Hispanic9 - Unknown/Not Stated



54 res_yymm 151-154 4 N Time at ResidenceLength of time the Mother lived at

the current residence, at the time of birth, in yymm format.

***1989-Present***YYMM9999 - Unknown



56 gest_est 167-169 3 N Gestation EstimateIn weeks as estimated by the

physician at the time of the

delivery. Before using this field, see “Data Quality Technical Notes - Gestational Age – Calculated and

Clinical Estimate.”

***1989-Present***40 - Full Term or Forty Weeks99 - Unknown

***1980-1988***000 - Not Collected

57 zipcode 170-174 5 C ZIP Code of ResidenceFive digit zip code. Before using this field, see “Data Quality Technical Notes – Zip Codes– Reported and Geocoded.”



58 blank 175-178 4 This field intentionally left blank.

59 mrf1 179-180 2 C Medical Risk Factors60 mrf2 181-182 2 This field consists of six 2-digit 61 mrf3 183-184 2 entries. Each 2-digit entry 62 mrf4 185-186 2 corresponds to one of the factors63 mrf5 187-188 2 listed below. Blanks in these 64 mrf6 189-190 2 2-digit entries will make up the

remainder of the field after the last factor. In 2003 the name of

this field was changed to ‘Risk Factors in this Pregnancy’.

The meaning of these codes changesas designated below. See

‘medrisk.doc’ or ‘medrisk.wp’ for a summary of these changes over time. Before using this field, see “Data

Quality Technical Notes - Medical and Health Information

Section.”

***2003-Present***01 - Diabetes

02 - Hypertension03 – Previous Preterm Births04 – Other Previous Poor Pregnancy

Outcome05 – Vaginal Bleeding During This

Pregnancy Prior to the Onset of Labor

06 – Pregnancy Resulted from Infertility Treatment

07 – Mother Had a Previous Cesarean Delivery

08 – Group B Streptococcus Culture Positive

09 – None of the Above99 - Unknown/Not Stated

***1992-2002***01 - Anemia (HCT.<30/HGH.<10)02 - Cardiac Disease03 - Acute or Chronic Lung Disease04 - Diabetes05 - Genital Herpes06 - Polyhydramnios07 - Oligohydramnios08 - Hemoglobinopathy09 - Chronic Hypertension10 - Hypertension, Pregnancy-

Associated11 - Eclampsia12 - Incompetent Cervix13 - Previous Infant 4000+ Grams14 - Previous Preterm or Small-For-

Gestational Age Infant

15 - Renal Disease16 - RH Sensitization

` 17 - Uterine Bleeding18 - Hepatitis B--HBSAG Positive19 - Syphilis20 - None21 - Other 99 - Unknown/Not Stated

***1989-1991***01 - Anemia (HCT.<30/HGH.<10)02 - Cardiac Disease03 - Acute or Chronic Lung Disease04 - Diabetes05 - Genital Herpes06 - Polyhydramnios07 - Oligohydramnios08 - Hemoglobinopathy09 - Chronic Hypertension10 - Hypertension, Pregnancy-

Associated11 - Eclampsia

12 - Incompetent Cervix13 - Previous Infant 4000+ Grams\14 - Previous Preterm or Small-For-

Gestational Age Infant

15 - Renal Disease16 - RH Sensitization

` 17 - 1st Trimester Bleeding18 - Epilepsy19 - Syphilis20 - Rubella-Test Positive21 - None22 - Other 99 - Unknown/Not Stated

***1984-1988***00 - None01 - Diabetes (Gestational)02 - Diabetes (Established)03 - Chronic Hypertension04 - Plyelonephritis05 - Epilepsy06 - Pre-Eclampsia07 - Eclampsia08 - RH Sensitization09 - Herpes10 - Syphilis11 - Rubella12 - Polyhydramnios13 - Other 99 - Unknown/Not Stated

***1980-1983***00 - None01 - Pre-Eclampsia02 - Eclampsia03 - RH Sensitization04 - Syphilis05 - Herpes06 - Rubella07 - Anemia (HCT.<30/HGH.<10)08 - Hemorrhage of Pregnancy09 - Other For related information see

complications not related to

pregnancy (mrfnon1-mrfnon9) fields.

65 diabetes 191-191 1 C DiabetesIndicates type of diabetes if one

of the medical risk factors (mrf1 - mrf6) notes that the mother had

diabetes. The ‘U’ code was used until mid 1992. Starting in mid

1992 through 2002 if it is unknown

whether the diabetes is established or gestational, a value of ‘G’ is assigned.

***2003-Present***N - NoE - PrepregnancyG – GestationalU - UnknownY – Yes, type unspecified

***mid 1992-2002***E - EstablishedG - GestationalBlank - No Diabetes

***1989-mid 1992***E - EstablishedG - GestationalU - Unknown whether Established or

GestationalBlank - No Diabetes


66 herpes 192-192 1 C Genital HerpesIndicates type of herpes if one

of the medical risk factors (mrf1 - mrf6) notes that the mother had

herpes. The ‘U’ code was used until mid 1992. Starting in mid

1992 if it is unknown whether the herpes is active or history, a value of ‘H’ is assigned.

***2003-Present***Not Collected

***mid 1992-2002***A - ActiveH - HistoryBlank - No Herpes

***1989-mid 1992***A - ActiveH - HistoryU - Unknown whether Active of

HistoryBlank - No Herpes


67 smokenum 193-195 3 N Number of CigarettesThe number of cigarettes a day that the mother smoked during pregnancy. For related information see the

smoking status (smoking) field.


Notes - Maternal Smoking (Yes/No and Number of

Cigarettes per Day).”

***2003-Present***Not Collected. Replaced by Number of Cigarettes by Trimester (see fields 207-210).

***1989-2002***000 - None001 - 1 or Less020 - One Pack099 - Unknown/Not Stated

***1980-1988***099 - Not Collected

68 drinknum 196-198 3 N Number of DrinksThe number of Alcoholic Drinks

mother drank per week during

pregnancy. For related information see the drinking status (drinking)

field.

***2003-Present***Not Collected.


***1980-1988***099 - Not Collected

69 wghtgain 199-201 3 N Weight GainNumber of pounds Mother gained

during pregnancy. Only whole number is kept. Before using this field, see “Data Quality Technical

Notes - Weight Gained During Pregnancy, Prepregnancy Weight and

Delivery weight.”

***2003-present***

This field is calculated from prepregnancy and delivery weights (see fields 110 and 213).098 – 98+ lbs for out of state occurrences only

***1989-2002***000 - No Weight Change or Lost

Weight999 - Unknown/Not Stated

***1980-1988***999 - Not Collected

70 obproc1 202-202 1 C Obstetric Procedures71 obproc2 203-203 1 This field consists of four 1-digit72 obproc3 204-204 1 entries. Each 1-digit entry 73 obproc4 205-205 1 corresponds to one of the

procdures listed below. Blanks in these 1-digit entries will make up

the remainder of the field after the last procedure.

***2003-Present***1 – Cervical Cerclage2 - Tocolysis3 – External Cephalic Version4 – None of the above9 - Unknown/Not Stated

***1992-2002***1 - Amniocentesis2 - Electronic Fetal Monitoring3 - Induction of Labor4 - Stimulation of Labor5 - Tocolysis6 - Ultrasound7 - None8 - Other9 - Unknown/Not Stated

***1989-1991*** 0 - None1 - Amniocentesis2 - Electronic Fetal Monitoring3 - Induction of Labor4 - Stimulation of Labor5 - Tocolysis6 - Ultrasound8 - Other9 - Unknown/Not Stated

***1980-1988***Blank - Not Collected

74 amnio1 206-206 1 C Amniocentesis75 amnio2 207-207 1 This field indicates the trimester76 amnio3 208-208 1 in which an amniocentesis was

performed.

Before 1992, only amnio1 is used, and it reflects

the earliest trimester reported on the birth

certificate. Amnio2 and amnio3 will be blank.

Starting in 1992, amnio1, amnio2, and amnio3 are

used to record all trimesters in which amniocentesis

was performed. Blanks will make up the remainder of the field after

the last amniocentesis.

***2003-Present***Not collected.

***1993-2002***1 - 1st Trimester2 - 2nd Trimester3 - 3rd Trimester9 - Unknown/Not Specified

***1989-1992***1 - 1st Trimester2 - 2nd Trimester3 - 3rd Trimester8 - Yes, Not Specified9 - Unknown

***1985-1988***1 - 1st Trimester2 - 2nd Trimester3 - 3rd Trimester9 - Unknown/Not Specified

***1984***1 - 1st or 2nd Trimester3 - 3rd Trimester9 - Unknown/Not Specified


77 dmeth1 209-209 1 C Method of Delivery78 dmeth2 210-210 1 This field consists of four 1-digit 79 dmeth3 211-211 1 entries. Each 1-digit entry 80 dmeth4 212-212 1 corresponds to one of the methods

listed below. Blanks in these 1- digit

entries will make up the remainder of the field after the

last method.

These codes change their meaning in the years designated below. See

‘delivery.doc’ or ‘delivery.wp’ for a summary of these changes over time. Before using this field, see

“Data Quality Technical Notes - Medical and Health Information

Section.”

