File In-Processing Documentation · 2016-06-29 · Fetal Death 2003 Revision 07 Jun 2016 National...

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CDC/NCHS National Vital Statistics System Fetal Death 2003 Revision File In-Processing Documentation 07 Jun 2016

Transcript of File In-Processing Documentation · 2016-06-29 · Fetal Death 2003 Revision 07 Jun 2016 National...

Page 1: File In-Processing Documentation · 2016-06-29 · Fetal Death 2003 Revision 07 Jun 2016 National Vital Statistics System / File In-Processing Documentation Page 1 CHANGE HISTORY

CDC/NCHS National Vital Statistics System

Fetal Death 2003 Revision File In-Processing Documentation

07 Jun 2016

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CHANGE HISTORY Significant changes from the most recent previous version are highlighted in Olive Green. 07 Jun 2016 Updated Geographic References for 2014 Deleted items dropped by Good-to-Great Committee in 2014 and 2015 Updated References from DAEB to DACEB Modified Edits related to Mother’s Prepregnancy Weight, Mother’s Weight at Delivery, and Mother’s Weight Gain

Removed outdated Shipment Standards Corrected valid codes for Cause of Death Checkbox Items

05 Sep 2013 Original Version Released

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Table of Contents CHANGE HISTORY .............................................................................................................................................................................. 1

INTRODUCTION ................................................................................................................................................................................. 8

FORMAT .......................................................................................................................................................................................... 8

DATA ELEMENTS ............................................................................................................................................................................... 11

Date of Delivery (Fetus)—Year ..................................................................................................................................................... 12

State of Occurrence ...................................................................................................................................................................... 13

Certificate Number ........................................................................................................................................................................ 14

Void Flag ......................................................................................................................................................................................... 15

Auxiliary State File Number........................................................................................................................................................... 16

Time of Delivery ............................................................................................................................................................................. 17

Sex .................................................................................................................................................................................................. 18

Date of Delivery—Month .............................................................................................................................................................. 19

Date of Delivery—Day ...................................................................................................................................................................20

County of Occurrence ................................................................................................................................................................... 21

Place Where Delivery Occurred .................................................................................................................................................... 22

Facility ID (NPI)—if available ........................................................................................................................................................ 23

Facility ID (State-Assigned) ........................................................................................................................................................... 24

Date of Birth (Mother)—Year....................................................................................................................................................... 25

Date of Birth (Mother)—Month ...................................................................................................................................................26

Date of Birth (Mother)—Day ........................................................................................................................................................ 27

Date of Birth (Mother)—Edit Flag ................................................................................................................................................28

Mother's State of Birth .................................................................................................................................................................29

Mother's Country of Birth ............................................................................................................................................................ 30

Mother's Place of Residence ........................................................................................................................................................ 31

Mother's County of Residence ..................................................................................................................................................... 32

Mother's State of Residence ........................................................................................................................................................ 33

Mother's Country of Residence ....................................................................................................................................................34

Residence of Mother—Inside City Limits ..................................................................................................................................... 35

Date of Birth (Father)—Year ....................................................................................................................................................... 36

Date of Birth (Father)—Month..................................................................................................................................................... 37

Date of Birth (Father)—Day ........................................................................................................................................................ 38

Date of Birth (Father)—Edit Flag ................................................................................................................................................ 39

FILLER [Previously Mother Married?—Ever] ............................................................................................................................... 40

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FILLER [Previously Mother Married?—At Conception, at Delivery or any Time in Between] ................................................... 41

FILLER ............................................................................................................................................................................................. 42

Mother's Education .......................................................................................................................................................................43

Mother's Education—Edit Flag .................................................................................................................................................... 44

Mother of Hispanic Origin?—Mexican ........................................................................................................................................ 45

Mother of Hispanic Origin?—Puerto Rican ................................................................................................................................. 46

Mother of Hispanic Origin?—Cuban ............................................................................................................................................. 47

Mother of Hispanic Origin?—Other ............................................................................................................................................. 48

Mother of Hispanic Origin?—All .................................................................................................................................................... 49

Mother of Hispanic Origin?—Other Literal .................................................................................................................................. 51

Mother's Race—White.................................................................................................................................................................. 52

Mother's Race—Black or African American ................................................................................................................................ 53

Mother's Race—American Indian or Alaska Native ................................................................................................................... 54

Mother's Race—Asian Indian ....................................................................................................................................................... 55

Mother's Race—Chinese ............................................................................................................................................................. 56

Mother's Race—Filipino................................................................................................................................................................ 57

Mother's Race—Japanese ........................................................................................................................................................... 58

Mother's Race—Korean .............................................................................................................................................................. 59

Mother's Race—Vietnamese ....................................................................................................................................................... 60

Mother's Race—Other Asian ........................................................................................................................................................ 61

Mother's Race—Native Hawaiian ................................................................................................................................................62

Mother's Race—Guamanian or Chamorro ................................................................................................................................. 63

Mother's Race—Samoan ............................................................................................................................................................. 64

Mother's Race—Other Pacific Islander ....................................................................................................................................... 65

Mother's Race—Other ................................................................................................................................................................. 66

Mother's Race—All ........................................................................................................................................................................ 67

Mother's Race—First American Indian or Alaska Native Literal ................................................................................................ 69

Mother's Race—Second American Indian or Alaska Native Literal........................................................................................... 70

Mother's Race—First Other Asian Literal .................................................................................................................................... 71

Mother's Race—Second Other Asian Literal ............................................................................................................................... 72

Mother's Race—First Other Pacific Islander Literal .................................................................................................................... 73

Mother's Race—Second Other Pacific Islander Literal ............................................................................................................... 74

Mother's Race—First Other Literal .............................................................................................................................................. 75

Mother's Race—Second Other Literal ........................................................................................................................................ 76

Mother's Race Tabulation Variables ............................................................................................................................................... 77

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Attendant ...................................................................................................................................................................................... 78

Date of First Prenatal Care Visit—Month .................................................................................................................................... 80

Date of First Prenatal Care Visit—Day .......................................................................................................................................... 81

Date of First Prenatal Care Visit—Year ........................................................................................................................................82

FILLER [Previously Date of Last Prenatal Care Visit—Month] ................................................................................................... 84

FILLER [Previously Date of Last Prenatal Care Visit—Day] ........................................................................................................ 85

FILLER [Previously Date of Last Prenatal Care Visit—Year] ....................................................................................................... 86

FILLER [Previously Total Number of Prenatal Care Visits] .......................................................................................................... 87

FILLER [Previously Total Number of Prenatal Care Visits—Edit Flag] ....................................................................................... 88

Mother's Height—Feet ................................................................................................................................................................ 89

Mother's Height—Inches ............................................................................................................................................................. 90

Mother's Height—Edit Flag .......................................................................................................................................................... 91

Mother's Prepregnancy Weight ...................................................................................................................................................92

FILLER [Previously Mother's Weight at Delivery] ....................................................................................................................... 94

FILLER [Previously Mother's Weight at Delivery—Edit Flag] ..................................................................................................... 95

Did Mother get WIC Food for Herself? ........................................................................................................................................ 96

Previous Live Births Now Living................................................................................................................................................... 97

Previous Live Births Now Dead .................................................................................................................................................... 98

FILLER [Previously Previous Other Pregnancy Outcomes] ........................................................................................................ 99

Date of Last Live Birth—Month .................................................................................................................................................. 100

Date of Last Live Birth—Year ...................................................................................................................................................... 101

FILLER [Previously Date of Last Other Pregnancy Outcome—Month] .................................................................................... 103

FILLER [Previously Date of Last Other Pregnancy Outcome—Year] ........................................................................................ 104

Number of Cigarettes Smoked in 3 months prior to Pregnancy ............................................................................................... 105

Number of Cigarettes Smoked in 1st 3 months .......................................................................................................................... 106

Number of Cigarettes Smoked in 2nd 3 months ......................................................................................................................... 107

Number of Cigarettes Smoked in third trimester ...................................................................................................................... 108

Date Last Normal Menses Began—Year .................................................................................................................................... 109

Date Last Normal Menses Began—Month ................................................................................................................................. 110

Date Last Normal Menses Began—Day ...................................................................................................................................... 111

Computed Gestation in Months .................................................................................................................................................... 112

Risk Factors—Prepregnancy Diabetes ........................................................................................................................................ 113

Risk Factors—Gestational Diabetes ............................................................................................................................................ 114

Risk Factors—Hypertension Prepregnancy ................................................................................................................................ 115

Risk Factors—Hypertension Gestational .................................................................................................................................... 116

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FILLER [Previously Risk Factors—Previous Preterm Births] ...................................................................................................... 117

FILLER [Previously Risk Factors—Vaginal Bleeding] .................................................................................................................. 119

Risk Factors—Infertility Treatment ............................................................................................................................................ 120

Risk Factors—Previous Cesarean ................................................................................................................................................ 121

Risk Factors—Number Previous Cesareans—Edit Flag ............................................................................................................ 123

FILLER [Previously Infections Present—Gonorrhea] ................................................................................................................. 124

FILLER [Previously Infections Present—Syphilis] ...................................................................................................................... 125

FILLER [Previously Infections Present—Herpes Simplex (HSV)] .............................................................................................. 126

FILLER [Previously Infections Present—Chlamydia] ................................................................................................................. 127

FILLER [Previously Infections Present—Listeria] ...................................................................................................................... 128

FILLER [Previously Infections Present—Group B Streptococcus] ............................................................................................ 129

FILLER [Previously Infections Present—Cytomegalovirus] ...................................................................................................... 130

