HomeMy WebLinkAboutWashington State Department of Health Data Sharing Child Deaths - 070626 USA ff: LUL -U/-UL
DOH Contract: CLH32886-0
DATA SHARING AGREEMENT
FOR
DATASET(S)
BETWEEN
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
AND
JEFFERSON COUNTY PUBLIC HEALTH
CONTACT INFORMATION FOR ENTITIES RECEIVING AND PROVIDING INFORMATION
INFORMATION RECIPIENT INFORMATION PROVIDER
Organization Name Jefferson County Public Health Washington State Department of
Health (DOH)
Business Contact
Lara Cittadini Katie Hutchinson
Name
Title CHIP Program Manager State Registrar and Office
Director
Address 615 Sheridan Street, Port 101 Israel Rd SE
Townsend, WA 98368 Tumwater, WA 98501
Telephone # 360-385-9448 360-870-6186
Email Address Lcittadini@co.jefferson.wa.us katie.hutchinson@doh.wa.gov
IT Security Contact Mikey Forville John Weeks
Title Information Technology DOH Chief Information Security
Foreman Officer
Address Central Services, 1820 Jefferson PO Box 47890
St, Port Townsend, WA 98368 Olympia, WA 98504-7890
Telephone # 360-385-9171 (360) 688-3464
Email Address mforville@co.jefferson.wa.us security@doh.wa.gov
Privacy Contact Name Veronica Shaw Michael Paul
Title Deputy Director of Public Health DOH Chief Privacy Officer
Address 615 Sheridan Street, Port P. O. Box 47890
Townsend, WA 98368 Olympia, WA 98504-7890
Telephone # 360-385-9400 (564) 669-9692
Email Address veronica@co.jefferson.wa.us Privacy.officer@doh.wa.gov
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DEFINITIONS
Authorized user means a recipient's employees, agents, assigns, representatives, independent
contractors, or other persons or entities authorized by the data recipient to access, use or
disclose information through this agreement.
Authorized user agreement means the confidentiality agreement a recipient requires each of its
Authorized Users to sign prior to gaining access to Public Health Information.
Breach of confidentiality means unauthorized access, use or disclosure of information received
under this Agreement. Disclosure may be oral or written, in any form or medium.
Breach of security means an action (either intentional or unintentional) that bypasses security
controls or violates security policies, practices, or procedures.
Commercial purpose means a business activity by any form of business enterprise intended to
generate revenue or financial benefit, including non-profit business activity.
Confidential information means information that is protected from public disclosure by law.
There are many state and federal laws that make different kinds of information confidential. In
Washington State, the two most common are the Public Records Act RCW 42.56, and the
Healthcare Information Act, RCW 70.02.
Data means a data file containing multiple records.
Data storage means electronic media with information recorded on it, such as CDs/DVDs,
computers and similar devices.
Data transmission means the process of transferring information across a network from a sender
(or source)to one or more destinations.
De-identified means health information that does not identify an individual and with respect to
which there is no reasonable basis to believe that the information can be used to identify an
individual.
Direct identifier means a single data element that identifies an individual person. Direct
identifiers include information in accordance with Chapter 246-492 WAC.
Direct patient identifier means information that identifies a patient. Direct patient identifiers
include information in accordance with WAC 246-455-085.
Disclosure means to permit access to or release, transfer, or any other form of communication
of information by any means including oral, written, or electronic, to any party except the
Department or the Information Recipient within this Agreement.
Encryption means the use of algorithms to encode data making it impossible to read without a
specific piece of information, which is commonly referred to as a "key". Depending on the type
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of information shared, encryption may be required during data transmissions, and/or data
storage.
Government agencies include Washington state boards, commissions, committees,
departments, educational institutions, or other Washington state agencies which are created by
or pursuant to statute, other than courts and the legislature; Washington county or city agencies,
U.S. federal agencies.
Human subjects research; human subject means a living individual about whom an investigator
(whether professional or student) conducting research obtains (1) data through intervention or
interaction with the individual, or (2) identifiable private information.
Indirect identifiers means a single data element that on its own does not identify an individual
person, but when combined with other indirect identifiers can be used to identify an individual
person. Indirect identifiers include information in accordance with Chapter 246-492 WAC.
Indirect patient identifier means information that may identify a patient when combined with
other information. Identification of a specific patient is more likely when a file contains a group
of ten or fewer similar hospitalizations. Indirect patient identifiers include information in
accordance with WAC 246-455-085.
Limited dataset means a data file that includes potentially identifiable information. A limited
dataset does not contain direct identifiers.
Potentially identifiable information means information that includes indirect identifiers which
may permit linking an individual to that person's health care information. Examples of potentially
identifiable information include:
• birth dates;
• admission, treatment or diagnosis dates;
• healthcare facility codes;
• other data elements that may identify an individual. These vary depending on
factors such as the geographical location and the rarity of a person's health
condition, age, or other characteristic.
Public health purpose means a purpose that seeks to support or evaluate public health activities
which include, but are not limited to, health surveillance; identifying population health trends;
health assessments; implementing educational programs; program evaluation; developing and
implementing policies; determining needs for access to services and administering services;
creating emergency response plans; promoting healthy lifestyles; and preventing, detecting, and
responding to infectious diseases, injury, and chronic and inheritable conditions. Public health
purpose does not include research as defined in this section.
Research means a systematic investigation, including research development, testing and
evaluation, designed to develop or contribute to generalizable knowledge. Activities that meet
this definition constitute research for purposes of this policy, whether or not they are conducted
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or supported under a program that is considered research for other purposes. The Department's
human subjects' research that involves data through intervention or interaction with the
individual,or identifiable private and/or confidential information should follow the Department's
Human Research Review Policy 03.001.
Restricted confidential information means confidential information where especially strict
handling requirements are dictated by statutes, rules, regulations or contractual agreements.
Violations may result in enhanced legal sanctions.
State holidays means New Year's Day, Martin Luther King Jr. Day, President's Day, Memorial Day,
Juneteenth National Independence Day, Labor Day, Independence Day, Veterans' Day,
Thanksgiving Day, the day after Thanksgiving Day, and Christmas. Note: When January 1, June
19, July 4, November 11 or December 25 falls on Saturday, the preceding Friday is observed as
the legal holiday. If these days fall on Sunday, the following Monday is the observed holiday.
Writin includes handwriting,typewriting, printing, photocopying, emailing, photographing, and
every other means of recording any form of communication or representation, including, but not
limited to, letters, words, pictures, sounds, or symbols, or combination thereof, and all papers,
maps, magnetic or paper tapes, photographic films and prints, motion picture, film and video
recordings, magnetic or punched cards, discs, drums, diskettes, sound recordings, and other
documents including existing data compilations from which information may be obtained or
translated.
GENERAL TERMS AND CONDITIONS
I. USE OF INFORMATION
The Information Recipient agrees to strictly limit use of information obtained or created
under this Agreement to the purposes stated in Exhibit I (and all other Exhibits
subsequently attached to this Agreement). For example, unless the Agreement specifies
to the contrary the Information Recipient agrees not to:
• Link information received under this Agreement with any other information.
• Use information received under this Agreement to identify or contact
individuals.
The Information Recipient shall construe this clause to provide the maximum protection
of the information that the law allows.
II. SAFEGUARDING INFORMATION
A. CONFIDENTIALITY
Information Recipient agrees to:
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• Follow DOH small numbers guidelines as well as dataset specific small
numbers requirements. (Appendix D)
• Limit access and use of the information:
■ To the minimum amount of information .
■ To the fewest people.
■ For the least amount of time required to do the work.
• Ensure that all people with access to the information understand their
responsibilities regarding it.
• Ensure that every person (e.g., employee or agent) with access to the
information signs and dates the "Use and Disclosure of Confidential
Information Form" (Appendix A) before accessing the information.
■ Retain a copy of the signed and dated form as long as
required in Data Disposition Section.
The Information Recipient acknowledges the obligations in this section survive
completion, cancellation, expiration or termination of this Agreement.
B. SECURITY
The Information Recipient assures that its security practices and safeguards meet
Washington State Office of Washington Technology Solutions (WaTech) security
standard's: Asset Management Policy I WaTech; Physical and Environmental
Protection Policy I WaTech; Network Security Standard I WaTech; Mobile Device
Security Standard ( WaTech; Remote Access Standard I WaTech.
For the purposes of this Agreement, compliance with the HIPAA Security Standard and
all subsequent updates meets WaTech security standards in SEC-08 "Data Sharing
Policy" and SEC-01 through SEC-13 "WaTech Policies"
The Information Recipient agrees to adhere to the Data Security Requirements in
Appendix B. The Information Recipient further assures that it has taken steps
necessary to prevent unauthorized access, use, or modification of the information in
any form.
Note: The DOH Chief Information Security Officer must approve any changes to this
section prior to Agreement execution. IT Security Officer will send approval/denial
directly to DOH Contracts Office and DOH Business Contact.
C. BREACH NOTIFICATION
The Information Recipient shall notify the DOH Chief Information Security Officer
(security@doh.wa.gov)within one (1) business days of any suspected or actual breach
of security or confidentiality of information covered by the Agreement.
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III. RE-DISCLOSURE OF INFORMATION
Information Recipient agrees to not disclose in any manner all or part of the information
identified in this Agreement except as the law requires,this Agreement permits, or with
specific prior written permission by the Secretary of the Department of Health.
If the Information Recipient must comply with state or federal public record disclosure
laws, and receives a records request where all or part of the information subject to this
Agreement is responsive to the request: the Information Recipient will notify the DOH
Privacy Officer of the request ten (10) business days prior to disclosing to the requestor.
The notice must:
• Be in writing;
• Include a copy of the request or some other writing that shows the:
• Date the Information Recipient received the request; and
• The DOH records that the Information Recipient believes are
responsive to the request and the identity of the requestor, if
known.
IV. ATTRIBUTION REGARDING INFORMATION
Information Recipient agrees to cite "Washington State Department of Health" or other
citation as specified, as the source of the information subject of this Agreement in all
text, tables and references in reports, presentations and scientific papers.
Information Recipient agrees to cite its organizational name as the source of
interpretations, calculations or manipulations of the information subject of this
Agreement.
V. OTHER PROVISIONS
With the exception of agreements with British Columbia for sharing health information,
all data must be stored within the United States.
VI. AGREEMENT ALTERATIONS AND AMENDMENTS
This Agreement may be amended by mutual agreement of the parties. Such
amendments shall not be binding unless they are in writing and signed by personnel
authorized to bind each of the parties.
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VII. CAUSE FOR IMMEDIATE TERMINATION
The Information Recipient acknowledges that unauthorized use or disclosure of the
data/information or any other violation of sections II or III, and appendices A or B, may
result in the immediate termination of this Agreement.
VIII. CONFLICT OF INTEREST
The DOH may, by written notice to the Information Recipient:
Terminate the right of the Information Recipient to proceed under this Agreement if it is
found, after due notice and examination by the Contracting Office that gratuities in the
form of entertainment, gifts or otherwise were offered or given by the Information
Recipient, or an agency or representative of the Information Recipient, to any officer or
employee of the DOH, with a view towards securing this Agreement or securing
favorable treatment with respect to the awarding or amending or the making of any
determination with respect to this Agreement.
In the event this Agreement is terminated as provided above, the DOH shall be entitled
to pursue the same remedies against the Information Recipient as it could pursue in the
event of a breach of the Agreement by the Information Recipient. The rights and
remedies of the DOH provided for in this section are in addition to any other rights and
remedies provided by law. Any determination made by the Contracting Office under this
clause shall be an issue and may be reviewed as provided in the "disputes" clause of this
Agreement.
IX. DISPUTES
Except as otherwise provided in this Agreement, when a genuine dispute arises between
the DOH and the Information Recipient and it cannot be resolved,either party may submit
a request for a dispute resolution to the Contracts and Procurement Unit. The parties
agree that this resolution process shall precede any action in a judicial and quasi-judicial
tribunal. A party's request for a dispute resolution must:
• Be in writing and state the disputed issues, and
• State the relative positions of the parties, and
• State the information recipient's name, address, and his/her department
agreement number, and
• Be mailed to the DOH contracts and procurement unit, P. O. Box 47905,
Olympia, WA 98504-7905 within thirty (30) calendar days after the party could
reasonably be expected to have knowledge of the issue which he/she now
disputes.
This dispute resolution process constitutes the sole administrative remedy available
under this Agreement.
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X. EXPOSURE TO DOH BUSINESS INFORMATION NOT OTHERWISE PROTECTED BY LAW AND
UNRELATED TO CONTRACT WORK
During the course of this contract,the information recipient may inadvertently become
aware of information unrelated to this agreement. Information recipient will treat such
information respectfully, recognizing DOH relies on public trust to conduct its work. This
information may be hand written, typed, electronic, or verbal, and come from a variety
of sources.
XI. GOVERNANCE
This Agreement is entered into pursuant to and under the authority granted by the laws
of the state of Washington and any applicable federal laws. The provisions of this
Agreement shall be construed to conform to those laws.
In the event of an inconsistency in the terms of this Agreement, or between its terms
and any applicable statute or rule,the inconsistency shall be resolved by giving
precedence in the following order:
• Applicable Washington state and federal statutes and rules;
• Any other provisions of the Agreement, including materials incorporated by
reference.
XII. HOLD HARMLESS
Each party to this Agreement shall be solely responsible for the acts and omissions of its
own officers, employees, and agents in the performance of this Agreement. Neither
party to this Agreement will be responsible for the acts and omissions of entities or
individuals not party to this Agreement. DOH and the Information Recipient shall
cooperate in the defense of tort lawsuits, when possible.
XIII. LIMITATION OF AUTHORITY
Only the Authorized Signatory for DOH shall have the express, implied, or apparent
authority to alter, amend, modify, or waive any clause or condition of this Agreement on
behalf of the DOH. No alteration, modification, or waiver of any clause or condition of
this Agreement is effective or binding unless made in writing and signed by the
Authorized Signatory for DOH.
XIV. RIGHT OF INSPECTION
The Information Recipient shall provide the DOH and other authorized entities the right
of access to its facilities at all reasonable times, in order to monitor and evaluate
performance, compliance, and/or quality assurance under this Agreement on behalf of
the DOH.
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XV. SEVERABILITY
If any term or condition of this Agreement is held invalid, such invalidity shall not affect
the validity of the other terms or conditions of this Agreement, provided, however, that
the remaining terms and conditions can still fairly be given effect.
XVI. SURVIVORSHIP
The terms and conditions contained in this Agreement which by their sense and context,
are intended to survive the completion, cancellation, termination, or expiration of the
Agreement shall survive.
XVII. TERMINATION
Either party may terminate this Agreement upon 30 days prior written notification to
the other party. If this Agreement is so terminated, the parties shall be liable only for
performance rendered or costs incurred in accordance with the terms of this Agreement
prior to the effective date of termination.
XVIII. WAIVER OF DEFAULT
This Agreement, or any term or condition, may be modified only by a written
amendment signed by the Information Provider and the Information Recipient. Either
party may propose an amendment.
Failure or delay on the part of either party to exercise any right, power, privilege or
remedy provided under this Agreement shall not constitute a waiver. Either party may
waive no provision of this Agreement except in writing signed by the Information
Provider or the Information Recipient.
XIX. ALL WRITINGS CONTAINED HEREIN
This Agreement and attached Exhibit(s) contains all the terms and conditions agreed
upon by the parties. No other understandings, oral or otherwise, regarding the subject
matter of this Agreement and attached Exhibit(s) shall be deemed to exist or to bind any
of the parties hereto.
XX. PERIOD OF PERFORMANCE
This Agreement shall be effective from Date of Execution through 7/31/2029
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IN WITNESS WHEREOF, the parties have executed this Agreement as of the date of last
signature below.
THE DEPARTMENT INFORMATION RECIPIENT
State of Washington Department of Health Jefferson County Washington, dba
MIchdle Caws/vbeGG Jef r r ealth
Michelle Campbell(Jul 13,2026 07:29:05 PDT)
Signature nat re
Michelle Campbell Greg Brotherton, Chair
Board of County Commissioners
Print Name Print Name
07/13/2026 `7tie(
Date Date
APPROVED AS TO FORM ONLY:
Jeremiah Luther signed w/permission
06-30-2026
lip C unsucker, Date
Chief Civil Deputy Prosecuting Attorney
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EXHIBIT I
APPROVED SCOPE OF BIRTH & FETAL DEATH DATA WITH INDIRECT IDENTIFIERS
1. PURPOSE AND JUSTIFICATION FOR SHARING THE DATA
Provide a detailed description of the purpose and justification for sharing the data, including
specifics on how the data will be used.
Purpose:
The purpose of this Agreement is to support Jefferson County Public Health's implementation
of systematic child death reviews to identify significant risk factors, patterns, and trends in
childhood mortality. The results of these reviews will inform public health programs, policies,
and interventions aimed at reducing preventable causes of child death.
Authorized Analyses:
Jefferson County Public Health will conduct trend analyses by cause of death, assess
exposures associated with mortality outcomes, and identify recurring patterns across causes
of child death. Where available, county-specific findings may be compared to regional or
state benchmarks to contextualize results.
Methodology:
Analyses will employ aggregation and other appropriate techniques to manage small cell
sizes and protect confidentiality. Appropriate visualization methods may be used to
represent trends over time in accordance with public health best practices and small-
numbers suppression requirements.
Anticipated Results:
The analyses are expected to identify regional risk factors affecting children that may be
mitigated through targeted public health interventions, education, or policy development.
Data Scope:
The data used will be limited to Jefferson County—specific records and may include up to ten
(10) years of historical data to support aggregation and longitudinal trend analysis.
Confidentiality and Disclosure:
Any analyses involving small cell sizes or potentially identifiable information will be reviewed
solely by Jefferson County Public Health leadership and designated review team professionals
and used only for internal assessment and planning. Stratification may be limited as
necessary to preserve de-identification without compromising analytical integrity. Any public
dissemination of results will be aggregated, non-identifiable, and conducted in compliance
with all applicable state and federal confidentiality requirements, and solely for purposes of
public health system improvement.
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Is the purpose of this agreement for human subjects research that requires Washington State
Institutional Review Board (WSIRB) approval? Yes M No
The data is permitted to be linked with other information. Yes ® No
If yes: Linking information that is authorized by the Department.
The original data is permitted to be re-disclosed. n Yes ® No
Aggregated data is permitted to be shared with the public or other partners. M1 Yes No
2. PERIOD OF PERFORMANCE
This Exhibit shall have the same period of performance as the Agreement unless otherwise
noted below:
Exhibit I shall be effective from through Date of Execution to 7/31/2029
3. DESCRIPTION OF DATA
Information Provider will make available the following information under this Agreement:
Database Name(s):
M WA Linked Birth-Infant Death with Indirect Identifiers
Data Elements being provided:
The data elements listed in Appendix F are the current data elements for files indicated
above. This data set is subject to annual review and may undergo minor changes. These
changes will not require an amendment to this agreement. Should there be significant data
changes to the data set then an amendment to this Agreement will be needed to reflect
those changes.
The information described in this section is:
E Restricted Confidential Information (Category 4)
® Confidential Information (Category 3)
I I Potentially identifiable information (Category 3)
Internal [public information requiring authorized access] (Category 2)
Public Information (Category 1)
Any reference to data/information in this Agreement shall be the data/information as
described in this Exhibit.
