HomeMy WebLinkAboutCONSENT Data sharing pregnancy monitoring 615 Sheridan Street
Port Townsend, WA 98368
9e/erson www.JeffersonCountyPublicHealth.org
Cot Consent Agenda
Public Heal
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, CHIP Program Manager
DATE: CV i I
SUBJECT: Agenda item — Data Sharing Agreement with WA Department of Health (DOH)
for Pregnancy Risk Assessment Monitoring System (PRAMS); Date of execution
— December 31, 2030
STATEMENT OF ISSUE:
Jefferson County Public Health requests Board approval of the Data Sharing Agreement with DOH for PRAMS;
Date of execution — December 31, 2030
ANALYSIS/STRATEGIC GOALS/PROS and CONS:
The purpose of the PRAMS is to collect Washington population-based data on maternal and child health
indicators that can inform programs and policies related to maternal and infant health; therefore, it is
essential to develop data sharing agreements that support the release of PRAMS data to further public health
efforts. As part of the PRAMS cooperative agreement with CDC (U01DP006601-04), these data will be made
available for public health surveillance and research. Data will be used for on-going maternal and child health
assessment activities
The WA PRAMS Surveillance Project has been approved by the Washington State Institutional Review Board
(WSIRB). The WSIRB authorizes DOH to re-release a limited dataset to researchers without the requirement
to seek any additional WSIRB review.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
There is no change for this service. There is no fiscal impact.
RECOMMENDATION:
JCPH management recommends approval of the Data Sharing Agreement with WA DOH for Pregnancy Risk
Assessment Monitoring System.
REVIEWED BY:
/0(ii(/ .6
Josh . Peters, County Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
A D-25-081
CONTRACT REVIEW FORM I Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE)
CONTRACT WITH: WA Dept of Health Contract No: AD-25-081
Contract For: Data Sharing - PRAMS Term: Date of Execution - Dec. 31, 2030
COUNTY DEPARTMENT: Public Health
Contact Person: Lara Cittadini
Contact Phone: x 448
Contact email: LCittadini@cojefferson.wa.us
AMOUNT: N/A PROCESS:
V 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 COMPLIANCE WITH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: [1 N/A:P ' /o/-i l Zo Z 4
Signature Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEBARRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY. II
CERTIFIED: [1 N/A: /°0- /7-a z
tSig nature Date
STEP 3: RISK MANAGEMENT REVIEW (will be added electronically through Laserfiche):
Electronically approved by Risk Management on 10/13/2026.
STEP 4: PROSECUTING ATTORNEY REVIEW (will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 10/13/2026.
DPA Luther reviewed and approved on 10-13-2026.
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
DATA SHARING AGREEMENT
FOR
CONFIDENTIAL INFORMATION OR LIMITED DATASET(S)
BETWEEN
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
AND
Jefferson County Public Health
This Agreement documents the conditions under which the Washington State Department of
Health (DOH) shares confidential information or limited Dataset(s) with other entities.
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 Name Lara Cittadini Martha Skiles
Title CHIP Program Manager Sr. Epidemiologist
Address 615 Sheridan St., 111 Israel Rd. S.E.
Port Townsend, WA 98368 Tumwater, WA 98501
Telephone# 360-385-9448 360-236-3506
Email Address Icittadini@co.iefferson.wa.us martha.skiles@doh.wa.gov
IT Security Contact Mikey Forville John Weeks
Title Information Technology Chief Information Security
Foreman Officer
Address PO Box 47890
Olympia, WA 98504-7890
Telephone # 360-385-9171 360-999-3454
Email Address mforville@co.iefferson.wa.us security@doh.wa.gov
Privacy Contact Name Veronica Shaw Michael Paul
Title Deputy Director DOH Chief Privacy Officer
Address 615 Sheridan St., P. O. Box 47890
Port Townsend, WA 98368 Olympia, WA 98504-7890
Telephone # 360-385-9409 (564) 669-9692
Email Address veronica@co.iefferson.wa.us Privacy.officer@doh.wa.gov
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DEFINITIONS
Authorized user means a recipient's employees, agents, assigns, representatives, independent
contractors, or other persons or entities authorized by the data recipient to access, use or
disclose information through this agreement.