FILLER [Previously Infections Present—Parvovirus] .................................................................................................................. 131

FILLER [Previously Infections Present—Toxoplasmosis] .......................................................................................................... 132

FILLER [Previously Infections Present—Other] ......................................................................................................................... 133

FILLER ........................................................................................................................................................................................... 134

Method of Delivery—Fetal Presentation ................................................................................................................................... 135

Method of Delivery—Route and Method of Delivery ............................................................................................................... 136

Method of Delivery—Trial of Labor Attempted ........................................................................................................................ 137

FILLER [Previously Method of Delivery—Hysterotomy/Hysterectomy] .................................................................................. 138

FILLER [Previously Maternal Morbidity—Maternal Transfusion] ............................................................................................. 139

FILLER [Previously Maternal Morbidity—Perineal Laceration] ................................................................................................ 140

Maternal Morbidity—Ruptured Uterus ...................................................................................................................................... 141

FILLER [Previously Maternal Morbidity—Unplanned Hysterectomy] ...................................................................................... 142

Maternal Morbidity—Admit to Intensive Care .......................................................................................................................... 143

FILLER [Previously Maternal Morbidity—Unplanned Operation] ............................................................................................ 144

Weight of Fetus ........................................................................................................................................................................... 145

Weight of Fetus—Edit Flag ......................................................................................................................................................... 146

Obstetric Estimate of Gestation ................................................................................................................................................. 147

Obstetric Estimate of Gestation—Edit Flag ............................................................................................................................... 148

Estimated Time of Fetal Death ................................................................................................................................................... 149

Was an Autopsy Performed? ....................................................................................................................................................... 150

Examination Performed? .............................................................................................................................................................. 151

Were Autopsy or Histological Placental Examination Results used in Determining the Cause of Fetal Death? .................... 152

Plurality ........................................................................................................................................................................................ 153

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Set Order ...................................................................................................................................................................................... 154

Number of Fetal Deaths .............................................................................................................................................................. 155

Matching Number ....................................................................................................................................................................... 156

Plurality—Edit Flag ...................................................................................................................................................................... 157

FILLER [Previously Congenital Anomalies of the Fetus—Anencephaly] .................................................................................. 158

FILLER [Previously Congenital Anomalies of the Fetus—Meningomyelocele/Spina Bifida] ................................................... 159

FILLER [Previously Congenital Anomalies of the Fetus—Cyanotic congenital heart disease] ................................................ 160

FILLER [Previously Congenital Anomalies of the Fetus—Congenital diaphragmatic hernia] .................................................. 161

FILLER [Previously Congenital Anomalies of the Fetus—Omphalocele].................................................................................. 162

FILLER [Previously Congenital Anomalies of the Fetus—Gastroschisis] .................................................................................. 163

FILLER [Previously Congenital Anomalies of the Fetus—Limb Reduction Defect] ................................................................. 164

FILLER [Previously Congenital Anomalies of the Fetus—Cleft Lip with or without Cleft Palate] ........................................... 165

FILLER [Previously Congenital Anomalies of the Fetus—Cleft Palate Alone] .......................................................................... 166

FILLER [Previously Congenital Anomalies of the Fetus—Down Syndrome] ............................................................................ 167

FILLER [Previously Congenital Anomalies of the Fetus—Suspected Chromosomal disorder] ............................................... 168

FILLER [Previously Congenital Anomalies of the Fetus—Hypospadias] .................................................................................. 169

SYSTEM VARIABLE Receipt Date ................................................................................................................................................. 170

Event Date Lag ............................................................................................................................................................................... 171

Mother's Reported Age .............................................................................................................................................................. 172

Mother's Computed Age .............................................................................................................................................................. 173

Father's Reported Age ................................................................................................................................................................ 175

Father's Computed Age ................................................................................................................................................................ 176

Risk Factors—Hypertension Eclampsia ...................................................................................................................................... 177

Risk Factors—Infertility: Fertility Enhancing Drugs .................................................................................................................. 178

Risk Factors—Infertility: Asst Rep Technology ........................................................................................................................ 179

Date of Registration—Year......................................................................................................................................................... 180

Date of Registration—Month ...................................................................................................................................................... 181

Date of Registration—Day .......................................................................................................................................................... 182

Date of Registration Lag ............................................................................................................................................................... 183

Calculated Lag............................................................................................................................................................................... 184

FILLER ........................................................................................................................................................................................... 185

Initiating Cause/Condition—Rupture of membranes prior to onset of labor .......................................................................... 186

Initiating Cause/Condition—Abruptio placenta......................................................................................................................... 187

Initiating Cause/Condition—Placental insufficiency .................................................................................................................. 188

Initiating Cause/Condition—Prolapsed cord ............................................................................................................................. 189

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Initiating Cause/Condition—Chorioamnionitis .......................................................................................................................... 190

Initiating Cause/Condition—Other complications of placenta, cord, or membranes .............................................................. 191

Initiating Cause/Condition—Unknown ...................................................................................................................................... 192

Initiating Cause/Condition—Maternal conditions/diseases Literal .......................................................................................... 193

Initiating Cause/Condition—Other complications of placenta, cord, membranes Literal ...................................................... 194

Initiating Cause/Condition—Other obstetrical or pregnancy complications Literal ............................................................... 195

Initiating Cause/Condition—Fetal anomaly Literal .................................................................................................................... 196

Initiating Cause/Condition—Fetal injury Literal ......................................................................................................................... 197

Initiating Cause/Condition—Fetal infection Literal ................................................................................................................... 198

Initiating Cause/Condition—Other fetal conditions/disorders Literal ...................................................................................... 199

Other Significant Causes or Conditions—Rupture of membranes prior to onset of labor .................................................... 200

Other Significant Causes or Conditions—Abruptio placenta ................................................................................................... 201

Other Significant Causes or Conditions—Placental insufficiency ............................................................................................. 202

Other Significant Causes or Conditions—Prolapsed cord ........................................................................................................ 203

Other Significant Causes or Conditions—Chorioamnionitis .................................................................................................... 204

Other Significant Causes or Conditions—Other complications of placenta, cord, or membranes ........................................ 205

Other Significant Causes or Conditions—Unknown ................................................................................................................ 206

Other Significant Causes or Conditions—Maternal conditions/diseases Literal ..................................................................... 207

Other Significant Causes or Conditions—Other complications of placenta, cord, or membranes Literal ............................ 208

Other Significant Causes or Conditions—Other obstetrical or pregnancy complications Literal ......................................... 209

Other Significant Causes or Conditions—Fetal anomaly Literal ............................................................................................... 210

Other Significant Causes or Conditions—Fetal injury Literal ..................................................................................................... 211

Other Significant Causes or Conditions—Fetal infection Literal .............................................................................................. 212

Other Significant Causes or Conditions—Other fetal conditions/disorders Literal ................................................................. 213

FILLER ........................................................................................................................................................................................... 214

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INTRODUCTION This document is intended to provide a user-friendly guide that details all of the rules that incoming Revised Fetal Death records are subject to, upon submission to the National Vital Statistics System (NVSS), as part of the Vital Statistics Cooperative Program. This is a living document, and will be updated as rules are modified and introduced. This process is continuous, resulting from the quality control operations performed on the data by the Data Acquisition, Classification and Evaluation Branch (DACEB) in Research Triangle Park, North Carolina. This document may contain information that is different from that which is published in the "Fetal Death Edit Specifications for the 2003 Revision of the U.S. Standard Report of Fetal Death". This new document does not serve as a replacement for that one, but rules contained herein supersede any that are explicitly stated in the older document for the purposes of routine feedback from NCHS to Jurisdictions. The rules and calculations in this document may differ from those provided by the Division of Vital Statistics as part of our year-end processing. Rules contained in this document are designed to quickly evaluate impossible or improbable conditions and values, in order to clean up data before the files are closed. Our year-end processing includes imputations and conversions designed to convert invalid, missing, or unknown values into valid values, following proscribed statistical methods. This document uses the term "jurisdiction" to refer to one of the 57 states, cities or US possessions that participate in the VSCP, but there are certain variable names that have traditionally used the word "state", and those are retained in this document. Likewise, references to Counties include county-like entities which may differ from jurisdiction to jurisdiction.

FORMAT The document contains an entry for every variable on the file, accounting for all 2740 bytes required to be submitted for a Revised Fetal Death record to be considered whole, and the entries are provided in sequence, from the beginning of the file to the end. Calculated fields are shown immediately after all components for the calculation have been described.

Position Variable Name Length Date Effective Data Years 61 Date of Birth (Mother)—Day

2 12 Dec 2012 2012 - Forward

Each entry shows the position in which the variable begins, the standard name for the variable, the length of the variable on the file, the date the documented information was first put into production, and the data years in which the information applies to.

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Typically, any changes made will go into production on 01 January of a given year, affecting only that data year and future data years, but there may be cases where rules become effective at different times. Any changes posted will indicate precisely when the change will be put into effect, and which data years must follow the modified rules. After each item's header, any of 4 different types of rules may be listed, and more than 1 rule may be listed for any variable.

REJECTION Values failing these rules will result in the record being rejected in its entirety. No additional rule checks are performed on the record. If this is a new record, it will NOT be inserted into the NVSS database, and will be considered MISSING. If this is an update record, any new values contained in the record will NOT be updated in the NVSS database.