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4. STATUTORY AUTHORITY TO SHARE INFORMATION
DOH statutory authority to obtain and disclose the confidential information or limited
Dataset(s) identified in this Exhibit to the Information Recipient:
RCW 70.58A.520(5) - Disclosure of vital records, data, and vital statistics
Information Recipient's statutory authority to receive the confidential information or limited
Dataset(s) identified in this Exhibit:
RCW 70.58A.520(5) - Disclosure of vital records, data, and vital statistics
RCW 70.05.060 Powers and duties of local board of health
RCW 70.05.210 Fatality review teams
RCW 70.05.170 Child mortality review
RCW 70.05.070 Local health officer-Powers and duties
5. ACCESS TO INFORMATION
METHOD OF ACCESS/TRANSFER
® DOH Web Application (indicate application name): CHS Data Files
❑ Washington State Managed File Transfer Service (mft.wa.gov)
n Encrypted CD/DVD or other storage device
❑ Health Information Exchange (HIE)**
❑ Other: (describe the methods for access/transfer)**
**NOTE: DOH Chief Information Security Officer must approve prior to Agreement
execution. DOH Chief Information Security Officer will send approval/denial directly to
DOH Contracts Office and DOH Business Contact.
FREQUENCY OF ACCESS/TRANSFER
❑ One time: DOH shall deliver information by Select date
n Repetitive: frequency or dates (insert dates if applicable)
® As available within the period of performance stated in Section 2.
6. REIMBURSEMENT TO DOH
The Information Recipient shall pay the Department the applicable fees required by WAC 246-492-
990 for the information provided under this Agreement. Fees under this Agreement are
nonrefundable.
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Billing Procedure
• Information Recipient agrees to provide payment to the Department before receiving
the data, and understands that the Department will not provide data until payment
has been made.
• Upon expiration of the Agreement, any payment not already made shall be submitted
within 30 days after the expiration date or the end of the fiscal year, whichever is
earlier.
Charges for the services to create and provide the information are:
® No charge.
7. DATA DISPOSITION
Unless otherwise directed in writing by the DOH Business Contact, at the end of this
Agreement, or at the discretion and direction of DOH, the Information Recipient shall:
Immediately destroy all copies of any data provided under this Agreement after it has
been used for the purposes specified in the Agreement. Acceptable methods of
destruction are described in Appendix B. Upon completion, the Information Recipient
shall submit the attached Certification of Data Disposition (Appendix C) to the DOH
Business Contact.
j Immediately return all copies of any data provided under this Agreement to the DOH
Business Contact after the data has been used for the purposes specified in the
Agreement, along with the attached Certification of Data Disposition (Appendix C).
PI Retain the data for the purposes stated herein for a period of time not to exceed two
years per HE55-01F-02 Rev. 1,), after which Information Recipient shall destroy the
data (as described below) and submit the attached Certification of Data Disposition
(Appendix C)to the DOH Business Contact.
Other (Describe):
8. RIGHTS IN INFORMATION
Information Recipient agrees to provide, if requested, copies of any research papers or
reports prepared as a result of access to DOH information under this Agreement for DOH
review prior to publishing or distributing.
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In no event shall the Information Provider be liable for any damages, including, without
limitation, damages resulting from lost information or lost profits or revenue, the costs of
recovering such Information, the costs of substitute information, claims by third parties or
for other similar costs, or any special, incidental, or consequential damages, arising out of the
use of the information. The accuracy or reliability of the Information is not guaranteed or
warranted in any way and the information Provider's disclaim liability of any kind whatsoever,
including, without limitation, liability for quality, performance, merchantability and fitness
for a particular purpose arising out of the use, or inability to use the information.
If checked, please submit the following:
• Copies of (insert list of items)
to the attention of: (insert name of DOH employee)
at (insert address to which material is sent)
9. ALL WRITINGS CONTAINED HEREIN
This Agreement and attached Exhibit(s)contains all the terms and conditions agreed upon by
the parties. No other understandings,oral or otherwise, regarding the subject matter of this
Agreement and attached Exhibit(s) shall be deemed to exist or to bind any of the parties
hereto.
IN WITNESS WHEREOF, the parties have executed this Exhibit as of the date of last signature
below.
THE DEPARTMENT INFORMATION RECIPIENT
State of Washington Department of Health Jef r County Washington, dba
rs Cony Public Health
M/thette Canybetl
Michelle Campbell(Jul 13 26 07.29.05 POT)
Signature ignatur
Michelle Campbell Greg Brotherton, Chair
p Board of County Commissioners
Print Name Print Nam
07/13/2026 -' r, :j
Date Date tt
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EXHIBIT II
APPROVED SCOPE OF DEATH DATA
1. PURPOSE AND JUSTIFICATION FOR SHARING THE DATA
Provide a detailed description of the purpose and justification for sharing the data,
including specifics on how the data will be used.
Purpose:
The purpose of this Agreement is to support Jefferson County Public Health's
implementation of systematic death reviews to identify significant risk factors, patterns,
and trends in mortality. The results of these reviews will inform public health programs,
policies, and interventions aimed at reducing preventable causes of death.
Authorized Analyses:
Jefferson County Public Health will conduct trend analyses by cause of death, assess
exposures associated with mortality outcomes, and identify recurring patterns across
causes of death. Where applicable, county-level findings may be compared to available
regional or state benchmarks to contextualize results.
Methodology:
Analyses will incorporate aggregation and other appropriate methods to manage small
cell sizes and protect confidentiality. Visualization techniques may be used to represent
trends over time in a manner consistent with public health best practices and small-
numbers suppression requirements.
Anticipated Results:
The analyses are expected to identify regional risk factors and trends that may be
addressed through targeted public health interventions, education, or policy
development.
Data Scope:
The data used will be limited to Jefferson County—specific records and will include up to
ten (10) years of historical data to allow for aggregation and longitudinal trend analysis.
Confidentiality and Disclosure:
Any analyses involving small cell sizes or potentially identifiable information will be
reviewed internally by Jefferson County Public Health leadership and designated review
team professionals and will be used solely for internal assessment and planning.
Stratification may be limited as necessary to preserve de-identification without
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compromising analytical integrity. Any public dissemination of results will be aggregated,
non-identifiable, and conducted in compliance with all applicable state and federal
confidentiality requirements, and solely for the purpose of public health system
improvement.
Is the purpose of this agreement for human subjects research that requires Washington
State Institutional Review Board (WSIRB) approval? n Yes F] No
Data disclosed by the Department to the Jefferson County Public Health through this data
sharing agreement solely consists of identifiers for deceased individuals. The data does not
contain direct identifiers pertaining to any living individual, including but not limited to next
of kin data, and does not meet the Common Rule definition of human subject.
The Information Recipient is permitted to contact individuals. Yes® No
The data is permitted to be linked with other information. Yes n No
If yes: Linking authorized by the Department.
Jefferson County Public Health (JCPH)is authorized to link death records with coroner data
and relevant medical records as necessary to carry out the authorized purposes.JCPH may
also link data with records from local partners, including the Department of Children,
Youth, and Families (DCYF), prosecuting attorneys, local law enforcement agencies,
emergency medical services (EMS), and healthcare providers.
Aggregated data is permitted to be shared with the public or other partners. IX Yes n No
The original data is permitted to be re-disclosed. Yes NI No
2. PERIOD OF PERFORMANCE
This Exhibit shall have the same period of performance as the Agreement unless otherwise
noted below:
Exhibit II shall be effective from through Date of Execution to 7/31/2029
3. DESCRIPTION OF DATA
Information Provider will make available the following information under this Agreement:
Database Name(s):
® WA Death Annual Statistical
RI WA Death Cause of Death Literals
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Fl WA Death Names
Data Elements being provided:
The data elements listed in Appendix F are the current data elements for files indicated
above. This data set is subject to annual review and may undergo minor changes. These
changes will not require an amendment to this agreement. Should there be significant data
changes to the data set then an amendment to this Agreement will be needed to reflect
those changes.
The information described in this section is:
IX Restricted Confidential Information (Category 4)
[1 Confidential Information (Category 3)
[1 Potentially identifiable information (Category 3)
n Internal [public information requiring authorized access] (Category 2)
I J Public Information (Category 1)
Any reference to data/information in this Agreement shall be the data/information as
described in this Exhibit.
4. STATUTORY AUTHORITY TO SHARE INFORMATION
DOH statutory authority to obtain and disclose the confidential information or limited
Dataset(s) identified in this Exhibit to the Information Recipient:
RCW 70.58A.520(6) - Disclosure of vital records, data, and vital statistics
Information Recipient statutory authority:
RCW 70.58A.520(6) Disclosure of vital records, data, and vital statistics
RCW 70.05.060 Powers and duties of local board of health
RCW 70.05.210 Fatality review teams
RCW 70.05.170 Child mortality review
RCW 70.05.070 Local health officer-Powers and duties
5. ACCESS TO INFORMATION
METHOD OF ACCESS/TRANSFER
N DOH Web Application (indicate application name): CHS Data Files
l Washington State Managed File Transfer Service (mft.wa.gov)
❑ Encrypted CD/DVD or other storage device
❑ Health Information Exchange (HIE)**
[l Other: (describe the methods for access/transfer)**
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**NOTE: DOH Chief Information Security Officer must approve prior to Agreement
execution. DOH Chief Information Security Officer will send approval/denial directly to
DOH Contracts Office and DOH Business Contact.
FREQUENCY OF ACCESS/TRANSFER
One time: DOH shall deliver information by Select date
U Repetitive:
® As available within the period of performance stated in Section 2.
6. REIMBURSEMENT TO DOH
The Information Recipient shall pay the Department the applicable fees required by WAC
246-492-990 for the information provided under this Agreement. Fees under this
Agreement are nonrefundable.
Billing Procedure
• Information Recipient agrees to provide payment to the Department before
receiving the data, and understands that the Department will not provide data
until payment has been made.
• Upon expiration of the Agreement, any payment not already made shall be
submitted within 30 days after the expiration date or the end of the fiscal year,
whichever is earlier.
Charges for the services to create and provide the information are:
Fl No charge.
7. DATA DISPOSITION
Unless otherwise directed in writing by the DOH Business Contact, at the end of this
Agreement, or at the discretion and direction of DOH, the Information Recipient shall:
Immediately destroy all copies of any data provided under this Agreement after it has
been used for the purposes specified in the Agreement. Acceptable methods of
destruction are described in Appendix B. Upon completion, the Information Recipient
shall submit the attached Certification of Data Disposition (Appendix C) to the DOH
Business Contact.
n Immediately return all copies of any data provided under this Agreement to the DOH
Business Contact after the data has been used for the purposes specified in the
Agreement, along with the attached Certification of Data Disposition (Appendix C).
F1 Retain the data for the purposes stated herein for a period of time not to exceed two
years per HE55-01F-02 Rev. 1, after which Information Recipient shall destroy the data
(as described below) and submit the attached Certification of Data Disposition
(Appendix C)to the DOH Business Contact.
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Other(Describe):
8. RIGHTS IN INFORMATION
Information Recipient agrees to provide, if requested, copies of any research papers or
reports prepared as a result of access to DOH information under this Agreement for DOH
review prior to publishing or distributing.
In no event shall the Information Provider be liable for any damages, including, without
limitation, damages resulting from lost information or lost profits or revenue, the costs of
recovering such Information,the costs of substitute information,claims by third parties or
for other similar costs, or any special, incidental, or consequential damages, arising out of
the use of the information. The accuracy or reliability of the Information is not guaranteed
or warranted in any way and the information Provider's disclaim liability of any kind
whatsoever, including, without limitation, liability for quality, performance,
merchantability and fitness for a particular purpose arising out of the use, or inability to
use the information.
I J If checked, please submit the following:
• Copies of (insert list of items)
to the attention of: (insert name of DOH employee)
at (insert address to which material is sent)
9. ALL WRITINGS CONTAINED HEREIN
This Agreement and attached Exhibit(s) contains all the terms and conditions agreed upon
by the parties. No other understandings, oral or otherwise, regarding the subject matter of
this Agreement and attached Exhibit(s) shall be deemed to exist or to bind any of the
parties hereto.
IN WITNESS WHEREOF, the parties have executed this Exhibit as of the date of last signature
below.
THE DEPARTMENT INFORMATION RECIPIENT
State of Washington Department of Health Jefferson County Washington, dba
Miche(Ge Cast be1G �► ty Public Health
Michelle Campbell (Jul 15, 026 08:13:02 PDT)
Signature natu
Michelle Campbell Greg Brotherton, Chair
p Board of County Commissioners
Print Name Print Name
07/15/2026 Vol ,*
Date Date
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APPENDIX A
USE AND DISCLOSURE OF CONFIDENTIAL INFORMATION
People with access to confidential information are responsible for understanding and following
the laws, policies, procedures, and practices governing it. Below are key elements:
A. CONFIDENTIAL INFORMATION
Confidential information is information federal and state law protects from public
disclosure. Examples of confidential information are social security numbers, and
healthcare information that is identifiable to a specific person under Chapter 70.02
RCW. The general public disclosure law identifying exemptions is Chapter 42.56 RCW.
B. ACCESS AND USE OF CONFIDENTIAL INFORMATION
1. Access to confidential information must be limited to people whose work
specifically requires that access to the information.
2. Use of confidential information is limited to purposes specified elsewhere in this
Agreement.
C. DISCLOSURE OF CONFIDENTIAL INFORMATION
1. An Information Recipient may disclose an individual's confidential information
received or created under this Agreement to that individual or that individual's
personal representative consistent with law.
2. An Information Recipient may disclose an individual's confidential information,
received or created under this Agreement only as permitted under the Re-
Disclosure of Information section of the Agreement, and as state and federal
laws allow.
D. CONSEQUENCES OF UNAUTHORIZED USE OR DISCLOSURE
An Information Recipient's unauthorized use or disclosure of confidential information is
the basis for the Information Provider immediately terminating the Agreement. The
Information Recipient may also be subject to administrative, civil and criminal penalties
identified in law.
E. ADDITIONAL DATA USE RESTRICTIONS: (if necessary)
Signature: ; -_- Lolinthea Hinkley, Epidemiologist
Date:
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APPENDIX B
DATA SECURITY REQUIREMENTS
Protection of Data
The storage of Category 3 and 4 information outside of the State Governmental Network requires
organizations to ensure that encryption is selected and applied using industry standard
algorithms validated by the NIST Cryptographic Algorithm Validation Program. Encryption must
be applied in such a way that it renders data unusable to anyone but authorized personnel, and
the confidential process, encryption key or other means to decipher the information is protected
from unauthorized access. All manipulations or transmissions of data within the organizations
network must be done securely.
The Information Recipient agrees to store information received under this Agreement (the data)
within the United States on one or more of the following media, and to protect it as described
below:
A. Passwords
1. Passwords must always be encrypted. When stored outside of the authentication
mechanism, passwords must be in a secured environment that is separate from the data
and protected in the same manner as the data. For example passwords stored on mobile
devices or portable storage devices must be protected as described under section F. Data
storage on mobile devices or portable storage media.
2. Complex Passwords are:
• At least 15 characters in length.
• Contain at least three of the following character classes: uppercase letters,
lowercase letters, numerals, special characters.
• Do not contain the user's name, user ID or any form of their full name.
• Do not consist of a single complete dictionary word but can include a
passph rase.
• Do not consist of personal information (e.g., birthdates, pets' names,
addresses, etc.)
• Are unique and not reused across multiple systems and accounts.
• Changed at least every 365 days.
B. Hard disk drives/Solid State Drives—Data stored on workstation drives:
1. The data must be encrypted as described under section F. Data storage on mobile devices
or portable storage media. Encryption is not required when Potentially Identifiable
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Information is stored temporarily on local workstation Hard Disk Drives/Solid State
Drives. Temporary storage is thirty (30) days or less.
2. Access to the data is restricted to authorized users by requiring logon to the local
workstation using a unique user ID and Complex Password, or other authentication
mechanisms which provide equal or greater security, such as biometrics or smart cards.
Accounts must lock after 5 unsuccessful access attempts and remain locked for at least
15 minutes, or require administrator reset.
C. Network server and storage area networks (SAN)
1. Access to the data is restricted to authorized users through the use of access control lists
which will grant access only after the authorized user has authenticated to the network.
2. Authentication must occur using a unique user ID and Complex Password, or other
authentication mechanisms which provide equal or greater security, such as biometrics
or smart cards. Accounts must lock after 5 unsuccessful access attempts, and remain
locked for at least 15 minutes, or require administrator reset.
3. The data are located in a secured computer area, which is accessible only by authorized
personnel with access controlled through use of a key, card key, or comparable
mechanism.
4. If the servers or storage area networks are not located in a secured computer area or if
the data is classified as Confidential or Restricted it must be encrypted as described
under F. Data storage on mobile devices or portable storage media.
D. Optical discs (CDs or DVDs)
1. Optical discs containing the data must be encrypted as described under F. Data storage
on mobile devices or portable storage media.
2. When not in use for the purpose of this Agreement, such discs must be locked in a
drawer, cabinet or other physically secured container to which only authorized users
have the key, combination or mechanism required to access the contents of the
container.
E. Access over the Internet or the State Governmental Network(SGN).
1. When the data is transmitted between DOH and the Information Recipient, access is
controlled by the DOH, who will issue authentication credentials.
2. Information Recipient will notify DOH immediately whenever:
a) An authorized person in possession of such credentials is terminated or otherwise
leaves the employ of the Information Recipient;
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b) Whenever a person's duties change such that the person no longer requires access
to perform work for this Contract.
3. The data must not be transferred or accessed over the Internet by the Information
Recipient in any other manner unless specifically authorized within the terms of the
Agreement.
a) If so authorized the data must be encrypted during transmissions using a key length
of at least 128 bits. Industry standard mechanisms and algorithms, such as those
validated by the National Institute of Standards and Technology (NIST) are
required.
b) Authentication must occur using a unique user ID and Complex Password (of at
least 15 characters). When the data is classified as Confidential or Restricted,
authentication requires secure encryption protocols and multi-factor
authentication mechanisms, such as hardware or software tokens, smart cards,
digital certificates or biometrics.
c) Accounts must lock after 5 unsuccessful access attempts, and remain locked for at
least 15 minutes, or require administrator reset.
F. Data storage on mobile devices or portable storage media
1. Examples of mobile devices are: smart phones, tablets, laptops, notebook or netbook
computers, and personal media players.
2. Examples of portable storage media are: flash memory devices (e.g. USB flash drives),
and portable hard disks.
3. The data must not be stored by the Information Recipient on mobile devices or portable
storage media unless specifically authorized within the terms of this Agreement. If so
authorized:
a) The devices/media must be encrypted with a key length of at least 128 bits, using
industry standard mechanisms validated by the National Institute of Standards and
Technologies (NIST).
• Encryption keys must be stored in a secured environment that is
separate from the data and protected in the same manner as the
data.
b) Access to the devices/media is controlled with a user ID and a Complex Password
(of at least 15 characters), or a stronger authentication method such as biometrics.
c) The devices/media must be set to automatically wipe or be rendered unusable
after no more than 10 failed access attempts.
