Instruction manual, part 3b: CLASSIFICATION AND CODING INSTRUCTIONS FOR FETAL DEATH RECORDS, 1999-2001 ______________________________________________________________________ This instruction manual was prepared by the Division of Vital Statistics. Questions regarding this manual and other related Vital Statistics Cooperative Program activities should be directed to the Data Acquisition and Evaluation Branch, Division of Vital Statistics, National Center for Health Statistics, P.O. Box 12214, Research Triangle Park, North Carolina 27709. Questions concerning analysis of Fetal Death data should be referred to the Reproductive Statistics Branch, Division of Vital Statistics, National Center for Health Statistics, 6525 Belcrest Road, Presidential Building, Room 820, Hyattsville, Maryland 20782. CONTENTS Page Section I - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Section II - General Procedures for Electronic Files . . . . . . . . . . . . 1 Receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Processing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Section III - File Layout and Coding Instructions. . . . . . . . . . . . . . 2 1999-2001 NCHS Fetal Death File Layout . . . . . . . . . . . . . . . . 3 Shipment Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 State File Number . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Place of Delivery - State - County. . . . . . . . . . . . . . . . . . . 5 Date of Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Mother's Date of Birth . . . . . . . . . . . . . . . . . . . . . . . . 6 Residence of Mother . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Father's Date of Birth. . . . . . . . . . . . . . . . . . . . . . . . .14 Hispanic Origin - Mother - Father . . . . . . . . . . . . . . . . . . .14 Race - Mother - Father . . . . . . . . . . . . . . . . . . . . . . . 17 Education - Mother - Father . . . . . . . . . . . . . . . . . . . . . .19 Pregnancy History . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Date of Last Live Birth . . . . . . . . . . . . . . . . . . . . . . . .22 Mother Married? . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Date Last Normal Menses Began . . . . . . . . . . . . . . . . . . . . .23 Month of Pregnancy Prenatal Care Began . . . . . . . . . . . . . . . .24 Prenatal Visits . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Weight of Fetus . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Clinical Estimate of Gestation . . . . . . . . . . . . . . . . . . . .26 Plurality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Medical Risk Factors for This Pregnancy . . . . . . . . . . . . . . . .28 Other Risk Factors for This Pregnancy . . . . . . . . . . . . . . . . .29 Obstetric Procedures. . . . . . . . . . . . . . . . . . . . . . . . . .30 Complications of Labor and/or Delivery . . . . . . . . . . . . . . . .31 Method of Delivery . . . . . . . . . . . . . . . . . . . . . . . . . .32 Congenital Anomalies. . . . . . . . . . . . . . . . . . . . . . . . . .33 Underlying Cause of Death . . . . . . . . . . . . . . . . . . . . . .34 Attendant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Age - Mother - Father . . . . . . . . . . . . . . . . . . . . . . . . .35 Appendix A - Geographic Codes for State of Delivery and Residence. . . . . .36 Appendix B - Interpretations of Atlas Notations . . . . . . . . . . . . . .38 Appendix C - Largest City and Code by State of Residence . . . . . . . . . .39 Appendix D - Other Entries Reported on Records and Code for Race . . . . . .41 Appendix E - Indian Tribes in the United States, Canada, and Mexico. . . . .46 Appendix F - Other Entries Reported on Records and Codes for Education of Mother and Father. . . . . . . . . . . . . . . . .50 Appendix G - Other Entries Reported on Records and Code for Hispanic Origin . . . . . . . . . . . . . . . . .51 Appendix H - Terms Indicating Induced Abortions. . . . . . . . . . . . . . .52 Illustration I - Report of Fetal Death . . . . . . . . . . . . . . . . . . .54 Vital Statistics Instruction Manuals . . . . . . . . . . . . . . . . . . . .55 CLASSIFICATION AND CODING INSTRUCTIONS FOR FETAL DEATH RECORDS, 1999-2001 Section I - Introduction This manual documents specifications for coding and key entry of statistical items that will be tabulated from the fetal death report by the National Center for Health Statistics (NCHS). Primarily, these specifications are used by 49 registration areas of the United States (45 states, District of Columbia, New York City, Puerto Rico and The Virgin Islands) that submit data to NCHS in electronic form through the Vital Statistics Cooperative Program (VSCP). Under the terms of the VSCP contracts with NCHS, the registration area must incorporate NCHS specifications into their own procedures so that the resultant data files meet the needs of both NCHS and the registration area. Changes effective with 1999 are in bold print. Section II - General Procedures for Electronic Files A. Receipts All registration areas except Arizona, California, Nevada, Ohio, Wyoming, and Guam provide coded data to NCHS in electronic form (tapes, diskettes and PC to PC). These files include all of the fetal death events registered within their jurisdiction for each calendar year. In general, data are transmitted on a monthly basis. Transmittals take place at regular intervals and contain any and all records received and initially processed in the state office since the last transmittal to NCHS regardless of the month of the occurrence of the event. A record need not be "perfect" to qualify for transmittal. Each regular data transmittal shall contain all replacement records processed to date incorporating updated information from any source. For purposes of full utilization and release of the data, states are expected to transmit the majority of records within six months of occurrence and a complete and final version of all records by July 31. B. Processing As the files are received at NCHS-RTP, they are automatically checked for completeness, individual item code validity, and unacceptable inconsistencies between data items. The registration area is notified of any problems. In addition, NCHS staff review the files on an ongoing basis to detect problems in overall quality such as inadequate reporting for certain items, failure to follow NCHS coding rules, and systems and software errors. Traditionally, quality assurance procedures have been limited to review and analysis of differences between the NCHS and registration area code assignments for a small number of records. In recent years, this procedures has been augmented by analyses of year to year and area to area variations in the data. These analyses are based on preliminary tabulations of the data that are cumulated on a year to date basis each month. All differences that are judged to have consequences for quality and completeness are investigated by NCHS. In the review process, statistical tests are used to call initial attention to differences for possible follow-up. As necessary, registration areas are informed of differences encountered in the tables and asked to verify the counts or to determine the nature of the differences. Missing records (except those permanently voided) and other problems detected by NCHS should be resolved and corrections transmitted to NCHS in the same manner as for those corrections identified by the registration area. Section III -File Layout and Coding Instructions This section provides the code structure, coding instructions, and output file locations for each item in the national data set. Changes were made to the following items effective in 1999 to expand all year fields to four digits: Date of Delivery Mother's Date of Birth Father's Date of Birth Date of Last Live Birth Date Last Normal Menses Began Note: The old locations for these years have been converted to "Filler" and should be blank. 