VALIDATION

Validations may either be SIMPLE (affecting only one variable) or COMPOUND (affecting multiple variables). Values that fail SIMPLE validation are not within the acceptable range, and must be changed by the jurisdiction to one of the valid values shown. Values that fail COMPOUND validation may contain components that are individually valid, but their combination is not acceptable. One or more of the values in the failed validation must be changed such that the combination of variables evaluated is valid. Labels are shown for coded values. Some validations may require interim calculations to be made, denoted as CALCULATION.

VERIFICATION

Verifications may either be SIMPLE (affecting only one variable) or COMPOUND (affecting multiple variables), and are values or combinations of values that have passed VALIDATION, but are considered possible outliers. SIMPLE verifications affect variables that do not have an associated Edit Flag. These values require that the jurisdiction verify the value that has been reported (either at the time the data is collected or via follow-up querying), and either correct the value, or contact the assigned DACEB Vital Statistics Specialist, who will remove the VERIFICATION from future cumulative reports. COMPOUND verifications affect sets of variables that may or may not have an associated Edit Flag. These combinations must be verified or corrected by the jurisdiction. If available, the jurisdiction may set the Edit Flag to the proper value to confirm the verification, or may contact their assigned DACEB Vital Statistics Specialist, who will remove the VERIFICATION from future cumulative reports.

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NO EDIT

There are no edits performed on these variables. These items are shown for completeness. Sometimes, when jurisdictions request that NCHS returns files to them for their convenience, we may store certain calculated values in these fields.

Some items must be calculated (also denoted by CALCULATION) by applying an algorithm to other provided variables to arrive at a new variable. Pseudo-code is provided for each calculated item. These calculated fields are then subject to Validation and Verification. Typically, the algorithms are written such that calculated fields are not tested if any of the individual components have already failed a rule. For items which we have noticed consistent reporting problems, or have particularly complex rules, additional information or examples may be provided in a section labeled as NOTES.

Jurisdictions not reporting certain items or categories must notify their assigned DACEB Vital Statistics Specialist in writing before transmitting their initial files to NCHS. This is necessary so that we may adjust our systems to exclude the appropriate items or categories for the jurisdiction from our Validations. Otherwise, all variables not properly reported will be returned as errors to the jurisdiction for correction.

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DATA ELEMENTS

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Position Variable Name Length Date Effective Data Years

1 Date of Delivery (Fetus)—Year

4 12 Dec 2012 2012 - Forward

REJECTION The first two bytes must be 20. The last two bytes must be the same as the 3rd and 4th bytes of the filename submitted by the jurisdiction, representing the last two digits of the data year.

NOTES Records in a shipment must all come from the same data (calendar) year, and should reflect the year the event occurred, not the year the event was submitted. If a jurisdiction needs to submit records from a previous year, they must be in their own properly-named shipment. Records from the future are never acceptable. Example: 2016 is the only acceptable value for this variable for all Fetal Deaths occurring in a jurisdiction during Calendar Year 2016.

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Position Variable Name Length Date Effective Data Years

5 State of Occurrence

2 01 Jan 2014 2014 - Forward

REJECTION The value must be the same as the 1st and 2nd characters of the filename submitted by the jurisdiction, which must be the appropriate code for the submitting jurisdiction, as listed in Instruction Manual Part 8, 2014 version, Chapter 3b State Listing [including YC for New York City].

NOTES Jurisdictions should only submit records issued by their own jurisdiction, and never submit records received from other jurisdictions as part of the Interjurisdictional Exchange program.

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Position Variable Name Length Date Effective Data Years

7 Certificate Number

6 12 Dec 2012 2012 - Forward

REJECTION The value must consist of 6 numeric bytes. The value may not be 000000. The value must be unique within the shipment. The value may not exceed, by more than 50%, the value of the reported Final Certificate Number from the current year, or in the absence of that, the value of the Final Certificate Number from the previous closed year, by range.

NOTES If more than one record is submitted in a shipment with the same certificate number, all versions of that certificate are rejected. Since we do not know which version of the record is the most current, the jurisdiction must re-submit the record uniquely in a future batch. Jurisdictions often use reserved high ranges of certificate numbers for internal purposes for records that are not sent to NCHS as part of the VSCP. When jurisdictions submit these records by accident, large gaps of MISSING certificates are created, so these extraneous records will no longer be accepted if they fail this rule. Jurisdictions that choose to alter their ranges between data years must notify their assigned DACEB Vital Statistics Specialist in advance, to prevent their records from being rejected. Examples: If Jurisdiction X reported certificates ranging from 000001 to 000500 during the previous year, we would reject any certificate submitted during the current year exceeding a number of 000750 (50% more than 500). If Jurisdiction Y reported certificates ranging from 100001 to 100100 and 200001 to 200300 during the previous year, we would reject any certificate submitted during the current year from 100150 (50% more than 100) to 200000, as well as any certificate exceeding 200450. (50% above 300).

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Position Variable Name Length Date Effective Data Years

13 Void Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Valid Record 1 Void Record

NOTES No additional edit checks are performed on records identified as Void, and the data is never evaluated.

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Position Variable Name Length Date Effective Data Years

14 Auxiliary State File Number

12 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

26 Time of Delivery

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0000 – 0059 0100 – 0159 0200 – 0259 0300 – 0359 0400 – 0459 0500 – 0559 0600 – 0659 0700 – 0759 0800 – 0859 0900 – 0959 1000 – 1059 1100 – 1159 1200 – 1259 1300 – 1359 1400 – 1459 1500 − 1559 1600 – 1659 1700 – 1759 1800 – 1859 1900 – 1959 2000 – 2059 2100 – 2159 2200 – 2259 2300 – 2359 9999 Not Classifiable

NOTES The 24 hour clock is used to report this variable. No delimiters should be reported, or am or pm identifiers. The value 2400 is not acceptable, and should be reported as 0000.

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Position Variable Name Length Date Effective Data Years

30 Sex

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values F Female M Male N Not Yet Determined

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Position Variable Name Length Date Effective Data Years

31 Date of Delivery—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12

NOTES If the Date of Delivery is unknown because it is a foundling, the date the fetus was found should be entered as the Date of Delivery. Unknown values are not acceptable.

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Position Variable Name Length Date Effective Data Years

33 Date of Delivery—Day

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 31

COMPOUND VALIDATION Valid Combinations of Values

Date of Delivery—Year Date of Delivery—Month Date of Delivery—Day <Any> 01, 03, 05, 07, 08, 10, 12 01 − 31 <Any> 04, 06, 09, 11 01 − 30 <Any Leap Year> 02 01 − 29 <Any Non−Leap Year> 02 01 − 28

NOTES If the Date of Delivery is unknown because it is a foundling, the date the fetus was found should be entered as the Date of Delivery. Unknown values are not acceptable.

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Position Variable Name Length Date Effective Data Years

35 County of Occurrence

3 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Three-digit county codes listed in Instruction Manual Part 8, 2014 version, Chapter 3c, Counties and Places for the appropriate State of Occurrence.

NOTES Examples: 001 is the code for Allegany County if the State of Occurrence is MD (Maryland). 001 is the code for Barnstable County if the State of Occurrence is MA (Massachusetts). 001 is the code for Alcona County if the State of Occurrence is MI (Michigan).

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Position Variable Name Length Date Effective Data Years

38 Place Where Delivery Occurred

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 1 Hospital 2 Freestanding Birth Center 3 Home (Intended) 4 Home (Not Intended) 5 Home (Unknown if Intended) 6 Clinic/Doctor's Office 7 Other 9 Unknown

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Position Variable Name Length Date Effective Data Years

39 Facility ID (NPI)—if available

12 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

51 Facility ID (State-Assigned)

4 12 Dec 2012 2012 - Forward

NO EDIT

NOTES

Jurisdictions are requested to submit their own codes to denote the specific location in which the delivery occurred. NCHS Statisticians in RTP are able to more thoroughly investigate apparent quality control issues on the file by analyzing the data by facility, and reduce the number of issues returned to the jurisdiction for correction and verification. We can only use these codes if they are unique across the jurisdiction, and not repeated between counties.

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Position Variable Name Length Date Effective Data Years

55 Date of Birth (Mother)—Year

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values Less than File Year 9999 Not Classifiable

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Position Variable Name Length Date Effective Data Years

59 Date of Birth (Mother)—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 99 Not Classifiable

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Position Variable Name Length Date Effective Data Years

61 Date of Birth (Mother)—Day

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 31 99 Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Date of Birth (Mother)—Year Date of Birth (Mother)—Month Date of Birth (Mother)—Day <Any> (,9999) 01, 03, 05, 07, 08, 10, 12, 99 01 – 31, 99 <Any> (,9999) 04, 06, 09, 11 01 – 30, 99 <Any Leap Year>, 9999 02 01 – 29, 99 <Any Non−Leap Year> 02 01 – 28, 99

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Position Variable Name Length Date Effective Data Years

63 Date of Birth (Mother)—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Edit Passed 1 Data Queried

NOTES

This field may be used to confirm mothers whose Calculated Age is 54 through 64. States not using the Edit Flag may manually confirm Mother’s Age with their assigned Vital Statistics Specialist.

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Position Variable Name Length Date Effective Data Years

64 Mother's State of Birth

2 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Listed in Instruction Manual Part 8, 2014 version, Chapter 3b, State Listing, if the Country of Birth is United States, including XX when Mother's Country of Birth is not the United States, and ZZ when Not Classifiable.

NOTES Examples: MD is the code for Maryland when the Country of Birth is US (United States). MD is invalid if the Country of Birth is GM (Germany). XX is the only valid code when Country of Birth is MX (Mexico). ZZ is the only valid code when Country of Birth is ZZ (Not Classifiable).