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d) The devices/media must be locked whenever they are left unattended and set to
lock automatically after an inactivity activity period of 3 minutes or less.
e) The data must not be stored in the Cloud. This includes backups.
f) The devices/media must be physically protected by:
• Storing them in a secured and locked environment when not in
use;
• Using check-in/check-out procedures when they are shared; and
• Taking frequent inventories.
4. When passwords and/or encryption keys are stored on mobile devices or portable
storage media they must be encrypted and protected as described in this section.
G. Backup Media
The data may be backed up as part of Information Recipient's normal backup process
provided that the process includes secure storage and transport, and the data is encrypted
as described under F. Data storage on mobile devices or portable storage media.
H. Paper documents
Paper records that contain data classified as Confidential or Restricted must be protected
by storing the records in a secure area which is only accessible to authorized personnel.
When not in use, such records is stored in a locked container, such as a file cabinet, locking
drawer, or safe, to which only authorized persons have access.
I. Data Segregation
1. The data must be segregated or otherwise distinguishable from all other data. This is to
ensure that when no longer needed by the Information Recipient, all of the data can be
identified for return or destruction. It also aids in determining whether the data has or
may have been compromised in the event of a security breach.
2. When it is not feasible or practical to segregate the data from other data, then all
commingled data is protected as described in this Exhibit.
J. Data Disposition
If data destruction is required by the Agreement, the data must be destroyed using one or
more of the following methods:
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Data stored on: Is destroyed by:
Hard Disk Drives/Solid State Using a "wipe" utility which will overwrite the data at
Drives least three (3) times using either random or single
character data, or
Degaussing sufficiently to ensure that the data cannot
be reconstructed, or
Physically destroying the disk, or
Delete the data and physically and logically secure data
storage systems that continue to be used for the
storage of Confidential or Restricted information to
prevent any future access to stored information. One
or more of the preceding methods is performed before
transfer or surplus of the systems or media containing
the data.
Paper documents with On-site shredding, pulping, or incineration, or
Confidential or Restricted Recycling through a contracted firm provided the
information Contract with the recycler is certified for the secure
destruction of confidential information.
Optical discs (e.g. CDs or DVDs) Incineration, shredding, or completely defacing the
readable surface with a course abrasive.
Magnetic tape Degaussing, incinerating or crosscut shredding.
Removable media (e.g. floppies, Using a "wipe" utility which will overwrite the data at
USB flash drives, portable hard least three (3) times using either random or single
disks, Zip or similar disks) character data.
Physically destroying the disk.
Degaussing magnetic media sufficiently to ensure that
the data cannot be reconstructed.
K. Notification of or Potential Compromise
The Information Recipient shall notify the Department's Chief Information Security Officer
at securitv@doh.wa.gov and the Department's Business Contact within one (1) business
day of any suspected or actual breach of security or confidentiality of information covered
by the Agreement.
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The compromise or potential compromise of the data is reported to DOH as required in
Section II.C.
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APPENDIX C
CERTIFICATION OF DATA DISPOSITION
Date of Disposition
I 1 All copies of any Datasets related to agreement DOH# have been deleted from
all data storage systems. These data storage systems continue to be used for the storage
of confidential data and are physically and logically secured to prevent any future access
to stored information. Before transfer or surplus, all data will be eradicated from these
data storage systems to effectively prevent any future access to previously stored
information.
1 All copies of any Datasets related to agreement DOH# have been eradicated from
all data storage systems to effectively prevent any future access to the previously stored
information.
All materials and computer media currently under or previously under control of the
Information Recipient identified in Agreement DOH# containing any data related
to Agreement DOH # have been physically destroyed to prevent any future use
of the materials and media.
n All paper copies of the information currently under or previously under control of the
Information Recipient identified in Agreement DOH# related to agreement DOH
# have been destroyed on-site by cross cut shredding.
n All copies of any Datasets related to agreement DOH # that have not been
disposed of in a manner described above, have been returned to DOH.
Other (provide details in an attachment to this document).
The Information Recipient hereby certifies, by signature below, that the data disposition
requirements as provided in Agreement DOH# , Section J, Disposition of Information,
have been fulfilled as indicated above. The person signing below indicated, by signing, that they
have the authority to sign on behalf of the Information Recipient, if the Information Recipient is
an organization.
Signature of data recipient Date
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APPENDIX D
DOH SMALL NUMBERS GUIDELINES
• Aggregate data so that the need for suppression is minimal. Suppress all non-zero
counts which are less than ten.
• Suppress rates or proportions derived from those suppressed counts.
• Assure that suppressed cells cannot be recalculated through subtraction, by using
secondary suppression as necessary. Survey data from surveys in which 80% or
more of the eligible population is surveyed should be treated as non-survey data.
• When a survey includes less than 80%of the eligible population, and the
respondents are unequally weighted, so that cell sample sizes cannot be directly
calculated from the weighted survey estimates, then there is no suppression
requirement for the weighted survey estimates.
• When a survey includes less than 80% of the eligible population, but the
respondents are equally weighted, then survey estimates based on fewer than 10
respondents should be "top-coded" (estimates of less than 5%or greater than 95%
should be presented as 0-5%or 95-100%).
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APPENDIX E
Tribal Data Sovereignty Principles
These Tribal Data Sovereignty Principles were drafted in partnership with WA Tribes based on the Governor's
Indian Health Advisory Council's Principles. These principles are included in our data sharing agreements at
DOH as a reflection of our commitment to uphold these principles and our government-to-government
relations with Tribes.
Tribal data sovereignty asserts the rights of Tribal Nations to govern the collection, ownership, and application
of their own data, this derives from Tribes' inherent right to govern their peoples, lands, and resources. To
uphold Tribal Data Sovereignty principles, DOH may sign Tribe-specific Data Sharing Agreements, which
include provisions for data sharing and consent for data use via a Tribal Nation Data Use Form.
By signing this agreement, the Information Recipient acknowledges the sovereignty of the Tribal Nations
outlined in these principles.
1. Inherent Authority to Manage Data. Tribes hold the sovereign authority to manage the collection,
ownership, application and interpretation of their own data even when it is collected by federal,
state, or local governments and/or other third parties.
2. Ownership of and Authority Over Tribal Data. Tribes retain an ownership interest in data and
authority even when the Tribe's data are located in a state, federal or other datasets. This interest
remains when the Tribe's data are aggregated with other data.
3. Informed Consent. Tribes have the right to informed consent on how their data, including protected
health information about Tribal members, are used or shared with third parties.
4. Equitable Access to Data. Tribes have the right to exercise their Tribal data sovereignty and must
have the same or enhanced access to state data as other public health jurisdictions to effectively
carry out their governmental duties.
5. Partnership. The agency will make reasonable efforts to collaborate with Tribes, as equal partners,
as outlined in the RCW 43.376.020 (Government-to-government relationships—State agency duties)
and DOH Collaboration & Consultation guidance, and other Tribal data initiatives.
6. Privacy and Security Protections. DOH will work collaboratively with Tribes and use required
administrative, technical and physical security practices to protect Tribal data and the confidentiality
of Tribal data.
7. Tribal Sovereignty and Third-Party Relationships. DOH respects the sovereign rights of Tribes to
enter into other agreements or collaborate with third parties as they deem appropriate.
8. Tribal Data Sovereignty and Third-Party Accountability. DOH will ensure third-party accountability
for adherence to these principles, any applicable privacy laws, and Tribal expectations for the
appropriate use of Tribal data.
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APPENDIX F
Death Statistical File Data Dictionary
Note:Missing values are valid for all variables.
Field Field Name Description Format/Values Historical Field Name Historical Format/Values
Number (2016 and later) (1980-2015) (1980-2015)
t State File Number Certificate Number Character;YWY$h$IBB certno YYYYB#gtBf
2 Sex Sex Character;Max Length=1 sex •••1980-2015•••
M=Male M=Male
F=Female F=Female
U=Undetermined U=Undetermined
3 Age Type Type of Age Unit Numeric;Max Length=1 ageunit •••1980-2015•••
1=Years 0-Years 1 to 99
Indicates the unit in which age was 2=Months 1-Years 100 or more
reported(e.g.,years,months,etc.).To 3=Days 2-Months
determine age of decedent at time of 4=Hours 4-Days
death use this field with the number of 5=Minutes S-Hours
age unit.Before using this field,see 9=Unknown 6-Minutes
"Death Statistical File Data Notes-Age 9-Unknown/Not Stated
at Death."
4 Age Number of Age Units Numeric;Max length=3;999=Unknown ageunum '••1980.2015•••
01-99-Years 1 to 99
Age,Number of Units 00-99-Years 100 or more
Use number of age units with the age 99-Unknown/Not Stated
unit field to determine age of
decedent at time of death. Before 01-11-Months
using this field,see"Death Statistical 99-Unknown/Not Stated
File Data Notes-Age at Death."
01-31-Days
99-Unknown/Not Stated
01-23-Hours
99-Unknown/Not Stated
01-59-Minutes
99-Unknown/Not Stated
5 Age Years Age Calculation in Years.This field will Numeric;Max Length=3,999=Unknown age Numeric;Max Length=3;
be 0 if age is less than 1 year. 999=Unknown
6 Date of Birth Date of Birth Date;Max Length=10; dob •'"1980-2015•••
MM/DD/YYYY YYYYMMDD
99999999-Unknown/Not Stated
7 Date of Birth-Month Date of Birth-Month Numeric;Max Length=2 dob_mo
1-12;99=Unknown
8 Date of Birth-Day Date of Birth-Day Numeric;Max Length=2 dob_da
1-31;99=Unknown
9 Date of Birth-Year Date of Birth-Year Numeric;Max Length=4 dob_yr
9999=Unknown
10 Date of Death Date of Death Date;Max Length=10,MM/DD/YYYY dth date ••'1980-2015•""
YYYYMMDD
99999999-Unknown/Not Stated
11 Date of Death-Month Date of Death-Month Numeric;Max Length=2 dth_mo
1-12;99=Unknown
12 Date of Death-Day Date of Death-Day Numeric;Max Length=2 dth_da
1-31;99=Unknown
13 Date of Death-Year Date of Death-Year Numeric;Max Length=4 dth_yr
9999=Unknown
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14 Date of Death Modifier Date of Death Modifier Character;Max Length=1; dod_modi •••2004-2015•••
A=Actual A•Actual
X=Approximate P-Presumed
C=Court Ordered C-Court determined
E=Estimated F-Found
F=Found
P=Presumed "•"1980-2003•
U=Unknown Not collected.
15 Time of Death-Hour Time of Death-Hour Numeric:Max Length=2 dth_hour
HH
16 Time of Death-Minutes Time of Death•Minutes Character:Max length=3 dth_min
MM or:MM
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17 Time of Death Modifier Time of Death Modifier Character;Max Length=1
A=Actual
X=Approximate
C=Court Ordered
E=Estimated
F=Found
P=Presumed
U=Unknown
18 Birthplace State FIPS Code Decedent's Birth State FIPS Code Character;Max Length=2
AL-Alabama
AK-Alaska
AZ-Arizona
AR-Arkansas
CA-California
CO-Colorado
CT-Connecticut
DE-Delaware
DC-District of Columbia
FL-Florida
GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MS-Mississippi
MO-Missouri
MT-Montana
NE•Nebraska
NV-Nevada
NI-I-New Hampshire
NJ-New Jersey
NM-New Mexico
19 Birthplace Country Decedent's Birth Country Name Character;Max Length=256 birth_country_name Literal
Note:Occurrence geographies are removed for WA residents who died out of state.
20 Death City Death Location City Name Character;Max Length=52 death_city_name Literal
21 Death County Death Location County Character;Max Length=112
22 Bea cxs - city_ec-c -.
Fade Codes
Discontinued for 2022
forward.
c,-,k,,
N.• 541.04-.444.-ffedio44iarf
less4han"9999
eeunty-
eanty or city. See-tit...E,.,..tra•.e
• .ec. -
Ctty{Fenrt
Occurrence
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24 faWh-Coem WAGedc v tY Fy�Gny r +ire :...e=rYhtrwr,ty£�tyEo�irs�maNSY..t
Discontinued for 2022
forward.
d-wltl-be
ceww
,v
Jenc+'tes-seiec+Ly-afar-ef
.xi.3tatis6teal Fde8ata-Pietes-
24 Death City FIPS Code Death City FIPS Code Character;Max Length=5;See FIPS Codes
Added starting with 2022 data Spreadsheet
25 Death County FIPS Code Death County FIPS code Character;Max Length=5;First 2 digits is the
Added starting with 2022dota state,See FIPS Code Spreadsheet
26 Death State Death Location State Name Character;Max Length=112
27 Death Zip Code Zip Code of Death Occurrence Character;Max Length=10 zip occ XXXxX
xxxxx-xxxx
28 Place of Death Type Facility Type for Place of Death Numeric;Max Length=1 fac_typo •••2004-2015•••
0=Home 0-Home
1=Other Place 1-Other
2=in Transport 2-Dead on Arrival
3=Emergency Room 3-Emergency Room
4=Hospital(Inpatient) 4-Hospital Inpatient
5=Nursing Home/Long Term Care 5-Nursing Home
6=Hospital 6-Hospital
7=Hospice Facility 7-Hospice
8=Other Person's Residence 9-Unknown
9=Unknown
•••1980-2003'••
0-Home
1-Other Place
2-In Transport
3-Emergency Room
4-Hospital
5-Nursing Home(includes hospice)
9-Unknown
29 Death Facility Facility or Institution of Death Code Character;Max Length 3;See Facility Codes facility See Facility Codes Spreadsheet
Spreadsheet
30 Armed Forces Decedent ever served in Armed Character;Max Length=1 armforce •••1980-2015•••
Forces? Y=Yes 1-Yes
N=No 2-No
U=Unknown 9-Unknown/Not Stated
31 Marital Status Marital Status Character;Max Length=1 marries ***July 2007-2015•••
S=Never Married 1-Never married
M=Married 2-Married
P=Domestic Partner 3-Divorced
D=Divorced 4-Widowed
W=Widowed 5-Separated
A=Married but separated 6-Domestic Partner
U=Unknown 9-Unknown
•••2004-June 2007•••
1-Never married
2-Married
3-Divorced
4-Widowed
5-Separated
9-Unknown
•••1980-2003•••
1-Single
2-Married
3-Divorced
4-Widowed
DOH DSA CLH32886-0 Page 34 of 86
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32 Education Decedent's Education Level Numeric;Max Length=1 educ •••2004-2015"•
1=8th grade or less 01-8th grade or less
2=No diploma 9th-12th grade 02-9th-12th grade,no diploma
3=High school graduate or GED completed 03-High school graduate or GEO
4=Some college credit but no degree 04-Some college,no degree
5=Associate degree 05-Associate degree
6=Bachelors degree 06-Bachelor's degree
7=Masters degree 07-Master's degree
8=Doctorate or professional degree 08-Doctorate or Professional
9=Unknown degree
09-Unknown(09 or 99)
•••1992-2003•••
000-No Education
001-Completed first grade
002-Completed second grade
003-Completed third grade
004-Completed fourth grade
005-Completed fifth grade
006-Completed sixth grade
007-Completed seventh grade
008-Completed eighth grade
009-Completed ninth grade
010-Completed tenth grade
011-Completed eleventh grade
012-High school graduate
013-Completed 1 year of college
014-Completed 2 years of college
015-Completed 3 years of college
016-College graduate
017-Post graduate work
099-Unknown/Not stated(note that
SAS program changes these codes
33 Education 8 or Less Decedent's Education Years If 8'" Numeric;Max Length=1 edo_'off Decedent's Years of Education if
Grade or Less 0=No Education or less than 1st grade highest education level(educ)is 8th
1=Completed 1st grade grade or less.
2=Completed 2nd grade
3=Completed 3rd grade •••2004-2015•••
4=Completed 4th grade 0-No education
5=Completed 5th grade 1-8-1st-8th grades
6=Completed 6th grade 9-Unknown
7=Completed 7th grade
8=Completed 8th grade •••1980-2003•••
9=Unknown Not Collected
34 Occupation Occupation-Literal Character;Max Length=160 occ_lit Literal
35 „eupatien4k44Haro ysua✓•9ce+pati s{ede et, beef
Discontinued for 2019 Spreadsheet
forward. Sam-Milha.m-irkeekitaatien-eedes-.afe
ebfained-freen-a eomputer.program
�7his pr..gro,-i
d-
Date -ono
Codes}"
36 Industry Industry-Literal Character;Max Length=200 ind_lit Literal
37 Informant Relationship Informant Relationship Character;Max Length=120 informrl Literal
38 Race White Decedent's Race,White Character;Max Length=1 race_wht •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
39 Race Black Decedent's Race,Black Character;Max Length=1 race_blk •••2004-2015'••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
40 Race Amer Indian Alaskan Decedent'sRace,American Character;Max Length=1 race_ami "•2004-2015•••
Indian/Alaska Native Y=Yes V=Yes
N=No N=No
U=Unknown U=Unknown
41 Race Asian Indian Decedent's Race,Asian Indian Character;Max Length=1 race_asi •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
DOH DSA CLH32886-0 Page 35 of 86
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DOH Contract:CLH32886-0
42 Race Chinese Decedent's Race,Chinese Character;Max Length=1 race chi •••2004.2015"•
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
DOH DSA CLH32886-0 Page 36 of 86
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43 Race Filipino Decedent's Race,Filipino Character;Max length=1 race_fil •••2004-2015•••
Y.Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
44 Race Japanese Decedent's Race,Japanese Character;Max Length=1 racejap •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
45 Race Korean Decedent's Race,Korean Character;Max Length=1 race_kor •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
46 Race Vietnamese Decedent's Race,Vietnamese Character;Max Length=1 race vie •••2004-2015•"
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
47 Race Other Asian Decedent's Race,Other Asian Character;Max Length=1 race_oas •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
4R Race Hawaiian Decedent's Race,Native Hawaiian Character;Max Length=l race_hew •••2004-2015`••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
49 Race Guamanian or Decedent's Race,Guamanian or Character;Max Length=1 race_gua •••2004-2015•••
Chamorro Chamorro Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
50 Race Samoan Decedent's Race,Samoan Character;Max length=1 race_sam •••2004.2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
51 Race Other Pacific Islander Decedent's Race,Other Pacific Islander Character;Max Length=1 race_opi •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
52 Race Other Decedent's Race,Other Character;Max Length=1 race_oth •••2004-2015•••
V=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
53 Race Tribe First Decedent's Race Literal 1,American Character;Max length=30 race_tribe_lit_1 Literal
Indian/Alaska Native
54 Race Tribe Second Decedent's Race literal 2,American Character;Max Length=30 race_tribe_lit_2 Literal
Indian/Alaska Native
55 Race Other Asian First Decedent's Race Literal 1,Other Asian Character;Max Length=30 race other_asian lit 1 literal
56 Race Other Asian Second Decedent's Race Literal 2,Other Asian Character;Max Length=30 race_other_asian_lit_2 Literal
57 Race Other PI First Decedent's Race Literal 1,Other Pacific Character;Max Length=30 race_oth_pac_isl lit_1 Literal
Islander
513 Race Other PI Second Decedent's Race Literal 2,Other Pacific Character;Max length=30 race oth_pac_isl_lit 2 literal
Islander
59 Race Other First Decedent's Race Literal 1,Other Character;Max Length=30 race_other_lit_7 Literal
60 Race Other Second Decedent's Race Literal 2,Other Character;Max Length=30 race_other_lit_2 Literal
61 Bridge-Race h..,,de#44,4444441gefl-Rae Ckaranfer;Man length-2 bag rne 5arneasc+irsenv
Discontinued for 2022
forward. ..1 oweN.aees-reperted{with ,
.,,eve-remove duplecate race
::-ng—She-I'ICHS bridged rare Single rate specified
-ieteiegesmuitiple-raee LW—White
02--Slack
re 63—A4Af4
•+fAl•,Ae N•tne-,0,,.1 04 A.ie„l=d;•.,
Oh Chinese
66—Fiiipine
••.�upeeifie-scarifies 07
ll,c fwr,ewe,etcav,ico -K,,c•n
04--V�etna«rese
.a 49- an
•uics;including-birlha+nd-death, 11 Natwo-llawakan
*ove.lo be reported using-the
c .ards- 43 Samoan
44-43theeRaeiheislariciev
45 Other
2b-81aek
23 MAN
DOH DSA CLH32886-0 Page 37 of 86
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62 Race Summary Code Decedent's Race Summary Character;Max Length=2 sum_'ace Same as current
10=White
11=Black
12=American Indian/Alaska Native
13=Asian
14=Native Hawaiian or Pacific Islander
20=White and Black
21=White and American Indian/Alaska Native
22=White and Asian
23=White and Native Hawaiian or Pacific
Islander
24=Black and American Indian/Alaska Native
25=Black and Asian
26=Black and Native Hawaiian or Pacific
Islander
27=American Indian/Alaska Native and Asian
28=American Indian/Alaska Native and Native
Hawaiian or Pacific Islander
29=Asian and Native Hawaiian or Pacific
Islander
30=White and Black and American
Indian/Alaska Native
31=White and Black and Asian
32=White and Black and Native Hawaiian or
Pacific Islander
33=White and American Indian/Alaska Native
and Asian
34=White and American Indian/Alaska Native
and Native Hawaiian or Pacific Islander
35=White and Asian and Native Hawaiian or
Pacific Islander
36=Black and American Indian/Alaska Native
and Asian
63 pace Calovlatiea Decedent's Face Caluclalsee: C -•moo"•;Man Length-1 roee "•2004 2815•'
Discontinued for 2022 IJ,46-rac-e-assigwed-bv-NCHSkrdcic 4-Whue ik="se "•.g by NCF1S b•dga-ag
forward. =sty-Technical 2 BUck
,.for-description).