***2003-Present***Will be calculated from other fields. Only dmeth1 will be populated. Codes same as below.

***1992-present***1 - Vaginal2 - Vaginal Birth After Previous

C-Section3 - Primary C-Section4 - Repeat C-Section With Labor5 - Repeat C-Section Without Labor6 - Forceps7 - Vacuum Extraction9 - Other

***1989-1991***1 - Vaginal2 - Vaginal Birth After Previous

C-Section3 - Primary C-Section4 - Repeat C-Section Without Labor5 - Repeat C-Section With Trial of Labor6 - Forceps7 - Vacuum Extraction8 - Other9 - Unknown/Not Stated

***1984-1988***1 - Spontaneous2 - Vacuum Extraction3 - Outlet Forceps4 - Induced Labor5 - Primary C-Section6 - Repeat C-Section7 - Vaginal Birth After Previous

C-Section8 - Other9 - Unknown/Not Stated

***1980-1983***

0 - Spontaneous1 - Vacuum Extraction2 - Low Forceps3 - Other Forceps Procedure4 - Primary C-Section5 - Repeat C-Section6 - Version & Extraction7 - Induced Labor9 - Other

81 complab1 213-214 2 C Complications of Labor and/or 82 complab2 215-216 2 Delivery83 complab3 217-218 2 This field consists of seven 2-84 complab4 219-220 2 digit entries. Each 2-digit entry 85 complab5 221-222 2 corresponds to one of the 86 complab6 223-224 2 complications listed below. Blanks87 complab7 225-226 2 in these 2-digit entries entries

will make up the remainder of the field after the last complication.

These codes change their meaning in the years designated below. See

‘complic.doc’ or ‘complic.wp’ for a summary of these changes over time. Before using this field, see “Data

Quality Technical Notes - Medical and Health Information

Section.”

***2003-Present***Not collected. Replaced by ‘Characteristics of Labor and Delivery’ (see fields 225-231.

***1992-2002***01 - Febrile (>100 degrees F or 38

degrees C)02 - Meconium, Moderate/Heavy03 - Premature Rupture of Membrane

(>12 Hours)04 - Abruptio Placenta05 - Placenta Previa06 - Other Excessive Bleeding07 - Seizures During Labor08 - Precipitour Labor (<3 Hours)09 - Prolonged Labor (>20 Hours)10 - Dysfunctional Labor11 - Breech/Malpresentation12 - Cephalopelvic Disproportion13 - Cord Prolapse14 - Anesthetic Complications15 - Fetal Distress16 - Nuchal Cord17 - None

18 - Other99 - Unknown/Not Stated

***1989-1991***01 - Febrile (>100 degrees F or 38

degrees C)02 - Meconium, Moderate/Heavy03 - Premature Rupture of Membrane

(>12 Hours)04 - Abruptio Placenta05 - Placenta Previa06 - Other Excessive Bleeding07 - Seizures During Labor08 – Precipitous Labor (<3 Hours)09 - Prolonged Labor (>20 Hours)10 - Dysfunctional Labor11 - Breech/Malpresentation12 - Cephalopelvic Disproportion13 - Cord Prolapse14 - Anesthetic Complications15 - Fetal Distress16 - None17 - Other99 - Unknown/Not Stated

***1984-1988***00 - None01 - Abruptio Placenta02 - Placenta Previa03 - Rupture of Uterus04 - Cord Prolapse05 - Membranes Ruptured > 24 hrs06 - Breech07 - Cephalopelvic Disproportion08 - Prolonged Labor09 - Augmented Labor10 - Other99 - Unknown/Not Stated

***1980-1983***00 - None01 - Abruptio Placenta02 - Placenta Previa03 - Cord Prolapse04 - Matern Hypotens/Shock05 - Prolonged Labor06 - Intrapartum Fever Amnionitis07 - Laceration 3/4”08 - Breech09 - Other99 - Unknown/Not Stated

88 abcond1 227-228 2 C Abnormal Conditions of the Newborn89 abcond2 229-230 2 This field consists of six 2-digit 90 abcond3 231-232 2 entries. Each 2-digit entry 91 abcond4 233-234 2 corresponds to one of the

92 abcond5 235-236 2 conditions listed below. Blanks in93 abcond6 237-238 2 2-digit entries will make up the

remainder of the field after the last condition.

These codes change their meaning inthe years designated below. See

‘abnormal.doc’ or ‘abnormal.wp’ for a summary of these changes over time. Also see the “Data Quality

Technical Notes – Medical andHealth Information Section” beforeusing this data.

***2003-Present***01 – Assisted Ventilation Required

Immediately Following Delivery02 – Assisted Ventilation Required

for More Than 6 Hours03 – NICU Admission04 – Newborn Given Surfactant

Replacement Therapy05 – Antibiotics received by the

Newborn for Suspected Neonatal Sepsis

06 – Seizure or Serious Neurologic Dysfunction

07 – Significant Birth Injury08 – None of the Above99 - Unknown/Not Stated

***1992-2002***01 - Anemia (HCT >39/HGN<13)02 - Birth Injury03 - Fetal Alcohol Syndrome04 - Hyaline Membrane Disease/RDS05 - Meconium Aspiration Syndrome06 - Drug Withdrawal Syndrome in

Newborn07 - Assisted Ventilation less than 30 Minutes08 - Assisted Ventilation greater

than or equal to 30 Minutes

09 - Seizures10 - None11 - Other99 - Unknown/Not Stated

***1989-1991***01 - Anemia (HCT >39/HGN<13)02 - Birth Injury03 - Fetal Alcohol Syndrome04 - Hyaline Membrane Disease/RDS

05 - Meconium Aspiration Syndrome06 - Drug Withdrawal Syndrome in

Newborn07 - Assisted Ventilation less than 30 Minutes08 - Assisted Ventilation greater

than or equal to 30 Minutes

09 - Seizures10 - Sepsis11 - Asphyxia/Depression12 - Erb’s Palsy13 - Jaundiced (Greater than 10 in

1st 48 Hours)14 - None15 - Other99 - Unknown/Not Stated

***1984-1988***00 - None01 - Hyaline Membrane Disease/RDS02 - Sepsis (Documented)03 - Seizures04 - Fetal Distress/Asphyxia05 - Erb’s Palsy06 - Other Birth Injuries07 - Hemolytic Disease08 - Fetal Alcohol Syndrome09 - Jaundiced (bilirubin>10)10 - Other99 - Unknown/Not Stated

***1980-1983***00 - None01 - Erb’s/Duchenne’s Palsies02 - Hyaline Membrane03 - Sepsis (Documented)04 - Seizures05 - Jaundiced (bilirubin>10)06 - Asphyxia07 - Hemolytic Disease08 - Fractured Clavicle09 - Other 99 - Unknown/Not Stated

94 malf1 239-240 2 C Congenital Malformations of Child95 malf2 241-242 2 This field consists of seven 2-96 malf3 243-244 2 digit entries. Each 2-digit entry 97 malf4 245-246 2 corresponds to one of the anomalies 98 malf5 247-248 2 listed below. Blanks in these 2-99 malf6 249-250 2 digit entries will make up the100 malf7 251-252 2 remainder of the field after the

last anomaly.

These codes change their meaning inthe years

designated below. See ‘malforma.doc’ or ‘malforma.wp’ for

a summary of these changes overtime. Also see the “Data Quality

Technical Notes – Medical andHealth Information Section” beforeusing this data.

***2003-Present***01 - Anencephaly02 – Meningocele/Spina Bifida03 – Cyanotic Congenital Heart

Disease04 – Congenital Diaphragmatic

Hernia05 - Omphalocele06 - Gastroschisis07 – Limb Reduction Defect08 – Cleft Lip with or without

Cleft Palate09 – Cleft Palate Alone10 – Down Syndrome11 – Chromosomal Disorder12 - Hypospadias13 – None of the Above99 - Unknown/Not Stated

***1992-2002***01 - Anencephalus02 - Spina Bifida/Meningocele03 - Hydrocephalus04 - Microcephalus05 - Other Central Nervous System

Anomalies06 - Heart Malformations07 - Other Circulatory/Respiratory

Anomalies08 - Rectal Atresia/Stenosis09 - Tracheo-Esophageal

Fistula/Esophageal Atresia

10 - Omphalocele/Gastroschisis11 - Other Gastrointestinal

Anomalies12 - Malformed Genitalia13 - Renal Agenesis14 - Other Urogenital Anomalies15 - Cleft Lip/Palate16 - Polydactyly17 - Club Foot18 - Diaphragmatic Hernia19 - Other Musculoskeletal/

Integumental Anomalies

20 - Down’s Syndrome21 - Other Chromosomal Anomalies

22 - None23 - Other Anomalies99 - Unknown/Not Stated

***1989-1991***01 - Anencephalus02 - Spina Bifida/Meningocele03 - Hydrocephalus04 - Microcephalus05 - Other Central Nervous System

Anomalies06 - Heart Malformations07 - Other Circulatory/Respiratory

Anomalies08 - Rectal Atresia/Stenosis09 - Tracheo-Esophageal


10 - Omphalocele/Gastroschisis11 - Other Gastrointestinal

Anomalies12 - Malformed Genitalia13 - Renal Agenesis14 - Other Urogenital Anomalies15 - Cleft Lip/Palate16 - Polydactyly/Syndactyly/ Adactyly17 - Club Foot18 - Diaphragmatic Hernia19 - Other Musculoskeletal/

Integumental Anomalies

20 - Down’s Syndrome21 - Other Chromosomal Anomalies22 - None23 - Other Anomalies

99 - Unknown/Not Stated

***1984-1988***00 - None01 - Anencephalus02 - Spina Bifida/Meningocele03 - Hydrocephalus04 - Microcephalus05 - Patent Ductus Arteriosus06 - Other Heart Malformations07 - Cleft Lip08 - Cleft Palate09 - Anal Atresia/Stenosis10 - Tracheo-Esophageal


11 - Hypospadias12 - Omphalocele13 - Polydactyly

14 - Syndactyly15 - Adactyly16 - Other Limb Reduction17 - Congenital Dislocation of Hip18 - Club Foot19 - Down’s Syndrome20 - Other Malformation99 - Unknown/Not Stated

***1980-1983***Blank Field - Not CollectedFor related information see the

congenital malformation (malficd1-

malficd8) fields.

101 st_occ 253-254 2 C State of OccurrenceState in which the birth occurred. NCHS state code. In addition to

the 50 states, the District of Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico receive unique codes in this field. For a list of codes, see

mother’s birth state (birplmom) field.