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Position Variable Name Length Date Effective Data Years

66 Mother's Country of Birth

2 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Listed in Instruction Manual Part 8, 2014 version, Chapter 3a, Countries, including ZZ if Not Classifiable.

NOTES All codes in the list are available for use, even if the country no longer exists. Examples: RS is the code for Russia. UR is the valid code for Union of Soviet Socialist Republics, even though it no longer exists.

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Position Variable Name Length Date Effective Data Years

68 Mother's Place of Residence

5 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Five-digit place codes listed in Instruction Manual Part 8, 2014 version, Chapter 3c, Counties and Places for the reported Mother's State of Residence, including 00000 and 99999, as explained in the coding rules elsewhere in the manual.

NOTES Examples: 06308 is the code for Beverly Hills if the Country of Residence is US (United States) and the State of Residence is CA (California) and the County of Residence is 037 (Los Angeles County). 00000 is the only valid code when Country of Residence is FR (France). 99999 is the only valid code when Country of Residence is ZZ (Not Classifiable).

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Position Variable Name Length Date Effective Data Years

73 Mother's County of Residence

3 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Three-digit place codes listed in Instruction Manual Part 8, 2014 version, Chapter 3c, Counties and Places for the reported Mother's State of Residence, including 000 for Mothers whose Residence is outside the US, and 999 when Not Classifiable.

NOTES Examples: 001 is the code for Alameda County if the Country of Residence is US (United States) and the State of Residence is CA (California). 000 is the only valid code when Country of Residence is PE (Peru). 999 is the only valid code when Country of Residence is ZZ (Not Classifiable).

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Position Variable Name Length Date Effective Data Years

76 Mother's State of Residence

2 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Listed in Instruction Manual Part 8, 2014 version, Chapter 3b, State Listing, if the Country of Residence is United States or Canada, including XX when Mother's Country of Residence is not the United States, and ZZ when Not Classifiable.

NOTES The coding of Canadian Provinces and Territories is optional. Either the appropriate Canadian Province or Territory code may be provided, or the XX code used for Foreign Countries may be reported. Examples: CA is the code for California if the Country of Residence is US (United States). XX is the only valid code when Country of Residence is SP (Spain). ZZ is the only valid code when Country of Residence is ZZ (Not Classifiable).

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Position Variable Name Length Date Effective Data Years

78 Mother's Country of Residence

2 01 Jan 2014 2014 - Forward

SIMPLE VALIDATION Valid Values Listed in Instruction Manual Part 8, 2014 version, Chapter 3a, Countries, including ZZ when Not Classifiable, but excluding any entries followed by an asterisk.

NOTES Codes followed by an asterisk are provided for historical purposes only. Since these countries did not exist at the time the manual was produced, their codes may not be used to report a current Country of Residence. Examples: RS is the code for Russia. UR is an invalid code, since there is an asterisk following the code, denoting the entity no longer exists. ZZ is the code for Not Classifiable.

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Position Variable Name Length Date Effective Data Years

80 Residence of Mother—Inside City Limits

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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Position Variable Name Length Date Effective Data Years

81 Date of Birth (Father)—Year

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values Less than File Year 9999 Not Classifiable

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Position Variable Name Length Date Effective Data Years

85 Date of Birth (Father)—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 99 Not Classifiable

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Position Variable Name Length Date Effective Data Years

87 Date of Birth (Father)—Day

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 31 99 Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Date of Birth (Father)—Year Date of Birth (Father)—Month Date of Birth (Father)—Day <Any> (,9999) 01, 03, 05, 07, 08, 10, 12, 99 01 – 31, 99 <Any> (,9999) 04, 06, 09, 11 01 – 30, 99 <Any Leap Year>, 9999 02 01 – 29, 99 <Any Non−Leap Year> 02 01 – 28, 99

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Position Variable Name Length Date Effective Data Years

89 Date of Birth (Father)—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Edit Passed 1 Data Queried

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Position Variable Name Length Date Effective Data Years

90 FILLER [Previously Mother Married?—Ever]

1 16 Jun 2015 2015 - Forward

NO EDIT

NOTES This item was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

91 FILLER [Previously Mother Married?—At Conception, at Delivery or any Time in Between]

1 16 Jun 2015 2015 - Forward

NO EDIT

NOTES This item and related compound validation was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

92 FILLER

1 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

93 Mother's Education

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 1 8th grade or less 2 9th through 12th grade, no diploma 3 High School Graduate or GED Completed 4 Some college credit, but no degree 5 Associate Degree 6 Bachelor’s Degree 7 Master’s Degree 8 Doctorate Degree or Professional Degree 9 Unknown

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Position Variable Name Length Date Effective Data Years

94 Mother's Education—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Edit Passed 1 Edit Failed, Data Queried, and Verified 2 Edit Failed, Data Queried, but not Verified

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Position Variable Name Length Date Effective Data Years

95 Mother of Hispanic Origin?—Mexican

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values H Yes, Mexican N No, Not Mexican U Unknown

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Position Variable Name Length Date Effective Data Years

96 Mother of Hispanic Origin?—Puerto Rican

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values H Yes, Puerto Rican N No, Not Puerto Rican U Unknown

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Position Variable Name Length Date Effective Data Years

97 Mother of Hispanic Origin?—Cuban

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values H Yes, Cuban N No, Not Cuban U Unknown

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Position Variable Name Length Date Effective Data Years

98 Mother of Hispanic Origin?—Other

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values H Yes, other Hispanic N No, Not other Hispanic U Unknown

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Position Variable Name Length Date Effective Data Years

C Mother of Hispanic Origin?—All

12 Dec 2012 2012 - Forward

CALCULATION Mother of Hispanic Origin?—All => MHISPU Mother of Hispanic Origin?—Mexican => MHISP1 Mother of Hispanic Origin?—Puerto Rican => MHISP2 Mother of Hispanic Origin?—Cuban => MHISP3 Mother of Hispanic Origin?—Other => MHISP4

1 MHISPU = 0 2 If MHISP1 = U then MHISPU = MHISPU + 1 3 If MHISP2 = U then MHISPU = MHISPU + 1 4 If MHISP3 = U then MHISPU = MHISPU + 1 5 If MHISP4 = U then MHISPU = MHISPU + 1

SIMPLE VALIDATION Valid Values 0 No unknown Hispanic Values 4 All unknown Hispanic Values

NOTES Records must have either 0 or 4 unknown values for Hispanic Origin. The 4 Hispanic Origin variables are considered one item, which cannot be partially unknown.

CALCULATION Mother of Hispanic Origin?—All => MHISPA Mother of Hispanic Origin?—Mexican => MHISP1 Mother of Hispanic Origin?—Puerto Rican => MHISP2 Mother of Hispanic Origin?—Cuban => MHISP3 Mother of Hispanic Origin?—Other => MHISP4

1 MHISPA = 0

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2 If MHISP1 = H then MHISPA = MHISPA + 1 3 If MHISP2 = H then MHISPA = MHISPA + 1 4 If MHISP3 = H then MHISPA = MHISPA + 1 5 If MHISP4 = H then MHISPA = MHISPA + 1

SIMPLE VERIFICATION Values requiring Verification 4

NOTES Records with all 4 Hispanic Origins reported must be verified.

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Position Variable Name Length Date Effective Data Years

99 Mother of Hispanic Origin?—Other Literal

20 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

119 Mother's Race—White

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

120 Mother's Race—Black or African American

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

121 Mother's Race—American Indian or Alaska Native

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

122 Mother's Race—Asian Indian

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

123 Mother's Race—Chinese

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

124 Mother's Race—Filipino

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

125 Mother's Race—Japanese

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

126 Mother's Race—Korean

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

127 Mother's Race—Vietnamese

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

128 Mother's Race—Other Asian

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

129 Mother's Race—Native Hawaiian

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

130 Mother's Race—Guamanian or Chamorro

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

131 Mother's Race—Samoan

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

132 Mother's Race—Other Pacific Islander

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

133 Mother's Race—Other

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

C Mother's Race—All

12 Dec 2012 2012 - Forward

CALCULATION Mother's Race—All => MRACE Mother's Race—White => MRACE01 Mother's Race—Black or African American => MRACE02 Mother's Race—American Indian or Alaska Native => MRACE03 Mother's Race—Asian Indian => MRACE04 Mother's Race—Chinese => MRACE05 Mother's Race—Filipino => MRACE06 Mother's Race—Japanese => MRACE07 Mother's Race—Korean => MRACE08 Mother's Race—Vietnamese => MRACE09 Mother's Race—Other Asian => MRACE10 Mother's Race—Native Hawaiian => MRACE11 Mother's Race—Guamanian or Chamorro => MRACE12 Mother's Race—Samoan => MRACE13 Mother's Race—Other Pacific Islander => MRACE14 Mother's Race—Other => MRACE15

1 MRACE = 0 2 If MRACE01 = Y then MRACE = MRACE + 1 3 If MRACE02 = Y then MRACE = MRACE + 1 4 If MRACE03 = Y then MRACE = MRACE + 1 5 If MRACE04 = Y then MRACE = MRACE + 1 6 If MRACE05 = Y then MRACE = MRACE + 1 7 If MRACE06 = Y then MRACE = MRACE + 1 8 If MRACE07 = Y then MRACE = MRACE + 1 9 If MRACE08 = Y then MRACE = MRACE + 1 10 If MRACE09 = Y then MRACE = MRACE + 1 11 If MRACE10 = Y then MRACE = MRACE + 1 12 If MRACE11 = Y then MRACE = MRACE + 1 13 If MRACE12 = Y then MRACE = MRACE + 1 14 If MRACE13 = Y then MRACE = MRACE + 1 15 If MRACE14 = Y then MRACE = MRACE + 1 16 If MRACE15 = Y then MRACE = MRACE + 1

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SIMPLE VERIFICATION Values requiring Verification 7 - 15

NOTES Records with 7 or more race items coded as Y must be verified. To code Mother's Race as Unknown, all 15 individual race variables should be coded as N, and all literal fields left blank.