4-Chinese ,
6-4apaeese pnasessed-hy-44446
3-64ipiav •'•1992 2003•••
S usedte-3tate 4---White
4-1 nknown/Net-Stated ---&act
A-Hawaiian 3--Na4we-American
4 Chire'e
6—Japanese
8-,45ian Indian 6-Other4aon-White
£--Kerean 3-6.kpiao
6-Samoae ii 8efesed to State
6-Vietnamese 4-Ufikeewe/Ne4-Stained
F4--6aemaoian A-fin
rider
E-ttereaa
6--Samvaa
C Vietnamese
64-6aa mawan{Ehamerre
a.i 1948 1991"'
4—While
4
4 Chinese
6 Other Nea-White
64 Hispanic No Decedent's Hispanic Origin,Not Character;Max Length=1 hisp no •••2004-2015•••
Hispanic Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
65 Hispanic Mexican Decedent's Hispanic Origin,Mexican Character;Max Length=1 hisp_mex "•2004-2015•••
H=Ves V=Yes
N=No N=No
U=Unknown U=Unknown
66 Hispanic Puerto Rican Decedent's Hispanic Origin,Puerto Character;Max Length=1 hisp_pr •••2004-2015••'
Rican H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
67 Hispanic Cuban Decedent's Hispanic Origin,Cuban Character;Max Length=1 hisp_cub •••2004-2015•••
H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
DOH DSA CLH32886-0 Page 38 of 86
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68 Hispanic Other Decedent's Hispanic Origin,Other Character;Max length=1 hisp_oth •••2004-2015"'
Hispanic H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
DOH OSA CLH32886-0 Page 39 of 86
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69 Hispanic NCHS Bridge NCHS Bridge Ethnicity Numeric;Max Length=I hay '••2004-2016•'•
0-Non-Hispanic Uses Hispanic ethnicity assigned by
Uses Hispanic ethnicity assigned by 1-Mexican NCHS bridging methods(see Death
NCHS bridging methods(see Death 2-Puerto Rican Statistical File Data Notes for
Statistical File Data Notes for 3-Cuban description). Coding same as in
description). Coding same as in 4-Central or South American previous years,plus:
previous years,plus: 5-Other and Unknown Hispanic Blank-Not processed by NCHS
Blank--Not processed by NCHS 9-Unknown/Not Stated
Blank-Not processed by NCHS •"•1996-2003"•
0-Non-Hispanic
1-Mexican
2-Puerto Rican
3-Cuban
4-Central or South American
5-Other and Unknown Hispanic
9-Unknown/Not Stated
•••1988-1995•••
0-Non-Hispanic
1-Mexican
2-Puerto Rican
3-Cuban
4-Central or South American
5-Other Hispanic
6-Unknown Hispanic
9 Unknown/Not Stated
'•'1980-1987•••
Blank Field
70 Residence City Decedent's Residence City Name Character;Max Length=112
71 Residence City FIPS Code Decedent's Residence City FIRS Code Character;Max Length=5;See PIPS Codes
Spreadsheet
72 Residence City Limits Decedent's Residence Inside City Character;Max Length=l :ncity '•'1992-2015••"
limits Y=Yes N-No
N=No Y-Yes
U=Unknown U-Unknown/Not Stated
•••1980.1991•'•
Blank Field
73 Residence County Decedent's Residence County Name Character;Max length=112 res cnty_literal Literal
14 .'derue-C o ty-C.t'W-A ff+arac�ier;A4art-kength-4;Se.WSCotrMy-C.in NAy--es -we—
..te F,ee 3preaASAeet
Discontinued for 2022
forward. -syand-crty-et-fieseteweeAr-the
-2Jd vsN-begreetev- than ...
pleeeet resideeee4sr a
4itien-less-then-25607-it-+a
dy,
,f2ceorreneeto select by
--ot
DOH DSA CLH32886-0 Page 40 of 86
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DOH Contract:CLH32886-0
75 Oece6entSsr2esidenceEe»awFede :I>a entp_fes SseWA£euethy'€at C-des3Preadsher.-+
Discontinued for 2022 ,des-Spreadsheet
forward.
than"99."
u
ty:
eeunty et
eceuveence.Before us'vg this field,,c.e
4kc�rentc=-'
76 Residence County RIPS Residence County FIRS code Character;Max Length=5;First 2 digits is the See WA FIPS Codes Spreadsheet
Code state,See FIPS Code Spreadsheet
77 Residence State FIRS Code Decedent's Residence State FIRS Code Character;Max Length=2
AL Alabama
AK-Alaska
AZ-Ariz na
AR-Arkansas
CA-California
CO-Colorado
CT-Connecticut
DE-Delaware
DC-District of Columbia
FL-Florida
GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MS-Mississippi
MO-Missouri
MT-Montana
NE-Nebraska
NV-Nevada
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
78 Residence Zip Code Decedent's ZIP Code of Residence Character;Max Length=5 zipccde •••1989-2015•••
based on decident resident address. XXXXX 99999-Unknown/Not Stated
•••1980-1988••
_ blank Field
79 s-4-1.1aal-FteseavationCede Aeeed-rrrr ResideneeTsibal Nua+er+e9Aawk.ength�.-24-See-Reseivatio„ r-eeT'tbai-ResewaboaEedes
Discontinued starting with ReseeYatienfede CodesSpreradsheet
2020 data.
DOH DSA CLH32886-0 Page 41 of 86
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80 Residence Length Units Length of Residence,Unit Type Character;Max Length=1 resunit •••Blank beginning in 2004•••
Y=Years res_lena Replaced by new field at end of file:
M=Months res_lena
D=Days
H=Hours •••1992-2003•••
N=Minutes 0-Years 1 to 99
U=Unknown 1-Years 100 or more
2-Months
3-Weeks
4-Days
5-Hours
6-Minutes
9-Unknown/Not Stated
res_lena
•••1992-2015•••
0-Years 1to99
1 -Years 100 or more
2-Months
3-Weeks
4-Days
5-Hours
6-Minutes
81 Residence Length Number of residence length units Numeric;Max Length=3;999=Unknown resunum •••Blank beginning in 2004•••
res_auni Replaced by new field at end of file:
res_auni
""•1992-2003•'•
Range of correct values are:
01-99-Years 1 to 99
00-99-Years 100 or more
01-11-Months
01-03-Weeks
01.31-Days
01-23-Hours
01-59-Minutes
99 -Unknown/Not Stated'
"Note:Length of residence is unknown
if resunit=9 and resunum=99.
"•'1980-1991•••
99-Not Collected
res_auni
01-99-Years 1 to 99
00-99-Years 100 or more
01-11-Months
01-03-Weeks
01-31-Days
01-23-Hours
01-59-Minutes
99 -Unknown/Not Stated•
•Note:Length of residence is unknown
if resunit=9 and resunum=99.
82 Funeral Home Name Funeral Home Name Character;Max Length 512 funeral_home_name Literal
83 Disposition Disposition Type Character;Max Length 1 disptype •••2004-2015•"•
B=Burial 1—Burial
C=Cremation 2—Cremation
R=Removal from State 3—Removal from State
D=Donation/Medical Research 4—Donation(medical research)
E=Entombment 5—Body Not Recovered
0=Other 6—Entombment
N=Body not recovered 7—Other
U=Unknown 9-Unknown
•••1980-2003'••
1-Burial
2-Cremation
3-Removal
4-Medical Research
5-Body Not Recovered
9-Unknown
84 Disposition Date Disposition Date Date;Max length=10 dispdate "••1985-2015'••
MM/DD/YYYY YYYYMMDD
99999999-Unknown/Not Stated
•••1980-1984••"
99999999-Not Collected
85 Disposition Date-Month Disposition Date-Month Numeric;Max Lenth=2
1-12;99=Unknown _
86 Disposition Date-Day Disposition Date-Day Numeric;Max Lenth=2
1-31;99=Unknown
DOH DSA CLH32886-0 Page 42 of 86
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87 Disposition Date-Year Disposition Date-Year Numeric;Max Lenth=4
9999=Unknown
DOH DSA CLH32886-0 Page 43 of 86
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88(Olsposition Place Name Place of Disposition Name Character;Max Length=64 disp place_name old(a30)OR Literal
disp_place_na me(a50)
89 Certifier Designation Classification of Certifier of Death Numeric;Max Length attclass •••1998-2015•••
1=Physician 01-Physician,MD
2=Coroner/ME 02-Coroner/Pathologist
3=DO 03-Osteopath,DO
4=Chiropractor 04-Chiropractor
5=Sanipractor 05—Sanipractor
6=Physician Assistant 06—Physician's Assistant
7=ARNP 07—Nurse Practitioner
8=Not Applicable 09-Other
9=Unknown
•••1980-1997•••
01-Physician,MD
02-Coroner/Pathologist
03-Osteopath,DO
04-Chiropractor
OS—Sanipractor
09-Other
90 ME Coroner Referred Death Referred to the Medical Character;Max Length referred •••1980-2015•"
Examiner/Coroner Y=Yes 1-Yes
Nallo 2-Not
U=Unknown 9-Unknown/Not Stated
91 ACME Line 1 TRX Entity-axis codes,ACME line 1 Character;Max Length=1 Literal
92 ACME Line 2 TRX Entity-axis codes,ACME line 2 Character;Max Length=1 Literal
93 ACME Line 3 TRX Entity-axis codes,ACME line 3 Character;Max Length=1 Literal
94 ACME Line 4 TRX Entity-axis codes,ACME line 4 Character;Max Length 1 Literal
95 ACME Line 5 TRX Entity-axis codes,ACME line 5 Character;Max Length=1 Literal
96 ACME Line 6 TRX Entity-axis codes,ACME line 6 Character;Max Length=1 Literal
97 ACME Line 7 TRX Entity-axis codes,ACME line 7 Character;Max Length=1 Literal
98 ACME Line 8 TRX Entity-axis codes,ACME line 8 Character;Max Length=1 Literal
99 ACME Line 9 TRX Entity-axis codes,ACME line 9 Character;Max Length 1 Literal
100 ACME Line 10 TRX Entity-axis codes,ACME line 10 Character;Max Length is.1 Literal
101 ACME Line 11 TRX Entity-axis codes,ACME line 11 Character;Max Length 1 Literal
102 ACME Line 12 TRX Entity-axis codes,ACME line 12 Character;Max Length=1 Literal
103 ACME Line 13 TRX Entity-axis codes,ACME line 13 Character;Max Length=1 Literal
104 ACME Line 14 TRX Entity-axis codes,ACME line 14 Character;Max Length=1 Literal
105 ACME Line 15 TRX Entity-axis codes,ACME line 15 Character;Max Length=1 Literal
106 ACME Line 16 THE Entity-axis codes,ACME line 16 Character;Max Length=1 Literal
107 ACME Line 17 TRX Entity-axis codes,ACME line 17 Character;Max Length=1 Literal
108 ACME Line 18 TRX Entity-axis codes,ACME line 18 Character;Max Length=1 Literal
109 ACME Line 19 TRX Entity-axis codes,ACME line 19 Character;Max Length=1 Literal
110 ACME Line 20 TRX Entity-axis codes,ACME line 20 Character;Max Length a 1 Literal
111 ACME Sequence 1 TRX Entity-axis codes,ACME Seq Nuns Character;Max Length=1 Literal
112 ACME Sequence 2 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
113 ACME Sequence 3 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
3
114 ACME Sequence 4 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
115 ACME Sequence 5 TRX Entity-axis codes,ACME Seq Num Character;Max Length 1 Literal
5
116 ACME Sequence 6 TRX Entity-axis codes,ACME Seq Num Character;Max Length 1 Literal
6
117 ACME Sequence 7 TRX Entity-axis codes,ACME Seq Num Character;Max Length a 1 Literal
7
118 ACME Sequence 8 TRX Entity-axis codes,ACME Seq Num Character;Max Length 1 Literal
119 ACME Sequence 9 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
9
120 ACME Sequence 10 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
10
121 ACME Sequence 11 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
11
122 ACME Sequence 12 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
12
DOH DSA CLH32886-0 Page 44 of 86
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123 ACME Sequence 13 TRX Entity-axis codes,ACME Seq Num Character;Max Length x 1 Literal
13
DOH DSA CLH32886-0 Page 45 of 86
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.DOH Contract:CLH32886-0
124 ACME Sequence 14 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
14
125 ACME Sequence 15 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
1S
126 ACME Sequence 16 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
16
127 ACME Sequence 17 TRX Entity-ails codes,ACME Seq Num Character;Max Length=1 Literal
17
128 ACME Sequence 18 TRX Entity-axis codes,ACME Seq Num Character;Max Length=1 Literal
18
129 ACME Sequence 19 TRX Entity-axis codes,ACME Seq Num Character;Max Length Literal
19
130 ACME Sequence 20 TRX Entity-axis codes,ACME Seq Num Character;Max length=1 Literal
20
131 ACME Cause Category 1 TRX Entity-axis codes,Cause Category Character;Max length=5 Literal
1
132 ACME Cause Category 2 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
2
133 ACME Cause Category 3 TRX Entity-axis codes,Cause Category Character;Max Length 5 Literal
3
134 ACME Cause Category 4 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
4
135 ACME Cause Category S TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
5
136 ACME Cause Category 6 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
6
137 ACME Cause Category 7 TRX Entity-axis codes,Cause Category Character;Max Length a 5 Literal
138 ACME Cause Category 8 TRX Entity-axis codes,Cause Category Character;Max Length=S Literal
8
139 ACME Cause Category 9 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
9
140 ACME Cause Category 10 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
10
141 ACME Cause Category 11 TAX Entity-axis codes,Cause Category Character;Max length=5 Literal
11
142 ACME Cause Category 12 TRX Entity-axis codes,Cause Category Character;Max Length a 5 Literal
12
143 ACME Cause Category 13 TRX Entity-axis codes,Cause Category Character;Max length=5 Literal
13
144 ACME Cause Category 14 TRX Entity-axis codes,Cause Category Character;Max Length=S Literal
14
145 ACME Cause Category 15 TRX Entity-axis codes,Cause Category Character;Max length a 5 Literal
15
146 ACME Cause Category 16 TRX Entity-axis codes,Cause Category Character;Max Length a 5 Literal
16
147 ACME Cause Category 17 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
17
148 ACME Cause Category 18 TRX Entity-axis codes,Cause Category Character;Max length=S Literal
18
149 ACME Cause Category 19 TRX Entity-axis codes,Cause Category Character;Max Length=S Literal
19
150 ACME Cause Category 20 TRX Entity-axis codes,Cause Category Character;Max Length=5 Literal
20
151 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 1 Character;Max Length=4 injflgl Literal
1
152 ACME Nature of Injury Flag TAX Entity-axis codes,ACME Filler 2 Character;Max length=1 injflg2 Literal
2
153 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 3 Character;Max Length=1 injflg3 Literal
154 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 4 Character;Max Length a 1 injflg4 Literal
4
155 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 5 Character;Max length a 1 injflg5 Literal
S
156 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 6 Character;Max Length=1 inj5g6 Literal
6
157 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 7 Character;Max Length=1 injftg7 Literal
7
158 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 8 Character;Max Length=1 injftg8 Literal
159 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 9 Character;Max Length=1 injf49 Literal
160 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 10 Character;Max Length=1 injflglo Literal
10
161 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 11 Character;Max Length=1 injflgll Literal
11
162 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 12 Character;Max Length a 1 injflgll literal
12
163 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 13 Character;Max length=1 injflgl3 Literal
13
164 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 14 Character;Max Length=1 injflgl4 Literal
14
165 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 15 Character;Max Length=1 injflgl5 Literal
15
166 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 16 Character;Max Length=1 injflg16 Literal
16
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167 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 17 Character,Max Length=1 injflgl7 Literal
17
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168 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 18 Character;Max Length=1 a injfIg18 Literal
18
169 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 19 Character;Max Length=1 injf1g19 Literal
19
170 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 20 Character;Max Length=1 injflg20 Literal
20
171 Underlying COD Code Underlying Cause of Death Character;Max Length=4 underly •'•1999-Present•••
For ICD-10 Codes see
"•1999-Present***
http;llapps.who.int/classificationsficd1
For ICD-10 Codes see 0/browse/2010/en.
http://apps.who.int/classifications/icd For those causes that do not have a
10/browse/2010/en. fourth digit,the last digit in this field will
For those causes that do not have a be blank.The decimal point for the ICD-
fourth digit,the last digit in this field 10 code is not included,but is implied
will be blank. The decimal point for between the 3rd and 4th digit of the
the ICD-10 code is not included,but is value In this field.Before using this field,
implied between the 3rd and 4th digit see documents in
of the value in this field.Before using http://www.doh.wa.gov/Dataandstatist
this field,see documents in icalReports/VitalstatisticsOata/DeathDa
http://www.doh.wa.gov/DataandStati to/ICD101CD9CodingCauseofDeath.aspz
sticalReports/VitalStatisticsData/Death and see"Death Statistical File Data
Data/ICO10ICD9CodingCauseofDeath. Notes-Underlying Cause of Death" A
aspz and see"Death Statistical File list of ICD-10 codes can be found
Data Notes-Underlying Cause of in"icd10.docx"in documentation.New
Death." A list of ICD-10 codes can be ICD-10 codes for terrorism(U01-UO3)
found in"icdl0.docx"in were added in 2001.
documentation.New IC0-10 codes for
terrorism(U01-UO3)were added in ••'1980-1998•••
2001. For ICD-9 Codes see
http://www.cdc.govinchs/icdficd9.htm
•••1980-1998••• For those causes that do not have a
For ICO-9 Codes see fourth digit,the last digit in this field will
http://www.cdc.gov/nchs/icd/icd9.ht be blank.The decimal point forthe ICD-
m For those causes that do not have a 9 code is not included,but is implied
fourth digit,the last digit in this field between the 3rd and 4th digit of the
will be blank. The decimal point for value in this field.For example,a value
the ICD-9 code is not included,but is of 052 translates into an ICD-9 code of
implied between the 3rd and 4th digit 052(chicken pox)while a code of 0410
of the value in this field.For example, translates into 041.0(Strep infection).