102 st_res 255-256 2 C State of ResidenceMother’s residence. NCHS state

code. In addition to the 50

states, the District of Columbia, the Virgin Islands, Cuba, Guam,

Puerto Rico, Canada Mexico receive unique codes in this field. For a

list of codes, see mother’s birth state

(birplmom)field.

103 racecdes 257-257 1 C Child’s Designated RaceDesignated by the mother. Before

using this field, see “Data Quality Technical Notes - Race/Hispanic Origin (Mother, Father, Child).”


***1992-2002***1 - White2 - Black3 - Native American4 - Chinese5 - Japanese

6 - Other Non-White7 - Filipino8 - Refused to State9 - Unknown/Not StatedA - HawaiianB - Other Asian/Pacific IslanderC - Mexican/Chicano/HispanicD - Asian IndianE - KoreanF - SamoanG - VietnameseH - Guamanian


104 hispcdes 258-258 1 C Child’s Designated Hispanic Origin As designated by the mother. See

“Data Quality Technical Notes -

Race/Hispanic Origin (Mother, Father, Child).”


***1996-2002***0 - Non-Hispanic 1 - Mexican2 - Puerto Rican3 - Cuban4 - Central or South American5 - Other and Unknown Hispanic9 - Unknown/Not Stated


***1980-1991***Blank Field

105 carepay 259-259 1 C Principal Payment for Prenatal CareIndicates principal source of

payment for prenatal care.

***2003-Present***

Not Collected. Replaced by ‘Source of Payment for Delivery’ (see field 204).

***1992-2002***1 - Medicaid2 - Self-pay3 - Commercial Insurance4 - Charity Care5 - HMO6 - Other9 - Unknown/Not Stated


106 wic 260-260 1 C During pregnancy mother used WIC services. WIC

(Women and Infant Children) is a free supplemental

food and nutrition education program.

***2003-Present***Replaced by new item (field 217).

***1992-2002***1 - Yes9 - Box Not Checked


107 firsteps 261-261 1 C During pregnancy mother participated in

the First Steps program. First Steps is an

expanded Medicaid program.




108 afdc 262-262 1 C During pregnancy mother received Aid for Families

with Dependent Children (AFDC)




109 localhd 263-263 1 C During pregnancy mother received services from a

Local Health Department




110 wghtpre 264-266 3 N Weight Prior to PregnancyNumber of pounds Mother weighed

before pregnancy. Only whole number is kept. This field was first collected in 1992. Before using this field, see “Data Quality

Technical Notes - Weight Gained During Pregnancy, Prepregnancy

Weight and Delivery Weight.”

***1992-Present***999 - Unknown

***1980-1991***999 - Not Collected

111 ubleed1 267-267 1 C Uterine Bleeding112 ubleed2 268-268 1 Indicates whether there was any 113 ubleed3 269-269 1 uterine bleeding during pregnancy

and which trimesters. More than one trimester may be indicated.

Blanks will make up the remainder of the field after

the last entry.


***1992-2002***

1 - Uterine Bleeding During First Trimester

2 - Uterine Bleeding During Second Trimester

3 - Uterine Bleeding During Third Trimester

9 - Unknown


114 smoking 270-270 1 C Smoking StatusIndicates whether Mother smoked

cigarettes at any time during the pregnancy.

Changes in the wording and placement of this

item have occurred over time. Therefore,

before using this field, see “Data Quality Technical Notes - Maternal

Smoking (Yes/No and Number of Cigarettes per Day).”

***2003-Present***Not Collected. Replaced by Number of Cigarettes by Trimester (see fields 207-210).

***1984-2002***Y - YesN - NoU - Unknown


115 drinking 271-271 1 C Drinking StatusIndicates whether Mother drank alcoholic beverages during the pregnancy. Before using this field, see “Data Quality Technical Notes – Alcohol Use.”


***1989-2002***Y - YesN - NoU - Unknown


116 blank 272-272 1 This field intentionally left blank.

117-118 filler 273-280 Contained previous other pregnancy and prior

pregnancy dates which are now moved to end of file (fields 152-153)

119 lb_f_nl 281-283 3 N Liveborn - Fullterm - Now AliveThe number of prior live births

that were full-term and are still

living.Before using this field, see “Data




***1980-1984***099 - Not Collected

120 lb_f84 284-286 3 N Liveborn - FulltermThe number of prior live births

that were full-term.




***1984***000 - None099 - Unknown/Not Stated

***1980-1983***099 - Not Collected

121 lb_p_nl 287-289 3 N Liveborn - Premature - Now AliveThe number of prior live births

that were premature and are still

living.Before using this field, see “Data

Quality Technical




***1980-1984***099 - Not Collected

122 lb_p84 290-292 3 N Liveborn - PrematureThe number of prior live births

that were premature.




***1984***000 - None099 - Unknown/Not Stated

***1980-1983***099 - Not Collected

123 lb_p_nd 293-295 3 N Liveborn - Premature - Now DeadThe number of prior live births

that were premature and are now dead.





***1980-1984***099 - Not Collected

124 lb_f_nd 296-298 3 N Liveborn - Fullterm - Now DeadThe number of prior live births

that were fullterm and are now dead.





***1980-1984***099 - Not Collected

125 fd_2036 299-301 3 N Fetal Deaths 20-36 WeeksNumber of spontaneous fetal deaths

of 20-36 weeks gestation.





***1980-1983***099 - Not Collected

126 fd_ge37 302-304 3 N Fetal Deaths GE 37 WeeksNumber of spontaneous fetal deaths

of 37 weeks gestation or later.





***1980-1983***099 - Not Collected

127 malficd1 305-308 4 C Congenital Malformation ICD-9128 malficd2 309-312 4 This field consists of eight 4-

129 malficd3 313-316 4 digit entries. Each entry is an 130 malficd4 317-320 4 ICD-9 code for a congenital 131 malficd5 321-324 4 malformation. See “International 132 malficd6 325-328 4 Classification of Diseases - 9th 133 malficd7 329-332 4 revision (ICD-9) Volume 1”. For 134 malficd8 333-336 4 those codes that do not have a

fourth digit, the last digit in this field will be blank.

In 1984 the birth certificate was changed so that

congenital malformation information is

collected by checking boxes specifying specific congenital malformations, see congenital malformations of child (malf1-malf8) fields.

***1984-Present***Blank Field - Not Collected

***1980-1983***ICD-9 Code

135 gestcalc 337-338 2 N Calculated Gestation in WeeksCalculated from the date of birth

and last menses date (mensdate) or

estimated from birth weight. Beforeusing this field, see “Data Quality Technical Notes – Gestational Age –

Calculated and Clinical Estimate.”

***2003-Present***New method of calculation, see Data Quality Technical Notes99 - Missing, Not able to calculate

***1980-2002***99 - Missing, Not able to calculate

136 gestflag 339-339 1 C Calculated Gestation FlagIndicates whether the calculated

Gestation (gestcalc) field was

calculated based on last menses date or estimated based on birth

weight.

***2003-Present***0 - Gestcalc was calculated based

on Date of Birth and Last Menses Date.

1 - Gestcalc was based on clinical estimate of

gestation.9 - Gestcalc could not be

calculated or estimated

***1980-2002***0 - Gestcalc was calculated based

on Date of Birth and Last Menses Date.

1 - Gestcalc was estimated based on Birth weight.9 - Gestcalc could not be

calculated or estimated

137 mrfnon1 340-341 2 C Complication Not Related to 138 mrfnon2 342-343 Pregnancy139 mrfnon3 344-345 This field consists of nine 2-digit140 mrfnon4 346-347 entries. Each 2-digit entry141 mrfnon5 348-349 corresponds to one of the142 mrfnon6 350-351 complications listed below. Blanks143 mrfnon7 352-353 in these 2-digit entries will make 144 mrfnon8 354-355 up the remainder of the field after145 mrfnon9 356-357 the last complication.

***1984-Present***Blank Field - Not CollectedFor related information seemedical risk factors(mrf1-mrf6)fields.

***1980-1983***00 - None01 - Diabetes02 - Heart Disease (Symptomatic)03 - Chronic Hypertension04 - Chronic Renal Disease05 - Acute Urinary Tract Ingection06 - Surgery (Abdominal/Pelvic)07 - Tumor08 - Epilepsy09 - Other99 - Unknown/Not Stated

146 nchsnew 358-358 1 C NCHS New Record FlagThis field pertains to births that

occurred in Washington State. It

indicates records added since the cutoff date (approximately May 31)

of certificates to be used by the National Center for Health

Statistics in compiling national

statistics for the previous year. Data contained in this file may not match national statistics precisely due to the addition of these

records received after the NCHS cutoff date and corrections to the

file.

***1994-Present***X - New Record

147 dthflg 359-359 1 C Infant Death FlagIndicates that the infant died by

the age of 1 year. Before using this field, see “Data Quality

Technical Notes - Infant Death Flag.”

***Current Year***Blank Field - Not Flagged

***All Other Years***X - Infant Death

148 indmm4y 360-365 6 N Last Induced Termination, Month and Year

***2003-PresentNot collected

***1989-2002***MMYYYY999999 - Unknown/Not Stated

***1980-1988***999999 - Not Collected

149 llbmm4y 366-371 6 N Last Live Birth, Month and Year

***1980-Present***MMYYYY888888 – Not applicable999999 - Unknown/Not Stated

150 lfdmm4y 372-377 6 N Last Fetal Death or SpontaneousOutcome, Month and

Year

***2003-PresentNot collected

***1989-2002***MMYYYY

999999 - Unknown/Not Stated

***1985-1988***999999 - Not CollectedFor related information see the

last other pregnancy outcome

(lothmm4yy) field.