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Position Variable Name Length Date Effective Data Years

134 Mother's Race—First American Indian or Alaska Native Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

164 Mother's Race—Second American Indian or Alaska Native Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

194 Mother's Race—First Other Asian Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

224 Mother's Race—Second Other Asian Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

254 Mother's Race—First Other Pacific Islander Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

284 Mother's Race—Second Other Pacific Islander Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

314 Mother's Race—First Other Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

344 Mother's Race—Second Other Literal

30 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

374 Mother's Race Tabulation Variables

48 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

422 Attendant

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 1 MD 2 DO 3 CNM/CM 4 Other Midwife 5 Other (Specify) 9 Unknown

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Position Variable Name Length Date Effective Data Years

423 FILLER [Previously Mother Transferred?]

1 16 Jun 2015 2015 - Forward

NO EDIT

NOTES This item and related compound validation was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 80

Position Variable Name Length Date Effective Data Years

424 Date of First Prenatal Care Visit—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 88 Not Applicable 99 Not Classifiable

NOTES If it is known the Mother did not receive Prenatal Care, the entire date field must be reported as Not Applicable. Portions of dates may not be reported as Not Applicable.

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Position Variable Name Length Date Effective Data Years

426 Date of First Prenatal Care Visit—Day

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 31 88 Not Applicable 99 Not Classifiable

NOTES If it is known the Mother did not receive Prenatal Care, the entire date field must be reported as Not Applicable. Portions of dates may not be reported as Not Applicable.

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National Vital Statistics System / File In-Processing Documentation Page 82

Position Variable Name Length Date Effective Data Years

428 Date of First Prenatal Care Visit—Year

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values File Year [File Year – 1] 8888 Not Applicable 9999 Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Date of First Prenatal Care Visit—Year

Date of First Prenatal Care Visit—Month

Date of First Prenatal Care Visit—Day

<Any except 8888> (,9999) 01, 03, 05, 07, 08, 10, 12, 99 01 – 31, 99 <Any except 8888> (,9999) 04, 06, 09, 11 01 – 30, 99 <Any Leap Year>, 9999 02 01 – 29, 99 <Any Non−Leap Year> 02 01 – 28, 99 8888 88 88

CALCULATION Date of First Prenatal Care Visit vs Date of Delivery First Care Interval in Months => INTF Date of First Prenatal Care Visit—Year => FPNCY Date of First Prenatal Care Visit—Month => FPNCM Date of First Prenatal Care Visit—Day => FPNCD Date of Delivery—Year => DODY Date of Delivery—Month => DODM Date of Delivery—Day => DODD

1 If FPNCY = 8888 or 9999 or invalid, then INTF = X 2 Else if FPNCM = 88 or 99 or invalid, then INTF = X 3 Else if FPNCD = 88 or 99 or invalid, then INTF = X 4 Else if DODY is invalid, then INTF = X 5 Else if DODM is invalid, then INTF = X 6 Else if DODD in invalid, then INTF = X

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7 Else a. INTF = 12(DODY – FPNCY) + (DODM – FPNCM) b. If DODD <= FPNCD, then INTF = INTF – 1

SIMPLE VALIDATION First Care Interval in Months => INTF Valid Values 0 – 9 X Cannot Compute

NOTES The First Prenatal Care Visit must be before the Date of Delivery. A first visit to the doctor that results in a delivery on the same day is not considered Prenatal Care. The first visit cannot be more than 10 months prior to Date of Delivery. If it is known the Mother received Prenatal Care, it is acceptable to report partially unknown dates. If it is known the Mother did not receive Prenatal Care, the entire date field must be reported as Not Applicable. Portions of dates may not be reported as Not Applicable.

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National Vital Statistics System / File In-Processing Documentation Page 84

Position Variable Name Length Date Effective Data Years

432 FILLER [Previously Date of Last Prenatal Care Visit—Month]

2 09 Jun 2014 2014 - Forward

NO EDIT

NOTES This item was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2014.

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National Vital Statistics System / File In-Processing Documentation Page 85

Position Variable Name Length Date Effective Data Years

434 FILLER [Previously Date of Last Prenatal Care Visit—Day]

2 09 Jun 2014 2014 - Forward

NO EDIT

NOTES This item was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2014.

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National Vital Statistics System / File In-Processing Documentation Page 86

Position Variable Name Length Date Effective Data Years

436 FILLER [Previously Date of Last Prenatal Care Visit—Year]

4 09 Jun 2014 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2014.

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National Vital Statistics System / File In-Processing Documentation Page 87

Position Variable Name Length Date Effective Data Years

440 FILLER [Previously Total Number of Prenatal Care Visits]

2 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 88

Position Variable Name Length Date Effective Data Years

442 FILLER [Previously Total Number of Prenatal Care Visits—Edit Flag]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 89

Position Variable Name Length Date Effective Data Years

443 Mother's Height—Feet

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 1 - 8 9 Not Classifiable

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National Vital Statistics System / File In-Processing Documentation Page 90

Position Variable Name Length Date Effective Data Years

444 Mother's Height—Inches

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 - 11 99 Not Classifiable

NOTES Fractions of inches should be ignored; only report whole numbers from 00 to 11.

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National Vital Statistics System / File In-Processing Documentation Page 91

Position Variable Name Length Date Effective Data Years

446 Mother's Height—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Edit Passed 1 Edit Failed, Verified 2 Edit Failed, not Verified

COMPOUND VERIFICATION Combinations of Values requiring Verification

Mother's Height—Edit Flag Mother's Height—Feet 0 1, 2, 7, 8

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Position Variable Name Length Date Effective Data Years

447 Mother's Prepregnancy Weight

3 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 050 - 399 400 400 pounds or more 999 Not Classifiable

NOTES Fractions of pounds should be ignored; only report whole numbers from 050 to 400. Weights of more than 400 pounds should be reported as 400.

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Position Variable Name Length Date Effective Data Years

450 Mother's Prepregnancy Weight—Edit Flag

1 09 Jun 2015 2014 - Forward

SIMPLE VALIDATION Valid Values 0 Edit Passed 1 Edit Failed, Verified 2 Edit Failed, not Verified

COMPOUND VERIFICATION

Combinations of Values requiring Verification

Mother's Prepregnancy Weight—Edit Flag Mother's Prepregnancy Weight 0 050 – 074, 351 - 400

NOTES The range of upper weights requiring verification was reduced from 301 -400 pounds to 351 – 400 pounds in June 2015.

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Position Variable Name Length Date Effective Data Years

451 FILLER [Previously Mother's Weight at Delivery]

4 09 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015, including the computation of Mother’s Weight Gain.

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National Vital Statistics System / File In-Processing Documentation Page 95

Position Variable Name Length Date Effective Data Years

454 FILLER [Previously Mother's Weight at Delivery—Edit Flag]

1 09 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 96

Position Variable Name Length Date Effective Data Years

455 Did Mother get WIC Food for Herself?

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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National Vital Statistics System / File In-Processing Documentation Page 97

Position Variable Name Length Date Effective Data Years

456 Previous Live Births Now Living

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 – 30 99 Not Classifiable

SIMPLE VERIFICATION Values requiring Verification 13 – 30

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National Vital Statistics System / File In-Processing Documentation Page 98

Position Variable Name Length Date Effective Data Years

458 Previous Live Births Now Dead

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 – 30 99 Not Classifiable

SIMPLE VERIFICATION Values requiring Verification 13 – 30

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National Vital Statistics System / File In-Processing Documentation Page 99

Position Variable Name Length Date Effective Data Years

460 FILLER [Previously Previous Other Pregnancy Outcomes]

2 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 100

Position Variable Name Length Date Effective Data Years

462 Date of Last Live Birth—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 88 Not Applicable 99 Not Classifiable

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Position Variable Name Length Date Effective Data Years

464 Date of Last Live Birth—Year

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values Less than or equal to File Year 8888 Not Applicable 9999 Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Date of Last Live Birth—Year Date of Last Live Birth—Month <Any except 8888> (,9999) 01 – 12, 99 8888 88

COMPOUND VALIDATION Valid Combinations of Values

Date of Last Live Birth—Year Previous Live Births Now Living Previous Live Births Now Dead <Any except 8888> (,9999) 00 01 – 30, 99 <Any except 8888> (,9999) 01 – 30, 99 00 – 30, 99 8888 00 00

CALCULATION Date of Last Live Birth vs Date of Birth (Mother) Age at Last Live Birth => AGEL Date of Last Live Birth—Year => DLLBY Date of Birth (Mother)—Year => DOBML

1 If DLLBY is 8888 or 9999 or invalid, then AGEL = X 2 Else if DOBML is 9999 or invalid, then AGEL = X 3 Else AGEL = DLLBY - DOBML

SIMPLE VALIDATION

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Age at Last Live Birth => AGEL Valid Values Greater than or equal to 9 X Cannot Compute

NOTES Not Applicable values may only be reported (and must be reported) if the Mother had no Previous Live Births.