1999-2001 Fetal Death File Layout Items File Items File Location Location Shipment No. 1 - 2 Date Last Normal Menses Began Certificate No. 3 - 8 Month57 - 58 Facility 9 Day 59 - 60 Geographic Place of Delivery Filler61 State 10 - 11 Mon. Of Preg. Prenatal Care62 County 12 - 14 Named Month63 - 64 Date of Delivery Prenatal Visits (Total No.)65 - 66 Month 15 - 16 Weight of Fetus Day 17 - 18 Units67 Filler 19 Grams or Pounds/ounces68 - 71 Sex 20 Clinic Est. Gestation (Wks)72 - 73 Mother's Date of Birth Plurality74 Month 21 - 22 Med. Risk Factors For Preg.75 - 92 Day 23 - 24 Filler 93 - 108 Filler 25 - 26 Other Risk Factors For Preg. Residence of Mother Tobacco Use109 State 27 - 28 Aver. No. Cigar. Day 110 - 111 County or City 29 - 31 Alcohol Use 112 Father's Date of Birth Aver. No. Drinks Week113 - 114 Month 32 - 33 Weight Gain During Preg.115 - 116 Day 34 - 35 Obstetric Procedures117 - 124 Filler 36 - 37 Filler125 - 130 Hispanic Origin Comp. Of Labor/delivery131 - 147 Mother 38 Filler148 - 162 Father 39 Method of Delivery163 - 170 Race Filler 171 - 176 Mother 40 Congenital Anomalies177 - 199 Father 41 Date of Delivery Year200 - 203 Education Mother's Date of Birth Year204 - 207 Mother 42 - 43 Father's Date of Birth Year208 - 211 Father 44 - 45 Date of Last Live Birth Year212 - 215 Pregnancy History Date Last Normal Menses216 - 219 Live Births - Now Living 46 - 47 Began Year Live Births - Now Dead 48 - 49 Filler 220 No. Other Terminations 50 - 51 Underlying Cause of Death221 - 224 Date of Last Live Birth Attendant 225 Month 52 - 53 Age Filler 54 - 55 Mother 226 - 227 Mother Married? 56 Father228 - 229 Item Output Code Structure Coding Instructions Position(s) SHIPMENT 1-2 For NCHS use only. State is NUMBER to leave blank. STATE FILE 3-8 Left zero fill. NUMBER If the name of a hospital, FACILITY 9 Hospital Deliveries institution, "medical center," (Hospital, institution, or "maternity home" is medical center, nursing reported, code 1. home, maternity home) . . . 1 For other medical facilities Non-Hospital Deliveries such as "infirmaries, "manors," "facilities," (Named places, Dr.'s office, "dispensaries,""nursing mother's residence, street home," etc., code 1. address, non-hospital clinic. . . . . . . . . . . 2 A hospital or institution Delivery enroute to or clinic is considered part of upon arrival at hospital. . 3 the hospital or institution, code 1. Non-hospital clinics Not Classifiable. . . . . . 9 and other non-hospital outpatient facilities, code 2. If a named place other than a hospital, institution, maternity home or medical center is reported (for example, a doctor's office, fire department, public places), code 2. If street address is reported other than one of a hospital, code 2. If an entry of "Delivered at Home" or "At home" is reported, code 2. Item Output Code Structure Coding Instructions Position(s) GEOGRAPHIC PLACE OF DELIVERY STATE 10-11 Refer to Appendix A Enter appropriate code. COUNTY 12-14 Refer to Part 8 Instruction Manual, Vital Records Geographic Classification, 1995. Use code designated for "Balance of County" or "Entire County." Code given for co-extensive or independent cities is to be used as county code. DATE OF DELIVERY Month 15-16 January. . . . . . . . . .01 February . . . . . . . . .02 March. . . . . . . . . . .03 April. . . . . . . . . . .04 May. . . . . . . . . . . .05 June . . . . . . . . . . .06 July . . . . . . . . . . .07 August . . . . . . . . . .08 September. . . . . . . . .09 October. . . . . . . . . .10 November . . . . . . . . .11 December . . . . . . . . .12 Not Classifiable . . . . .99 Day 17-18 01-31 Not Classifiable . . . . .99 Year 200-203 Enter four digit year. Year must be reported. Filler 19 Blank Item Output Code Structure Coding Instructions Position(s) SEX 20 Male . . . . . . . . . . .1 Code 9 for entry of Female . . . . . . . . . . 2 "undeterminable." Not Classifiable . . . . . 9 MOTHER'S DATE OF BIRTH Month 21-22 January. . . . . . . . . .01 Code as reported. February . . . . . . . . .02 March. . . . . . . . . . .03 If any part of the date is not April. . . . . . . . . . .04 reported, code only the May. . . . . . . . . . . .05 missing component Not June . . . . . . . . . . .06 Classifiable. July . . . . . . . . . . .07 August . . . . . . . . . .08 September. . . . . . . . .09 October. . . . . . . . . .10 November . . . . . . . . .11 December . . . . . . . . .12 Not Classifiable . . . . .99 Day 23-24 01-31 Not Classifiable . . . . .99 Year 204-207 Enter four digit year. Not Classifiable . . . .9999 Filler 25-26 Blank RESIDENCE OF MOTHER State 27-28 Refer to Appendix A Enter appropriate code. County or 29-31 Refer to Part 8 Instruction Rules for use of coding table City Manual, Vital Records (pages 10-13)for Place of Geographic Classification, Residence of Mother. 1995. (Use Section II only when certificate contains no Apply rules in sequential county entry.) order. Item Output Code Structure Coding Instructions Position(s) RESIDENCE If "rural" is entered, code by OF MOTHER - line 2 of table and stop. Cont. If "rural" is not entered, find line item that fits reporting on certificate and heading that describes reporting in "City Limits Item." Code according to instructions given when horizontal line and vertical column intersect. Example City but no county entry and outside of city limits. Select line 6A and column (b). Instruction where these intersect is to code "Balance of County 1/." Additional instructions: Disregard the name of a state, county, or city entered on the address line when an entry is reported in the space provided for these items. When the state, county or city entry has obviously been typed on the incorrect line, consider the entry when classifying residence. If a city entry is reported with North, East, South, or West, check the atlas to determine if it is a separate geographic place or an inclusion of the named city. Item Output Code Structure Coding Instructions Position(s) RESIDENCE If the named place is not OF MOTHER - listed in the atlas, consider Cont. the entry to be an inclusion of the city named (e.g., East Durham is not listed in the atlas, and, therefore, is considered to be an inclusion of the city of Durham). If county is reported and two cities are reported on the city line, check atlas to determine if one is an inclusion. If not, code to city with the larger population. If no county entry is reported and the city is not listed in the Part 8 Instruction Manual, Vital Records Geographic Classi- fication, 1995, Section II, refer to the atlas to determine county. If atlas indicates city is listed in two counties, refer to the U.S. Census Population 1990, "Number of Inhabitants" and code to the county contain- ing the largest part of the city's population. If New York City is reported as place of residence and no borough is reported, code to Manhattan Borough. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER (a) (b) Inside City Limits Inside City Limits No Yes _____________________________________________________________________________________ 1. Blank County/City of delivery 2/ County/City of delivery 2/ _____________________________________________________________________________________ 2. "Rural" entry Balance of County Balance of County _____________________________________________________________________________________ 3. City listed in Geographic City Balance of County Code Manual (includes independent and coextensive cities.) ______________________________________________________________________________________ 4. City not listed in Balance of County Balance of county Geographic Code Manual ______________________________________________________________________________________ 5. County, but no city entry Balance of County Balance of County ______________________________________________________________________________________ 6. State and city but no county entry and State is same as State of Occurrence. A. City listed in City Balance of County 1/ Geographic Code Manual ______________________________________________________________________________________ B. City not listed in Balance of County 1/ Balance of County 1/ Geographic Code Manual. ______________________________________________________________________________________ C. Atlas gives 2 or more County of delivery County of delivery cities by same name in different counties ______________________________________________________________________________________ D. City not in atlas County/City of delivery 2/ County/City of delivery 2/ ______________________________________________________________________________________ 7. State and city, but no county entry and State is different from State of Occurrence A. City listed in City Balance of County 1/ Geographic Code Manual ______________________________________________________________________________________ 1/ Use atlas and other reference aids to establish county and/or population. See Appendix B for rules on interpreting atlas notations. If independent city or coextensive, use Section II, Part 8, Instruction Manual,Vital Records Geographic Classification, 1995. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER - continued (c) (d) Inside City Limits Item Inside City Limits Item Not reported or item not on certificate Not reported or item not on certificate but street address reported and no street address reported _______________________________________________________________________________________ County/City of delivery 2/ County/City of delivery 2/ _______________________________________________________________________________________ Balance of County Balance of County _______________________________________________________________________________________ Balance of County if indicated as "rural," City "RFD," "star route," "rural delivery." All others, code to City. _______________________________________________________________________________________ Balance of County Balance of County _______________________________________________________________________________________ Balance of County Balance of County _______________________________________________________________________________________ Balance of County 1/ if indicated as "rural," City "RFD," "star route," "rural delivery." All others, code to City. _______________________________________________________________________________________ Balance of County 1/ Balance of County 1/ _______________________________________________________________________________________ County of delivery County of delivery _______________________________________________________________________________________ County/City of delivery 2/ County/City of delivery 2/ _______________________________________________________________________________________ Balance of County 1/ if indicated as City "rural," "RFD," "star route," "rural delivery." All others, code to City. _______________________________________________________________________________________ 2/ Use same rules as coding city and county of residence. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER - continued (a) (b) Inside City Limits Inside City Limits Yes No _______________________________________________________________________________________ 7. (Continued) B. City not listed in Balance of County 1/ Balance of County 1/ Geographic Code Manual _______________________________________________________________________________________ C. Atlas gives 2 or more City with largest City with largest cities by same name in population population different counties _______________________________________________________________________________________ D. City not in atlas Largest City of State Largest City of State of Residence 3/ of Residence 3/ _______________________________________________________________________________________ 8. State only specified with County/City of delivery 2/ County/City of delivery 2/ no city or county entry and State is same as State of Occurrence _______________________________________________________________________________________ 9. State only specified with Largest City of State Largest City of State no city or county entry of Residence 3/ of Residence 3/ and State is different from State of Occurrence _______________________________________________________________________________________ 10. A. Foreign Country - Code in data positions 27-28. (Leave data positions 29-31 blank.) 55 Canada 56 Cuba 57 Mexico 59 Remainder of World B. U.S. Possessions - Code in data positions 27-28. (Leave data positions 29-31 blank.) 52 Puerto Rico 53 Virgin Islands 54 Guam _______________________________________________________________________________________ 11. Two State entries County/City of delivery 2/ County/City of delivery 2/ _______________________________________________________________________________________ 12. City and County entry but County/City of delivery 2/ County/City of delivery 2/ no State entry _______________________________________________________________________________________ 1/ Use atlas or other reference aids to establish county and/or population. Refer to Appendix B for rules on interpreting atlas notation. If independent city or coextensive, use Section II, Part 8, Instruction Manual,Vital Records Geographic Classification, 1995. CODING RULES TABLE FOR PLACE OF RESIDENCE OF MOTHER - continued (c) (d) Inside City Limits Item Inside City Limits Item Not reported or item not on certificate Not reported or item not on certificate but street address reported and no street address reported _____________________________________________________________________________________ Balance of County 1/ Balance of County 1/ _____________________________________________________________________________________ City with largest population City with largest population _____________________________________________________________________________________ Largest City of State of Largest City of State of Residence 3/ Residence 3/ _____________________________________________________________________________________ County/City of delivery 2/ County/City of delivery 2/ _____________________________________________________________________________________ Largest City of State of Largest City of State of Residence 3/ Residence 3/ ___________________________________________________________________________________ ___________________________________________________________________________________ County/City of delivery 2/ County/City of delivery 2/ ___________________________________________________________________________________ County/City of delivery 2/ County/City of delivery 2/ _____________________________________________________________________________________ 2/ Use same rules as coding city and county of residence. 3/ See Appendix C for city. Item Output Code Structure Coding Instructions Position(s) FATHER'S DATE OF BIRTH Month 32-33 January. . . . . . . . . . .01 Code as reported. February . . . . . . . . . .02 March. . . . . . . . . . . .03 If any part of the date is not April. . . . . . . . . . . .04 reported, code only the missing May. . . . . . . . . . . . .05 component Not Classifiable. June . . . . . . . . . . . .06 July . . . . . . . . . . . .07 August . . . . . . . . . . .08 September. . . . . . . . . .09 October. . . . . . . . . . .10 November . . . . . . . . . .11 December . . . . . . . . . .12 Not Classifiable . . . . . .99 Day 34-35 01-31 Not Classifiable . . . . . .99 Year 208-211 Enter four digit year. Not Classifiable . . . . .9999 Filler 36-37 Blank HISPANIC When there is neither a "Hispanic ORIGIN Item" nor an "Ancestry Item" on the certificate then code 9. Mother 38 Non-Hispanic . . . . . . . . 0 Mexican. . . . . . . . . . . 1 Refer to Appendix G for additional Father 39 Puerto Rican . . . . . . . . 2 Hispanic entries and codes as well as Cuban. . . . . . . . . . . . 3 specific entries for categories 4 Central or South and 5. American (Spanish speaking countries For registration areas having the only). . . . . . . . . . . . 4 "Hispanic" item, follow instructions Other and unknown 1-8: Hispanic . . . . . . . . . . 5 Not Classifiable . . . . . . 9 1. If "No" is reported with a specified Hispanic entry in Appendix G, code the entry. 2. If "No" is reported with no specified Hispanic entry in Appendix G, code 0. Item Output Code Structure Coding Instructions Position(s) HISPANIC 3. If "Yes" is reported with a ORIGIN specified Hispanic entry, assign the appropriate code of 1-5. Mother 4. If "Yes" is reported with no Father specified Hispanic entry in Appendix G, and entries for race - Cont. item are reported as Mexican, Cuban, or Puerto Rican or any other Hispanic entry in appendix G, assign the appropriate code of 1-5. 5. If "Yes" is reported with no specified Hispanic entry in Appendix G, and there are no Hispanic entries in race item, as identified in 4 above, apply the following rules. If birthplace is on the certificate, refer to birthplace. If the birthplace identifies an entry in Appendix G, assign the appropriate code of 1-5. If birthplace does not identify an entry in Appendix G, code 5. If birthplace is not on the certificate, code 5. 6. If more than one entry is reported code first-listed Hispanic entry, e.g., for Mexican-Puerto Rican, code 1. 7. If blank and entries for race item are reported as Mexican, Cuban, or Puerto Rican or any Hispanic entries in Appendix G, assign the appropriate code of 1-5. 