151 mensmd4y 378-385 8 N Date of Last Normal MensesBefore using this field, see “Data

Quality Technical Notes – Menses Date.”

***1980-Present***MMDDYYYY99999999 - Unknown/Not Stated

152 lothmm4y 386-391 6 N Last Other Pregnancy Outcome, Month and Year (for 2003+ see field 203).


***1985-1988***MMYYYY 999999 - Unknown/Not Stated

***1980-1984***999999 - Not Collected

153 lppmm4y 392-397 6 N Last Prior Pregnancy, Month and Year



154 bctrymom 398-400 3 C Mother’s Birth Country CodeFor code table see ASCII file

“country.asc.”

***1999***Blank – Mother is not foreign born

***1980-1998***Blank field

155 bctrydad 401-403 3 C Father’s Birth Country CodeFor code table see ASCII file

“country.asc.”

***1999***Blank – Father is not foreign born

***1980-1998***Blank field

156 birgeozp 404-408 5 C Zip code assigned by GIS software

***1988–present***This is the zip code that wasassigned by the GIS software. Before using this field, see “Data Quality Technical Notes – Zip Codes – Reported and Geocoded.”

157 alive 409-409 1 C Infant living at time of reportIndicates whether the infant was alive at the time the report was made.

***2003-present***Y - YesN - NoT – Transferred, status unknown

***1980-2002***Not Collected.

158 fac_int 410-410 1 C Intended facility typeIndicates the planned birth place type, if different from the actual type.

***2003-Present***1 – Hospital3 – Birth Center4 – Clinic/Doctor’s Office

6 – Other 7 – Home - Planned

***1980-2002***Not Collected

159 trib_res 411-413 3 N Mother’s residence tribalreservation code. Used if the mother lives on a tribal reservation, regardless of whether or not she is Native American.

For code table see ASCII file

“tribres.asc.”


***NOTE: Fields 160-199 give data for each check box on the birth certificate filing form. Before using these fields, see “Data Quality Technical Notes - Race/Hispanic Origin (Mother, Father, Child).” Bridged race data and Hispanic data are found in the old race/Hispanic fields. Edited data for multiple race analysis are at the end of the file (fields 249-250).***

160 momh_no 414-414 1 C Mother’s Hispanic Origin, Not Hispanic, as reported on the birth Certificate.

***2003-Present***Y – Yes, this box checkedN – No, box not checkedU – Entire Mother’s Hispanic item unknown

***1980-2002***Not Collected. See hisp_mom.

161 momh_mex 415-415 1 C Mother’s Hispanic Origin, Mexican, as reported on the birth certificate. See momh_no for codes.

162 momh_pr 416-416 1 C Mother’s Hispanic Origin, Puerto Rican, as reported on the birth certificate. See momh_no for codes.

163 momh_cub 417-417 1 C Mother’s Hispanic Origin, Cuban, as reported on the birth certificate. See momh_no for codes.

164 momh_oth 418-418 1 C Mother’s Hispanic Origin, Other Hispanic, as reported on the birth certificate. See momh_no for codes.

165 momr_wht 419-419 1 C Mother’s Race, White,as reported on the birth Certificate.

***2003-Present***Y – Yes, this box checkedN – No, box not checkedU – Entire Mother’s Race item unknown

***1980-2002***Not Collected. See race_mom.

166 momr_blk 420-420 1 C Mother’s Race, Black or African American, as reported on the birth certificate. See momr_wht for codes.

167 momr_ami 421-421 1 C Mother’s Race, American Indian or Alaska Native, as reported on the birth certificate. See momr_wht for codes.

168 momr_asi 422-422 1 C Mother’s Race, Asian Indian, as reported on the birth certificate. See momr_wht for codes.

169 momr_chi 423-423 1 C Mother’s Race, Chinese, as reported on the birth certificate. See momr_wht for codes.

170 momr_fil 424-424 1 C Mother’s Race, Filipino, as reported on the birth certificate. See momr_wht for codes.

171 momr_jap 425-425 1 C Mother’s Race, Japanese,as reported on the birth certificate. See momr_wht for codes.

172 momr_kor 426-426 1 C Mother’s Race, Korean,as reported on the birth certificate. See momr_wht for codes.

173 momr_vie 427-427 1 C Mother’s Race, Vietnamese, as reported on the birth certificate. See momr_wht for codes.

174 momr_oas 428-428 1 C Mother’s Race, Other Asian, as reported on the birth certificate. See momr_wht for codes.

175 momr_haw 429-429 1 C Mother’s Race, Native Hawaiian, as reported on the birth certificate. See momr_wht for codes.

176 momr_gua 430-430 1 C Mother’s Race, Guamanian or Chamorro, as reported on the birth

certificate. See momr_wht for codes.

177 momr_sam 431-431 1 C Mother’s Race, Samoan, as reported on the birth certificate. See momr_wht for codes.

178 momr_opi 432-432 1 C Mother’s Race, Other Pacific Islander, as reported on the birth certificate. See momr_wht for codes.

179 momr_oth 433-433 1 C Mother’s Race, Other Race, as reported on the birth certificate. See momr_wht for codes.

180 dadh_no 434-434 1 C Father’s Hispanic Origin, Not Hispanic, as reported on the birth Certificate.

***2003-Present***Y – Yes, this box checkedN – No, box not checkedU – Entire Mother’s Hispanic item unknown

***1980-2002***Not Collected. See hisp_dad.

181 dadh_mex 435-435 1 C Father’s Hispanic Origin, Mexican, as reported on the birth certificate. See dadh_no for codes.

182 dadh_pr 436-436 1 C Father’s Hispanic Origin, Puerto Rican, as reported on the birth certificate. See dadh_no for codes.

183 dadh_cub 437-437 1 C Father’s Hispanic Origin, Cuban, as reported on the birth certificate. See dadh_no for codes.

184 dadh_oth 438-438 1 C Mother’s Hispanic Origin, Other Hispanic, as reported on the birth certificate. See dadh_no for codes.

185 dadr_wht 439-439 1 C Father’s Race, White,as reported on the birth Certificate.

***2003-Present***

Y – Yes, this box checkedN – No, box not checkedU – Entire Mother’s Race item unknown

***1980-2002***Not Collected. See race_dad.

186 dadr_blk 440-440 1 C Father’s Race, Black or African American, as reported on the birth certificate. See dadr_wht for codes.

187 dadr_ami 441-441 1 C Father’s Race, American Indian or Alaska Native, as reported on the birth certificate. See dadr_wht for codes.

188 dadr_asi 442-442 1 C Father’s Race, Asian Indian, as reported on the birth certificate. See dadr_wht for codes.

189 dadr_chi 443-443 1 C Father’s Race, Chinese, as reported on the birth certificate. See dadr_wht for codes.

190 dadr_fil 444-444 1 C Father’s Race, Filipino, as reported on the birth certificate. See dadr_wht for codes.

191 dadr_jap 445-445 1 C Father’s Race, Japanese,as reported on the birth certificate. See dadr_wht for codes.

192 momr_kor 446-446 1 C Father’s Race, Korean,as reported on the birth certificate. See dadr_wht for codes.

193 dadr_vie 447-447 1 C Father’s Race, Vietnamese, as reported on the birth certificate. See dadr_wht for codes.

194 dadr_oas 448-448 1 C Father’s Race, Other Asian, as reported on the birth certificate. See dadr_wht for codes.

195 dadr_haw 449-449 1 C Father’s Race, Native Hawaiian, as reported on the birth certificate. See dadr_wht for

codes.

196 dadr_gua 450-450 1 C Father’s Race, Guamanian or Chamorro, as reported on the birth certificate. See dadr_wht for codes.

197 dadr_sam 451-451 1 C Father’s Race, Samoan, as reported on the birth certificate. See dadr_wht for codes.

198 momr_opi 452-452 1 C Father’s Race, Other Pacific Islander, as reported on the birth certificate. See dadr_wht for codes.

199 dadr_oth 453-453 1 C Father’s Race, Other Race, as reported on the birth certificate. See dadr_wht for codes.

200 momle8ed 454-454 1 C Mother’s Years of Education if highest education level (educ_mom) is 8th grade or less.

***2003-Present***0 – No education1-8 – 1st – 8th grade9 – Unknown


201 dadle8ed 455-455 1 C Father’s Years of Education if highest education level (educ_dad) is 8th grade or less.



202 otherout 456-458 3 N Number of Other Pregnancy OutcomesBefore using this field, see “Data


***2003-Present***000 - None099 - Unknown/Not Stated (or 999?)


203 othmm4y 459-464 6 N Last Other Outcome, Month and Year

***2003-Present***MMYYYY888888 – Not applicable999999 - Unknown/Not Stated


204 delivpay 465-465 1 C Principal Payment for DeliveryIndicates principal source of

payment for the delivery.

***2003-present***1 - Medicaid2 - Self-pay3 - Private Insurance4 – Indian Health Service5 – Champus/Tricare6 – Other Government8 - Other9 - Unknown/Not Stated

***1980-2002***Not Collected. See ‘Source of payment for prenatal care (field #105).

205 fpvmd4y 466-473 8 N Date of First Prenatal Care Visit

***2003-Present***MMDDYYYY88888888 – No prenatal care99999999 - Unknown/Not Stated


206 lpvmd4y 474-481 8 N Date of Last Prenatal Care Visit

***2003-Present***MMDDYYYY88888888 – No prenatal care99999999 - Unknown/Not Stated


207 cigs_bef 482-483 2 N Number of Cigarettes Smoked 3

Months Before Pregnancy The number of cigarettes a day that the mother smoked three months before she became pregnant.Before using this field, see “Data

Quality Technical Notes – Maternal

Smoking”

***2003-Present***00 - None01 - 1 or Less20 - One Pack99 - Unknown/Not Stated

***1980-2002***099 - Not Collected

208 cigs_1st 484-485 2 N Number of Cigarettes Smoked FirstTrimesterThe number of cigarettes a day that the mother smoked during the first three months of pregnancy. Before using this field, see “Data


Smoking.” See cigs_bef for codes.