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Position Variable Name Length Date Effective Data Years

468 FILLER [Previously Date of Last Other Pregnancy Outcome—Month]

2 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 104

Position Variable Name Length Date Effective Data Years

470 FILLER [Previously Date of Last Other Pregnancy Outcome—Year]

4 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 105

Position Variable Name Length Date Effective Data Years

474 Number of Cigarettes Smoked in 3 months prior to Pregnancy

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 - 97 98 98 or more cigarettes 99 Not Classifiable

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National Vital Statistics System / File In-Processing Documentation Page 106

Position Variable Name Length Date Effective Data Years

476 Number of Cigarettes Smoked in 1st 3 months

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 - 97 98 98 or more cigarettes 99 Not Classifiable

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National Vital Statistics System / File In-Processing Documentation Page 107

Position Variable Name Length Date Effective Data Years

478 Number of Cigarettes Smoked in 2nd 3 months

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 - 97 98 98 or more cigarettes 99 Not Classifiable

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National Vital Statistics System / File In-Processing Documentation Page 108

Position Variable Name Length Date Effective Data Years

480 Number of Cigarettes Smoked in third trimester

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 00 - 97 98 98 or more cigarettes 99 Not Classifiable

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Fetal Death 2003 Revision 07 Jun 2016

National Vital Statistics System / File In-Processing Documentation Page 109

Position Variable Name Length Date Effective Data Years

482 Date Last Normal Menses Began—Year

4 12 Dec 2012 2011 - Forward

SIMPLE VALIDATION Valid Values File Year [File Year – 1] [File Year – 2] 9999 Not Classifiable

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National Vital Statistics System / File In-Processing Documentation Page 110

Position Variable Name Length Date Effective Data Years

486 Date Last Normal Menses Began—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 99 Not Classifiable

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National Vital Statistics System / File In-Processing Documentation Page 111

Position Variable Name Length Date Effective Data Years

488 Date Last Normal Menses Began—Day

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 31 99 Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Date Last Normal Menses Began—Year

Date Last Normal Menses Began—Month

Date Last Normal Menses Began—Day

<Any> (,9999) 01, 03, 05, 07, 08, 10, 12, 99 01 – 31, 99 <Any> (,9999) 04, 06, 09, 11 01 – 30, 99 <Any Leap Year>, 9999 02 01 – 29, 99 <Any Non−Leap Year> 02 01 – 28, 99

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Position Variable Name Length Date Effective Data Years

C Computed Gestation in Months

12 Dec 2012 2012 - Forward

CALCULATION Computed Gestation in Months => CGEST Date of Delivery—Month => DODM Date of Delivery—Year => DODY Date Last Normal Menses Began—Month => DLMM Date Last Normal Menses Began—Year => DLMY

1 If DODM = 99 or invalid, then CGEST = Z 2 Else If DODY = 9999 or invalid, then CGEST = Z 3 Else If DLMM = 99 or invalid, then CGEST = Z 4 Else If DLMY = 9999 or invalid, then CGEST = Z 5 Else CGEST = 12*DODY + DODM – 12*DLMY – DLMM

SIMPLE VALIDATION Valid Values Greater than or equal to 0 Z Cannot Compute

SIMPLE VERIFICATION Values requiring Verification Greater than or equal to 12

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National Vital Statistics System / File In-Processing Documentation Page 113

Position Variable Name Length Date Effective Data Years

490 Risk Factors—Prepregnancy Diabetes

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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Fetal Death 2003 Revision 07 Jun 2016

National Vital Statistics System / File In-Processing Documentation Page 114

Position Variable Name Length Date Effective Data Years

491 Risk Factors—Gestational Diabetes

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

COMPOUND VALIDATION Valid Combinations of Values

Risk Factors—Prepregnancy Diabetes Risk Factors—Gestational Diabetes N N N U N Y U N U U U Y Y N Y U

NOTES Prepregnancy Diabetes includes diabetes present during the pregnancy, but identified prior to pregnancy. Gestational Diabetes refers only to diabetes diagnosed during the pregnancy. Only one of the two may be reported.

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National Vital Statistics System / File In-Processing Documentation Page 115

Position Variable Name Length Date Effective Data Years

492 Risk Factors—Hypertension Prepregnancy

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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Fetal Death 2003 Revision 07 Jun 2016

National Vital Statistics System / File In-Processing Documentation Page 116

Position Variable Name Length Date Effective Data Years

493 Risk Factors—Hypertension Gestational

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

COMPOUND VALIDATION Valid Combinations of Values

Risk Factors—Hypertension Prepregnancy Risk Factors—Hypertension Gestational N N N U N Y U N U U U Y Y N Y U

NOTES Hypertension Prepregnancy is Hypertension identified before the start of the pregnancy. Hypertension Gestational is Hypertension identified during the pregnancy. Only one of the two may be reported.

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Position Variable Name Length Date Effective Data Years

494 FILLER [Previously Risk Factors—Previous Preterm Births]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and associated calculations and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 118

Position Variable Name Length Date Effective Data Years

495 FILLER [Previously Risk Factors—Poor Pregnancy Outcomes]

1 09 Jun 2014 2014 - Forward

NO EDIT

NOTES This item was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2014.

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National Vital Statistics System / File In-Processing Documentation Page 119

Position Variable Name Length Date Effective Data Years

496 FILLER [Previously Risk Factors—Vaginal Bleeding]

1 12 Dec 2012 2012 - Forward

NO EDIT

NOTES This item was deleted during the US Department of Health and Human Services clearance process in 2003, after the initial standard certificate was distributed.

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Position Variable Name Length Date Effective Data Years

497 Risk Factors—Infertility Treatment

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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Position Variable Name Length Date Effective Data Years

498 Risk Factors—Previous Cesarean

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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National Vital Statistics System / File In-Processing Documentation Page 122

Position Variable Name Length Date Effective Data Years

499 Risk Factors—Number Previous Cesareans

2 16 Jun 2015 2014 - Forward

SIMPLE VALIDATION Valid Values 00 – 30 99 Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Risk Factors—Previous Cesarean Risk Factors—Number Previous Cesareans N 00 U 99 Y 01 – 30, 99

NOTES The compound validation between this item and the Total Birth Order was deleted when Previous Other Pregnancy

Outcomes was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

501 Risk Factors—Number Previous Cesareans—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Edit Passed 1 Edit Failed, Verified

COMPOUND VERIFICATION Combinations of Values requiring Verification

Risk Factors—Number Previous Cesareans—Edit Flag Risk Factors—Number Previous Cesareans 0 11 - 30

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National Vital Statistics System / File In-Processing Documentation Page 124

Position Variable Name Length Date Effective Data Years

502 FILLER [Previously Infections Present—Gonorrhea]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

503 FILLER [Previously Infections Present—Syphilis]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

504 FILLER [Previously Infections Present—Herpes Simplex (HSV)]

1 12 Dec 2012 2012 - Forward

NO EDIT

NOTES This item was deleted during the US Department of Health and Human Services clearance process in 2003, after the initial standard certificate was distributed.

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Position Variable Name Length Date Effective Data Years

505 FILLER [Previously Infections Present—Chlamydia]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

506 FILLER [Previously Infections Present—Listeria]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

507 FILLER [Previously Infections Present—Group B Streptococcus]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

508 FILLER [Previously Infections Present—Cytomegalovirus]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

509 FILLER [Previously Infections Present—Parvovirus]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

510 FILLER [Previously Infections Present—Toxoplasmosis]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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National Vital Statistics System / File In-Processing Documentation Page 133

Position Variable Name Length Date Effective Data Years

511 FILLER [Previously Infections Present—Other]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

512 FILLER

2 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

514 Method of Delivery—Fetal Presentation

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 1 Cephalic 2 Breech 3 Other 9 Unknown

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Position Variable Name Length Date Effective Data Years

515 Method of Delivery—Route and Method of Delivery

1 01 Jan 2011 2011 - Forward

SIMPLE VALIDATION Valid Values 1 Spontaneous 2 Forceps 3 Vacuum 4 Cesarean 9 Unknown

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Position Variable Name Length Date Effective Data Years

516 Method of Delivery—Trial of Labor Attempted

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown X Not Applicable Y Yes

COMPOUND VALIDATION Valid Combinations of Values

Method of Delivery—Route and Method of Delivery Method of Delivery—Trial of Labor Attempted 1 X 2 X 3 X 4 N, U, Y 9 X

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Position Variable Name Length Date Effective Data Years

517 FILLER [Previously Method of Delivery—Hysterotomy/Hysterectomy]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

518 FILLER [Previously Maternal Morbidity—Maternal Transfusion]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

519 FILLER [Previously Maternal Morbidity—Perineal Laceration]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

520 Maternal Morbidity—Ruptured Uterus

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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Position Variable Name Length Date Effective Data Years

521 FILLER [Previously Maternal Morbidity—Unplanned Hysterectomy]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

522 Maternal Morbidity—Admit to Intensive Care

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

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Position Variable Name Length Date Effective Data Years

523 FILLER [Previously Maternal Morbidity—Unplanned Operation]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

524 Weight of Fetus

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0001 – 9998 9999 Not Classifiable

NOTES Weight of Fetus may only be reported in grams.