Authorized user agreement means the confidentiality agreement a recipient requires each of its
Authorized Users to sign prior to gaining access to Public Health Information.
Breach of confidentiality means unauthorized access, use or disclosure of information received
under this agreement. Disclosure may be oral or written, in any form or medium.
Breach of security means an action (either intentional or unintentional) that bypasses security
controls or violates security policies, practices, or procedures.
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 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.
Direct identifier Direct identifiers in research data or records include names; postal address
information ( other than town or city, state and zip code); telephone numbers, fax numbers, e-
mail addresses; social security numbers; medical record numbers; health plan beneficiary
numbers; account numbers; certificate /license numbers; vehicle identifiers and serial numbers,
including license plate numbers; device identifiers and serial numbers; web universal resource
locators ( URLs); internet protocol (IP) address numbers; biometric identifiers, including finger
and voice prints; and full face photographic images and any comparable images.
Disclosure means to permit access to or release, transfer, or other communication of
confidential information by any means including oral, written, or electronic means, to any party
except the party identified or the party that provided or created the record.
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
of information shared, encryption may be required during data transmissions, and/or data
storage.
Health care information means any information, whether oral or recorded in any form or
medium, that identifies or can readily be associated with the identity of a patient and directly
relates to the patient's health care...." RCW 70.02.010(7)
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Health information is any information that pertains to health behaviors, human exposure to
environmental contaminants, health status, and health care. Health information includes
health care information as defined by RCW 70.02.010 and health related data as defined in
RCW 43.70.050.
Human research review is the process used by institutions that conduct human subject
research to ensure that:
• the rights and welfare of human subjects are adequately protected;
• the risks to human subjects are minimized, are not unreasonable, and are outweighed
by the potential benefits to them or by the knowledge gained; and
• the proposed study design and methods are adequate and appropriate in light of the
stated research objectives.
Research that involves human subjects or their identifiable personal records should be
reviewed and approved by an institutional review board (IRB) per requirements in federal and
state laws and regulations and state agency policies.
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.
Identifiable data or records: contains information that reveals or can likely associate with the
identity of the person or persons to whom the data or records pertain. Research data or
records with direct identifiers removed, but which retain indirect identifiers, are still considered
identifiable.
Indirect identifiers are indirect identifiers in research data or records that include all geographic
identifiers smaller than a state , including street address, city, county, precinct, Zip code, and
their equivalent postal codes, except for the initial three digits of a ZIP code; all elements of dates
( except year ) for dates directly related to an individual, including birth date, admission date,
discharge date, date of death; and all ages over 89 and all elements of dates ( including year)
indicative of such age, except that such age and elements may be aggregated into a single
category of age 90 or older.
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;
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• 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.
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.
Normal business hours are state business hours Monday through Friday from 8:00 a.m. to 5:00
p.m. except state holidays.
State holidays State legal holidays, as provided in RCW 1.16.050.
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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:
• 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.
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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 I 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.
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.
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.
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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
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.
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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.
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.
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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.
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.
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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. No provision of this Agreement
may be waived by either party 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 12/31/2030 .
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date of last
signature below.
INFORMATION PROVIDER INFORMATION RECIPIENT
Jefferson County Washington
State of Washington Department of Health dba Jefferson County Public Health
Signature Signature
Greg Brotherton, Chair
Board of County Commissioners
Print Name Print Name
Date Date
Approved as to form only:
10-13-2026
Jeremia B. Luther Date
Civil Deputy Prosecuting Attorney
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EXHIBIT I
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. Include details on why the data is being shared (is it
outlined in law, legislative mandates, contracted work, research, etc),why the project is being
done, and the authority for the work.