209 cigs_2nd 486-487 2 N Number of Cigarettes Smoked SecondTrimester The number of cigarettes a day that the mother smoked during the second three months of pregnancy. Before using this field, see “Data



210 cigs_3rd 488-489 2 N Number of Cigarettes Smoked ThirdTrimester The number of cigarettes a day that the mother smoked during the third three months of pregnancy.Before using this field, see “Data



211 apgar10 490-492 3 N APGAR Score - 10 minutes

The numerical sum of points given for heart rate, respirator effort, muscle tone, reflexes and color. Score taken at 10 minutes. Only reported if 5 minute score is <6.

***2003-Present***000-010 – Score098 – Not applicable999 – Unknown

***1980-2002***099 - Not Collected

212 circumf 493-494 2 N Child’s Head Circumference

***2003-Present***99 – Unknown


213 wghtdelv 495-497 3 N Mother’s Weight at DeliveryNumber of pounds Mother weighed

at delivery. Only whole number is kept. Before using this field, see “Data Quality

Technical Notes - Weight Gained During Pregnancy, Prepregnancy

Weight and Delivery Weight.”

***2003-Present***999 - Unknown


214 ht_ft 498-498 1 C Mother’s Height, FeetGives the feet part of the mother’s height



215 ht_in 499-500 2 C Mother’s Height, InchesGives the inches part of the mother’s height



216 breastfd 501-501 1 C Infant Being Breastfed

***2003-present***Y - YesN - NoU – Unknown


217 WIC_new 502-502 1 C WIC BenefitsIndicates whether the mother received WIC benefits during pregnancy. WIC (Women and Infant Children) is a free supplemental food and nutrition education program.

***2003-present***Y - YesN - NoU – Unknown

***1980-2002***Not Collected. See field 106.

218 hyperflg 503-503 1 C Hypertension FlagIndicates type of hypertension if one of the medical risk factors (mrf1 - mrf6) notes that the mother had hypertension.

***2003-Present***N - NoE - PrepregnancyG – GestationalU - UnknownY – Yes, type unspecified

***1980-2002***Not Collected. See individual medical risk factors (fields #59-64).

219 cephaflg 504-504 1 C External Cephalic Version FlagIndicates results of external cephalic version if one of the obstetric procedures (obproc1 – obproc4) notes that the mother had external cephalic version.

***2003-Present***N - NoS - SuccessfulF – FailedU - UnknownY – Yes, result unspecified


220 prev_cno 505-506 2 N Number of Previous Cesarean Deliveries. Entered if Medical Risk Factors Box 07 is checked.



221 forcfail 507-507 1 C Method of Delivery, Forceps FailedIndicates whether forceps delivery was attempted but unsuccessful.

***2003-Present***N - NoY - YesU - Unknown


222 vacfail 508-508 1 C Method of Delivery, Vacuum FailedIndicates whether vacuum extraction delivery was attempted but unsuccessful.

***2003-Present***N - NoY - YesU - Unknown


223 fet_pres 509-509 1 C Fetal Presentation at Birth

***2003-Present***C - CephalicB – BreechO - OtherU - Unknown


224 dmethfin 510-510 1 C Final Route and Method of Delivery

***2003-Present***1 – Spontaneous vaginal2 – Forceps3 - Vacuum4 – Cesarean with Trial of Labor5 – Cesarean without Trial Labor9 - Unknown


225 labchar1 511-512 2 C Characteristics of Labor and 226 labchar2 513-514 2 Delivery227 labchar3 515-516 2 This field consists of seven 2-228 labchar4 517-518 2 digit entries. Each 2-digit entry 229 labchar5 519-520 2 corresponds to one of the 230 labchar6 521-522 2 characteristics listed below. 231 labchar7 523-524 2 Blanks in these 2-digit entries

will make up the remainder of the field after the last

characteristic.

***2003-present***01 – Induction of Labor02 – Augmentation of Labor03 – Non-Vertex Presentation04 – Epidural or Spinal Anesthesia

during Labor05 – Steroids (glucocorticoids)

Received by the Mother Prior to Delivery

06 – Antibiotics Received by the Mother during Labor

07 – Clinical Chorioamnionitis Diagnosed During Labor or Maternal Temperature >=880C (100.40F)

08 – Moderate/Heavy Meconium Staining of the Amniotic Fluid

09 – Fetal Intolerance of Labor such that One or More of the Following Actions was Taken: In-utero Resuscitation Measures, Further Fetal Assessment, or Operative Delivery

10 – None of the Above99 - Unknown/Not Stated

***1980-2002***

Not collected. See ‘Complications of Labor and/or Delivery’ (Field #81-87).

232 minfect1 525-526 2 C Maternal Infections 233 minfect2 527-528 2 Infections Present and/or Treated 234 minfect3 529-530 2 During This Pregnancy. This field 235 minfect4 531-532 2 consists of seven 2-digit entries. 236 minfect5 533-534 2 Each 2-digit entry corresponds to237 minfect6 535-536 2 one of the infections listed below. 238 minfect7 537-538 2 Blanks in these 2-digit entries


infection.

***2003-present***01 – Gonorrhea02 – Syphilis03 – Herpes Simplex Virus (HSV)04 – Chlamydia05 – Hepatitis B06 – Hepatitis C08 – Other Specify:09 – None of the Above 99 - Unknown/Not Stated

***1980-2002***Not collected

239 mmorbid1 539-540 2 C Maternal Morbidity. Complications 240 mmorbid2 541-542 2 Associated with Labor and 241 mmorbid3 543-544 2 Delivery. This field consists of 242 mmorbid4 545-546 2 five 2-digit entries. Each 2-digit 243 mmorbid5 547-548 2 entry corresponds to one of the

complications listed below. Blanks in these 2-digit entries


complication.

***2003-present***01 – Maternal Transfusion02 – Third or Fourth Degree

Perineal Laceration03 – Ruptured Uterus04 – Unplanned Hysterectomy05 – Admission to Intensive Care

Unit06 – Unplanned Operating Room

Procedure Following Delivery07 – None of the Above99 - Unknown/Not Stated

***1980-2002***

Not collected.

244 labons1 549-550 2 C Onset of Labor 245 labons2 551-552 2 This field consists of246 labons3 553-554 2 three 2-digit entries. Each 2-

digit entry corresponds to one of

the conditions listed below. Blanks in these 2-digit entries


condition.

***2003-present***01 – Premature Rupture of the

Membranes (Prolonged, >=12hr)

02 – Precipitous Labor (<3hr)03 – Prolonged Labor (>=20hr)04 – None of the Above99 - Unknown/Not Stated

***1980-2002***Not collected.

247 downsflg 555-555 1 C Down Syndrome FlagIndicates whether karyotype was confirmed or pending. Entered if Congenital Malformations Box 10 is checked. ***2003-Present***C – ConfirmedP - PendingU - Unknown


248 chromflg 556-556 1 C Chromosomal Disorder FlagIndicates whether karyotype was confirmed or pending. Entered if Congenital Malformations Box 11 is checked. ***2003-Present***C – ConfirmedP - PendingU - Unknown


249 moracsum 557-558 2 N Mother’s Summary Race

Mother’s race based on all check boxes reported, edited to remove duplicate race group. There is one code for each possible race combination. Before using this field, see “Data Quality Technical Notes – Race/Hispanic Origin (Mother, Father, Child).”

Note: for the race codes below, AIAN = American Indian/Alaska Native; NHOPI = Native Hawaiian or Other Pacific Islander.

***2003-Present***Single race10 – White only11 – Black only12 – AIAN only13 – Asian only14 – NHOPI onlyTwo races20 – White, Black21 – White, AIAN22 – White, Asian23 – White, NHOPI24 – Black, AIAN25 – Black, Asian26 – Black, NHOPI27 – AIAN, Asian28 – AIAN, NHOPI29 – Asian, NHOPIThree races30 – White, Black, AIAN31 – White, Black, Asian32 – White, Black, NHOPI33 – White, AIAN, Asian34 – White, AIAN, NHOPI35 – White, Asian, NHOPI36 – Black, AIAN, Asian37 – Black, AIAN, NHOPI38 – Black, Asian, NHOPI39 – AIAN, Asian, NHOPIFour races40 – White, Black, AIAN, Asian41 – White, Black, AIAN, NHOPI42 – White, Black, Asian, NHOPI43 – White, AIAN, Asian, NHOPI44 – Black, AIAN, Asian, NHOPIFive races50 – White, Black, AIAN, Asian, NHOPIUnknown99 - Unknown

***1980-2002***

Not Collected

250 faracsum 559-560 2 N Father’s Summary RaceFather’s race based on all check boxes reported, edited to remove duplicate race group. There is one code for each possible race combination. Before using this field, see “Data Quality Technical Notes – Race/Hispanic Origin (Mother, Father, Child).”

***2003-Present***See ‘Mother’s Summary Race” (moracsum) field


251 bmi 561-564 4 N Body Mass IndexCalculated from prepregnancy weight and height. Before using this field, see “Data QualityTechnical Notes – Body Mass Index (BMI).” BMI has one decimal place.

***2003-Present***99.9 - Unknown


252 filler 565-610 This space intentionally left blank

253 dthsex 611-611 1 C SexSource: Death Certificate***1981-Present***F - FemaleM - MaleU - Unknown

254 dth_date 612-619 8 N Date of Death Source: Death Certificate***1981-Present***YYYYMMDD 99999999 - Unknown/Not Stated

255 dthrace 620-620 1 C RaceSource: Death CertificateCoding of race follows the National Center for Health Statistics (NCHS) guidelines. Before using this

field, see “Data Quality Technical Notes - Race/Hispanic Origin”.