172 Record Axis Code 1 ICD Cause of Death Code(1st) Character;Max Length=4 mltcsei Literal
173 Record Axis Code 2 ICD Cause of Death Code(2nd) Character;Max Length=4 mltcse2 Literal
174 Record Axis Code 3 ICD Cause of Death Code(3rd) Character;Max Length=4 mltcse3 Literal
175 Record Axis Code 4 ICD Cause of Death Code(4th) Character;Max Length=4 mltcse4 Literal
176 Record Axis Code 5 ICD Cause of Death Code(5th) Character;Max Length=4 mltcse5 Literal
177 Record Axis Code 6 ICD Cause of Death Code(6th) Character;Max Length=4 mltcse6 Literal
178 Record Axis Code 7 ICD Cause of Death Code(7th) Character;Max Length=4 mltcse7 Literal
179 Record Axis Code 8 ICD Cause of Death Code(8th) Character;Max Length=4 mltcse8 Literal
180 Record Axis Code 9 ICD Cause of Death Code(9th) Character;Max Length=4 mltcse9 Literal
181 Record Axis Code 10 ICD Cause of Death Code(10th) Character;Max Length=4 mltcsel0 Literal
182 Record Axis Code 11 ICD Cause of Death Code(11th) Character;Max Length=4 mltcsell Literal
183 Record Axis Code 12 ICD Cause of Death Code(12th) Character;Max Length=4 mltcsell Literal
184 Record Axis Code 13 ICD Cause of Death Code(13th) Character;Max Length=4 mltcsel3 Literal
185 Record Axis Code 14 ICD Cause of Death Code(14th) Character;Max Length=4 mltcsel4 Literal
186 Record Axis Code 15 ICD Cause of Death Code(15th) Character;Max Length=4 mltcsel5 Literal
187 Record Axis Code 16 ICD Cause of Death Code(16th) Character;Max Length=4 mltcsel6 Literal
188 Record Axis Code 17 ICD Cause of Death Code(17th) Character;Max Length=4 mltcsei? Literal
189 Record Axis Code 18 ICD Cause of Death Code(18th) Character;Max Length=4 mltcse18 Literal
190 Record Axis Code 19 ICD Cause of Death Code(19th) Character;Max Length=4 mltcsel9 Literal
191 Record Axis Code 20 ICD Cause of Death Code(20th) Character;Max Length=4 mltcse20 Literal
192 Autopsy Autopsy Character;Max Length=1 autopsy •••1980-2015•••
Y=Yes autopsy performed 1-Yes
Indicates whether an autopsy was N orX=No autopsy not performed 2-No
performed. U=Unknown 9-Unknown/Not Reported
193 Autopsy Available Autopsy Available Character;Max Length=1 autopava '••2004-2015'••
Y=Yes 1-Yes
X=No 2—No
8—Not reported
9—Unknown
"•1980-2003'•'
Not collected.
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194 Pregnancy Pregnancy Status Numeric;Max Length=1 pregstat •••2004-2015•'•
1=Not pregnant within the past year 0-Pregnancy status missing
2=Pregnant at the time of death 1-Not pregnant within 1 year
3=Not pregnant,but pregnant within 42 days 2-Pregnant at death
of death 3-Not pregnant,but w/i n 42 days
4=Not pregnant,but pregnant 43 days to 1 4-Not pregnant,but 43 days to lyr
year before death 8-Not applicable
8=No response 9-Unknown
9=Unknown if pregnant within the past year
'••1980.2003•".
Not Collected
195 Tobacco Smoking Status Character;Max Length=4 smoking smoking
=Yes tbcontri Indicates whether decedent smoked in
N=No last 15 years.
P=Probably
U=Unknown •••Blank beginning in 2004•••
Replaced by new field at end of file:
tbcontri
•••1988-2004•••
1-Yes
2-No
9-Unknown/Not stated
•••1980-1987•••
0-Not Collected
tbcontri
•••2004-2015•••
1-Yes
2-No
7-Probably
8-Not reported
9-Unknown
"••1980-2003•••
196 Manner Reported Manner of Death Character;Max Length=l rinj_ca us •••2006-2015•"•
N=Natural 1-Natural
A=Accident 2-Accident
S=Suicide 3-Suicide
H=Homicide 4-Homicide
C=Undetermined 5-Undetermined
P=Pending 6-Pending
197 Date of Injury Date of Injury-Provided through Date:Max Length=10; inj_date ••'1980-2015`••
query process MM/DD/VYVV YVYYMMDD
99999999 Unknown/Not Stated
Blank-Not Applicable
198 Date of Injury-Month Date of Injury-Month Numeric;Max Lenth=2
1-12;99=Unknown
199 Date of Injury-Day Date of Injury-Day Numeric;Max Lenth=2
1-31;99=Unknown
200 Date of Injury-Year Date of Injury-Year Numeric;Max tenth=4
9999=Unknown
201 Injury Date Modifier Date of Injury Modifier-Provided Character;Max Length=l
through query process A=Actual
X=Approximate
C=Court Ordered
E=Estimated
F=Found
P=Presumed
U=Unknown
202 Time of Injury-Hour Time of Injury-Hour Numeric;Max Length=2 inLhour
1-24;99=Unknown
203 Time of Injury-Minutes Time of Injury-Minutes Character;Max Length=2 inj_min
00-59;Unknown=blank
204 Time of Injury Modifier Time of Injury Modifier-Provided Character;Max Length=1
through query process A=Actual
X=Approximate
C=Court Ordered
E=Estimated
F=Found
P=Presumed
U=Unknown
205 Injury Place Place of Injury-Provided through Character;Max Length=SO
query process
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206 Injury ACME Place Place of Injury Type Code Numeric;Max Length=1 injonchs •"1999-2015"'
0=Home 0-Home(Excludes: abandoned or
1=Residential Institution derelict house(8),home under
2=School,other institution and public construction,but not yet occupied(6),
administrative area institutional place of residence(1);
3 Sports and Athletics Area Includes:about home,apartment,army
4=Street and Highway camp,boarding house,cabin,caravan
5=Trade and service area (trailer)park-residential,farm house,
6=Industrial and construction areas Hogan,home premises,home sidewalk,
7=Farm home swimming pool,house
8=Other specified places (residential),noninstitutional place of
9=Unspecified Place residence,penthouse,private driveway
to home,private garage,private garden
to home,private walk to home,private
wall to home,residence,rooming
house,swimming pool in private home
or garden,trailer camp or court,yard
(not otherwise specified),yard to home)
1-Residential Institution(Includes:
almshouse,army camp,children's
home,dormitory fraternity house,
home for the sick,hospice,institution
(any type),jail,military
(camp)(reservation),nurse's home,
nursing home,old people's home,
orphanage,penitentiary,pensioner's
home,prison,prison camp,reform
school,sorority house,state hospital)
2-School,other institution and public
administrative area(Excludes:building
under construction(6),residential
207 injury City Place of Injury City-Provided through Character;Max Length=28 injury_city_name Literal
query process
208 nhry eini eySNA-cede Ekati aert-Maxkeaglh=µ,,SeeWA-Ceerey.Gisy eNy_µy sec WA Ceanty0iee.Codes Spreadshees
Discontinued for 2022 CodeSpceadsheet
forward.
edin
WashingteriSEate;this-Field-wi74he
Statistical File Data Notes
Oeearrenee
209;,;..sea CountvWAF4de Chafe c#e-48j See-WA-Cowsty6isy-Goiliee-Spreadshem
Discontinued for 2022 C pT-dsh
forward.
eenntw.
C" end
210 Injury City FIPS Code Injury City FIPS Code Character;Max Length=5;See PIPS Codes
Added starting with 2022 data Spreadsheet
211 Injury County FIPS Code Injury County FIPS code Character;Max Length=5;First 2 digits is the
Added starting with 2022 doto state,See FIPS Code Spreadsheet
212 Injury County Place of Injury County-Provided Character;Max Length=28 injury_county_name Literal
through query process
213 Injury State Place of Injury State-Provided Character;Max Length=28
through query process
214 Injury Zip Code Place of Injury Zip Code Character;Max Length=10 zipinjoc XXXXX
XXXXX-XXXX
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215 Injury at Work Injury at Work Character;Max length=1 inatwrk •••1990-2015•'•
V=Yes 0-Not Applicable
N=No 1—Yes
U=Unknown 2—No
9-Unknown
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216 Injury Transportation Transport Injury Role Character;Max Length=64 transinj •••2004-2015•••
DRIVER/OPERATOR 1—Driver
PASSENGER 2—Passenger
PEDESTRIAN 3—Pedestrian
OTHER 4—Other
8—N/A
9—Unknown
•••1980.2003•••
Not Collected.
217 Date Received County Receive Date Date;Max Length=10 rcvdt •••1980-2015•••
MM/OD/YYYY YYYYMMDD
99999999-Unknown/Not Stated
218 Local File Number County File Number Character;Max Length=20 cntyfile Literal
File number assigned by county Health
department. The file number is only
unique within each county.
219 Funeral Home Code Funeral Home Code Character;Max Length=4 funerals Character;Max Length=4
See Funeral Home Codes Spreadsheet See Funeral Home Codes Spreadsheet
220 Disposition Facility Code Disposition Facility Code Character;Max Length=4;See Cemetery disp_fac Character;Max Length 4;See
Codes Spreadsheet Cemetery Codes Spreadsheet
22 Note,Tke flit:fields below are only avai'able in final annual data files.
22 All Drugs Disease/injury flag Numeric;Max Length=2
Drug(total)overdose:underlying 0=Condition not present
cause of death codes X40-X44,X60- 1=Condition present
X64,X85,Y10-Y14
223 Opioids Disease/injury flag Numeric;Max Length=2
Opioid(unspecified)overdose:"Drug 0=Condition not present
all"=1&multiple cause of death 1=Condition present
codes 140.0—T40.4
224 Heroin Disease/injury flag Numeric;Max Length=2
Heroin overdose"Drug all"=1& 0=Condition not present
multiple cause of death code T40.1 1=Condition present
225 Natural Semisynthetic Disease/injury flag Numeric;Max Length=2
Opioid Natural and semisynthetic opioid 0=Condition not present
overdose"Drug all =1&multiple 1=Condition present
cause code 740.2
226 Methadone Disease/injury flag Numeric;Max Length=2
Methadone overdose:"Drug all"=1& 0=Condition not present
multiple cause code 740.3 1=Condition present
227 Synthetic Opioid Disease/injury flag Numeric;Max Length=2
Synthetic opioid(including fentanyl, 0=Condition not present
excluding methadone)overdose: 1=Condition present
"Drug all =1&multiple cause code
740.4
228 Cocaine Disease/injury flag Numeric;Max Length=2
Cocaine overdose:"Drug all"=1& 0=Condition not present
multiple cause code 740.5 1=Condition present
229 Prescription Opioid Disease/injury flag Numeric;Max Length=2
Prescription drug overdose:"Drug all" 0=Condition not present
=1&multiple cause code T40.2-T40.4 1=Condition present
230 Psychostimulant Disease/injury flag Numeric;Max Length=2
Psychostimulant overdose:"Drug all" 0=Condition not present
=1&multiple cause code 743.6 1=Condition present
231 Suicide All Disease/injury flag Numeric;Max Length=2
Suicide-total:underlying cause codes 0=Condition not present
UO3,X60-X84,or V87.0 1=Condition present
232 Suicide firearm Disease/injury flag Numeric;Max Length=2
Suicide-by firearm:underlying cause 0=Condition not present
codes X72-X74 1=Condition present
233 Suicide Asphyxia Disease/injury flag Numeric;Max Length=2
Suicide-by asphyxia:underlying cause 0=Condition not present
codes X70 1=Condition present
234 Suicide Poisoning Disease/injury flag Numeric;Max Length=2
Suicide-by poisoning:underlying 0=Condition not present
cause codes X60-X69 1=Condition present
235 Suicide Other Disease/injury flag Numeric;Max Length=2
Suicide-by other means:underlying 0=Condition not present
cause codes UO3,X60.69,X71,X75-84, 1=Condition present
Y87.0
236 Firearm All Disease/injury flag Numeric;Max Length=2
All firearm deaths:underlying cause 0=Condition not present
codes W32-W34,X72-X74,X93-X95, 1=Condition present
Y22-Y24,Y35.0
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237 Firearm Unintentional Disease/injury flag Numeric;Max Length=2
Unintentional firearm deaths: 0=Condition not present
underlying cause codes W32-W34 1=Condition present
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238 Firearm Homicide Disease/injury flag Numeric;Max Length=2
Homicide with firearm:underlying 0=Condition not present
cause codes X93-X95 1=Condition present
239 Firearm Undetermined Disease/injury flag Numeric;Max Length=2
Firearm deaths-undetermined intent: 0=Condition not present
underlying cause codes Y22-Y24 1=Condition present
240 Firearm Suicide Disease/injury flag Numeric;Max Length=2
Unintentional firearm deaths: 0=Condition not present
underlying cause codes X72-X74 1=Condition present
241 Firearm Legal Disease/injury flag Numeric;Max Length=2
Firearm deaths due to legal 0=Condition not present
intervention:underlying cause codes 1=Condition present
Y35.0
242 Malignant Neoplasm Disease/injury flag Numeric;Max Length 2
All malignant neoplasm deaths: 0=Condition riot present
underlying cause codes COO-C8 1=Condition present
243 Heart Disease Disease/injury flag Numeric;Max Length=2
Heart disease deaths:underlying cause 0=Condition not present
codes 100-109,Ill,113,120-151 1=Condition present
244 Alzheimers Disease/injury flag Numeric;Max Length=2
Alzheimers disease deaths:underlying 0=Condition not present
cause code 630 1=Condition present
245 Unintentional Injury Disease/Injury flag Numeric;Max Length=2
All unintentional injury deaths: 0=Condition not present
underlying cause codes V01-X59,Y85- 1=Condition present
Y86
246 Chronic Lower Respiratory Disease/injury flag Numeric;Max length=2
Chronic lower respiratory disease 0=Condition not present
deaths:underlying cause codes 140-14 1=Condition present
247 Cerebrovascular Disease Disease/injury flag Numeric;Max Length=2
Cerebrovascular disease deaths: 0=Condition not present
underlying cause code 160-169 1=Condition present
248 Diabetes Disease/injury flag Numeric;Max Length=2
Diabetes mellitus deaths:underlying 0=Condition not present
cause codes E10-E14 1=Condition present
249 Chronic Liver Disease Disease/injury flag Numeric;Max Length=2
Chronic liver disease and cirrhosis 0=Condition not present
deaths:underlying cause codesK70, 1=Condition present
K73-K74
250 Influenza Pneumonia Disease/injury flag Numeric;Max Length=2
Influenza and pneumonia deaths: 0=Condition not present
underlying cause codes 109-118 1=Condition present
251 Parkinsons Disease/injury flag Numeric;Max Length=2
Parkinsons disease deaths:underlying 0=Condition not present
cause codes G20-G21 1=Condition present
252 Essential Hypertension Disease/injury flag Numeric;Max Length=2
Essential(primary)hypertension and 0=Condition not present
hypertensive renal disease deaths: 1=Condition present
underlying cause code 110,112,115
253 Pneumonitis Disease/injury flag Numeric;Max Length=2
Deaths from pneumonitis due to solids C=Condition not present
and liquids:underlying cause code 169 1 Condition present
254 Homicide Disease/injury flag Numeric;Max Length=2
Deaths from homicide:underlying 0=Condition not present
cause code U01-UO2,X85-Y09,Y87.1 1=Condition present
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Cause of Death Literals File
Center for Health Statistics,Washington State Department of Health
CSV format
Field Field Name Description
Number
1 State File Number Death certificate number(use to link to other death files)
2 Cause of Death Line A Text of cause of death line 34a
3 Cause of Death Line B Text of cause of death line 34b
4 Cause of Death Line C Text of cause of death line 34c
5 Cause of Death Line D Text of cause of death line 34d
6 Interval Line A Text of time interval between onset of 34a and death
7 Interval Line 8 Text of time interval between onset of 34b and death
8 Interval Line C Text of time interval between onset of 34c and death
9 Interval Line D Text of time interval between onset of 34d and death
10 Conditions Part II Text of other significant conditions contributing to death(line 35)
11 Injury Description Text of description of how injury occurred(line 46)
12 Injury Place Text of physical location of the place of injury(line 43)
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Death Names Files
Center for Health Statistics,Washington State Department of Health
CSV format
Field Field Name Description Format/Labels
Number
1 State File Number Death Certificate Number YYYYNNNNNN
2 Decedent Last Name Decedent's Last Name
3 Decedent First Name Decedent's First Name
4 Decedent Middle Name Decedent's Middle Name
5 Decedent Suffix Decedent's Suffix
6 Sex Sex of Decendent M =Male
F=Female
U=Unknown
7 Age Type Age Unit Type 1=Years
2=Months
3=Days
4=Hours
5=Minutes
9=Unknown/Not Stated
8 Age Number of Units of Age
9 Date of Birth Date of Birth MM/DD/YYYY
10 Date of Birth-Month Date of Birth-Month MM
11 Date of Birth-Day Date of Birth-Day DD
12 Date of Birth-Year Date of Birth-Year YYYY
13 Social Security Number Social Security Number
14 Date of Death Date of Death MM/DD/YYYY
15 Date of Death-Month Date of Death-Month MM
16 Date of Death-Day Date of Death-Day DD
17 Date of Death-Year Date of Death-Year YYYY
18 Residence Street Residential Street Address
19 Residence City Residence City Literal
20 Residence County Residence County Literal
21 Residence State Residence State Literal
22 Residence Zip Code Residence Zip
23 Death County Death County Literal
24 Underlying COD Code Cause of death ICD-10 code 1968-1998 lCD-9 code
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Linked Birth-Infant Death File Data Dictionary
Field Namo Format/Values Historical Field Name Historical Format/Values
(1981-2015) (1981 201S)
1 Birth State File Number(Internal) Character;Max Length=10 certno
Birth SFN Encrypt(External) YYYY###### certno e
Birth Cert Type Character;Max Length=1 certype R-Resident
R-Resident D-Delayed(Selected years)
D-Delayed(Selected years) 0-Out-of-State
0-Out-of-State
3 Date of Birth Month Numeric;MM dob mo
Date of Birth Year Numeric;YYYY dob_yr
Time of Birth Character;Max Length=5 birth_hr
HH:MM
99:99-Unknown
i Sex Character;Max Length=1 sex F-Female
M-Male M-Male
F-Female U-Unknown
U-Undetermined
7 Plurality Numeric;Max Length=2 plural -Single
-Single -Twin
-Twins -Triplet
•Triplets -Quadruplet
3 Birth Order Numeric;Max Length=2 order •••1980-2016•••
-Single Birth 0-Single Birth
-First Born -First Born
-Second Born -Second Born
ote: Occurrence geographies are removed for WA residents giving birth out of state.