The purpose of the Pregnancy Risk Assessment Monitoring System (PRAMS) is to collect
Washington population-based data on maternal and child health indicators that can inform
programs and policies related to maternal and infant health; therefore, it is essential to develop
data sharing agreements that support the release of PRAMS data to further public health
efforts. As part of the PRAMS cooperative agreement with CDC (U01DP006601-04), these data
will be made available for public health surveillance and research.
Data will be used for on-going maternal and child health assessment activities, including tracking
trends for public health indicators, preparing reports on specific public health issues, and
responding to requests for data from the public and other public agencies. Data are analyzed
and the findings reported to policymakers to keep them informed about emerging public health
issues and to track the progress of various public health programs.
The WA PRAMS Surveillance Project has been approved by the Washington State Institutional
Review Board (WSIRB). The WSIRB authorizes DOH to re-release a limited dataset to researchers
without the requirement to seek any additional WSIRB review (D-012710-H).
Does the project purpose meet the definition of research as defined in RCW 42.48.010?
® Yes No
If yes, has a WSIRB review and approval been received? If yes, please provide copy of
approval. If No, attach exception letter.
Yes X{ No
2. PERIOD OF PERFORMANCE
Exhibit _I_ shall be effective from date of execution through 12/31/2030 .
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3. DESCRIPTION OF DATA
Information Provider will make available the following information under this Agreement:
Database Name(s): Pregnancy Risk Assessment Monitoring System (PRAMS) Limited Dataset
Data Elements being provided: See Appendix E—PRAMS Limited Dataset Variables
The Washington PRAMS limited datasets (LDS) include information on survey participants':
demographics; experiences before, during and after pregnancy; and birth outcomes. The LDS
covers survey phases 6 through 9, from 2009 to present. Under this agreement, DOH will share
PRAMS LDS data for the following years: 2016-2030.
The information described in this section is:
Restricted Confidential Information (Category 4)
Confidential Information (Category 3)
}{ 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.
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:
WAC 246-08-390—Acquisition, security, retention, disclosure and destruction of health-related
data under RCW 43.70.050
RCW 43.70.050—Collection, use, and accessibility of health-related data
RCW 42.48.020—Disclosure for scientific merit, PRAMS Project approved (see above)
5. ACCESS TO INFORMATION
METHOD OF ACCESS/TRANSFER
DOH Web Application (indicate application name):
}X Washington State Managed File Transfer Service (mft.wa.gov)
Encrypted CD/DVD or other storage device
Health Information Exchange (HIE)**
Other: (describe the methods for access/transfer)**
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**NOTE: DOH Chief Information Security Officer must approve prior to Agreement
execution. DOH Chief Information Security Officer will send approval/denial directly to
DOH Contracts Office and DOH Business Contact.
FREQUENCY OF ACCESS/TRANSFER
One time: DOH shall deliver information by (insert date)
Repetitive: frequency or dates (insert dates if applicable)
As available within the period of performance stated in Section 2.
6. REIMBURSEMENT TO DOH
Payment for services to create and provide the information is based on the actual expenses
DOH incurs, including charges for research assistance when applicable.
Billing Procedure
• Information Recipient agrees to pay DOH by check or account transfer within
30 calendar days of receiving the DOH invoice.
• 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,
which 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.
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
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specified in the Agreement, along with the attached Certification of Data
Disposition (Appendix C)
X Retain the data for the purposes stated herein (what is the
purpose) for a period of time not to exceed (e.g., one
year, etc.), 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.
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:
• Reports, press releases, web pages, and any publications of PRAMS
data to the attention of: WA PRAMS, Office of Family and Community
Health Improvement, PO Box 47835, Olympia, WA 98504-7835
Email: WAPRAMS@doh.wa.gov
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.
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IN WITNESS WHEREOF, the parties have executed this Exhibit as of the date of last signature
below.