For a list of the codes, see the father’s race

(race_dad) field.

256 dageunit 621-621 1 C Age Unit Type Source: Death CertificateIndicates the unit in which age was reported (e.g., years, months,

etc.). To determine age of decedent at time of death use this field

with the number of age unit (ageunum). Before using this field, see “Data Quality Technical

Notes - Age at Death.”

***1981-Present***0 - Years 1 to 991 - Years 100 or more2 - Months4 - Days5 - Hours6 - Minutes9 - Unknown/Not Stated

257 dageunum 622-623 2 N Age, Number of UnitsSource: Death CertificateUse number of age units (ageunum)

with the age unit (ageunit) field to determine age of decedent at time of death. Before using this

field, see “Data Quality Technical Notes - Age at Death.” Range of

correct values are:

***1981-Present***01-99 - Years 1 to 9900-99 - Years 100 or more01-11 - Months01-03 - Weeks01-31 - Days01-23 - Hours01-59 - Minutes99 - Unknown/Not Stated**Note: Age is unknown if ageunit=9 and ageunum=99.

258 dthhisp 624-624 1 C Hispanic OriginSource: Death CertificateCoding follows NCHS guidelines.


1988. Before using this field, see “Data Quality Technical Notes - Race/Hispanic

Origin.”

For a list of the codes, see the father’s

Hispanic origin (hisp_dad) field.

259 dthdobyr 625-628 4 N Date of Birth, YearSource: Death Certificate

***1981-Present***YYYY 9999 - Unknown/Not Stated

260 dthdobmo 629-630 2 N Date of Birth, MonthSource: Death Certificate

***1981-Present***MM 99 - Unknown/Not Stated

blank 631-632 2 This field intentionally leftblank.

261 dcityocc 633-636 4 C County and City of OccurrenceSource: Death CertificateCity in which the death occurred.

If the death occurred in Washington State, this field will be greater than “0000.”

If a death occurs in a place with a population less than 2,500, it is

assigned to the rural portion of the county.

Note: Use this field to select deaths occurring in a specific county or city. See the

County and City of Residence (city_res) to select by place of residence.


City/County/State of Residence and Occurrence.”

For a list of the codes, see the birth county and city of

occurrence (city_occ) field.

262 dcntyocc 633-634 2 C County of Occurrence

Source: Death CertificateCounty in which the death occurred.If the death occurred in Washington State, this field will be greater

than “00.”

Note: Use this field to select deaths occurring in a specific county. See the County of

Residence (cnty_res) to select by county of residence. Before using this field, see “Data Quality Technical Notes - City/

County/State of Residence and Occurrence.”

For a list of the codes, see the birth county of occurrence

(cnty_occ) field.

263 dthfacil 637-639 3 C Facility or Institution of DeathSource: Death CertificateBefore using this field, see “Data

Quality Technical Notes - Facility of Death”. For code table see ASCII file “facility.asc”.

264 dbstate 640-641 2 C State of Birth Source: Death CertificateNCHS state code. In addition to

the 50 states, the District of Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico receive unique codes in this field.

For a list of the codes, see the mother’s birth

state (birplmom) field.


265 dcityres 644-647 4 C County and City of ResidenceSource: Death CertificateIf the residence is in Washington

State, this field will be greater than “0000.”

If the place of residence has a population less than 2,500, it

is assigned to the rural portion of the county.

Note: Use this field to select deaths for residents in a

specific county or city. See the County and City of Occurrence (city_occ) to select by place of occurrence.

Before using this field, see “Data Quality Technical Notes - City/ County/State of Residence and

Occurrence.”



266 dcntyres 644-645 2 C County of Residence Source: Death CertificateIf the death occurred in Washington State, this field will be greater

than “00.”

Note: Use this field to select deaths for residents in a

specific county. See the County of Occurrence (cnty_occ) to select by county of occurrence. Before using this field, see “Data Quality

Technical Notes - City/ County/State of

Residence and Occurrence.”


(cnty_occ)field.


267 contrib 650-650 1 C Contributory Cause of DeathSource: Death CertificateThis field was collected until

1988. Dropped due to implementation of automated coding system for

contributory causes known as Mortality Medical Indexing,

Classification, and Retrieval (MICAR). See TRANSAX multiple cause of death fields (injflg1-injflg20, mltcse1-mltcse20).

***1988-Present***Blank Field

***1984-1987***0 - None

1 - Sudden Infant Death Syndrome (SIDS)

2 - Tuberculosis3 - Cancer4 - Diabetes Mellitus5 - Motor Vehicle Accident6 - Other Accident7 - Fall8 - Operations9 - Heart ConditionsA - HypertensionB - MalformationBlank - Not Coded

***1981-1983***0 - None1 - Sudden Infant Death Syndrome

(SIDS)2 - Tuberculosis3 - Cancer4 - Diabetes Mellitus5 - Motor Vehicle Accident6 - Other Accident7 - Fall8 - Operations9 - Heart ConditionsA - HypertensionBlank - Not Coded

268 underly 651-654 4 C Underlying Cause of DeathSource: Death Certificate

***1999-Present***See “International Classificationof Diseases - 10th revision (ICD-10) Volume 1.” For thosecauses that do not have a fourthdigit, the last digit in this field will be blank. The decimal point for the ICD-10 code is notincluded, but is implied betweenthe 3rd and 4th digit of the value in this field. Before using this field, see ….

***1980-1998***See “International Classification of Diseases - 9th revision (ICD-9)Volume 1.” For those causes that donot have a fourth digit, the last digit in this field will be blank.The decimal point for the ICD-9 code is not included, but is implied between the 3rd and 4th digit of the value in this field. For example, a value of 052

translates into an ICD code of 052(chicken pox) while a code of 0410 translates into 041.0 (Strep infection). Before using this field, see “Data Quality TechnicalNotes - Underlying Cause of Death” and the external event code (ecode)field for external event coding.Codes in the range of 800.0-999.9 in this field will always have an associated E code.

269 autopsy 655-655 1 C AutopsySource: Death CertificateIndicates whether an autopsy was

performed.

***1981-Present***1 - Yes2 - No9 - Unknown/Not Reported

270 inj_caus 656-656 1 C External CauseSource: Death CertificateIndicates type of injury, when an

external injury occurred. Reported when such injury was either the

underlying cause of death or a contributing cause.

***1981-Present***1 - Not Applicable2 - Accident3 - Suicide4 - Homicide5 - Undetermined

271 inj_date 657-664 8 N Injury DateSource: Death CertificateDate external injury occurred.

***1981-Present***YYYYMMDD 99999999 - Unknown/Not StatedBlank - Not Applicable

272 inj_hour 665-666 2 C Injury HourSource: Death CertificateThe time in which the external

injury occurred in 24-hour format.

Midnight has a value of ‘24’, any time after

midnight but before 1 am has a value of ‘00’. For related

information, see the injury time, AM or PM (inj_ampm) field. Before

using this field, see “Data Quality Technical Notes - Time of

Death/Injury (Hours, Minutes, AM/PM).”

***1981-Present***00-2499 - Unknown/Not StatedBlank - Not Applicable

273 inj_min 667-668 2 C Injury MinuteSource: Death CertificateThe time in which the external

injury occurred specified to the minute. This field was first

collected in 1992. Records prior to 1992 will have a value of ‘30’

unless the record has recently been updated in which case an actual value will be found. Before using

this field, see “Data Quality Technical Notes -

Time of Death/Injury Hours, Minutes,

AM/PM).”

***1992-Present***00-5999 - Unknown/Not StatedBlank - Not Applicable

***1981-1991***30 - Default Value

274 injatwrk 669-669 1 C Injury at WorkSource: Death CertificateIndicates whether external injury

occurred at work.

***1981-Present***0 - Not Applicable1 - Yes2 - No9 - Unknown

275 injplace 670-670 1 C Place External Injury Occurred Source: Death CertificateBefore using this field, see “Data

Quality Technical Notes - Place External Injury Occurred.”

***1995-Present***A - AgricultureB - Mining, Quarrying, Oil and Gas

WellsC - ConstructionD - ManufacturingE - Transportation and Public

Utility

F - TradeG - ServiceH - GovernmentI - Other and Unspecified IndustryJ - HomeK - PublicL - Unknown/Not StatedM - Nursing HomeN - PrisonP - HospitalBlank - Not Applicable

***1986-1994***A - AgricultureB - Mining, Quarrying, Oil and Gas


Utility

F - TradeG - ServiceH - GovernmentI - Other and Unspecified IndustryJ - HomeK - PublicL - Unknown/Not StatedM - Nursing HomeN - PrisonBlank - Not Applicable

***1983-1985***A - AgricultureB - Mining, Quarrying, Oil and Gas


Utility

F - TradeG - ServiceH - GovernmentI - Other and Unspecified IndustryJ - Home

K - PublicL - Unknown/Not StatedBlank - Not Applicable

***1981-1982***0 - Home1 - Farm2 - Mine & Quarry3 - Industrial Place, Premise4 - Place for Recreation & Sport5 - Street & Highway6 - Public Building7 - Resident Institution8 - Other Specified Place9 - UnknownBlank - Not Applicable

276 city_inj 671-674 4 C County and City of External Injury Source: Death CertificateIf an external injury occurred in

Washington State, this field will be greater than ‘0000.’

If the injury occurs in a place with a population less than

2,500, it is assigned to the rural portion of the county.


City/ County/State of Residence and Occurrence.”



277 cnty_inj 671-672 2 C County of External Injury Source: Death CertificateIf an external injury occurred in

Washington State, this field will be greater than ‘00.’


(cnty_occ)field.


278 dth_hour 676-677 2 C Death HourSource: Death CertificateThe time at which the decedent died in 24-hour format. Midnight has a

value of ‘24’, any time after midnight but before 1 am has a

value of ‘00’. Before using this field, see “Data Quality Technical Notes - Time of Death/Injury (Hours, Minutes,

AM/PM).” For related information, see the death AM or PM (dth_ampm) field.