8. If blank and there are no Hispanic entries in race item, as identified in 7 above, refer to birthplace. If the birthplace is listed in appendix G, then assign the appropriate code of 1-5. Otherwise, code 9. Item Output Code Structure Coding Instructions Position(s) HISPANIC ORIGIN For states having an "ancestry" item, follow instructions 9 - 12: Mother 9. For all entries shown in Father - Appendix G, assign the appropriate Cont. code of 1-5. For all other entries (including American), assign the code 0. 10. If more than one entry is reported, code first listed Hispanic entry, e.g. for Mexican-Puerto Rican, code 1; for Irish-Cuban, code 3. 11. If the item is blank and entries for the race item are reported as Mexican, Cuban, or Puerto Rican or any Hispanic entry in Appendix G, assign the appropriate code of 1-5. 12. If blank and there are no Hispanic entries in the race item, as identified above, refer to birthplace. If the birthplace is listed in Appendix G, assign the appropriate code of 1-5. Otherwise, code 9. Item Output Code Structure Coding Instructions Position(s) RACE White The expanded Asian and Pacific includes Mexican, Islander categories of A, B, C, D, Mother 40 Puerto Rican, and and E are applicable only for the other Caucasian. . . . . . 1 following funded registration areas: Father 41 California, Hawaii, Illinois, New Black. . . . . . . . . . . . 2 Jersey, New York State, New York City, Texas and Washington. The Indian remaining registration areas may North American choose to use the expanded Central American categories or continue coding Asian South American Indian, Korean, Samoan, Vietnamese Eskimo and Guamian to 8. Aleut. . . . . . . . . . . 3 Refer to Appendix D for other Asian or Pacific Islander reported race entries. Chinese. . . . . . . . . . 4 Japanese . . . . . . . . . 5 Refer to Appendix E for names of Hawaiian (includes Indian tribes in the U.S., Canada, part-Hawaiian) . . . . . . 6 and Mexico. Filipino . . . . . . . . . 7 Other . . . . . . . . . . .8 1. If Hawaiian is reported with any Asian Indian. . . . . . . .A other race, code Hawaiian. Korea . . . . . . . . . . .B Samoan. . . . . . . . . . .C 2. If more than one race is reported Vietnamese. . . . . . . . .D (except Hawaiian), code the first Guamian . . . . . . . . . .E race listed. Multi-racial . . . . . . . F 3. If more than one race is reported Other Entries. . . . . . . 0 with percentages or fractions given (except Hawaiian), code the race Not Reported . . . . . . . 9 having the higher percentage or fraction. If the percentages of fractions are equal, code the first race listed. 4. If more than one race is reported with a hyphen but without percentages (except Hawaiian), code the first race listed. 5. If entry is "Col.," "N," Negro," "Color(ed)," "B," "Brown," "A.A.""Afro-American," or African American," code 2 (Black). Item Output Code Structure Coding Instructions Position(s) RACE - Cont. 6. If the racial entry is "Asian," "Yellow," "Oriental," or "Mongolian", and birthplace is given as China, Japan, the Phillippines, Hawaii, India, Korea, Vietnam, Samoa, or Guam, code to the appropriate group (code 4-7 or A-E if using the expanded code structure or code 4-8 if not using the expanded code structure). If birthplace is not on the certificate or is not one of these places, code 8 (other Asian or Pacific Islander). 7. If the racial entry is "Indian", and birthplace is not in North, Central, or South America (including Caribbean Islands) or birthplace is not on the certificate, code A (Asian Indian) if using the expanded code structure or code 8 (other Asian or Pacific Islander) if not using the expanded code structure. 8. If "part___," or "1/4, 1/2, 3/4____" is given as a single race entry, disregard the prefix and code race as reported. 9. If a racial entry is reported that cannot be coded 1-8 or A - E, code 0 (Other Entries). 10. If the item contains an entry of "?", "-", "Unknown" or is left blank, code 9 (Not Reported). 11. Use code F for entries of "multi- racial," "biracial," "mixed," and other synonymous terms. Do not use code F when multiple races are reported. In such cases, apply rules 2 through 4 above as applicable. Note: States not mandated by law to code multi-racial as a separate category may continue to code these entries as "0". Item Output Code Structure Coding Instructions Position(s) EDUCATION Mother 42-43 Elementary or Secondary See Appendix F for other entries on records. Father 44-45 00-12 1. Code the highest grade College completed. 1 year . . . . . . . . . . .13 2. If two or more levels of education 2 years. . . . . . . . . . .14 are reported for a parent, code the 3 years . . . . . . . . . . 15 highest level classifiable to codes 4 years. . . . . . . . . . .16 other than 99. 5+ years . . . . . . . . . .17 Not Classifiable . . . . . .99 Example: Elementary Or Secondary College Code 12 2 yrs. Tech 12 Blank 2 yrs. Tech 99 12 2 yrs. 14 3. If the entry for college is reported as a partial year or indication that a full year has not been completed and no other entry is given (e.g., one semester, one quarter, two quarters, etc.), code 12. 4. If year is given with a fraction or symbol such as +, -, ?, etc., ignore fraction or other symbol and code year as stated. 5. If two or three semesters, three or four quarters, or two or three trimesters is the only entry reported in the college block code 13. Item Output Code Structure Coding Instructions Position(s) EDUCATION 6. If entry is reported as "ALL" in elementary/secondary block, Mother code 12. If entry is reported as "ALL" in college block, code 16. Father - Cont. 7. If entry in college block is "A.A." or "A.S.," code 14. 8. If entry in college block is "B.B.A.," "B.A.," "A.B.," or "B.S.," code 16. 9. If entry in college block is "A.M.," "M.A.," "M.Sc.," "M.D.," "D.V.M.," "D.D.S.," D.D.M.," "D.O.," "L.L.B.," "Ph.D.," or other advanced degree, code 17. 10. When symbols such as "+," "-," "?," "/," etc., are reported in either block and no other entry is reported, code 99. If an entry is reported in either block with a symbol given in the other block, disregard symbol and code entry as stated. 11. If entry is R.N. or B.S. in Nursing, code as follows: R.N.. . . . . . . . . . . . . . . . . . . . . .14 2 R.N. . . . . . . . . . . . . . . . . . . . . .14 3 R.N. . . . . . . . . . . . . . . . . . . . . .15 4 R.N. . . . . . . . . . . . . . . . . . . . . .16 B.S. in Nursing. . . . . . . . . . . . . . . . .16 Item Output Code Structure Coding Instructions Position(s) PREGNANCY HISTORY Number of Live Births: Now Living 46-47 Enter as stated. Code 99 for entries of "?," "None," "N.A.," "-," "X," "0" "Unknown," "Unk.," "#," and other . . . . . . . . . . . . . . .00 such symbols. Blank. . . . . . . . . . . . 77 Not Classifiable . . . . . . 99 Do not include "adoptions." Now Dead 48-49 Enter as stated. Blanks must be uniquely identified. "None," "N.A.," "-," "X," "0" . . . . . . . . . . . . . . .00 Blank. . . . . . . . . . . . 77 Not Classifiable . . . . . . 99 Number Other 50-51 Enter as stated. Terminations "None," "N.A.," "-," "X," "0" . . . . . . . . . . . . . . .00 Blank. . . . . . . . . . . . 77 Not Classifiable . . . . . . 99 Item Output Code Structure Coding Instructions Position(s) DATE OF LAST LIVE BIRTH Month 52-53 January. . . . . . . . . . .01 If a span is reported for a month or February . . . . . . . . . .02 year, code the earlier entry; e.g., March. . . . . . . . . . . .03 March-April, 1994, code 03 1994. April. . . . . . . . . . . .04 May. . . . . . . . . . . . .05 Code 99 in locations 52-53 and June . . . . . . . . . . . .06 9999 in locations 212-215 for July . . . . . . . . . . . .07 entries of "None," "0," "-," "Not August . . . . . . . . . . .08 Applicable." September. . . . . . . . . .09 October. . . . . . . . . . .10 November . . . . . . . . . .11 December . . . . . . . . . .12 Not Classifiable . . . . . .99 Year 212-215 Enter four digit year. Not Classifiable . . . . .9999 Filler 54-55 Blank MOTHER 56 Married. . . . . . . . . . . 1 Other entries MARRIED? Legitimate. . . . . . . . . .1 Unmarried. . . . . . . . . . 2 Widowed . . . . . .2 Divorced. . . . . . . . . . .2 Separated . . . . .1 Not Classifiable . . . . . . 