INFORMATION PROVIDER INFORMATION RECIPIENT
Jefferson County Washington
State of Washington Department of Health dba Jefferson County Public Health
Signature Signature
Greg Brotherton, Chair
Board of County Commissioners
Print Name Print Name
Date Date
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APPENDIX A
USE AND DISCLOSURE OF CONFIDENTIAL INFORMATION
People with access to confidential information are responsible for understanding and following
the laws, policies, procedures, and practices governing it. Below are key elements:
A. CONFIDENTIAL INFORMATION
Confidential information is information federal and state law protects from public
disclosure. Examples of confidential information are social security numbers, and
healthcare information that is identifiable to a specific person under RCW 70.02. The
general public disclosure law identifying exemptions is RCW 42.56.
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:
tolinthea Hirikiey—
Date: (%y/a°a E
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APPENDIX B
DATA SECURITY REQUIREMENTS
Protection of Data
The storage of Category 3 and 4 information outside of the State Governmental Network requires
organizations to ensure that encryption is selected and applied using industry standard
algorithms validated by the NIST Cryptographic Algorithm Validation Program. Encryption must
be applied in such a way that it renders data unusable to anyone but authorized personnel, and
the confidential process, encryption key or other means to decipher the information is protected
from unauthorized access. All manipulations or transmissions of data within the organizations
network must be done securely.
The Information Recipient agrees to store information received under this Agreement (the data)
within the United States on one or more of the following media, and to protect it as described
below:
A. Passwords
1. Passwords must always be encrypted. When stored outside of the authentication
mechanism, passwords must be in a secured environment that is separate from the data
and protected in the same manner as the data. For example passwords stored on mobile
devices or portable storage devices must be protected as described under section F. Data
storage on mobile devices or portable storage media.
2. Complex Passwords are:
• At least 8 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 passphrase.
• 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 120 days.
B. Hard Disk Drives/Solid State Drives— Data stored on workstation drives:
1. The data must be encrypted as described under section F. Data storage on mobile devices
or portable storage media. Encryption is not required when Potentially Identifiable
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Information is stored temporarily on local workstation Hard Disk Drives/Solid State Drives.
Temporary storage is thirty (30) days or less.
2. Access to the data is restricted to authorized users by requiring logon to the local
workstation using a unique user ID and Complex Password, or other authentication
mechanisms which provide equal or greater security, such as biometrics or smart cards.
Accounts must lock after 5 unsuccessful access attempts and remain locked for at least
15 minutes, or require administrator reset.
C. Network server and storage area networks (SAN)
1. Access to the data is restricted to authorized users through the use of access control
lists which will grant access only after the authorized user has authenticated to the
network.
2. Authentication must occur using a unique user ID and Complex Password, or other
authentication mechanisms which provide equal or greater security, such as
biometrics or smart cards. Accounts must lock after 5 unsuccessful access attempts,
and remain locked for at least 15 minutes, or require administrator reset.
3. The data are located in a secured computer area, which is accessible only by
authorized personnel with access controlled through use of a key, card key, or
comparable mechanism.
4. If the servers or storage area networks are not located in a secured computer area or
if the data is classified as Confidential or Restricted it must be encrypted as described
under F. Data storage on mobile devices or portable storage media.
D. Optical discs (CDs or DVDs)
1. Optical discs containing the data must be encrypted as described under F. Data
storage on mobile devices or portable storage media.
2. When not in use for the purpose of this Agreement, such discs must be locked in a
drawer, cabinet or other physically secured container to which only authorized users
have the key, combination or mechanism required to access the contents of the
container.
E. Access over the Internet or the State Governmental Network (SGN).
1. When the data is transmitted between DOH and the Information Recipient, access is
controlled by the DOH, who will issue authentication credentials.
2. Information Recipient will notify DOH immediately whenever:
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a) An authorized person in possession of such credentials is terminated or
otherwise leaves the employ of the Information Recipient;
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 10 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 6 characters), or a stronger authentication method such as biometrics.
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c) The devices/media must be set to automatically wipe or be rendered unusable after
no more than 10 failed access attempts.
d) The devices/media must be locked whenever they are left unattended and set to lock
automatically after an inactivity activity period of 3 minutes or less.
e) The data must not be stored in the Cloud. This includes backups.
f) The devices/ media must be physically protected by:
• Storing them in a secured and locked environment when not in use;
• Using check-in/check-out procedures when they are shared; and
• Taking frequent inventories.