Birthplace County City WA Code Character;Max Length=4 city_occ See WA County City Codes Spreadsheet
See WA County City Codes Spreadsheet
10 Birthplace County WA Code Character;Max Length=2 cnty_occ See WA County City Codes Spreadsheet
See WA County City Codes Spreadsheet
11 Birthplace State €hprpet r; Length
Discontinued starting with 2019 data
12 Birthplace State NCHS Code Character;Max Length=2;See NCHS st_occ See NCHS State Codes Spreadsheet
State Codes Spreadsheet
13
Discontinued starting with 2019 data
AK--Alaska
A2--Aµ2er4a
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14 Facility Type Numeric;Max Length=2 fac_type •••2003-2016•`•
-Hospital -Hospital
-Enroute -Enroute
-Birth Center -Birth Center
15 Facility Character;Max Length=12;See Facility facility See Facility Codes Spreadsheet
Codes Spreadsheet
16 Intended Facility Character;Max Length=4 fac_int •`•2003-2016••"
1-Hospital 1-Hospital
-Birth Center 3-Birth Center
-Clinic/Doctor's Office 4-Clinic/Doctor's Office
17 Mother Transfer Character;Max Length=1 trnsferm ••`2003-2016•••
N-Not Transferred N-Not Transferred
Y-Yes Y-Yes
U-Unknown U-Unknown
18 Character;Max Length-128
Discontinued starting with 2019 data
19 Child Transfer Character;Max Length=2 trnsferb •••1984-2016•••
Y-Yes Y-Yes
N-No N-No
U-Unknown U-Unknown/Not Stated
20
Discontinued starting with 2019 data
21 Attendant Class Numeric;Max Length=2 attclass •••1989-2016""
0-Hospital Administrator 00 -Hospital Administrator
1-Physician,MD 01 -Physician,MD
2-Licensed Midwife 02 -Licensed Midwife
22 Certifier Class Numeric;Max Length=2 crt_clas "•1989-2016•`•
0-Hospital Administrator 00 -Hospital Administrator
1-Physician,MD 01 -Physician,MD
2-Licensed Midwife 02 -Licensed Midwife
23 Mother Calculated Age Numeric;Max Length=3 age_mom Unknown/Not Stated=99
99-Unknown/Not Stated
24 Mother Residence County City WA Character;Max Length=4;See WA city_res See WA County City Codes Spreadsheet
Code County City Codes Spreadsheet
25 cnty_res
Discontinued starting with 2020 data
26 Character;Max Length-112
Discontinued starting with 2019 data
27 Mother Residence State NCHS Code Character;Max Length=2;See NCHS st_res See NCHS State Codes Spreadsheet
State Codes Spreadsheet
28 Character;Max Length-2
Discontinued starting with 2019 data Al. Aiabarna
Ate-4125 hi
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29 Mother Residence Zip Character;Max Length=10 zipcode
xxxxx-xxxx
30 Mother Years at Residence Numeric;Max Length=3 res_yprt res_yymm Number of years mother lived at the
999-Unknown/Not Stated current residence,at the time of birth,
in yy format.
31 Mother Months at Residence Numeric;Max Length=2 res_mprt res_yymm •**1989-2016`*•
mm
9999-Unknown
32 Mother Birthplace State NCHS Character;Max Length=2
33 Mother Birthplace Country Character;Max Length=64
34 Mother Birthplace Cntry WA Code Character;Max Length=4;See WA bctrymom See WA Country Codes Spreadsheet
Country Codes Spreadsheet
35 Mother Race White Character;Max Length=1 momr_wht •••2003-2016`"•
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
36 Mother Race Black Character;Max Length=1 momr_blk ""*2003-2016"•"
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
37 Mother Race Al AN Character;Max Length=1 momr_ami *•"2003-2016•`•
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
38 Mother Race Asian Indian Character;Max Length=1 momr_asi ***2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
39 Mother Race Chinese Character;Max Length=1 momr_chi •*•2003-2016***
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
30 Mother Race Filipino Character;Max Length=1 momr_fil •••2003-2016***
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
11 Mother Race Japanese Character;Max Length=1 momrjap •••2003-2016*`•
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
12 Mother Race Korean Character;Max Length=1 momr_kor ***2003-2016*••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
13 Mother Race Vietnamese Character;Max Length=1 momr_vie •*•2003-2016••"
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
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14 Mother Race Other Asian Character;Max Length=1 momr_oas *"*2003-2016***
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
15 Mother Race Hawaiian Character;Max Length=1 momr_haw *•*2003-2016***
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
16 Mother Race Guam or Chamorro Character;Max Length=1 momr_gua ***2003-2016•**
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
17 Mother Race Samoan Character;Max Length=1 momr_sam ••"2003-2016***
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
18 Mother Race Other PI Character;Max Length=1 momr_opi ***2003-2016"•*
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
19 Mother Race Other Character;Max Length=1 momr_oth *••2003-2016*•*
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
i0 Mother Race Tribe 1 Character;Max Length=120
31 Mother Race Tribe 2 Character;Max Length=120
32 Mother Race Other Asian 1 Character;Max Length=120
53 Mother Race Other Asian 2 Character;Max Length=120
54 Mother Race Other Pi 1 Character;Max Length=120
iS Mother Race Other PI 2 Character;Max Length=120
i6 Mother Race Other 1 Character;Max Length=120
i7 Mother Race Other 2 Character;Max Length=120
38 Mother Bridge Race Character;Max Length=2
Note: for the race codes below,
AIAN=American Indian/Alaska
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39 Mother Race Calculation Character;Max Length=1 race_mom `••2003-2016•••
1 -White Uses race assigned by NCHS bridging
2 -Black methods(see Data Quality Technical
3 -Native American Notes for description). Coding same as
30 Mother Race Summary Code Numeric;Max length=2 moracsum Note: for the race codes below,AIAN=
Single race American Indian/Alaska Native;NHOPI=
10 -White Native Hawaiian or Other Pacific Islander.
11 -Black
51 Mother Hispanic No Character;Max Length=1 momh_no ••'2003-2016"'
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
52 Mother Hispanic Mexican Character;Max Length=1 momh_mex •••2003-2016•••
H-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
53 Mother Hispanic Puerto Rican Character;Max Length=1 momh_pr •••2003-2016'•'
H-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
54 Mother Hispanic Cuban Character;Max Length=1 momh_cub •""2003-2016•••
H-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
SS Mother Hispanic Other Character;Max Length=1 momh_oth ••`2003-2016•••
H-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
56 Mother Hispanic Other Specify Character;Max Length=21
57 Mother Hispanic NCHS Ecode Numeric;Max Length=3
58 Mother Hispanic NCHS Ccode Numeric;Max Length=3
59 Mother Hispanic Numeric;Max Length=1 hisp_mom •"'1996-2016"•
0-Non-Hispanic 0-Non-Hispanic
1-Mexican 1-Mexican
2-Puerto Rican 2-Puerto Rican
70 Mother Education Numeric;Max Length=2 educ_mom •••2003-2016•'•
1-8th grade or less 1 -8th grade or less(see
2-9th-12th grade,no diploma dadle8ed,field 201)
3-High school graduate or GED 2 -9th-12th grade,no diploma
71 Mother Educ 8th Grade or Less Numeric;Max Length=8 momle8ed •"2003-2016••'
0=No education 0-No education
1=1st grade 1-8-1st-8th grade
2=2nd grade 9-Unknown
72 , uc=fm-rinom -r-'-1994 20164»"
Discontinued starting with 2018 doto Cside Spr ad hec See
73 Mother Marital Status Character;Max Length=4 married •••1980-2016•••
1-Married to other parent listed 2- V-Yes
Married but not to the person listed as N-No
parent U-Not Stated
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14 Father Calculated Age Numeric;Max Length=3 age_dad 99-Unknown/Not Stated
99-Unknown/Not Stated
75 Father Birthplace State NCHS Character;Maximum Length=2;
76 Father Birthplace Country Character;Max Length=256
77 Father Birthplace Cntry WA Code Character;Max Length=3 bctrydad See WA Country Codes Spreadsheet
See WA Country Codes Spreadsheet
78 Father Race White Character;Max Length=1 dadr_wht •""2003-2016•••
V-Yes Y-Yes,this box checked
N-No N-No,box not checked
U Unknown U-Entire Mother's Race item unknown
79 Father Race Black Character;Max Length=1 dadr_blk •"•2003-2016•`•
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
30 Father Race Amer Indian Alaskan Character;Max Length=1 dadr_ami •••2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
31 Father Race Asian Indian Character;Max Length=1 dadr_asi •••2003-2016•••
Y-Yes Y--Yes,this box checked
N-No N--No,box not checked
U-Unknown U-Entire Mother's Race item unknown
32 Father Race Chinese Character;Max Length=1 dadr_chi •""2003-2016•••
V-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
33 Father Race Filipino Character;Max Length=1 dadr_fil "••2003-2016"••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
34 Father Race Japanese Character;Max Length=1 dadr jap •••2003-2016••"
V-Yes V-Yes,this box checked
N No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
35 Father Race Korean Character;Max Length=1 dadr_kor •••2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
36 Father Race Vietnamese Character;Max Length=1 dadr-vie •••2003-2016•`•
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
37 Father Race Other Asian Character;Max Length=1 dadr_oas `••2003-2016•"•
Y-Yes V--Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
38 Father Race Hawaiian Character;Max Length=1 dadr_haw •••2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
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39 Father Race Guam or Chamorro Character;Max Length=1 dadr_gua •"•2003-2016•••
Y-Yes Y Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
30 Father Race Samoan Character;Max Length=1 dadr_sam •••2003-2016•••
Y-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
31 Father Race Other PI Character;Max length=1 dadr_opi •••2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
32 Father Race Other Character;Max Length=1 dadr_oth •••2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Race item unknown
33 Father Race Tribe 1 Character;Max Length=120
34 Father Race Tribe 2 Character;Max Length=120
35 Father Race Other Asian 1 Character;Max Length=120
36 Father Race Other Asian 2 Character;Max Length=120
37 Father Race Other PI 1 Character;Max Length=120
38 Father Race Other PI 2 Character;Max Length=120
39 Father Race Other 1 Character;Max Length=120
100 Father Race Other 2 Character;Max Length=120
101 Father Bridge Race Character;Max Length=2
Note: for the race codes below,
AIAN=American Indian/Alaska
102 Father Race Calculation Character;Max Length=1 race_dad •••2003-2016•••
1-White Uses race assigned by NCHS bridging
2-Black methods(see Data Quality Technical
3-Native American Notes for description). Coding same as
103 Father Race Summary Code Numeric;Max Length=2 faracsum Note: for the race codes below,AIAN=
Single race American Indian/Alaska Native;NHOPI=
10 -White Native Hawaiian or Other Pacific Islander.
11 -Black
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104 Father Hispanic No Character;Max Length=1 dadh_no •••2003-2016•••
Y-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
105 Father Hispanic Mexican Character;Max Length=1 dadh_mex •••2003-2016•••
H-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
106 Father Hispanic Puerto Rican Character;Max Length=1 dadh_pr •••2003-2016•••
H-Yes V-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
107 Father Hispanic Cuban Character;Max Length=1 dadh_cub •••2003-2016•"•
H-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
108 Father Hispanic Other Character;Max Length=1 dadh_oth •••2003-2016•••
H-Yes Y-Yes,this box checked
N-No N-No,box not checked
U-Unknown U-Entire Mother's Hispanic item
109 Father Hispanic Other Specify Character;Max Length=20
110 Father Hispanic NCHS Ecodes Numeric;Max Length=3
111 Father Hispanic NCHS Ccodes Numeric;Max Length=3
112 Father Hispanic Numeric;Max Length=1 hisp_dad •••1996-2016•••
0-Non-Hispanic 0-Non-Hispanic
1-Mexican 1-Mexican
2-Puerto Rican 2-Puerto Rican
113 Father Education Numeric;Max Length=2 educ_dad •••2003-2016•••
1 -8th grade or less -8th grade or less(see dadle8ed,field
2 -9th-12th grade,no diploma 201)
3 -High school graduate or GED -9th-12th grade,no diploma
114 Father Educ 8th Grade or Less Numeric;Max Length=2 dadle8ed •••2003-2016"••
-No education 0-No education
1 -1st grade 1-8-1st-8th grade
2 -2nd grade 9-Unknown
115 _ t r;M gth-a 5 n• of n._d3� •"1993 2016"`
Discontinued starting with 2018 data C c `prcathhcct
116 Mother Height Feet Numeric;Max Length=1 ht_ft •••2003-2016•""
9-Unknown/Not Stated 9-Unknown
•••1980-2002•••
117 Mother Height Inches Numeric;Max Length=2 ht_in •••2003-2016•••
99-Unknown/Not Stated 99-Unknown
•••1980-2002•••
118 Mother Weight Prior Numeric;Max Length=3 wghtpre •••1992-2016•••
999-Unknown/Not Stated 999-Unknown
•••1980-1991•••
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119 Mother Weight at Delivery Numeric;Max Length=3 wghtdelv •••2003-2016•••
999-Unknown/Not Stated 999-Unknown
"•1980-2002••`
120 Mother Weight Gain Numeric;Max Length=3 wghtgain •••2003-2016•••
This field is calculated from
prepregnancy and delivery weights(see
fields 110 and 213).
121 Mother SMI Numeric;Max Length=3 bmi •••2003-2016•••
99.9-Unknown 99.9-Unknown
•••1980-2002'"
122 Metiiec-Smoked s along
Discontinued starting with 2019 data
Y Yes
123 Cigarettes Smoked 3 Months Prior Numeric;Max Length=4 cigs_bef
124 Packs Smoked 3 Months Prior Numeric;Max Length=4
12S Cigarettes Smoked 1st Tri Numeric;Max Length=4 cigs_1"
126 Packs Smoked 1st Tri Numeric;Max Length=4
127 Cigarettes Smoked 2nd Tri Numeric;Max Length=4 cigs_2"d
128 Packs Smoked 2nd Tri Numeric;Max Length=4
129 Cigarettes Smoked 3rd Tri Numeric;Max Length=4 cigs_3r°
L30 Packs Smoked 3rd Tri Numeric;Max Length=4
L31 Source of Payment Numeric;Max Length=1 delivpay •••2003-2016'••
1-Medicaid 1-Medicaid
2-Self-pay 2-Self-pay
3-Private Insurance 3-Private Insurance
132 E
Discontinued starting with 2019 data
133 WIC Character;Max Length=1 wic_new •••2003-2016•••
Y-Yes V-Yes
N-No N-No
U-Unknown U-Unknown
134 Date First Prenatal Visit Character;Max Length=10 fpvmd4y
MM/DD/YYYY fpv_mo
fpv_da
fpv_yr
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135 Date Last Prenatal Visit Character;Max Length=10 Ipvmd4y
MM/DD/YYYY ipv_mo
Ipv_da
Ipv_yr
136 Month Prenatal Care Began Numeric;Max Length=10 pnatalmo ***1992-2016***
99-Unknown/Not Stated 000•None
001 to 010-First through tenth
month
137 NCHS Month Prenatal Care Began Numeric;Max Length=3 pnatfed ***2011-2016***
999-Unknown 999-Unknown
138 Number Prenatal Visits Numeric;Max Length=2 pnatalvs ***1993-2016***
99-Unknown/Not Stated 000-None
099-Unknown/Not Stated
139 Prior Live Births Living Numeric;Max Length=2 Ib_el ***1989-2016***
00-None 000-None
99-Unknown/Not Stated 099-Unknown/Not Stated
140 Prior Live Birth Deceased Numeric;Max Length=2 lb_nd ***1989-2016***
99-Unknown 000-None
099-Unknown/Not Stated
141 Last Live Birth Month Numeric;Max Length=2 lib_mo
MM
142 Last Live Birth Year Numeric;Max Length=4 Ilb_yr
YYYY
143 Other Preg Outcomes Numeric;Max Length=2 otherout ***2003-2016***
99-Unknown/Not Stated 000-None
099-Unknown/Not Stated(or 999?)
144 Other Preg Outcomes Month Numeric;Max Length=2 oth_mo
MM
L45 Other Preg Outcomes Year Numeric;Max Length=4 oth_yr
YYYY
L46 Date last Menses Date;Max Length=10 mensmd4y
MM/DO/YYYY
L47 Last Menses Month Numeric;Max Length=2 mens_mo
MM
148 Last Menses Day Numeric;Max Length=2 mens_da
DD
149 Last Menses Year Numeric;Max Length=4 mens_yr
YYYY
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150 Gestation Estimate Numeric;Max Length=2 gest_est ***1989-2016**"
40-Full Term or Forty Weeks 40-Full Term or Forty Weeks
99-Unknown 99-Unknown
151 Calculated Gestation Numeric;Max Length=2 gestcalc ***1980-2016*"•
99-Unknown/Did not calculate Method of calculation different from
method used in pre-2005 CDs,see Data
Quality Technical Notes
152 Gestation Calculated Flag Character;Max Length=1 gestflag ***2003-2016***
0-Gestation was calculated based on 0-Gestcalc was calculated based on
DOB and last menses date Date of Birth and Last Menses Date.