9 Common Law. . . . .1 Indian Marriage . . . . .1 Marriage Annulled . . . .2 Illegitimate. . . . . . .2 When there is a conflict between check box and "other" entries, code the "other" entry. Item Output Code Structure Coding Instructions Position(s) DATE LAST NORMAL MENSES BEGAN Month 57-58 January. . . . . . . . . . .01 Code as reported. February . . . . . . . . . .02 March. . . . . . . . . . . .03 If a span is reported for day, code April. . . . . . . . . . . .04 the earlier entry; e.g., January 10-11, May. . . . . . . . . . . . .05 1995, code 01 10 1995. If elapsed June . . . . . . . . . . . .06 span is 8 days or longer, code 99. July . . . . . . . . . . . .07 August . . . . . . . . . . .08 If no day is reported but September. . . . . . . . . .09 approximate part of month is October. . . . . . . . . . .10 reported, code: November . . . . . . . . . .11 December . . . . . . . . . .12 "Beginning of month" . . . . . . . . . . . . . 07 Not Classifiable . . . . . .99 "Middle of month". . . . . . . . . . . . . . . 15 "End of month" . . . . . . . . . . . . . . . . 24 Day 59-60 01-31 Not Classifiable . . . . . .99 Sometimes the estimated date of confinement (EDC) or expected date Year 216-219 Enter four digit year. Not Classifiable . . . . .9999 of delivery (EDD) are reported as date of last normal menses. When a date is reported with either of these terms or abbreviations, code the Date Last Normal Menses as "Not Classifiable." If Clinical Estimate of Gestation is reported in the last normal menses item on record, code 9999 in data positions 57-60 and 9999 in positions 216-219 (Date Last Normal Menses Began) and code entry as reported in data positions 72-73 for (Clinical Estimate of Gestation). Filler 61 Blank Item Output Code Structure Coding Instructions Position(s) MONTH OF 62 1st month . . . . . . . . . 1 If any fraction of a month is PREGNANCY 2nd month. . . . . . . . . . 2 reported, round to next whole PRENATAL 3rd month. . . . . . . . . . 3 month. CARE BEGAN 4th month. . . . . . . . . . 4 5th month. . . . . . . . . . 5 If entry is "-," code "0." 6th month. . . . . . . . . . 6 7th month. . . . . . . . . . 7 If entry is reported in weeks, convert 8th month. . . . . . . . . . 8 to appropriate month using the table 9th month orbelow: later . . . . . . . . . . . 9 None . . . . . . . . . . . . 0 Weeks Months Month Named. . . . . . . Blank 1-4. . . . . . . . . . . . . . . .1 Not Classifiable . . . . . "-" 5-9. . . . . . . . . . . . . . . .2 10-13. . . . . . . . . . . . . . .3 14-17. . . . . . . . . . . . . . .4 18-22. . . . . . . . . . . . . . .5 23-26. . . . . . . . . . . . . . .6 27-30. . . . . . . . . . . . . . .7 31-35. . . . . . . . . . . . . . .8 36+. . . . . . . . . . . . . . . .9 Named Month 63-64 January. . . . . . . . . . .01 If both a named month and the February . . . . . . . . . .02 numeric month (1-9) that prenatal March. . . . . . . . . . . .03 care began is reported, code the April. . . . . . . . . . . .04 numeric month in the field for Month May. . . . . . . . . . . . .05 of Pregnancy Prenatal Care Began June . . . . . . . . . . . .06 and blank the Named Month field. July . . . . . . . . . . . .07 August . . . . . . . . . . .08 If Month of Pregnancy Prenatal Care September. . . . . . . . . .09 Began is not reported but a named October. . . . . . . . . . .10 month is reported, code the named November . . . . . . . . . .11 month and blank the Month of December . . . . . . . . . .12 Pregnancy Prenatal Care Began field. If the numeric Month of Pregnancy Prenatal Care Began is reported, the field for "named month" is to be left blank. If entry is reported in trimesters, code "-" in data position for Month of Pregnancy Prenatal Care Began. Item Output Code Structure Coding Instructions Position(s) PRENATAL 65-66 00-48. . . . . . . . . . 00-48 If entry is reported as a span; e.g., VISITS 49 and greater . . . . . . .49 10-13, enter the lower number of (TOTAL Not classifiable . . . . . .99 visit. NUMBER) If entry is "-," code 00. If entry is "None," code 00. WEIGHT OF FETUS Units 67 Grams. . . . . . . . . . . . 1 If weight is reported in grams and Pounds and pounds and ounces, code grams. ounces . . . . . . . . . . .2 Not Classifiable . . . . . . 9 Fractions or decimal parts of grams of « (.50) or more are to be rounded Grams 68-71 Enter as stated. to the next whole gram. Not Classifiable . . . . 9999 Fractions of pounds are to be Or converted to ounces; e.g., 7« pounds is 7 pounds 8 ounces. Pounds 68-69 Enter as stated. Less than one pound. . . . . . . . . . . .00 Round fractional ounces to nearest Not Classifiable . . . . . .99 ounce. Entries of « or more are to have weight of a full ounce. If Ounces 70-71 Enter as stated. fraction is not legible, it is to have No ounces. . . . . . . . . .00 weight of a full ounce. Not Classifiable . . . . . .99 If the entire birth-weight item is Convert kilos to grams blank or not classifiable code 99999. (1 kilo = 1000 grams.) If no entry or an entry of dash is reported for pounds or ounces, code 00 for the portion of the birth weight that is blank or has entry of dash. Item Output Code Structure Coding Instructions Position(s) CLINICAL 72-73 Enter as stated. Entries of fractional weeks are to be ESTIMATE ignored. OF Not classifiable . . . . . .99 GESTATION If entry is reported in trimesters, (WEEKS) code 99. If entry is reported as a date, code 99. If entry is reported as a span, e.g., 27-34, enter the lower number of weeks. If the entry is reported in months, convert to the appropriate weeks using the table below: Month(s) Weeks 1/2 . . . .02 1 . . . . .04 2 . . . . .09 3 . . . . .13 4 . . . . .17 5 . . . . . . . . . . . . . . . . . . . . 22 6 . . . . .26 7 . . . . .30 8 . . . . .35 9 . . . . .40 10. . . . .44 Other Entries: Completed. . .40 Due. . . . . .40 Full Term. . .40 Normal . . . .40 Premature. . .99 Item Output Code Structure Coding Instructions Position(s) PLURALITY 74 Single . . . . . . . . . . . 1 Code 2 for entry of Siamese twins. Twin . . . . . . . . . . . . 2 Triplet. . . . . . . . . . . 3 Quadruplet . . . . . . . . . 4 Quintuplet and higher . . . . . . . . . . . 5 Not Classifiable . . . . . . 9 Item Output Code Structure Coding Instructions Position(s) MEDICAL RISK 75-92 FACTORS FOR THIS PREGNANCY None/Not Classifiable 75 One or more If the item is "blank," code 9 factors reported . . . . . . 0 ("not classifiable") in position None.. . . . . . . . . . . . 1 75. Insert 0's in positions Not Classifiable . . . . . . 9 76-92. Anemia (Hct.<30/Hgb 76 Not Reported . . . . . . . . 0 If the item is reported as <10) Reported . . . . . . . . . . 1 "none," code 1 in position 75. Cardiac Disease 77 Insert 0's in positions 76-92. Acute or chronic 78 lung disease Otherwise, code all reported Diabetes 79 risk factors with a 1 in the Genital herpes 80 corresponding position. Insert Hydramnios/ 81 0's in position 75 and all other Oligohydramnios unused positions. Hemoglobinopathy 82 Hypertension, 83 Note: If the only reported chronic entry is "other," code 1 in Hypertension, 84 position 92. Insert 0's in pregnancy assoc. positions 75-91. Eclampsia 85 Incompetent cervix 86 Previous infant 87 4000+ grams Previous preterm 88 or small for gestational age infant Renal disease 89 Rh sensitization 90 Uterine bleeding 91 Other 92 Filler 93-108 Blank Item Output Code Structure Coding Instructions Position(s) OTHER RISK FACTORS FOR THIS PREGNANCY Tobacco Use 109 Yes. . . . . . . . . . . . .1 If "No" is reported for No . . . . . . . . . . . . .2 Tobacco Use, code 00 for Not Classifiable . . . . . .9 Average Number of Cigarettes Per Day. Average Number 110-111 Enter as If reported as number of Of Cigarettes stated . . . . . . . . .00-97 packs, multiply by 20 and Per Day 98 and greater . . . . . . 98 code as computed. "Less than 1". . . . . . . 01 Not Classifiable . . . . . 99 If entry is reported as a span; e.g. 10-15, enter the lower number of cigarettes. Alcohol Use 112 Yes. . . . . . . . . . . . .1 If "No" is reported for No . . . . . . . . . . . . .2 Alcohol Use, code 00 for Not Classifiable . . . . . .9 Average Number of Drinks Per Week. Average Number Of 113-114 Enter as If entry is reported as a Drinks Per Week stated . . . . . . . . .00-97 span; e.g. 10-15, enter the 98 and greater . . . . . . 98 lower number of drinks. "Less than 1". . . . . . . 01 Not Classifiable . . . . . 99 Weight Gained During 115-116 Enter as If weight loss reported Pregnancy stated . . . . . . . . .00-97 code "00." 98 and greater . . . . . . 98 Not Classifiable . . . . . 99 Fractions of 1/2 or more are to be rounded to next whole pound. Item Output Code Structure Coding Instructions Position(s) OBSTETRIC 117-124 PROCEDURES None/Not Classifiable 117 One or more If the item is "blank," factors reported . . . . . . 0 code 9 ("not classifiable") None . . . . . . . . . . . . 