4. When passwords and/or encryption keys are stored on mobile devices or portable storage
media they must be encrypted and protected as described in this section.
G. Backup Media
The data may be backed up as part of Information Recipient's normal backup process
provided that the process includes secure storage and transport, and the data is encrypted
as described under F. Data storage on mobile devices or portable storage media.
H. Paper documents
Paper records that contain data classified as Confidential or Restricted must be protected by
storing the records in a secure area which is only accessible to authorized personnel. When
not in use, such records is stored in a locked container, such as a file cabinet, locking drawer,
or safe, to which only authorized persons have access.
I. Data Segregation
1. The data must be segregated or otherwise distinguishable from all other data. This is to
ensure that when no longer needed by the Information Recipient, all of the data can be
identified for return or destruction. It also aids in determining whether the data has or
may have been compromised in the event of a security breach.
2. When it is not feasible or practical to segregate the data from other data, then all
commingled data is protected as described in this Exhibit.
J. Data Disposition
If data destruction is required by the Agreement, the data must be destroyed using one or
more of the following methods:
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Data stored on: Is destroyed by:
Hard Disk Drives/Solid State Using a "wipe" utility which will overwrite the data at
Drives least three (3) times using either random or single
character data, or
Degaussing sufficiently to ensure that the data cannot
be reconstructed, or
Physically destroying the disk , or
Delete the data and physically and logically secure data
storage systems that continue to be used for the
storage of Confidential or Restricted information to
prevent any future access to stored information. One
or more of the preceding methods is performed before
transfer or surplus of the systems or media containing
the data.
Paper documents with On-site shredding, pulping, or incineration, or
Confidential or Restricted Recycling through a contracted firm provided the
information Contract with the recycler is certified for the secure
destruction of confidential information.
Optical discs (e.g. CDs or DVDs) Incineration, shredding, or completely defacing the
readable surface with a course abrasive.
Magnetic tape Degaussing, incinerating or crosscut shredding.
Removable media (e.g. floppies, Using a "wipe" utility which will overwrite the data at
USB flash drives, portable hard least three (3) times using either random or single
disks, Zip or similar disks) character data.
Physically destroying the disk.
Degaussing magnetic media sufficiently to ensure that
the data cannot be reconstructed.
K. Notification of Compromise or Potential Compromise
The compromise or potential compromise of the data is reported to DOH as required in
Section II.C.
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APPENDIX C
CERTIFICATION OF DATA DISPOSITION
Date of Disposition
All copies of any Datasets related to agreement DOH# have been deleted from
all hard disk drives and solid state drives. 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.
All copies of any Datasets related to agreement DOH# have been eradicated from
all other data storage systems to effectively prevent any future access to the previously
stored information.
All materials and computer media containing any data related to agreement DOH
have been physically destroyed to prevent any future use of the materials and
media.
All paper copies of the information related to agreement DOH # have been
destroyed on-site by cross cut shredding.
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
The data 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.
Signature of data recipient Date
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APPENDIX D
DOH SMALL NUMBERS GUIDELINES
• Aggregate data so that the need for suppression is minimal. Suppress all non-zero
counts which are less than ten.
• Suppress rates or proportions derived from those suppressed counts.
• Assure that suppressed cells cannot be recalculated through subtraction, by using
secondary suppression as necessary. Survey data from surveys in which 80% or more of
the eligible population is surveyed should be treated as non-survey data.
• When a survey includes less than 80% of the eligible population, and the respondents
are unequally weighted, so that cell sample sizes cannot be directly calculated from the
weighted survey estimates, then there is no suppression requirement for the weighted
survey estimates.
• When a survey includes less than 80% of the eligible population, but the respondents
are equally weighted, then survey estimates based on fewer than 10 respondents
should be "top-coded" (estimates of less than 5% or greater than 95% should be
presented as 0-5% or 95-100%).
