Loading...
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 DOH DSA CLH32886-0 Page 1 of 86 Jeff Co:AD-26-042 rev 02/2024 USA S: LUZ9-U/-U2 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 2 of 86 rev 02/2024 USA 14:LULV-U/-UG DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 3 of 86 rev 02/2024 USA#:1U19-U/-U1 DOH Contract:CLH32886-0 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: DOH DSA CLH32886-0 Page 4 of 86 rev 02/2024 DSA tt: 2029-0/-02 DOH Contract: CLH32886-0 • 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. DOH DMA CLH32886-0 Page 5 of 86 rev 02/2024 USA#: 2029-U/-U2 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 6 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 7 of 86 rev 02/2024 UJN ff. LUL7-U/-UL DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 8 of 86 rev 02/2024 DSA tt: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 9 of 86 rev 02/2024 DOH Contract: CLH32886-0 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 DOH OSA CLH32886-0 Page 10 of 86 rev 02/2024 USA#: .U19-U/-U1 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 11 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 12 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 13 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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. DOH OSA CLH32886-0 Page 14 of 86 rev 02/2024 USA►i: LUL -U/-u DOH Contract: CLH32886-0 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 DOH DSA CLH32886-0 Page 15 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA 0.H32886-0 Page 16 of 86 rev 02/2024 USA#: 2029-0/-02 DOH Contract:CLH32886-0 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 DOH USA CLH32886-0 Page 17 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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)** DOH DSA CLH32886-0 Page 18 of 86 rev 02/2024 USA#: 2UZ9-U/-U2 DOH Contract:CLH32886-0 **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. DOH Dsa CLH32886-0 Page 19 of 86 rev 02/2024 UJH A: LOL -U/-UL DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 20 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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: DOH DSA CLH32886-0 Page 21 of 86 rev 02/2024 DSA U: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 22 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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; DOH DSA CLH32886-0 Page 23 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 24 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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: DOH DSA C11132886-0 Page 25 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 26 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 The compromise or potential compromise of the data is reported to DOH as required in Section II.C. DOH DSA CLH32886-0 Page 27 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 28 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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%). DOH DSA CLH32886-0 Page 29 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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. DOH DSA CLH32886-0 Page 30 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract: C1_H32886-0 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 DOH DSA CLH32886-0 Page 31 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 32 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 33 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#:2029-07-02 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#: 2029-07-02 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 87 Disposition Date-Year Disposition Date-Year Numeric;Max Lenth=4 9999=Unknown DOH DSA CLH32886-0 Page 43 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 123 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 rev 02/2024 DSA#: 2029-07-02 .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 DOH DSA CLH32886-0 Page 46 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 167 ACME Nature of Injury Flag TRX Entity-axis codes,ACME Filler 17 Character,Max Length=1 injflgl7 Literal 17 DOH DSA CLH32886-0 Page 47 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 168 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. DOH OSA CLH32886-0 Page 48 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 194 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 DOH DSA CLH32886-0 Page 49 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 206 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 DOH DSA CLH32886-0 Page 50 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 215 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 DOH DSA CLH32886-0 Page Si of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 216 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 DOH DSA CLH32886-0 Page 52 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 237 Firearm Unintentional Disease/injury flag Numeric;Max Length=2 Unintentional firearm deaths: 0=Condition not present underlying cause codes W32-W34 1=Condition present DOH DSA CLH32886-0 Page 53 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 238 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 DOH DSA CLH32886-0 Page 54 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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) DOH DSA CLH32886-0 Page 55 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH OSA CLH32886-0 Page 56 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 57 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 58 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 59 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 60 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 61 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 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 DOH DSA CLH32886-0 Page 62 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 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 DOM DSA CLH32886-0 Page 63 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 104 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••• DOH DSA CLH32886-0 Page 64 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 119 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 DOH DSA CLH32886-0 Page 65 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 135 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 DOH DSA CLH32886-0 Page 66 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 150 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 DOH DSA CLH32886-0 Page 67 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 165 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) DOH DSA CLH32886-0 Page 68 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 180 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) DOH DSA CLH32886-0 Page 69 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 195 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 DOH DSA CLH32886-0 Page 70 of 86 rev 02/2024 DSA it:2029-07-02 DOH Contract:CLH32886-0 210 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 DOH DSA CLH32886-0 Page 71 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 225 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 DOH DSA CLH32886-0 Page 72 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 240 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 DOH DSA CLH32886-0 Page 73 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 255 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 DOH DSA CLH32886-0 Page 74 of 86 rev 02/2024 OSA#: 2029-07-02 DOH Contract:CLH32886-0 270 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 DOH DSA CLH32886-0 Page 75 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 285 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 DOH DSA CLH32886-0 Page 76 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 300 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 DOH DSA CLH32886-0 Page 77 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 315 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) DOH DSA CLH32886-0 Page 78 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 330 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) DOH DSA CLH32886-0 Page 79 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 345 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) DOH DSA CLH32886-0 Page 80 of 86 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 360 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) DOH DSA CLH32886-0 Page 81 of 86 rev 02/2024 DSA#:2029-07-02 DOH Contract:CLH32886-0 375 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 rev 02/2024 DSA#:2029-07-02 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 106 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:CLH32886-0 121 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 rev 02/2024 DSA#: 2029-07-02 DOH Contract:C1H32886-0 136 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