1 in position 117. Insert 0's in Not Classifiable . . . . . . 9 positions 118-124. Amniocentesis 118 Not Reported . . . . . . . . 0 If the item is reported as Reported . . . . . . . . . . 1 "none," code 1 in position Electronic fetal 119 117. Insert 0's in positions monitoring 118-124. Induction of labor 120 Otherwise, code all reported risk factors with a Stimulation of labor 121 1 in the corresponding position. Insert 0's in Tocolysis 122 position 117 and all other unused positions. Ultrasound 123 Note: If the only reported Other 124 entry is "other," code 1 in position 124. Insert 0's in positions 117-123. Filler 125-130 Blank Item Output Code Structure Coding Instructions Position(s) COMPLICATIONS OF 131-147 LABOR AND/OR DELIVERY None/Not Classifiable 131 One or more If the item is "blank," factors reported . . . . . . 0 code 9 ("not classifiable") None . . . . . . . . . . . . 1 in position 131. Insert 0's Not Classifiable . . . . . . 9 in positions 132-147. Febrile(>100oF or 38oC 132 Not Reported . . . . . . . . 0 If the item is reported Reported . . . . . . . . . . 1 as "none," code 1 in Meconium, moderate/ 133 position 131. Insert 0's heavy in positions 132-147. Premature rupture 134 Otherwise, code all of membrane (> 12 hrs.) reported risk factors with a 1 in the Abruptio placenta 135 corresponding position. Placenta previa 136 Other excessive bleeding 137 Insert 0's in position 131 Seizures during labor 138 and all other unused positions. Precipitous 139 labor (< 3 hrs.) Note: If the only reported entry is "other," code 1 in Prolonged labor 140 position 147. Insert 0's in (> 20 hrs.) positions 131-146. Dysfunctional labor 141 Breech/ Malpresentation 142 Cephalopelvic 143 disproportion Cord prolapse 144 Anesthetic complications 145 Fetal distress 146 Other 147 Filler 148-162 Blank Item Output Code Structure Coding Instructions Position(s) METHOD OF 163-170 DELIVERY Not Classifiable 163 One or more If the item is "blank," factors reported . . . . . . 0 code 9 ("not classifiable") Not Classifiable . . . . . . 9 in position 163. Insert 0's in positions 164-170. Vaginal 164 Not Reported . . . . . . . . 0 Reported . . . . . . . . . . 1 Otherwise, code all reported methods with a 1 Vaginal birth 165 in the corresponding after previous position. Insert 0's in C-section position 163 and all other unused positions. Primary 166 C-section Repeat C-section 167 Forceps 168 Vacuum 169 Hysterotomy/ 170 Hysterectomy Filler 171-176 Blank Item Output Code Structure Coding Instructions Position(s) CONGENITAL 177-199 ANOMALIES None/Not Classifiable 177 One or more If the item is "blank," factors reported . . . . . . 0 code 9 ("not classifiable") None . . . . . . . . . . . . 1 in position 177. Insert 0's Not Classifiable . . . . . . 9 in positions 178-199. Anencephalus 178 Not Reported . . . . . . . . 0 If the item is reported Spina bifida/ Meningocele 179 Reported . . . . . . . . . . 1 as "none," code 1 in Hydrocephalus 180 position 177. Insert 0's Microcephalus 181 in positions 178-199. Other central nervous 182 system anomalies Otherwise, code all Heart malformations 183 reported risk factors Other circulatory/ 184 with a 1 in the respiratory anomalies corresponding position. Rectal atresia/stenosis 185 Insert 0's in position 177 Tracheo-esophageal 186 and all other unused fistula/Esophageal atresia positions. Omphalocele/Gastroschisis 187 Other gastrointestinal 188 Note: If the only reported anomalies entry is "other," code 1 in Malformed genitalia 189 position 199. Insert 0's in Renal agenesis 190 positions 177-198. Other urogenital anomalies 191 Cleft lip/palate 192 Polydactyly/Syndactyly/ 193 Adactyly Club foot 194 Diaphragmatic hernia 195 Other musculo-skeletal/ 196 integumental anomalies Down's syndrome 197 Other chromosomal 198 anomalies Other 199 Filler 220 Blank Item Output Code Structure Coding Instructions Position(s) UNDERLYING 221-224 Tenth Revision Refer to special instructions sent CAUSE OF DEATH International out to the states. Classification of Diseases Enter the underlying cause of death code. For all three digit codes, leave the fourth digit blank. Refer to Appendix H for underlying cause of death terms that indicate event to be an induced termination of pregnancy. Such events should be voided from the fetal death file. ATTENDANT 225 M.D. (Doctor of Code attendant based on the Medicine). . . . . . . . . 1 check box entry. If no checkbox is indicated but the title of the D.O. (Doctor of attendant is identified by the Osteopathy). . . . . . . . 2 name, code accordingly. C.N.M. (Certified If the name of the attendant is Nurse Midwife) . . . . . . 3 reported without a title and the name is different from that of the Other midwife. . . . . . . 4 person completing the report, Other. . . . . . . . . . . 5 code 9. Not Classifiable . . . . . 9 If the attendant item is blank, refer to the signature or title of the person completing the report and code attendant based on information reported for the person completing the report. Item Output Code Structure Coding Instructions Position(s) AGE Mother 226-227 Enter as stated. Disregard symbols such as "+," "-," "?". Father 228-229 Not Classifiable . . . . . .99 Enter age only if date of birth is not reported or date is incomplete. When date of birth of mother is reported, data positions 226-227 will be coded 99. When date of birth of father is reported, data positions 228-229 will be coded 99. Appendix A Geopraphic Codes for State of Delivery and Residence Code State Abbrev. Code State Abbrev. 01 Alabama AL 28 Nebraska NE 02 Alaska AK 29 Nevada NV 03 Arizona AZ 30 New Hampshire NH 04 Arkansas AR 31 New Jersey NJ 05 California CA 32 New Mexico NM 06 Colorado CO 33 New York NY 07 Connecticut CT 34 North Carolina NC 08 Delaware DE 35 North Dakota ND 09 District of Columbia DC 36 Ohio OH 10 Florida FL 37 Oklahoma OK 11 Georgia GA 38 Oregon OR 12 Hawaii HI 39 Pennsylvania PA 13 Idaho ID 40 Rhode Island RI 14 Illinois IL 41 South Carolina SC 15 Indiana IN 42 South Dakota SD 16 Iowa IA 43 Tennessee TN 17 Kansas KS 44 Texas TX 18 Kentucky KY 45 Utah UT 19 Louisiana LA 46 Vermont VT 20 Maine ME 47 Virginia VA 21 Maryland MD 48 Washington WA 22 Massachusetts MA 49 West Virginia WV 23 Michigan MI 50 Wisconsin WI 24 Minnesota MN 51 Wyoming WY 25 Mississippi MS 52 Puerto Rico PR 26 Missouri MO 53 Virgin Islands VI 27 Montana MT 54 Guam GU 55 Canada 55 Canadian Provinces Alberta (Alta.) British Columbia (B.C.) Great Northwest Territories (GNWT or NWT) Manitoba (Man.) New Brunswick (N.B.) Newfoundland (Nfld.) Nova Scotia (N.S.) Ontario (Ont.) Prince Edward Island (PEI) Quebec, Province of Quebec (Que. or P.Q.) Saskatchewan (Sask.) Yukon Territory (Y.T.) 56 Cuba 57 Mexico 59 Remainder of World Note: Remember to distinguish between the Country of Georgia (in former Soviet Union) which is coded to Remainder of World (59) and the State of Georgia which is coded to 11. Appendix B Interpretations of Atlas Notations 1. If the notation "part of _____" or "population included in _____" appears, consider the entry to be an inclusion of the city named and code accordingly. 2. If the notation "rural" and "mail to _____" or "no pop." appears, code to the balance of the county. 3. If only the notation "mail to _____" or "population included with _____" appears, code to the balance of the named county. ("Population included with" refers to an unincorporated place.) 4. If the notation "Station," "Branch of _____" or "Rural Station" appears, code to the balance of county. 