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Position Variable Name Length Date Effective Data Years

528 Weight of Fetus—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Off 1 Queried Data Correct, out of range 2 Queried, Failed Weight of Fetus/Gestation Edit

COMPOUND VERIFICATION Combinations of Values requiring Verification

Weight of Fetus—Edit Flag Weight of Fetus 0 8165 - 9998

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Position Variable Name Length Date Effective Data Years

529 Obstetric Estimate of Gestation

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 98 99 Not Classifiable

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Position Variable Name Length Date Effective Data Years

531 Obstetric Estimate of Gestation—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Off 1 Queried Data Correct, out of range

COMPOUND VERIFICATION Combinations of Values requiring Verification

Obstetric Estimate of Gestation—Edit Flag Obstetric Estimate of Gestation 0 01, 48 - 98

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Position Variable Name Length Date Effective Data Years

532 Estimated Time of Fetal Death

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values A Labor, no assessment L At assessment, labor N At assessment, no labor U Unknown

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Position Variable Name Length Date Effective Data Years

533 Was an Autopsy Performed?

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No P Planned

Y Yes

NOTES If the answer is not known, it should be queried, and if still not known, may be reported as N.

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Position Variable Name Length Date Effective Data Years

534 Was a Histological Placental Examination Performed?

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No

P Planned

Y Yes

NOTES If the answer is not known, it should be queried, and if still not known, may be reported as N.

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Position Variable Name Length Date Effective Data Years

535 Were Autopsy or Histological Placental Examination Results used in Determining the Cause of Fetal Death?

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No

X Not applicable

Y Yes

COMPOUND VALIDATION Valid Combinations of Values

Was an Autopsy Performed? Was a Histological Placental Examination Performed?

Were Autopsy or Histological Placental Examination results used in Determining the Cause of Fetal Death?

N N X N P X N Y N N Y Y P N X P P X P Y N P Y Y Y N N Y N Y Y P N Y P Y Y Y N Y Y Y

NOTES

The “Were Autopsy or Histological Placental Examination Results used in Determining the Cause of Fetal Death?” question can only be answered Yes or No if one of the other related questions was answered definitively. If the Autopsy and Histological Placental Examination were not performed, or only pending, this question must be answered “Not Applicable”.

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Position Variable Name Length Date Effective Data Years

536 Plurality

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 - 12 99 Not Classifiable

COMPOUND VERIFICATION Combinations of Values requiring Verification

Computed Gestation Plurality Delivery weight 1 - 4 01 – 12, 99 1001 – 9998 5 01 – 12, 99 2001 – 9998 6 01 – 12, 99 3001 – 9998 7 01 – 12, 99 4001 – 9998 8 – 11 01 0001 – 0999

COMPOUND VERIFICATION Combinations of Values requiring Verification

Computed Gestation Obstetric Estimate of Gestation Plurality Delivery weight

<=3 or >=12 or Z 01 – 19 01 – 12, 99 1001 – 9998

<=3 or >=12 or Z 20 – 23 01 – 12, 99 2001 – 9998

<=3 or >=12 or Z 24 – 27 01 – 12, 99 3001 – 9998

<=3 or >=12 or Z 28 – 31 01 – 12, 99 4001 – 9998

<=3 or >=12 or Z 32 – 35 01 0001 – 0499

<=3 or >=12 or Z 36 - 47 01 0001 - 0749

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Position Variable Name Length Date Effective Data Years

538 Set Order

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 99 Not Applicable/Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Plurality Set Order 01 99 02 01 – 02, 99 03 01 – 03, 99 04 01 – 04, 99 05 01 – 05, 99 06 01 – 06, 99 07 01 – 07, 99 08 01 – 08, 99 09 01 – 09, 99 10 01 – 10, 99 11 01 – 11, 99 12 01 – 12, 99 99 99

NOTES The Set Order variable is only applicable when Plurality is greater than 01. When Plurality is 01, then Set Order should be reported as 99.

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Position Variable Name Length Date Effective Data Years

540 Number of Fetal Deaths

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 99 Not Applicable/Not Classifiable

COMPOUND VALIDATION Valid Combinations of Values

Plurality Number of Fetal Deaths 01 99 02 01 – 02, 99 03 01 – 03, 99 04 01 – 04, 99 05 01 – 05, 99 06 01 – 06, 99 07 01 – 07, 99 08 01 – 08, 99 09 01 – 09, 99 10 01 – 10, 99 11 01 – 11, 99 12 01 – 12, 99 99 99

NOTES The Number of Fetal Deaths variable is only applicable when Plurality is greater than 01. When Plurality is 01, then Number of Fetal Deaths should be reported as 99.

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Position Variable Name Length Date Effective Data Years

542 Matching Number

6 12 Dec 2012 2012 - Forward

NO EDIT

NOTES The Matching Number is intended to be reported on all fetal deaths. Singleton fetal deaths should report 000000 as their Matching Number. All fetal deaths in a multiple set should be given the same unique Matching Number so that they can be linked for analytic purposes. If possible, births that occur as part of a multiple set should also be linked with the same unique Matching Number. The Matching Number should not contain the certificate number of another fetal death from the set, but rather all births and fetal deaths from the same pregnancy should receive the same Matching Number.

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Position Variable Name Length Date Effective Data Years

548 Plurality—Edit Flag

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 0 Off 1 Queried, and Correct 2 Plurality/Set Order Queried, Inconsistent

COMPOUND VERIFICATION Combinations of Values requiring Verification

Plurality—Edit Flag Plurality 0 08 - 12

NOTES This verification attempts to catch records erroneously reported with an unknown plurality reported as 09, instead of the correct code, 99, along with values that have rarely ever been recorded

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Position Variable Name Length Date Effective Data Years

549 FILLER [Previously Congenital Anomalies of the Fetus—Anencephaly]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

550 FILLER [Previously Congenital Anomalies of the Fetus—Meningomyelocele/Spina Bifida]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

551 FILLER [Previously Congenital Anomalies of the Fetus—Cyanotic congenital heart disease]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

552 FILLER [Previously Congenital Anomalies of the Fetus—Congenital diaphragmatic hernia]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

553 FILLER [Previously Congenital Anomalies of the Fetus—Omphalocele]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

554 FILLER [Previously Congenital Anomalies of the Fetus—Gastroschisis]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

555 FILLER [Previously Congenital Anomalies of the Fetus—Limb Reduction Defect]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

556 FILLER [Previously Congenital Anomalies of the Fetus—Cleft Lip with or without Cleft Palate]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

557 FILLER [Previously Congenital Anomalies of the Fetus—Cleft Palate Alone]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

558 FILLER [Previously Congenital Anomalies of the Fetus—Down Syndrome]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

559 FILLER [Previously Congenital Anomalies of the Fetus—Suspected Chromosomal disorder]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validation were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

560 FILLER [Previously Congenital Anomalies of the Fetus—Hypospadias]

1 16 Jun 2015 2014 - Forward

NO EDIT

NOTES This item and validations were deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

561 SYSTEM VARIABLE Receipt Date

8 12 Dec 2012 2012 - Forward

NO EDIT

NOTES Jurisdictions do NOT submit Receipt Date. It is a system-assigned Year-Month-Day value that is stored with each record and reflects the date the Jurisdiction first filed the record with NCHS. The date is never updated, no matter how many times the record is transmitted to NCHS. The Receipt Date must be on or after the Date of Delivery. NCHS stores the Receipt Date in these positions if files have to be returned to a jurisdiction for any reason, in YYYYMMDD format.

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Position Variable Name Length Date Effective Data Years

C Event Date Lag

12 Dec 2012 2012 - Forward

CALCULATED Date of Delivery vs Receipt Date Event Date Lag => ELAG Date of Delivery—Year => DODY Date of Delivery—Month => DODM Date of Delivery—Day => DODD Receipt Date => RDATE

1 If DODM is invalid, DODM = 01 2 If DODD is invalid, DODD = 01 3 Convert DOD to integer Date (Number of days elapsed since January 1, 2000) 4 Convert RDATE to integer Date (Number of days elapsed since January 1, 2000) 5 ELAG = RDATE - DOD

SIMPLE VERIFICATION Values requiring Verification Less than 0

NOTES The VALIDATION on this field was changed to a VERIFICATION to accommodate Jurisdictions that recycle Certificate Numbers. NCHS prefers that Certificate Numbers NOT be recycled, because of the potential problems associated with ensuring we have the correct information, but there may be occasions where the practice is necessary. If a record's Event Date is updated because of recycling, and is now beyond the date the record was first received at NCHS, it will be reported back to the Jurisdiction as a VERIFICATION error. Once the state has confirmed that the Certificate Number was recycled, it will be removed from future reports. States may still NOT submit records with Event Dates in the future.

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Position Variable Name Length Date Effective Data Years

569 Mother's Reported Age

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 09 – 64 99 Not Classifiable

SIMPLE VERIFICATION Values requiring Verification 54 – 64

NOTES Mother's Reported Age should only be used by jurisdictions that are prohibited from collecting or reporting Mother's Date of Birth. This field should NOT be calculated by jurisdictions. If a jurisdiction reports Mother's Date of Birth, this field should be coded to 99.