1-Gestation was based on clinical
153 Child Alive Character;Max Length=1 alive ***2003-2016***
Y-Yes V-Yes
N-No N-No
U-Unknown T—Transferred,status unknown
154 8reastfed Character;Max Length=1 breastfd *•*2003-2016***
Y-Yes V-Yes
N-No N-No
U-Unknown U—Unknown
155 Birth Weight Grams Numeric;Max Length=4 wt_grams ***1980-2016***
9999-Unknown/Not Stated 9999-Unknown/Not Stated
156 Fly WeigltFPevssds. Norr+erie A4ar4eeagth
Discontinued starting with 2019 data
157 9+44-Weight-L unees Ple c A4 6e Wit#-=-t
Discontinued starting with 2019 data 94--1inknev,+x/Not-State#
158 Head Circumference Numeric;Max Length=2 circumf •••2003.2016""*
99-Unknown/Not Stated 99—Unknown
***1980-2002"•*
159 APGAR S Numeric;Max Length=2 apgar5 •""1980-2016".
99-Unknown 000-010-Score
999-Unknown
160 APGAR 10 Numeric;Max Length=2 apgarl0 "*"2003-2016**•
0-10-Score 000-010—Score
99-Unknown 098—Not applicable
999—Unknown
161 Prepreg Diabetes Character;Max Length=1 mrfl-mrf6,diabetes Diabetes
Y-Yes •"•2003-2016"*•
N-No E-Prepregnancy
U-Unknown G—Gestational
162 Gestational Diabetes Character;Max Length=1 mrfl-mrf6,diabetes Diabetes
V-Yes ***2003-2016***
N-No E-Prepregnancy
U-Unknown G—Gestational
163 Prepreg Hypertension Character;Max Length=1 mrfl-mrf6,hyperflg Hypertension Flag
Y-Ves ***2003-2016***
N-No E-Prepregnancy
U-Unknown G—Gestational
164 Gestational Hypertension Character;Max Length=1 mrfl-mrf6,hyperflg Hypertension Flag
Y•Yes "•"2003-2016""*
N-No E-Prepregnancy
U-Unknown G—Gestational
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165 Hypertension Eclampsia Character;Max Length=1 mrfl-mrf6 ***2003-2016***
Y-Yes 01 -Diabetes
N-No 02 -Hypertension
U-Unknown 03 --Previous Preterm Births
166 Preterm Births Character;Max Length=1 mrfl-mrf6 ***2003-2016•**
Y-Yes -Diabetes
N-No -Hypertension
U-Unknown -Previous Preterm Births
167 Poor Preg Outcomes Character;Max Length=1 mrfl-mrf6 ***2003-2016***
Y-Yes -Diabetes
N•No -Hypertension
U-Unknown -Previous Preterm Births
168 Vaginal Bleeding Character;Max Length=1 mrfl-mrf6 ***2003-2016***
Y-Yes -Diabetes
N-No -Hypertension
U-Unknown -Previous Preterm Births
169 Fertility Treatment Character;Max Length=1 mrfl-mrf6 ***2003-2016***
Y-Yes -Diabetes
N-No -Hypertension
U-Unknown -Previous Preterm Births
170 Assisted Reproduction Character;Max Length=1 mrfl-mrf6 ***2003-2016***
Y-Yes 01-Diabetes
N-No 02-Hypertension
U-Unknown 03-Previous Preterm Births
171 Previous Cesarean Character;Max Length=1 mrfl-mrf6 ***2003-2016•••
V-Yes 01-Diabetes
N-No 02-Hypertension
U-Unknown 03-Previous Preterm Births
172 Num Prey Cesarean Numeric;Max Length=2 prev_cno
99-Unknown
173 Group B Strep Character;Max Length=1 mrfl-mrf6 •••2003-2016*••
Y-Yes 01-Diabetes
N-No 02-Hypertension
U-Unknown 03-Previous Preterm Births
174 Risk Factors None Character;Max Length=1 mr(1-mrf6 •**2003-2016•••
Y-Yes 01-Diabetes
N-No 02-Hypertension
U-Unknown 03-Previous Preterm Births
175 Risk Factors Unknown Character;Max Length=1 mrfl-mrf6 ***2003-2016**•
Y-Yes 01-Diabetes
N-No 02-Hypertension
U-Unknown 03-Previous Preterm Births
176 Gonorrhea Character;Max Length=1 minfectl-minfect7 ***2003-2016•••
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
177 Syphilis Character;Max Length=1 minfectl-minfect7 **•2003-2016***
Y-Yes Dl-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
178 Herpes Character;Max Length=1 minfectl-minfect7 ***2003-2016***
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
179 Chlamydia Character;Max Length=1 minfectl-minfect7 ***2003-2016•••
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
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180 Hep B Character;Max Length=1 minfectl-minfect7 ***2003-2016***
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
181 Hep C Character;Max Length=1 minfectl-minfect7 ***2003-2016***
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
182 Infections Other Character;Max Length=1 minfectl-minfect7 ***2003-2016***
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
183 Infections Other Specify Character;Max Length=60
184 Infections None Character;Max Length=1 minfectl-minfect7 ***2003-2016***
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
185 Infections Unknown Character;Max Length=1 minfectl-minfect7 ***2003-2016***
Y-Yes 01-Gonorrhea
N-No 02-Syphilis
U-Unknown 03-Herpes Simplex Virus(HSV)
186 Cervical Cerclage Character;Max Length=1 obprocl-obproc4 ***2003-2016***
Y-Yes 1-Cervical Cerclage
N-No 2-Tocolysis
U-Unknown 3-External Cephalic Version
187 Tocolysis Character;Max Length=1 obproci-obproc4 ***2003-2016***
Y-Yes 1-Cervical Cerclage
N-No 2-Tocolysis
U-Unknown 3-External Cephalic Version
188 ECV Success Character;Max Length=1 obproci-obproc4,cephaflg External Cephalic Version Flag
Y-Yes ***2003-2016***
N-No N-No
U-Unknown S-Successful
189 ECV Failed Character;Max Length=1 obprocl-obproc4,cephaflg External Cephalic Version Flag
Y-Yes ***2003-2016***
N-No N-No
U-Unknown S-Successful
L90 Obstet Proc None Character;Max Length=1 obproci-obproc4 ***2003-2016***
Y-Yes 1--Cervical Cerclage
N-No 2-Tocolysis
U-Unknown 3-External Cephalic Version
191 Obstet Proc Unknown Character;Max Length=1 obproci-obproc4 ***2003-2016***
Y-Yes 1-Cervical Cerclage
N-No 2-Tocolysis
U-Unknown 3-External Cephalic Version
L92 Ruptured Membranes Character;Max Length=1 labonsl-labons3 ***2003-2016***
V-Yes 01-Premature Rupture of the
N-No Membranes(Prolonged,>=12hr)
U-Unknown 02-Precipitous Labor(<3hr)
193 Precipitous Labor Character;Max Length=1 labonsl-labons3 ***2003-2016***
Y-Yes 01-Premature Rupture of the
N-No Membranes(Prolonged,>=12hr)
U-Unknown 02-Precipitous Labor(<3hr)
194 Prolonged Labor Character;Max Length=1 labonsl-labons3 ***2003-2016***
Y-Yes 01--Premature Rupture of the
N-No Membranes(Prolonged,>=12hr)
U-Unknown 02-Precipitous Labor(<3hr)
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195 Labor Onset None Character;Max Length=1 labonsl-labons3 ."2003-2016"*"
Y-Yes 01-Premature Rupture of the
N-No Membranes(Prolonged,>=12hr)
U-Unknown 02-Precipitous Labor(<3hr)
196 Labor Onset Unknown Character;Max Length=1 labonsl-labons3 *"2003-2016***
Y-Yes 01-Premature Rupture of the
N-No Membranes(Prolonged,>=12hr)
U-Unknown 02-Precipitous Labor(<3hr)
197 Induction Character;Max Length=1 labcharl-labchar7 ***2003-2016***
V-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
198 Augmentation Character;Max Length=1 labcharl-labchar7 "**2003-2016**"
V-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
199 Non Vertex Presentation Character;Max Length=1 labcharl labchar7 ***2003-2016"**
V-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
200 Anesthesia Character;Max Length=1 labcharl-labchar7 ***2003-2016"""
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
201 Steroids Character;Max Length=1 Iabcharl-labchar7 ***2003-2016***
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
202 Antibiotics Character;Max Length=1 labcharl-labchar7 **"2003-2016***
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
203 Chorioamnionitis Character;Max Length=1 labcharl-labchar7 "**2003-2016***
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
204 Meconium Stain Character;Max Length=1 labcharl-labchar7 ***2003-2016***
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
205 Fetal Intolerance Character;Max Length=1 labcharl-labchar7 ***2003-2016***
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
206 Maternal Inf None Character;Max Length=1 labcharl-labchar7 ***2003.2016***
V-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
207 Maternal Inf Unknown Character;Max Length=1 labcharl-labchar7 *"*2003-2016"**
Y-Yes 01-Induction of Labor
N-No 02-Augmentation of Labor
U-Unknown 03-Non-Vertex Presentation
208 Maternal Transfusion Character;Max Length=1 mmorbidl-mmorbid5 ***2003-2016***
Y-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perinea)Laceration
209 Perinea)Laceration Character;Max Length=1 mmorbidl-mmorbid5 ***2003-2016"**
Y-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perinea)laceration
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210 Ruptured Uterus Character;Max Length=1 mmorbidl-mmorbid5 •••2003-2016•••
V-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perinea)Laceration
211 Hyserectomy Character;Max Length=1 mmorbidl-mmorbid5 ••"2003-2016""•
Y-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perinea)Laceration
212 Intensive Care Character;Max Length=1 mmorbid1-mmorbid5 "••2003-2016"••
Y-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perineal Laceration
213 Operation Character;Max length=1 mmorbidl-mmorbid5 •••2003-2016'••
Y-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perineal Laceration
214 Maternal Morbidity None Character;Max Length=1 mmorbidl-mmorbidS ••"2003-2016•'•
V-Yes 01 --Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perineal Laceration
215 Maternal Morbidity Unknown Character;Max Length=1 mmorbidl-mmorbid5 •'"2003-2016•••
V-Yes 01 -Maternal Transfusion
N-No 02 -Third or Fourth Degree
U-Unknown Perineal Laceration
216 Attempt Forceps Character;Max Length=1 forcfail •"•2003-2016'•'
V-Yes N-No
N-No V-Yes
U-Unknown U-Unknown
217 Attempt Vacuum Character;Max Length=1 vacfail •"•2003-2016•••
Y-Yes N-No
N-No V-Yes
U-Unknown U-Unknown
218 Fetal Presentation Numeric;Max Length=1 fet_pres "••2003-2016•"•
1-Cephalic C-Cephalic
2-Breech B-Breech
3-Other 0-Other
219 Delivery Method Final Numeric;Max Length=1 dmethfin •••2003-2016•••
1-Spontaneous vaginal 1-Spontaneous vaginal
2-Forceps 2-Forceps
3-Vacuum 3-Vacuum
220 Delivery Method Calculation Numeric;Max Length=1 dmethl,dmeth2,dmeth3.dmeth4 •""2003-2016"""
1 -Vaginal Will be calculated from other fields. Only
2 -Vaginal Birth After dmethl will be populated. Codes same
Previous CSection as below.
221 Assist Vent Character;Max Length=1 abcondl-abcond6 ••'2003-2016'••
Y-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
222 Assist Vent 6 Character;Max length=1 abcondl-abcond6 •••2003-2016'"•
Y-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
223 NICU Admission Character;Max Length=1 abcondl•abcond6 •••2003-2016••"
Y-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
224 Surfactant Character;Max Length=1 abcondl-abcond6 •••2003-2016"•
V-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
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225 Child Antibiotics Character;Max Length=1 abcondl-abcond6 "••2003-2016**•
Y-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
226 Child Seizure Character;Max Length=1 abcondl-abcond6 •••2003-2016•••
Y-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
227 Child Injury Character;Max Length=1 abcondl-abcond6 •••2003-2016`•*
V-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
228 Abnormal Conditions None Character;Max Length=1 abcondl-abcond6 "**2003-2016"*•
V-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
229 Abnormal Conditions Unknown Character;Max Length=1 abcondl-abcond6 ••"2003-2016`*"
V-Yes 01-Assisted Ventilation Required
N-No Immediately Following Delivery
U-Unknown 02-Assisted Ventilation Required for
230 Anencephaly Character;Max Length=1 malfl-malf7 •••2003-2016•••
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
231 MSB Character;Max Length=1 malfi-malf7 ••"2003-2016**'
Y-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
232 Congenital Heart Character;Max Length=1 malfl-malf7 *•*2003-2016`••
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
233 Congenital Hernia Character;Max Length=1 malfl-malf7 *•*2003-2016•••
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
234 Omphalocele Character;Max Length=1 malfi-malf7 "••2003-2016"••
Y-Yes Dl-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
235 Gastroschisis Character;Max Length=1 malfl-malf7 •••2003-2016"•"
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
236 Limb Defect Character;Max Length=1 malfl-malf7 •••2003-2016•••
Y-Yes 01-Anencephaly
N-No .02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
237 Cleft Lip Character;Max Length=1 malfl-malf7 •••2003-2016*•"
Y-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03--Cyanotic Congenital Heart Disease
238 Cleft Palate Character;Max Length=1 malfl-malf7 •""2003-2016••"
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
239 Down Syndrome Character;Max Length=1 malfl-malf7 •••2003-2016**•
Y-Yes Dl-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
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240 Down Confirm Character;Max Length=1 malfl-malf7,downsflg Down Syndrome Flag
Y-Yes •••2003-2016'••
N-No C-Confirmed
U-Unknown P-Pending
241 Down Pending Character;Max Length=1 malfl-malf7,downsflg Down Syndrome Flag
Y-Yes •••2003-2016••'
N-No C-Confirmed
U-Unknown P-Pending
242 Other Chrom Character;Max Length=1 malfl-malf7 "'•2003-2016"••
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
243 Other Chrom Confirm Character;Max Length=1 malfl-malf 7,chromflg Chromosomal Disorder Flag
V-Yes ••*2003.2016'••
N-No C-Confirmed
U-Unknown P-Pending
244 Other Chrom Pending Character;Max Length=1 malfl-malf7,chromflg Chromosomal Disorder Flag
V-Yes •"•2003-2016"••
N-No C-Confirmed
U-Unknown P-Pending
245 Hypospadias Character;Max Length=1 malfl-malf7 •••2003-2016"'
Y-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
246 Congenital Anomaly None Character;Max Length=1 malfl-malf7 •••2003-2016•""
Y-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
247 Congenital Anomaly Unknown Character;Max Length=1 malfl-malf7 •"•2003-2016*"
V-Yes 01-Anencephaly
N-No 02-Meningocele/Spina Bifida
U-Unknown 03-Cyanotic Congenital Heart Disease
248 D cco=d Fly g —i 4tlr44g
Discontinued starting with 2019 data
249 Death State File Number Character;YYYY###### certno YYYY######
2b8 Sea-Beata dthsea "•1980 2015"•
Discontinued starting with 2019 data, M=Male AA=AAa4e
F-=Female F-Female
U- etermined U=Undeteerminned
251 Date of Death Date;Max Length=40;MM/DD/YYYY dth_date "••1980-2015•"•
YYYYMMDD
99999999-Unknown/Not Stated
252 Date of Death Month Character;Max Length=2
MM
253 Date of Death Day Character;Max Length=2
DO
254 Date of Death Year Character;Max Length=4
YYYY
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255 Date of Death Modifier Character;Max Length=1; dod_modi •••2004-2015•••
A=Actual A-Actual
X=Approximate P-Presumed
C=Court Ordered C-Court determined
256 Time of Death Character:Max Length=5 dth_hour and dth_min dth_hour
HH:MM;Unknown=99:99 ••1980-2015•••
00-24
99-Unknown/Not Stated
257 Time of Death Modifier Character;Max Length=1
A=Actual
X=Approximate
C=Court Ordered
808-Month - c08lottax
Discontinued starting with 2019 data 4144
D44,4eer Plumzric:Max i.cngth-4 dt14e43w-
Discontinued starting with 2019 data YYx
260 Age Unit Numeric;Max Length=1 dageunit •••1980-2015•'•
1=Years 0 -Years 1 to 99
2=Months 1 -Years 100 or more
3=Days 2 -Months
261 Age Numeric;Max Length=3; dageunum dthage
999=Unknown
ote: Occurrence geographies are removed for WA residents dying out of state.
262 Death County City WA Code Character;Max Length=4;See WA dcnyocc See WA County City Codes Spreadsheet
County City Codes Spreadsheet
263 Death County WA Code Character;Max Length=2;See WA dcntyocc See WA County City Codes Spreadsheet
County City Codes Spreadsheet
264 Death State Character;Max Length=112
265 Death State NCHS Code Character;Max Length=2;See NCHS dst_occ See NCHS State Codes Spreadsheet
State Codes Spreadsheet
Discontinued starting with 2019 AL—A4a6ama
data Ag--Ataska
AZZ-Ar+ae448
267 Death Zip Code Character;Max Length=5 dzipcode zip_occ XXXXX
XXXXX
268 Place of Death Type Numeric;Max Length=1 dfac_typ •••2004-2015•••
0=Home 0-Home
1=Other Place 1-Other
2=In Transport 2-Dead on Arrival
269 Death Facility Character;Max Length=48;See Facility dthfacil See Facility Codes Spreadsheet
Codes Spreadsheet
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270 Certifier Designation Numeric;Max Length=10 attclass """1998-2015"""
1=Physician 01-Physician,MD
2=Coroner/ME 02-Coroner/Pathologist
3=D0 03-Osteopath,DO
271 Attendant Title Numeric;Max Length=2 dattclass ""1998-201S***
1=Physician 01-Physician,MD
2=Coroner/ME 02-Coroner/Pathologist
3=D0 03-Osteopath,DO
272 ME Coroner Referred Character;Max Length=4 referred "•1980-2015"""
Y=Ves 1-Yes
N=No 2-Not
U=Unknown 9-Unknown/Not Stated
273 Informant Relationship Character;Max Length=120 dinform Literal
274 Disposition Character;Max Length=4 disptype """2004-2015"""
B=Burial 1-Burial
C=Cremation 2-Cremation
It=Removal from State 3-Removal from State
275 Disposition Other Character;Max Length=30 disp_type_other_literal Literal
276 Disposition Date Date;Max Length=10 dispdate """1985-2015"""
YYYYMMDD
99999999-Unknown/Not Stated
277 Disposition Date Month Numeric;Max Length=2 disp_mo
MM
278 Disposition Date Day Numeric;Max Length=2 disp_da
DO
279 Disposition Date Year Numeric;Max Length=4 disp_yr
YVYY
280 Disposition Facility Code Character;Max Length=4;See disp_fac See Cemetery Codes Spreadsheet
Cemetery Codes Spreadsheet
281 Funeral Home Code Character;Max Length=4; funeralc See Funeral Home Codes Spreadsheet
See Funeral Home Codes Spreadsheet
282 State f+PS -
Discontinued starting with 2019 data. Al-illah4m4
hK--Ala51�a
A2-,4r-ixeaa
283 Residence County City WA Code Character;Max Length=4;See WA dcityres See WA County City Codes Spreadsheet
County City Codes Spreadsheet
284 Residence County WA Code Character;Max Length=2;See WA dcntyres See WA County City Codes Spreadsheet
County City Codes Spreadsheet
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285 Residence State Character;Max Length=112
286 Residence State NCHS Code Character;Max Length=2;See NCHS dst_res See NCHS State Codes Spreadsheet
State Codes Spreadsheet
287 Residence State FIPS Code Character;Max length=2
AL-Alabama
AK-Alaska
AZ-Arizona
288 Residence Zip Code Character;Max Length=40 zipcode •••1989-2015•••
XXXXX-XXXX 99999-Unknown/Not Stated
•••1980-1988••
289 Res-Gee-2C1y4-28,10 4.araeter;-4awleagth.--5 deapeeery JGXXXX
Discontinued starting with 2019 data.