5. If the notation "Station of _____ P. O." appears, consider the entry to be an inclusion of the city named and code accordingly. Appendix C Largest City and code by State of Residence State of Residence NCHS Code Largest City 01 Alabama 008 Birmingham 02 Alaska 001 Anchorage 03 Arizona 017 Phoenix 04 Arkansas 014 Little Rock 05 California 143 Los Angeles 06 Colorado 009 Denver 07 Connecticut 004 Bridgeport 08 Delaware 003 Wilmington 09 District of Columbia 001 Washington 10 Florida 041 Jacksonville 11 Georgia 005 Atlanta 12 Hawaii 003 Honolulu 13 Idaho 001 Boise City 14 Illinois 034 Chicago 15 Indiana 027 Indianapolis 16 Iowa 012 Des Moines 17 Kansas 033 Wichita 18 Kentucky 017 Louisville 19 Louisiana 022 New Orleans 20 Maine 006 Portland 21 Maryland 003 Baltimore 22 Massachusetts 012 Boston 23 Michigan 025 Detroit 24 Minnesota 041 Minneapolis 25 Mississippi 017 Jackson 26 Missouri 028 Kansas City 27 Montana 002 Billings State of Residence NCHS Code Largest City 28 Nebraska 011 Omaha 29 Nevada 005 Las Vegas 30 New Hampshire 008 Manchester 31 New Jersey 104 Newark 32 New Mexico 002 Albuquerque 33 New York 053 New York 34 North Carolina 009 Charlotte 35 North Dakota 003 Fargo 36 Ohio 034 Columbus 37 Oklahoma 025 Oklahoma City 38 Oregon 027 Portland 39 Pennsylvania 092 Philadelphia 40 Rhode Island 014 Providence 41 South Carolina 007 Columbia 42 South Dakota 007 Sioux Falls 43 Tennessee 030 Memphis 44 Texas 075 Houston 45 Utah 020 Salt Lake City 46 Vermont 001 Burlington 47 Virginia 022 Norfolk 48 Washington 034 Seattle 49 West Virginia 003 Charleston 50 Wisconsin 035 Milwaukee 51 Wyoming 002 Cheyenne 52 Puerto Rico 765 San Juan 53 Virgin Islands 001 Charlotte Amalie Appendix D Other Entries Reported on Records and Code for Race The expanded Asian and Pacific Islander categories of A, B, C, D, and E are required only for the following funded registration areas: California, Hawaii, Illinois, New Jersey, New York State, New York City, Texas and Washington. The remaining registration areas may choose to use the expanded categories or continue coding Asian Indian, Korean, Samoan, Vietnamese and Guamian to 8. ENTRY CODE Afghanistan . . 1 African . . 2 Aleut . . 3 Algerian. . .1 Alocona . . 0 Ameriasian. . .8 American. . .1 Amish . . .1 Anglo-Saxon . . 1 Arabian . . 1 Argentinian . . 1 Armenian. . .1 Aryan . . 1 Asian Indian. . .8 or A Asiatic . . 8 Assyrian. . .1 Athapaskan . . 3 Australian. . .1 Austrian. . .1 Azores. . .1 Bahamian. . .0 Bangladeshi . . 8 Basque . . 1 Bavarian. . .1 Begri . . 0 Belizian. . .0 Bilalian. . .2 Biracial. . .0 or F Blanc . . 1 Bohemian. . .0 Bolivian. . .1 Brava (Bravo) . . 1 Brazilian . . 1 British Honduran. . .0 Burmese . . 8 C . . 0 Cajun . . .1 Cambodian . . 8 Canadian. . .1 Cape Verde. . .2 Carib . . 0 Caucasian . . 1 Ceylonese . . 8 Chamorro. . .8 or E Chamosso. . .0 Chicano . . 1 ENTRY CODE Chinese . . 4 Chuukese. . .8 Colestran . . 0 Colombian . . 1 Cosmopolitan. . .0 Costa Rican . . 1 Creole. . .1 Crucian . . 1 Cuban . . 1 Czechoslovakian . . 1 Dominican . . .2 Dutch East Indian . . 8 East Indian . . 8 or A East Indies . . .8 Ebian . . 1 Ecuadorian. . .1 Egyptian. . .1 English . . .1 English-French. . .1 English-Irish . . 1 Eritrean. . .2 Eskimoan. . .3 Ethiopia(n) . . .2 Eurasian. . .8 European. . .1 Fijian. . .8 Filipino. . .7 Finnish . . 1 French. . .1 French Canadian . . 1 French Indian . . .3 Georgian. . .1 German. . .1 Ghanaian. . .2 Gilbertese. . .8 Greek . . 1 Guam(ian)(ese) . . 8 or E Guatemalan. . .0 Guyanese. . .0 Gypsy . . 1 Haitian . . 2 Hamitic . . 2 Hawaiian. . .6 Hebrew. . .1 Hindu . . 8 or A Hispanic. . .1 Honduran. . .0 Hungarian . . 1 ENTRY CODE Icelandic . . 1 India . . 8 or A Indian (North, Central and South American). . .3 Indo-Aryan. . .8 or A Indonesian. . .8 Iran(ian) . . 1 Iraqi . . 1 Irish . . 1 Islamic . . 1 Israelite . . 1 Italian . . 1 Jackson (Jack) White. . .0 Jamaican. . .2 Japanese. . .5 Java. . .8 Jew . . 1 Jordanian . . 1 Kenyan. . .2 Korean. . .8 or B Kuwaitian . . 1 Ladina (Ladino) . . 1 Laotian (Asian) . . .8 Latin American. . .1 Latvian . . 1 Lebanese. . .1 Liberian. . .2 Libyan. . .1 Lithuanian. . .1 Mal. . . 0 Malada. . .0 Malawian. . .2 Malayan . . 8 Maltese . . 1 Maori . . 8 Marshallese . . 8 Marshenese. . .1 Mauritian . . 1 Mediterranean . . 1 Melanesian. . .8 Mestizo . . 0 Mestizo-Inca. . .0 Mexican . . 1 Mexican Indian. . .3 Micronesian . . 8 Mixed . . 0 or F Mohammedan (Moslem) . . 1 Moor. . .0 Moroccan. . .1 Mosotho . . .0 Mugandan. . .2 Mulatto . . 2 ENTRY CODE Multi-racial. . .0 or F Muslim. . .1 N/W . . 0 Nassau . . 2 Native American . . 3 Nepalese. . .8 Nicaraguan. . .0 Nigerian. . .2 Nipponese (Nipon) . . 5 Nordic. . .1 Norwegian . . 1 Nubian. . .2 Occidental. . .1 Octaroon. . .2 Okinawan. . .5 Pakistani . . 8 Palauan . . .8 Panamanian. . .0 Parsi . . 1 Persian . . 1 Peruvian. . .1 Phoenician. . .0 Polish. . .1 Polynesian . . 8 Ponapean. . .8 Portuguese. . .1 Puerto Rican. . .1 Punjabi . . 8 or A Quadroon. . .2 Red . . 3 Romanian. . .1 Rotanese. . .8 Russian . . 1 Ryukyan . . 5 Saipanese . . 8 Salvadorian . . 0 Samoa(n) . . 8 or C Santo-Domingo . . .2 Saudi Arabia(n) . . 1 Saxon(y). . .1 Scandinavian . . 1 Scotch. . .1 Selawik . . 3 Semitic . . 1 Serbian . . 1 Servian . . 1 Seychelloise . . 2 ENTRY CODE Siamese . . 8 Siamsh Am . . 0 Sicilian. . .1 Sikh. . .8 or A Singhalese. . .8 Sino Burman . . 4 Slovakian . . 1 Soanish . . 0 South American. . .1 Spanish . . 1 Sudanese. . .2 Sunni . . 1 Swedish . . 1 Syrian. . .1 Tahitian. . .8 Taimskin. . .3 Taiwanese . . 4 Tamil-Ceylonese . . 8 Tamil-Malayan . . 8 Tanzanian . . 2 Teutonic. . .1 Thai. . .8 Tibetan . . 8 Tongan. . .8 Trigueno. . .0 Trinidadian . . 2 Trukese . . 8 Tunisian. . .1 Turk. . .1 Ubontilian. . .8 Ugandan . . 2 Ukranian. . .1 Ulithian. . .0 Ute . . 3 Venezuela(n). . .1 Vietnam(ese). . .8 or D W . . 1 Welsh . . 1 West Indies (Indian) . . 2 Wiam (White American) . . 1 Yapanes . . 8 Yemenite. . .1 Yugoslavian . . 1 Zoroastrian . . .1 Appendix E Indian Tribes in the United States, Canada, and Mexico Abnaki Absentee-Shawnee Acoma Ak Chin Alabama-Coushatt Tribes of Texa Alsea Apache Arapaho Arikara Assiniboin Atacapa Athapaskan Atsina Aztec Bear River Beaver Bella Coola Beothuk Blackfoot Boold Piegan Blue Lake Brotherton Caddo Cakchiquel-lenca Calapooya Carrier Catawba Cattaraugus Cayuga Cayuse Chasta Costa Chehalis Chemehuevi Cherokee Chetco Cheyenne Cheyenne River Sioux Chickahominy Chickasaw Chinook Chipewyan Chippewa Chippewa-Ojibwa Chiricahua Apache Chitimacha Choctaw Chol Chontal Chorti Chuckchansi Chumash Clallam Clatsop Clackamus Clear Lake Coast Salish Cochimi Cochiti Cocopa Coeur D'Alene Tribe of Idaho Cocopah Columbia Colville Comox Comanche Concow Conquille Coushatta Covelo Cow Creek Cowichan Cowlitz Coyotero Apache Cree Creek Crow Crow Creek Sioux Dakota Delaware Diegueno Digger Dog Rib Duckwater Euchi Eyak Flathead Fort Hall Res. Tribe of Idaho French Indian Gabrieleno Galice Creek Gay Head Gosiute Gros Ventre Haida Han Hare Hat Creek Hawasupai Hidatsa Hoh Hoopa Hopi Houma Hualapai Huastec Humboldt Bay Hupa Huron Illinois Ingalik Iowa Iroquois Isleta Jemez Joshua Juaneno Jicarilla Apache Kaibah Kalispel Kanosh Band of Paiutes Kansa Karankawa Karok Kaska Kaw Kawai Keresan Pueblos Kern River Kichai Kickapoo Kiowa Kiowa Apache Kitamat Klamath Klikitat Koasati Kootenai Tribe of Idaho Kusa Kutchin Kutenai Kwakiutl Lac Courte Dreille Laguna Lakmuit Lipan Apache Lower Brule Sioux Luiseno Lummi Maidu Makah Malecite Mandan Maricopa Mary's River Mashpee Mattaponi Maya Mayo Mdewakanton Sioux Menominee Menomini Mequendodon Mescalero Apache Miami Micmac Mission Indians Missouri Miwok Mixe Mixtec Modoc Mohave Mohawk Mohegan Molala Monachi Mono Montagnais Montauk Muckleshoot Munsee Nambe Namsemond Nanticoke Narragansett Naskapi Natchez Navaho Navajo Nez Perce Niantic Nipmuck Nisenan-Patwin Nisqually Nomelaki Nooksak Nootka Northern Paiute Oglala Sioux Okanogan Omaha Oneida Onondaga Opata Opato Osage Oto Otoe Otomi Ottawa Ozette Paiute Pamunkey Panamint Papago Passamaquoddy Patwin Pawnee Pen d'Oreille Penobscot Peoria Pequot Picuris Pima Pit River Pojoaque Pomo Ponca Poosepatuck Potawatomi Potomac Powhatan Pueblos Puyallup Quapaw Quechan Quileute Quinaielt Quinault Rappahannock Rogue River Rosebud Sioux Sac and Fox Saginaw Salish Sandia San Felipe San Ildefonso San Juan San Lorenzo San Luis Obispo San Luiseno Sanpoil Sanpoil Nespelem Sant'ana Santa Barbara Santa Clara Santa Ynez Santee Santee Sioux Santiam Sauk and Fox Scaticook Sekane Seminole Seneca Seri Shasta Shawnee Shinnecock Shivwits Band of Paiutes Shoshone Shoshone-Bannock Shuswap Siouans Sioux Sisseton Sisseton-Wahpeton Sioux Siuslaw Skagit Suiattle Skokomish Slave Smith River Snake Snohomish Snoqualmi Songish Southern Paiute Squaxin Stockbridge Sumo-Mosquito Suquamish Swinomish Taimskin Tanana Tanoan Pueblos Taos Tarahumare Tarascan Tawakoni Tejon Tenino or Warm Springs Tesuque Teton Teton Sioux Tillamook Timucua Thlinget Tolowa Tonawanda Tonkawa Tonto Apache Topinish Totonac Tsimshian Tulalip Tule River Indians Tunica Tuscarora Tututni Umatilla Umpqua Upper Chinook Ute Waca Waicuri-Pericue Wailaki Walapai Walla Walla Wampanoag Wapato Warm Springs Wasco Washo Washoe Western Apache Western Shoshone Whilkut Wichita Wikchamni Wind River Shoshone Winnebago Wintu Wintun Wishram Wyandotte Xicaque Yahooskin Yakima Yamel Yana Yankton Yanktonnais Sioux Yaqui Yaquina Yavapai Yawilmani Yellow Knife Yerington Paiute Yokuts Yokuts-Mono Yomba Shoshone Yuchi Yuki Yuma Yurok Zacatec Zapotec Zia Zoque Zuni Appendix F Other Entries Reported on Records and Codes for Education of Mother and Father College Entries Code 4 + 2 . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Post graduate . . . . . . . . . . . . . . . . . . . . . . .17 16 mos. . . . . . . . . . . . . . . . . . . . . . . . . . .13 (convert months by dividing by 9) (1 yr. 7 mos.) 3/4 . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 2.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 1+1 N.T . . . . . . . . . . . . . . . . . . . . . . . . . .13 1500 hrs. . . . . . . . . . . . . . . . . . . . . . . . . .99 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 P. G. - 4 . . . . . . . . . . . . . . . . . . . . . . . . .99 In 2nd year . . . . . . . . . . . . . . . . . . . . . . . .13 B . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 BA with 1 yr. law . . . . . . . . . . . . . . . . . . . . .17 Senior. . . . . . . . . . . . . . . . . . . . . . . . . . .15 Soph. . . . . . . . . . . . . . . . . . . . . . . . . . . .13 College . . . . . . . . . . . . . . . . . . . . . . . . . .16 University. . . . . . . . . . . . . . . . . . . . . . . . .16 1 year Prep. . . . . . . . . . . . . . . . . . . . . . . .99 Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 4 semesters . . . . . . . . . . . . . . . . . . . . . . . .14 Assoc. degree . . . . . . . . . . . . . . . . . . . . . . .14 Graduate. . . . . . . . . . . . . . . . . . . . . . . . . .16 6 months . . . . . . . . . . . . . . . . . . . . . . . . .12 2/3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Less than 3/4 or less than 9 mos. . . . . . . . . . . . . .12 Technical or Trade School . . . . . . . . . . . . . . . . . 99 Junior College. . . . . . . . . . . . . . . . . . . . . . .14 Juris Doctor . . . . . . . . . . . . . . . . . . . . . . .17 Masters . . . . . . . . . . . . . . . . . . . . . . . . . .17 Elementary or Secondary Entries Code Kindergarten. . . . . . . . . . . . . . . . . . . . . . . .00 Finished in service . . . . . . . . . . . . . . . . . . . .12 G.E.D - Army. . . . . . . . . . . . . . . . . . . . . . . .12 3 - graduate. . . . . . . . . . . . . . . . . . . . . . . .11 Senior. . . . . . . . . . . . . . . . . . . . . . . . . . .11 Soph. . . . . . . . . . . . . . . . . . . . . . . . . . . .09 High School . . . . . . . . . . . . . . . . . . . . . . . .12 Yes . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 GED . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Graduate . . . . . . . . . . . . . . . . . . . . . . . . .12 Elementary. . . . . . . . . . . . . . . . . . . . . . . . .06 Secondary . . . . . . . . . . . . . . . . . . . . . . . . .12 Appendix G Other Entries Reported on Records and Code for Hispanic Origin ENTRY CODE Argentina (Argentino). . . . . . . .4 Balearic Islands . . . . . . . . . .5 Basque . . . . . . . . . . . . . . .5 Belizian . . . . . . . . . . . . . .4 Bolivian (Boliviano) . . . . . . . .4 Boricua (Borinqueno) . . . . . . . .2 Brazilian. . . . . . . . . . . . . .0 Californio . . . . . . . . . . . . .5 Canary Islands . . . . . . . . . . .5 Castilian. . . . . . . . . . . . . .5 Catalonia. . . . . . . . . . . . . .5 Centroamericano. . . . . . . . . . .4 Chicano. . . . . . . . . . . . . . .1 Chile (Chileno). . . . . . . . . . .4 Colombia (Colombiano). . . . . . . .4 Costa Rica (Costarricense) . . . . .4 Cuban (Cubano) . . . . . . . . . . .3 Dominican Republic (Dominicano). . . . . . .4 Ecuador (Ecuatoriano). . . . . . . .4 El Salvador. . . . . . . . . . . . .4 Espana . . . . . . . . . . . . . . .5 Espanol. . . . . . . . . . . . . . .5 Falkland Island. . . . . . . . . . .4 Fernando Po. . . . . . . . . . . . .5 Galapagos Islands. . . . . . . . . .4 Guatemala (Guatemalteco) . . . . . .4 Hispano . . 5 Honduras (Hondureno). . .4 Iberia (Ibero). . .5 La Raza . . 4 Latin American. . .5 Latino. . .5 Majorca . . 5 Mallorca (Mallorquin) . . 5 Mexican (Mexicano). . .1 Mexican American. . .1 Nicaragua (Nicaraguense). . .4 Panama (Panameno) . . 4 Paraguay (Paraguayo). . .4 Peru (Peruano). . .4 Puerto Rican (Puertorriqueno) . . 2 Salvadoreno . . 4 Spain . . 5 Spaniard. . .5 Uruguay (Uruguayo). . .4 Valencian . . 5 Venezuela (Venezolano). . .4 Appendix H Terms Indicating Induced Abortions 1. Consensual Abortion 2. Convenience 3. Dilation and curettage (D & C) 4. Demand Abortion 5. Dilation and curettage for termination of pregnancy psychiatric indications (D & C for T. O. P.) 6. Dilation and evacuation (D & E) 7. Dilatation and suction curettage (D & SC) 8. Early uterine evacuation 9. Elective Abortion (E. A.) 10. Endometrial aspiration 11. Extra-amniotic injection 12. Hypersalinezation 13. Hysterotomy 14. Hysterectomy for termination of pregnancy (Hysterectomy) 15. Iatrogenic interruptions of pregnancy (Iatrogenic) 16. Inconvenience 17. Indicated Abortion Social Economic Reason 18. Induced Abortion 19. Induced by instrumentation prior to admission 20. Induced Preg. termination 21. Induced Termination of Pregnancy (ITOP) 22. Intentional termination of pregnancy 23. Interrupted first trimester 24. Interrupted pregnancy 25. Intra-amniotic injection 26. Intra-amniotic instillation 27. Intra-uterine prostaglandin instillation 28. Intra-uterine saline instillation 29. Laminaria 30. Legal Abortion 31. Legally induced abortion 32. Medically Induced Abortion 33. Medical Termination of Pregnancy 34. Menstrual Aspiration 35. Menstrual Extraction 36. Menstrual Induction 37. Menstrual Regulation 38. Oxytocin induction 39. Pitocin induction 40. Prophylactic Abortion 41. Prostaglandin Injection 42. Prostaglandin injection 43. Prostaglandin amniocentesis 44. Requested Abortion 45. Saline Induction (Saline) (salting out procedure) (salinezation) 46. Saline amniocentesis 47. Saline amnio-infusion 48. Saline amniotic fluid exchange 49. Septic Abortion 50. Septic criminal abortion 51. Sharp curettage 52. Sociologic termination 53. Suction Abortion 54. Suction Curettage (S. & C.) 55. Suction D & C 56. Sulting out procedure 57. Surgical Abortion (S. A.) 58. Surgical curettage 59. Surgical excision of pregnancy 60. Surgical Interruption of Pregnancy 61. Termination of Pregnancy 62. Therapeutic Abortion (T. A., ther ab, Tab) 63. Therapeutic Interruption (T. I.) 64. Undesired pregnancy 65. Vacuum Aspiration 66. Vacuum extraction 67. Vacuum induction 68. Vaginal suppository prostaglandin 69. Voluntary Abortion (V. A. or V. I. A.) 70. Voluntary Interruption of Pregnancy 71. Voluntary termination pregnancy (VTP) Vital Statistics Instruction Manuals Part 1 Source Records and Control Specifications (1995) Part 2a Instructions for Classifying the Underlying Cause of Death (1999) Part 2b Instructions for Classifying Multiple Causes of Death (1999) Part 2c ICD-10 ACME Decision Tables for Classifying Underlying Causes of Death (1999) Part 2d NCHS Procedures for Mortality Medical Data System File Preparation and Maintenance (1999) Part 2e Non-Indexed Terms, Standard Abbreviations, and State Geographic Codes Used in Mortality Data Classification (1995) Part 2f ICD-10 TRANSAX Disease Reference Tables for Classifying Multiple Causes-of-Death (1999) Part 2g Data Entry Instructions for the Mortality Medical Indexing, Classification, and Retrieval System (MICAR) (1999) Part 2h Dictionary of Valid Terms for the Mortality Medical Indexing, Classification, and Retrieval System (MICAR) (1992) Part 2i MICAR Quick Reference Guide (1999) Part 3a Classification and Coding Instructions for Live Birth Records (1999) Part 3b Classification and Coding Instructions for Fetal Death Records (1999) Part 4 Demographic Classification and Coding Instructions for Death Records (1999) Part 5 Data Preparation of the Current Mortality Sample (1995) Part 6 Classification and Coding Instructions for Marriage Records (1995) Part 7 Classification and Coding Instructions for Divorce Records (1995) Part 8 Vital Records Geographic Classification (1995) Part 9 ICD-10 Underlying Cause of Death Lists for Tabulating Mortality Statistics (1999) Part 10 Classification and Coding Instructions for Induced Termination of Pregnancy Records (1993) Part 11 Computer Edits for Mortality Data (1999) Part 12 Computer Edits for Natality Data (1993) Part 18 Guidelines for Implementing Field and Query Programs for Registration of Births and Deaths (1993) Part 19 Industry and Occupation Coding for Death Certificates (1998) Part 19B Alphabetical Index of Industries and Occupations (1998) Part 20 Cause-of-Death Query Manual (1985)