**1981-Present***00-2499 - Unknown/Not Stated

279 dth_min 678-679 2 C Death MinuteSource: Death CertificateThe time at which the decedent died specified to the minute. This

field was first collected in 1992. Records prior to 1992 will have a value of ‘30’ unless the record has recently been updated in which case an actual value will be found.

Before using this field, see “Data Quality Technical Notes - Time of Death/Injury (Hours, Minutes,

AM/PM).”

***1992-Present***00-5999 - Unknown/Not Stated

***1981-1991***30 - Default Value

280 dattclas 680-681 2 C Classification of Certifier at Death

Source: Death Certificate

***1998-Present***01 - Physician, MD02 - Coroner/Pathologist03 - Osteopath, DO04 - Chiropractor05 – Sanipractor06 – Physician’s Assistant09 - Other

***1981-1997***01 - Physician, MD02 - Coroner/Pathologist03 - Osteopath, DO04 - Chiropractor05 - Sanipractor09 - Other

blank 682-690 9 This field intentionally left blank.

281 dfac_typ 691-691 1 C Facility Type for Place of DeathSource: Death CertificateBefore using this field, see “Data

Quality Technical Notes - Facility of Death”.

***1981-Present***0 - Home1 - Other Place2 - In Transport3 - Emergency Room4 - Hospital5 - Nursing Home9 - Unknown

282 dzipcode 692-696 5 C ZIP Code of ResidenceSource: Death CertificateFive digit zip code.


***1981-1987***Blank Field


283 dresunit 706-706 1 C Length of Residence, Unit TypeSource: Death CertificateIndicates the unit in which length

of residence was reported (e.g., years, months, weeks, etc.). To

determine length of residence use unit type (resunit) with the number of units (resunum).

***1992-Present***0 - Years 1 to 991 - Years 100 or more2 - Months3 - Weeks4 - Days5 - Hours6 - Minutes9 - Unknown/Not Stated

***1981-1991***9 - Not Collected

284 dresunum 707-708 2 N Length of Residence, Number of Units

Source: Death Certificate

Use number of units (resunum) with the unit type

(resunit) field to determine length of residence.

***1992-Present***Range of correct values are: 01-99 - Years 1 to 9900-99 - Years 100 or more01-11 - Months01-03 - Weeks01-31 - Days01-23 - Hours01-59 - Minutes99 - Unknown/Not Stated**Note: Length of residence is

unknown if resunit=9 and

resunum=99.

***1981-1991***99 - Not Collected

285 dst_res 709-710 2 C State of ResidenceSource: Death CertificateNCHS state code. In addition to the 50 states, the District of

Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico receive unique codes in this field. For a list of the codes, see the mother’s birth state

(birplmom)field.

286 dst_occ 711-712 2 C State of OccurrenceSource: Death CertificateNCHS state code. In addition to the 50 states, the District of

Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico receive unique codes in this field. For a list of codes, see the mother’s birth state

(birplmom) field.


287 dth_ampm 714-714 1 C Death AM or PMSource: Death CertificateThe time at which the decedent

died. This field will have a value only if AM or PM was written on the

death certificate but the hour of

death was not given. If the hour of death was given, then the hour was entered in the death hour

(dth_hour) field. Before using this field, see “Data Quality

Technical Notes - Time of Death/Injury (Hours,

Minutes, AM/PM).”

***1981-Present***A - AMP - PMBlank - Not Applicable

288 dcitizen 715-715 1 C Citizenship StatusSource: Death CertificateIndicates decedent’s citizenship.


***1989-1991***1 - US citizen2 - Not US citizen9 - Unknown

***1988***Blank Field

***1981-1987***1 - US citizen2 - Not US citizen9 - Unknown

289 dthage 716-718 3 N Age in YearsSource: Death CertificateCalculated from the age unit

(ageunit) and the number of age units (ageunum) fields. This is based on the age given by the

informant on the death certificate. Before using this field, see “Data

Quality Technical Notes - Age atDeath.”

***1981-Present***0 - Less than 1 year999 - Unknown


290 emergent 779-779 1 C Emergency Care CodeSource: Death Certificate

Indicates whether emergency care was given to

the decedent.


***1981-1987***1 - Yes2 - No9 - Unknown/Not Stated

291 inj_ampm 780-780 1 C Injury Time, AM or PMSource: Death CertificateThe time at which the external

injury occurred. This field will only contain an entry if AM or PM was written on the death

certificate but the specific hour of injury was not given. If the hour of injury was given, then the hour was entered in the injury hour (inj_hour) field. Before using this field, see “Data Quality

Technical Notes - Time of Death/Injury (Hours,

Minutes, AM/PM).”

***1981-Present***A - AMP - PMBlank - Not Applicable

292 st_inj 781-782 2 C State of External Injury Occurrence Source: Death CertificateNCHS state code. In addition to

the 50 states, the District of Columbia, the Virgin Islands, Cuba, Guam, Puerto Rico, Canada and Mexico receive unique codes in this field. For a list of the codes, see the mother’s birth state

(birplmom) field. Note: ‘00’ code indicates no external injury.


293 dincity 788-788 1 C Inside City Limits FlagSource: Death CertificateIndicates whether the decedent’s

place of residence was reported as being inside city limits.

***1992-Present***N - NoY - YesU - Unknown/Not Stated

***1981-1991***Blank Field

294 disptype 789-789 1 C Disposition TypeSource: Death CertificateIndicates the manner of disposition used for the remains of the

decedent.

***1981-Present***1 - Burial2 - Cremation3 - Removal4 - Medical Research5 - Body Not Recovered9 - Unknown

295 dispdate 790-797 8 N Disposition DateSource: Death CertificateIndicates the date on which the

remains of the decedent were

disposed of through burial, cremation, or some other method.

***1985-Present***YYYYMMDD99999999 - Unknown/Not Stated

***1981-1984***99999999 - Not Collected

296 funeralc 798-801 4 C Funeral Home CodeSource: Death CertificateCode for facility that handled the

disposition of the remains of the decedent. (NOTE: This is an

unedited field which may contain errors due to data entry. For the

lists of funeral home names, refer to funeral.asc code table

directory.)

***1991-Present***See “funeral.asc” for codes.

***1981-1990***Blank Field

297 referred 802-802 1 C Coroner Referred

Source: Death CertificateIndicates whether a medical

examiner or coroner examined the

deceased.

***1981-Present***1 - Yes2 - Not9 - Unknown/Not Stated

298 drcvdt 803-810 8 N County Receive DateSource: Death CertificateThe date the death certificate was

received at the county registrar’s

office.

***1981-Present***YYYYMMDD99999999 - Unknown/Not Stated

299 filler 811-811

300 ecode 812-812 1 C External Event CodeSource: Death CertificateSee “International Classification

of Diseases - 9th revision (ICD-9) Volume 1.” To determine the

underlying cause of death for injury and poisoning, the external

event is coded rather than the injury from the external event.

Note that the underlying cause of death cannot be an injury (ICD 800-

999). In these deaths the

underlying cause of death is the external event (ICD E800-E999) that resulted in the injury. Before

using this field, see “Data Quality Technical Notes - External Cause of

Death”.

***1981-Present***E - External EventBlank - No External Event

301 transax 813-813 1 C TRANSAX Conversion FlagSource: Death CertificateGenerated by Translation of Axis

(TRANSAX), indicates that an

alteration of the literal codes has occurred.

***1988-Present***3 - Conversion using non-ambivalent table entries4 - Conversion using ambivalent

table entries5 - Duplicate entity-axis codes

deleted; no other action involved

6 - Artificial code conversion, no other action

Blank - No Action

***1981-1987***Blank Field

302 injflg1-20 814+303 mltcs1-20 815+

TRANSAX Multiple Cause Coding Record Axis Conditions (TRANSAX)Source: Death CertificateSpace has been provided for a

maximum of 20 conditions. Each

condition takes 5 positions in the record. Records that do not have

20 conditions are blank in the unused area. Before using this field, see “Data Quality Technical

Notes - Multiple Cause of Death.”

***1981-1987***Blank Field

***1988-Present***Position 1: Injury FlagThere are two sets of codes in the range of 800.0-999.9: nature of injury codes (without an E) and codes for external events (E8000-E9999). This field identifies which type of code is used with the associated ICD-9 code in position 2-5.

1 - Indicates that the code is a nature of injury code if the ICD-9 code is in the range of 800.0-999.

0 – Indicates that the code is an external event code (preceded by an E) IF the ICD-9 code is in the range of 800.0-999.9

Position 2-5: ICD-9 Cause Code,

See “International Classification of Diseases - 9th

revision (ICD-9) Volume 1”.