290 Residence Length Units Character;Max length=1 dresunit dres_len '••Blank beginning in 2004•••
Y=Years Replaced by new field at end of file:
M=Months res_lena
D=Days
291 Residence length Numeric;Max Length=3; dresunum dres_uni •••Blank beginning in 2004•""
999=Unknown Replaced by new field at end of file:
res_auni
292 C-Maracler;-Max-length-4 d neity "1992 2015"-=-
Discontinued starting with 2019 data. '-Yes W.—Ne
W=AJe Y Yes
W}nknown
293 Race White Character;Max Length=1 dear_wht "••2004-2015`••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
294 Race Black Character;Max Length=1 dear_blk •••2004-2015•"•
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
295 Race Amer Indian Alaskan Character;Max Length=1 dear_ami """2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
296 Race Asian Indian Character;Max Length=1 dear_asi •••2004-2015`•`
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
297 Race Chinese Character;Max Length=1 dear_chi •••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
298 Race Filipino Character;Max Length=1 dear_fil ••"2004-2015•"•
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
299 Race Japanese Character;Max Length=1 dear_jag "••2004-2015•••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
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300 Race Korean Character;Max Length=1 dear_kor *"*2004.2015""*
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
301 Race Vietnamese Character;Max Length=1 dear_vie ***2004-2015"**
Y=Yes V=Yes
N=No N=No
U=Unknown U=Unknown
302 Race Other Asian Character;Max Length=1 dear_oas ***2004-2015***
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
303 Race Hawaiian Character;Max Length=1 dear_haw ***2004-2015***
Y=Ves Y=Yes
N=No N=No
U=Unknown U=Unknown
304 Race Guamanian or Chamorro Character;Max Length=1 dear_gua ***2004-2015**"
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
305 Race Samoan Character;Max Length=1 dear_sam ***2004-201S***
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
306 Race Other Pacific Islander Character;Max Length=1 dear_opi ***2004-2015***
Y=Yes V=Yes
N=No N=No
U=Unknown U=Unknown
307 Race Other Character;Max Length=1 dear_oth ***2004-2015*"*
Y=Yes V=Yes
N=No N=No
U=Unknown U=Unknown
308 Race Tribe First Character;Max Length=30 race_tribe_lit_I Literal
309 Race Tribe Second Character;Max Length=30 race_tribe_lit__2 Literal
310 Race Other Asian First Character;Max Length=30 race_other_asian_lit_7 Literal
311 Race Other Asian Second Character;Max Length=30 race_other_asian_lit_2 Literal
312 Race Other PI First Character;Max Length=30 race_oth_pac_isl_lit_1 Literal
313 Race Other PI Second Character;Max Length=30 race_oth_pac_IxI_lit_2 Literal
314 Race Other First Character;Max Length=30 race_other_lit_i Literal
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315 Race Other Second Character;Max Length=30 race_other_lit_2 Literal
316 Bridge Race Character;Max Length=8 brg_race Same as current
Note: for the race codes below,
AIAN=American Indian/Alaska
317 Race Summary Code Numeric;Max Length=2 deracsum Same as current
10=White
11=Black
12=American/Alaskan Native
318 Race Calculation Character;Max length=1 dthrace •••2003-2016•••
1-White Uses race assigned by NCHS bridging
2-Black methods(see Data Quality Technical
3-Native American Notes for description). Coding same as
319 Hispanic No Character;Max Length=4 deah_no •'"2004-2015'••
Y=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
320 Hispanic Mexican Character;Max Length=4 deah_mex "•'2004-2015"••
H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
321 Hispanic Puerto Rican Character;Max Length=4 deah_pr "••2004-2015••'
H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
322 Hispanic Cuban Character;Max Length=4 deah_cub •••2004-2015••"
H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
323 Hispanic Other Character;Max Length=4 deah_oth •••2004-2015•••
H=Yes Y=Yes
N=No N=No
U=Unknown U=Unknown
324 Hispanic Other Specify Character;Max Length=80 Literal
325 Hispanic NCHS Ecode Numeric;Max Length=12 dthhisp
326 Hispanic NCHS Ccode Numeric;Max Length=12 dthhisp
327 Hispanic NCHS Bridge Numeric;Max Length=1 hisp •••2004-2016•••
0-Non-Hispanic Uses Hispanic ethnicity assigned by
1-Mexican NCHS bridging methods(see Death
2 Puerto Rican Statistical File Data Notes for
328 Manner Character;Max Length=4 rinj_-caus ""'2006-2015•••
N=Natural 1—Natural
A=Accident 2--Accident
S=Suicide 3—Suicide
329 ACME Line 1 Character;Max Length=1 ACME-LINE-NUM-10(1)
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330 ACME Line 2 Character;Max Length=1 ACME-LINE-NUM-10(2)
331 ACME Line 3 Character;Max Length=1 ACME-LINE-NUM-10(3)
332 ACME Line 4 Character;Max Length=1 ACME-LINE-NUM-10(4)
333 ACME Line 5 Character;Max Length=1 ACME-LINE-NUM-10(5)
334 ACME Line 6 Character;Max Length=1 ACME-LINE-NUM-10(6)
335 ACME Line 7 Character;Max Length=1 ACME-LINE-NUM-10(7)
336 ACME Line 8 Character;Max Length=1 ACME-LINE-NUM-10(8)
337 ACME Line 9 Character;Max Length=1 ACME-LINE-NUM-10(9)
338 ACME Line 10 Character;Max Length=1 ACME-LINE-NUM-10(10)
339 ACME Line 11 Character;Max Length=1 ACME-LINE-NUM-10(11)
340 ACME Line 12 Character;Max Length=1 ACME-LINE-NUM-10(12)
341 ACME Line 13 Character;Max Length=1 ACME-LINE-NUM-10(13)
342 ACME Line 14 Character;Max Length=1 ACME-LINE-NUM-10(14)
343 ACME Line 15 Character;Max Length=1 ACME-LINE-NUM-10(15)
344 ACME Line 16 Character;Max Length=1 ACME-LINE-NUM-10(16)
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345 ACME Line 17 Character;Max Length=1 ACME-LINE-NUM-10(17)
346 ACME Line 18 Character;Max Length=1 ACME-LINE-NUM-10(18)
347 ACME Line 19 Character;Max Length=1 ACME-LINE-NUM-10(19)
348 ACME Line 20 Character;Max Length=1 ACME-LINE-NUM-10(20)
349 ACME Sequence 1 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(1)
3S0 ACME Sequence 2 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(2)
351 ACME Sequence 3 Character;Max length=1 ACME-LINE-SEQ-NUM-10(3)
352 ACME Sequence 4 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(4)
353 ACME Sequence S Character;Max Length=1 ACME-LINE-SEQ-NUM-10(5)
354 ACME Sequence 6 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(6)
355 ACME Sequence 7 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(7)
356 ACME Sequence 8 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(8)
357 ACME Sequence 9 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(9)
358 ACME Sequence 10 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(10)
359 ACME Sequence 11 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(11)
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360 ACME Sequence 12 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(12)
361 ACME Sequence 13 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(13)
362 ACME Sequence 14 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(14)
363 ACME Sequence 15 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(15)
364 ACME Sequence 16 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(16)
365 ACME Sequence 17 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(17)
366 ACME Sequence 18 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(18)
167 ACME Sequence 19 Character;Max Length=1 ACME-LINE-SEQ-NUM-10(19)
368 ACME Sequence 20 Character,Max Length=1 ACME-UNE-SEQ-NUM-10(20)
369 ACME Cause Category I Character;Max Length=5 ACME-ICD-CODE-10(1)
t70 ACME Cause Category 2 Character;Max Length=5 ACME-ICU-CODE-10(2)
171 ACME Cause Category 3 Character;Max Length=5 ACME-ICD-CODE-10(3)
172 ACME Cause Category 4 Character;Max Length=5 ACME-ICD-CODE-10(4)
;73 ACME Cause Category 5 Character;Max Length=5 ACME-ICD-CODE-1D(5)
;74 ACME Cause Category 6 Character;Max Length=S ACME-ICD-CODE-10(6)
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375 ACME Cause Category 7 Character;Max Length=5 ACME-ICD-CODE-10(7)
376 ACME Cause Category 8 Character;Max Length=5 ACME-ICD-CODE-10(8)
377 ACME Cause Category 9 Character;Max Length=5 ACME-ICD-CODE-10(9)
378 ACME Cause Category 10 Character;Max Length=5 ACME-ICD-CODE-10(10)
379 ACME Cause Category 11 Character;Max Length=5 ACME-ICD-CODE-10(11)
380 ACME Cause Category 12 Character;Max Length=S ACME-ICD-CODE-10(12)
381 ACME Cause Category 13 Character;Max Length=5 ACME-ICD-CODE-10(13)
382 ACME Cause Category 14 Character;Max Length=5 ACME-ICD-CODE-10(14)
383 ACME Cause Category 3S Character;Max Length=S ACME-ICD-CODE-10(15)
384 ACME Cause Category 16 Character;Max Length=5 ACME-ICD-CODE-10(16)
385 ACME Cause Category 17 Character;Max Length=5 ACME-ICD-CODE-10(17)
386 ACME Cause Category 18 Character;Max Length=5 ACME-ICD-CODE-10(18)
387 ACME Cause Category 19 Character;Max Length=5 ACME-ICD-CODE-10(19)
388 ACME Cause Category 20 Character;Max Length=S ACME-ICD-CODE-10(20)
389 ACME Nature of Injury Flag 1 Character;Max Length=4 injflgl ACME-FILLER-10(1)
DOH DSA CLH32886-0 Page 82 of 86
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DOH Contract:CLH32886-0
390 ACME Nature of Injury Flag 2 Character;Max Length=1 injflg2 ACME-FILLER-10(2)
391 ACME Nature of Injury Flag 3 Character;Max Length=1 injflg3 ACME-FILLER-10(3)
392 ACME Nature of Injury Flag 4 Character;Max Length=1 injflg4 ACME-FILLER-10(4)
393 ACME Nature of Injury Flag S Character;Max Length=1 injflg5 ACME-FILLER-10(5)
394 ACME Nature of Injury Flag 6 Character;Max Length=1 injflg6 ACME-FILLER-10(6)
395 ACME Nature of Injury Flag 7 Character;Max Length=1 injflg7 ACME-FILLER-10(7)
396 ACME Nature of Injury Flag 8 Character;Max Length=1 injflg8 ACME-FILLER-10(8)
397 ACME Nature of Injury Flag 9 Character;Max Length=1 injflg9 ACME-FILLER-10(9)
398 ACME Nature of Injury Flag 10 Character;Max Length=1 injflgl0 ACME-FILLER-10(10)
399 ACME Nature of Injury Flag 11 Character;Max Length=1 injflgll ACME-FILLER-10(11)
100 ACME Nature of Injury Flag 12 Character;Max Length=1 injflgll ACME-FILLER-10(12)
101 ACME Nature of Injury Flag 13 Character;Max Length=1 injflgl3 ACME-FILLER-10(13)
102 ACME Nature of Injury Flag 14 Character;Max Length=1 injflg14 ACME-FILLER-10(14)
103 ACME Nature of Injury Flag 15 Character;Max Length=1 injflgl5 ACME-FILLER-10(15)
104 ACME Nature of Injury Flag 16 Character;Max Length=1 injflgl6 ACME-FILLER-10(16)
105 ACME Nature of Injury Flag 17 Character;Max Length=1 injflgl7 ACME-FILLER-10(17)
DOH DSA CLH32886-0 Page 83 of 86
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106 ACME Nature of Injury Flag 18 Character;Max Length=1 injt1gl8 ACME-FILLER-10(18)
107 ACME Nature of Injury Flag 19 Character;Max Length=1 injflgl9 ACME-FILLER-10(19)
108 ACME Nature of Injury Flag 20 Character;Max Length=1 injflg20 ACME-FILLER-10(20)
109 Underlying COD Code Character;Max Length=5 underly ***1999-Present***For
ICD-10 Codes see
http:/ja pps.who.int/classifications/i cd 1
0/browse/2010/en.
i
110 Record Axis Code 1 Character;Max Length=4 mitcsel TRANSAX-ICD-CODE-10(1)
111 Record Axis Code 2 Character;Max Length=4 mltcse2 TRANSAX-ICD-CODE-10(2)
412 Record Axis Code 3 Character;Max Length=4 mItcse3 TRANSAX-ICD-CODE-10(3)
113 Record Axis Code 4 Character;Max Length=4 mltcse4 TRANSAX-ICD-CODE-10(4)
114 Record Axis Code 5 Character;Max Length=4 mitcse5 TRANSAX-ICD-CODE-10(5)
115 Record Axis Code 6 Character;Max Length=4 mItcse6 TRANSAX-ICD-CODE-10(6)
116 Record Axis Code 7 Character;Max Length=4 mltcse7 TRANSAX-ICD-CODE-10(7)
117 Record Axis Code 8 Character;Max Length=4 mltcse8 TRANSAX-ICD-CODE-10(8)
118 Record Axis Code 9 Character;Max Length=4 mitcse9 TRANSAX-ICD-CODE-10(9)
119 Record Axis Code 10 Character;Max Length=4 mltcsel0 TRANSAX-ICD-CODE-10(10)
120 Record Axis Code 11 Character;Max Length=4 mltcsell TRANSAX-ICD-CODE-10(11)
DOH DSA CLH32886-0 Page 84 of 86
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121 Record Axis Code 12 Character;Max Length=4 mltcsel2 TRANSAX-ICD-CODE-10(12)
122 Record Axis Code 13 Character;Max Length=4 mltcsel3 TRANSAX-ICD-CODE-10(13)
123 Record Axis Code 14 Character;Max Length=4 mltcsel4 TRANSAX-ICD-CODE-10(14)
124 Record Axis Code 15 Character;Max Length=4 mltcsel5 TRANSAX-ICD-CODE-10(15)
125 Record Axis Code 16 Character;Max Length=4 mltcsel6 TRANSAX-ICD-CODE-10(16)
126 Record Axis Code 17 Character;Max Length=4 mltcsel7 TRANSAX-ICD-CODE-10(17)
127 Record Axis Code 18 Character;Max Length=4 mltcsel8 TRANSAX-ICD-CODE-10(18)
128 Record Axis Code 19 Character;Max Length=4 mltcsel9 TRANSAX-ICD-CODE-10(19)
129 Record Axis Code 20 Character;Max Length=4 mltcse20 TRANSAX-ICO-CODE-10(20)
130 Autopsy Character;Max Length=1 autopsy "**1980-2015*'*
V=Yes autopsy performed 1-Yes
N=No autopsy not performed 2-No
U=Unknown 9-Unknown/Not Reported
131 Autopsy Available Character;Max Length=1 dautoav ""2004.2015***
Y=Yes 1-Yes
N=No 2—No
X=Unknown 8—Not reported
132 Date of Injury Date:Max Length=40; inj_date **"1980-2015**"
MMDDYYYY YYVYMMOD
99999999-Unknown/Not Stated
Blank-Not Applicable
133 Date of Injury Month Numeric;Max Length=2 inj_mo
MM
134 Date of Injury Day Numeric;Max Length=2 inj_da
DD
135 Date of Injury Year Numeric;Max Length=4 inj_yr
YYYY
DOH DSA CLH32886-0 Page 85 of 86
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136 Injury Date Modifier Character;Max Length=1
A=Actual
X=Approximate
C=Court Ordered
137 Time of Injury Character;Max Length=5 inj_hour,mj_min Character;Max Length=2
HH:MM;Unknown=99:99 00-59;Unknown=blank
138 Injury HR AMPM Character;Max Length=4 inj_ampm ."1980-2015"."
A=AM A-AM
D=MidnightM •P-PM
=24 hour Blank-Not Applicable
139 Time of Injury Modifier Character;Max Length=1
A=Actual
X=Approximate
C=Court Ordered
140 Injury Place Character;Max Length=50
141 Injury ACME Place Numeric;Max Length=1 injpnchs """1999-2015"""
0=Home 0-Home(Excludes: abandoned or
1=Residential Institution derelict house(8),home under
2=School,other institution and public construction,but not yet occupied(6),
142 Injury Transportation Character;Max Length=256 dtrnsinj "*2004-2015***
DRIVER/OPERATOR 1-Driver
PASSENGER 2-Passenger
PEDESTRIAN 3-Pedestrian
143 Injury Transportation Other Character;Max Length=256 injury_transport_role_other Literal
144 Injury County City WA Code Character;Max Length=4;See WA city_int See WA County City Codes Spreadsheet
County City Code Spreadsheetle
145 Injury County WA Code Character;Max Length=2;See WA cnty inj See WA County City Codes Spreadsheet
County City Code Spreadsheetle
146 Injury State FIPS Code Character;Max Length=2 st_inj
AL-Alabama
AK-Alaska
AZ-Arizona
147 Injury Zip Code Character;Max Length=40 dzpinjoc XXXXX
xxxxx-xxxx
148 Date Received Date;Max Length=40 drcvdt
M M/D D/YYYY
DOH DSA CLH32886-0 Page 86 of 86
rev 02/2024
615 Sheridan Street
Port Townsend, WA 98368
c9e 'ison www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Josh D. Peters, County Administrator
FROM: Apple Martine, Public Health Director
Lara Cittadini, Community Health Improvement Program Manager
DATE: j'`�� �C D&
SUBJECT: Agenda item — Data Sharing Agreement with State Department of Health (DOH)
for sharing of information concerning childhood deaths; Date of Execution until
July 31, 2029
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH), requests Board approval of a Data Sharing Agreement between
DOH, Center for Health Statistics, and JCPH for sharing of information concerning childhood deaths;
Date of Execution until July 31, 2029.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
The purpose of this Agreement is to support Jefferson County Public Health's implementation of systematic
child death reviews to identify significant risk factors, patterns, and trends in childhood mortality. The results
of these reviews will inform public health programs, policies, and interventions aimed at reducing preventable
causes of child death.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
There is no financial component to this agreement.
RECOMMENDATION:
JCPH management requests approval of a Data Sharing Agreement with DOH for sharing of information
concerning childhood deaths; Date of Execution until July 31, 2029.
REVIEWED BY:
e 6/30
Josh I?. Peters, County Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 If) 360-379-4487
360-385-9401 If) Always working for a safer and healthier community
AD-26-042
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: Washington State Dept.of Health Contract No: AD-26-042
Contract For: Data Sharing - Child Deaths Term: Date of Execution-July 31,2029
COUNTY DEPARTMENT: Public Health
Contact Person: Lara Cittadini
Contact Phone: x448
Contact email: Icittadini@co.jefferson.wa.us
AMOUNT: N/A PROCESS: Exempt from Bid Process
Revenue: Cooperative Purchase
Expenditure: _ Competitive Sealed Bid
Matching Funds Required: Small Works Roster
Sources(s) of Matching Funds Vendor List Bid
Fund # RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1: DEPARTMENT CERTIFIES COMP IA- E WIT .080 AND CHAPTER 42.23 RCW.
CERTIFIED: E] N/A:I I June 23,2026
Glenn Gilbert Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEED,i DEBAR BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: 1-1 N/A: June 23,2026
Glenn filbert Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 6/25/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 6/24/2026.
State language - difficult to change.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6: CONTRACTOR SIGNS
STEP 7: SUBMIT TO BOCC FOR APPROVAL
1