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Position Variable Name Length Date Effective Data Years

C Mother's Computed Age

16 Jun 2015 2014 - Forward

CALCULATION Mother's Computed Age => MAGE Date of Delivery—Year => DODY Date of Delivery—Month => DODM Date of Delivery—Day => DODD Date of Birth (Mother)—Year => DOBMY Date of Birth (Mother)—Month => DOBMM Date of Birth (Mother)—Day => DOBMD Mother's Reported Age => MRAGE

1 If DODM is invalid or DODD is invalid or DOBMY is 9999 or invalid, then a. If MRAGE is 99 or invalid, then MAGE = X b. Else MAGE = MRAGE

2 Else if DOBMM is 99 or invalid, then MAGE = DODY – DOBMY 3 Else if DOBMD is 99 or invalid, then

a. MAGE = DODY – DOBMY b. If DODM < DOBMM, then MAGE = MAGE – 1 c. Else if DODM = DOBMM and DODD < 15, then MAGE = MAGE - 1

4 Else, then a. MAGE = DODY – DOBMY b. If DODM < DOBMM, then MAGE = MAGE – 1 c. Else if DODM = DOBMM and DODD < DOBMD, then MAGE = MAGE - 1

SIMPLE VALIDATION Valid Values 09 – 64 X Cannot Compute

COMPOUND VERIFICATION Combinations of Values requiring Verification

Date of Birth (Mother)—Edit Flag Mother's Computed Age 0 54 - 64

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COMPOUND VERIFICATION Combinations of Values requiring Verification

Mother's Education—Edit Flag Mother's Education Mother's Computed Age 0 3 09 – 15 0 4 09 – 16 0 5 09 – 17 0 6 09 – 19 0 7 09 – 20 0 8 09 – 22

NOTES The compound validation between this item and the Total Birth Order was deleted when Previous Other Pregnancy

Outcomes was deleted by the joint NCHS/NAPHSIS Good to Great Committee in June 2015.

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Position Variable Name Length Date Effective Data Years

571 Father's Reported Age

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 09 – 98 99 Not Classifiable

NOTES Father's Reported Age should only be used by jurisdictions that are prohibited from collecting or reporting Father's Date of Birth. This field should NOT be calculated by jurisdictions. If a jurisdiction reports Father's Date of Birth, this field should be coded to 99.

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Position Variable Name Length Date Effective Data Years

C Father's Computed Age

12 Dec 2012 2012 - Forward

CALCULATION Father's Computed Age => FAGE Date of Delivery—Year => DODY Date of Delivery—Month => DODM Date of Delivery—Day => DODD Date of Birth (Father)—Year => DOBFY Date of Birth (Father)—Month => DOBFM Date of Birth (Father)—Day => DOBFD Father's Reported Age => FRAGE

1 If DODM is invalid or DODD is invalid or DOBFY is 9999 or invalid, then a. If FRAGE is 99 or invalid, then FAGE = X b. Else FAGE = FRAGE

2 Else if DOBFM is 99 or invalid, then FAGE = DODY – DOBFY 3 Else if DOBFD is 99 or invalid, then

a. FAGE = DODY – DOBFY b. If DODM < DOBFM, then FAGE = FAGE – 1 c. Else if DODM = DOBFM and DODD < 15, then FAGE = FAGE - 1

4 Else, then a. FAGE = DODY – DOBFY b. If DODM < DOBFM, then FAGE = FAGE – 1 c. Else if DODM = DOBMM and DODD < DOBFD, then FAGE = FAGE - 1

SIMPLE VALIDATION Valid Values 09 – 99 X Cannot Compute

COMPOUND VERIFICATION Combinations of Values requiring Verification

Date of Birth (Father)—Edit Flag Father's Computed Age 0 75 - 99

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Position Variable Name Length Date Effective Data Years

573 Risk Factors—Hypertension Eclampsia

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown Y Yes

NOTES This variable was not part of the original 2003 specification, but was added during the Department of Health and Human Services clearance process in 2004.

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Position Variable Name Length Date Effective Data Years

574 Risk Factors—Infertility: Fertility Enhancing Drugs

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown X Not Applicable Y Yes

NOTES This variable was not part of the original 2003 specification, but was added during the Department of Health and Human Services clearance process in 2004.

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Position Variable Name Length Date Effective Data Years

575 Risk Factors—Infertility: Asst Rep Technology

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No U Unknown X Not Applicable Y Yes

COMPOUND VALIDATION Valid Combinations of Values

Risk Factors—Infertility Treatment Risk Factors—Infertility: Fertility Enhancing Drugs

Risk Factors—Infertility: Asst Rep Technology

N X X U U U Y N, U, Y N, U, Y

NOTES This variable was not part of the original 2003 specification, but was added during the Department of Health and Human Services clearance process in 2004. If the original Infertility question is N, both sub-questions should be reported as Not Applicable (X).

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Position Variable Name Length Date Effective Data Years

576 Date of Registration—Year

4 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values Greater than or equal to File Year <blank> Not Reported

NOTES Jurisdictions not reporting this variable should leave the field blank. Date of Registration must be a valid date or entirely blank; no portions of the date may be unknown.

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Position Variable Name Length Date Effective Data Years

580 Date of Registration—Month

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 12 <blank> Not Reported

NOTES Jurisdictions not reporting this variable should leave the field blank. Date of Registration must be a valid date or entirely blank; no portions of the date may be unknown.

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Position Variable Name Length Date Effective Data Years

582 Date of Registration—Day

2 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values 01 – 31 <blank> Not Reported

COMPOUND VALIDATION Valid Combinations of Values

Date of Registration—Year Date of Registration—Month Date of Registration—Day <Any non-blank> 01, 03, 05, 07, 08, 10, 12 01 – 31 <Any non-blank> 04, 06, 09, 11 01 – 30 <Any Leap Year> 02 01 – 29 <Any Non−Leap Year> 02 01 – 28 <blank> <blank> <blank>

NOTES Jurisdictions not reporting this variable should leave the field blank. Date of Registration must be a valid date or entirely blank; no portions of the date may be unknown.

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Position Variable Name Length Date Effective Data Years

C Date of Registration Lag

12 Dec 2012 2012 - Forward

CALCULATED Date of Registration vs Receipt Date Date of Registration Lag => RLAG Date of Registration = > DOR Receipt Date => RDATE

1 If DOR is Blank or Invalid, RLAG = X 2 Else

a. Convert DOR to integer Date (Number of days elapsed since January 1, 2000) b. Convert RDATE to integer Date (Number of days elapsed since January 1, 2000) c. RLAG = RDATE - DOR

SIMPLE VERIFICATION Values requiring Verification Less than 0

NOTES The VALIDATION on this field was changed to a VERIFICATION to accommodate Jurisdictions that recycle Certificate Numbers. NCHS prefers that Certificate Numbers NOT be recycled, because of the potential problems associated with ensuring we have the correct information, but there may be occasions where the practice is necessary. If a record's Date of Registration is updated because of recycling, and is now beyond the date the record was first received at NCHS, it will be reported back to the Jurisdiction as a VERIFICATION error. Once the state has confirmed that the Certificate Number was recycled, it will be removed from future reports. States may still NOT submit records with Dates of Registration occurring in the future.

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Position Variable Name Length Date Effective Data Years

C Calculated Lag

12 Dec 2012 2012 - Forward

CALCULATED Calculated Lag => CLAG Event Date Lag => ELAG Date of Registration Lag => RLAG

1 If RLAG = X, then a. If ELAG is Invalid, CLAG = X b. Else CLAG = ELAG

2 Else CLAG = RLAG

NOTES This combined Lag field will be used to measure the timeliness of records submitted to NCHS. When Date of Registration Lag is available, it will be used. In its absence, the Event Date Lag will be used.

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Position Variable Name Length Date Effective Data Years

584 FILLER

3 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

587 Initiating Cause/Condition—Rupture of membranes prior to onset of labor

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

588 Initiating Cause/Condition—Abruptio placenta

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

589 Initiating Cause/Condition—Placental insufficiency

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

590 Initiating Cause/Condition—Prolapsed cord

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

591 Initiating Cause/Condition—Chorioamnionitis

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

592 Initiating Cause/Condition—Other complications of placenta, cord, or membranes

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

593 Initiating Cause/Condition—Unknown

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

594 Initiating Cause/Condition—Maternal conditions/diseases Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

654 Initiating Cause/Condition—Other complications of placenta, cord, membranes Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

714 Initiating Cause/Condition—Other obstetrical or pregnancy complications Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

774 Initiating Cause/Condition—Fetal anomaly Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

834 Initiating Cause/Condition—Fetal injury Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

894 Initiating Cause/Condition—Fetal infection Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

954 Initiating Cause/Condition—Other fetal conditions/disorders Literal

60 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

1014 Other Significant Causes or Conditions—Rupture of membranes prior to onset of labor

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1015 Other Significant Causes or Conditions—Abruptio placenta

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1016 Other Significant Causes or Conditions—Placental insufficiency

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1017 Other Significant Causes or Conditions—Prolapsed cord

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1018 Other Significant Causes or Conditions—Chorioamnionitis

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1019 Other Significant Causes or Conditions—Other complications of placenta, cord, or membranes

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1020 Other Significant Causes or Conditions—Unknown

1 12 Dec 2012 2012 - Forward

SIMPLE VALIDATION Valid Values N No Y Yes

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Position Variable Name Length Date Effective Data Years

1021 Other Significant Causes or Conditions—Maternal conditions/diseases Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

1261 Other Significant Causes or Conditions—Other complications of placenta, cord, or membranes Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

1501 Other Significant Causes or Conditions—Other obstetrical or pregnancy complications Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

1741 Other Significant Causes or Conditions—Fetal anomaly Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

1981 Other Significant Causes or Conditions—Fetal injury Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

2221 Other Significant Causes or Conditions—Fetal infection Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

2461 Other Significant Causes or Conditions—Other fetal conditions/disorders Literal

240 12 Dec 2012 2012 - Forward

NO EDIT

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Position Variable Name Length Date Effective Data Years

2701 FILLER

40 12 Dec 2012 2012 - Forward

NO EDIT

NOTES NCHS no longer collects Coded Fetal Cause of Death data from the states, so these 40 bytes are now Filler.