304 injpnchs 914-914 1 C NCHS Place of Injury CodeSource: Death Certificate

***1999***0 – Home (Excludes: abandoned or derelict house (8), home under construction, but not yet occupied (6), institutional place of residence (1); Includes: about home, apartment, army camp, boarding house, cabin,caravan (trailer) park –residential, farm house, Hogan,home premises, home sidewalk, homeswimming pool, house (residential), noninstitutional place ofresidence, penthouse, private driveway to home, private garage,private garden to home, private walk to home, private wall to home,residence, roominghouse, swimming pool in private home or garden,trailer camp or court, yard (nototherwise specified), yard to home)

1 – Residential Institution(Includes: almshouse, army camp,children’s home, dormitoryfraternity house, home for thesick, hospice, institution (anytype), jail, military (camp)(reservation), nurse’s home,nursing home, old people’s home,orphanage, penitentiary, pensioner’s home, prison, prisoncamp, reform school, sorority house, state hospital)

2 – School, other institution and public administrative area (Excludes: building underconstruction (6), residential institution (1), sports and athletic areas (3); Includes: armory, assembly hall, campus, child center, church, cinema, clubhouse, college, country club, court house, dance hall, day care, day nursery, drive in theater, fire house, gallery, health club, health resort, health spa, hospital,institute of higher learning,

kindergarten, library, mission,movie house, museum, music hall, night club, opera house, playground at school, police precinct, police station or cell, post office, private club, public hall, salvation army, school (grounds)(yard), school (private) (public)(state), theatre, Turkish bath,University, YMCA, youth center, YWCA

3 – Sports and Athletics Area (Excludes: swimming pool or tennis court in private home or garden(0); Includes: baseball field, basketball court, cricket ground,dude ranch, fives court, footballfield, golf course, gymnasium, hockey field, hunting cabin, ice palace, racecourse, riding school,rifle range (not otherwisespecified), skating rink, sportsground, sports palace, squash court, stadium, swimming poolpublic) (private), tennis court

4 – Street and Highway (Includes:alley, bridge (not otherwisespecified), freeway, interstate,motorway, namedstreet/highway/interstate, pavement, road, roadside, sidewalk(not otherwise specified))

5 – Trade and service area (Excludes garage in private home (0); Includes: airport, bank, bar, body shop, café, casino, electric company, filling station, funeral home, garage – place of

work, garage away from highway

except home, garage building (for car storage), garage (not otherwise specified), gas station, hotel,loading platform – store, market (grocery or other commodity), motel, office, radio/televisionbroadcasting station, restaurant,salvage lot, service station, shop – commercial, shopping center,shopping mall, station – bus or railway, store, subway, tourist court, tourist home, warehouse)

6 – Industrial and construction areas (Includes: building under construction, coal pit, coalyard, construction job, dairy processing plant, dockyard, dry dock, electric tower, factor, foundary, gas works, grain elevator, gravel pit, highway under construction, industrial yard, loading platform – factory, logging operation area, lumber yard, mill pond, oil field, oil rig and other offshore installations, oil well, plant – industrial, power-station, produce building, railroad track or trestle, railway yard, sand pit, sawmill, sewage disposal plant, shipyard, shop, substation, subway track, tannery, tunnel under construction, wharf, workshop

7 – Farm (Excludes: farm house and home premises of farm (0); Includes: barn, barnyard, corncrib, cornfield, dairy, (not otherwise specified), farm buildings, farm pond or creek, farmland under cultivation, field (numbered or specialized), gravel pit on farm, orange grove, pasture, ranch (not otherwise specified), range (not otherwise specified), silo, state farm

8 – Other specified places (Includes: abandoned gravel pit, abandoned public building or home, air force firing range, bar pit or ditch, beach, beach resort, boy’s camp, building (not otherwise specified), camp, camping grounds, campsite, canal, caravan site, cemetery, city dump, damsite, derelict house, desert, ditch, dock (not otherwise specified), excavation site, fairgrounds, field (not otherwise specified), forest, fort, harbor, hill, holiday camp, irrigation canal or ditch, junkyard, lake (not otherwise specified), lake resort, manhole, marsh, military training ground, mountain, mountain cabin, mountain resort, named city, named lake, named town, nursery (not otherwise specified), open field, park,

parking lot, parking place, pier, pipeline, place of business (not otherwise specified), playground (not otherwise specified), pond or pool (natural), power line pole, prairie, private property, public place (not otherwise specified), public property, railway line, reservoir (water), resort (not otherwise specified), river, sea, seashore (not otherwise specified), seashore resort, sewer, specified address, stream, swamp, vacation resort, woods, zoo)

9 – Unspecified Place (Includes: bed, commode, country, downstairs, fireplace, hot tub, jobsite, near any place, on job, parked car, sofa, table tree)

***1980-1998***Blank field

305 bcountry 915-917 3 C Decedent’s Birth Country CodeSource: Death Certificate For code table see ASCII file

“country.asc.”

***1999***Blank – Decedent is not foreign

born

***1980-1998***Blank field

blank 918-923 6 This field intentionally left blank

306 deageozp 924-928 5 C Zip code assigned by GIS software***1988–present***

This is the zip code that wasassigned by the GIS software. Before using this field, see “Data Quality Technical Notes – Reported zip code and geocoded zip code.”

**** New Variables Beginning in 2004***********307 zip_occ 929-933 5 C Zip Code of Death Occurrence

308 deale8ed 934 1 C Decedent’s Years of Education if

highest education level (educ) is 8th grade or less.



***NOTE: Fields 72-91 give data for each check box on the death certificate. Before using these fields, see “Data Quality Technical Notes - Race/Hispanic Origin.” Bridged race data and Hispanic data are found in the old race/Hispanic fields. Edited data for multiple race analysis are at the end of the file (field 105).***

309 deah_no 935 1 C Hispanic Origin, Not Hispanic

Not Hispanic, as reported on the death certificate.

***2004-Present***Y – Yes N – No U – Entire Hispanic item unknown

***1980-2003***Not Collected. See hisp.

310 deah_mex 936 1 C Hispanic Origin, Mexican. See hisp_no for codes.

311 deah_pr 937 1 C Hispanic Origin, Puerto Rican. See hisp_no for codes.

312 deah_cub 938 1 C Hispanic Origin, Cuban. See hisp_no for codes.

313 deah_oth 939 1 C Hispanic Origin, Other Hispanic. See hisp_no for codes.

314 dear_wht 940 1 C Race, White, as reported on the death certificate.

***2004-Present***Y – Yes N – No U – Entire Race item unknown

***1980-2003***Not Collected. See race.

315 dear_blk 941 1 C Race, Black or African American. See race_wht for codes.

316 dear_ami 942 1 C Race, American Indian/Alaska Native See race_wht for codes.

317 dear_asi 943 1 C Race, Asian Indian. See race_wht for codes.

318 dear_chi 944 1 C Race, Chinese. See race_wht for codes.

319 dear_fil 945 1 C Race, Filipino. See race_wht for Codes.

320 dear_jap 946 1 C Race, Japanese. See race_wht for Codes.

321 dear_kor 947 1 C Race, Korean. See race_wht for Codes.

322 dear_vie 948 1 C Race, Vietnamese. See race_wht forCodes.

323 dear_oas 949 1 C Race, Other Asian. See race_wht for Codes.

324 dear_haw 950 1 C Race, Native Hawaiian. See

Race_wht for codes.

325 dear_gua 951 1 C Race, Guamanian or Chamorro. See Race_wht for codes.

326 dear_sam 952 1 C Race, Samoan. See race_wht for Codes.

327 dear_opi 953 1 C Race, Other Pacific Islander. See Race_wht for codes.

328 dear_oth 954 1 C Race, Other. See race_wht for Codes.

329 dres_trb 955-957 3 C Tribal reservation code.

330 dres_len 958 1 C Length of residence at Address, Unit type.331 dres_uni 959-960 2 C Length of Residence at Address,

# units

332 dinform 961-990 20 C Informant Relationship

333 dautoav 991 1 C Autopsy Available to complete the Cause of Death?

***2004-Present***1 - Yes

2 – No8 – Not reported9 – Unknown


334 dzpinjoc 992-996 5 C Zip code where injury occurred.

335 dpegstat 997 1 C If female, was decedent:

***2004-Present***1 – Not pregnant within 1 year2 – Pregnant at death3 – Not pregnant, but w/in 42 days4 – Not pregnant, but 43 days to 1yr8 – Not applicable9 – Unknown


336 dtbcontr 998 1 C Tobacco use contribute to Death? (information provided by theMedical Certifier)

***2004-Present***1 – Yes2 – No7 – Probably8 – Not reported9 – Unknown


337 dtrnsinj 999 1 C If transportation injury, specify:

***2004-Present***1 – Driver2 – Passenger3 – Pedestrian4 – Other8 – N/A9 – Unknown


338 dod_modi 1000 1 C Date of Death Modifier:

***2004-Present***A - ActualP – PresumedC – Court determined

F – Found


339 doccfd04 1001-1003 3 C Occupation-Federal Code 2004 Revision

***Field currently Blank***

340 dindfd04 1004-1006 3 C Industry–Federal Code 2004 Revision

***Field currently Blank***

blank 1007-1021 15 This field intentionally left blank

341 deracsum 1022-1023 2 C Decedent’s Summary Race

Decedent’s race based on all check boxes reported, edited to remove duplicate race group. There is one code for each possible race combination. Before using this field, see “Data Quality Technical Notes – Race/Hispanic Origin.”

Note: for the race codes below, AIAN = American Indian/Alaska Native; NHOPI = Native Hawaiian or Other Pacific Islander.

***2004-Present***Single race10 – White only11 – Black only12 – AIAN only13 – Asian only14 – NHOPI onlyTwo races20 – White, Black21 – White, AIAN22 – White, Asian23 – White, NHOPI24 – Black, AIAN25 – Black, Asian26 – Black, NHOPI27 – AIAN, Asian28 – AIAN, NHOPI29 – Asian, NHOPIThree races30 – White, Black, AIAN31 – White, Black, Asian32 – White, Black, NHOPI33 – White, AIAN, Asian

34 – White, AIAN, NHOPI35 – White, Asian, NHOPI36 – Black, AIAN, Asian37 – Black, AIAN, NHOPI38 – Black, Asian, NHOPI39 – AIAN, Asian, NHOPIFour races40 – White, Black, AIAN, Asian41 – White, Black, AIAN, NHOPI42 – White, Black, Asian, NHOPI43 – White, AIAN, Asian, NHOPI44 – Black, AIAN, Asian, NHOPIFive races50 – White, Black, AIAN, Asian, NHOPIUnknown99 - Unknown ***1980-2003***Not Collected

342 rinj_caus 1024 1 C Reported external cause See inj_caus for more information.

343 pnatfed 1025-1027 3 N NCHS method to calculate month prenatal care began.

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