ADDITIONAL DATASET SPECIFIC SMALL NUMBERS REQUIREMENTS
Information Recipient agrees to:
• Not publish results if the number of participants is less than 30.
• Include a flag next to the result if RSE is between 25% and 30%.
• Not publish results if RSE is greater than 30%.
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APPENDIX E
WA PRAMS Limited Dataset Variable List, by Survey Phase
Variable Name Description Type Ph6 Phi Ph8 Ph9 Data Source
ask_abus PNC HCP ask if--someone hurting Num 1 1 1 1 PRAMS Survey
emotional/physical(FORCED SKIP)
ask_amt R5 b/a)HCW ask--how much drank Num 1 1 PRAMS Survey
ask_bdef HCW ask--birth defects(FORCED Num 1 PRAMS survey
ask_bf PNC HCP ask if--plan to breastfeed(FORCED SKIP) Num 1 1 PRAMS Survey
ask_cigs R3 a)HCW ask--if smoking Num 1 1 PRAMS Survey
ask_dprs HCW ask--if down/depressed Num 1 PRAMS survey
ask_drug HCW ask--using drugs(FORCED SKIP) Num 1 1 1 PRAMS survey
ask_hivt PNC HCP ask if--want HIV test(FORCED SKIP) Num 1 1 1 1 PRAMS Survey
ask_illdrug PNC HCP ask if--using illegal drugs(FORCED SKIP) Num 1 PRAMS Survey
ask_labr HCW ask--labor starts early(FORCED Num 1 PRAMS survey
_ask_marj PNC HCP ask if--using marijuana(FORCED SKIP) Num 1 PRAMS Survey
ask_meds PNC HCP ask if--taking prescription meds(FORCED Num 1 1 PRAMS Survey
SKIP)
ask_merc HCW ask--fish with mercury(FORCED Num 1 PRAMS survey
ask_ppbc PNC HCP ask if--plan to use postpartum birth Num 1 1 1 1 PRAMS Survey
control(FORCED SKIP)
bc_now4 Postpartum BC--using now Num 1 1 1 PRAMS survey
bc_now9 Postpartum BC--using now Num 1 PRAMS Survey
bc_when4 Birth control--use when got pregnant Num 1 1 1 PRAMS survey
bcb_bf PP BC barrs--dont think can get pregnant because Num 1 PRAMS Survey
breastfeeding(FORCED SKIP)
bcb_husb PP BC barrs--husb/part didnt want Num 1 1 1 PRAMS survey
bcb_inft e)PP BC barrs--thinks sterile Num 1 PRAMS Survey
bcb_nsex PP BC barrs--abstinence(FORCED SKIP) Num 1 1 1 1 PRAMS Survey
bcb_oth PP BC barrs--other(FORCED SKIP) Num 1 1 1 1 PRAMS Survey
bcb_partbc PP BC barrs--spouse/partner doesnt want mom to Num 1 PRAMS Survey
use birth control(FORCED SKIP)
bcb_partcond PP BC barrs--spouse/partner doesnt want to use Num 1 PRAMS Survey
condoms(FORCED SKIP)
bcb_pay PP BC barrs--cant pay(FORCED SKIP) Num 1 1 PRAMS survey
bcb_pnow PP BC barrs--preg now(FORCED SKIP) Num 1 1 1 PRAMS survey
bcb_preg PP BC barrs--want preg(FORCED Num 1 1 1 PRAMS survey
bcb_pregwdm PP BC barrs--want to get pregnant or do not mind Num 1 PRAMS Survey
(FORCED SKIP)
bcb_prob PP BC barrs--problems getting(FORCED SKIP) Num 1 PRAMS Survey
bcb_probw PP BC barrs--problems getting birth control want Num 1 PRAMS Survey
(FORCED SKIP)
bcb_samesex PP BC barrs--same-sex spouses/partners(FORCED Num 1 PRAMS Survey
SKIP)
bcb_side PP BC barrs--worried about side effects(FORCED Num 1 1 1 PRAMS Survey
SKIP)
bcb_tube PP BC barrs--tubes tied/blocked(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcb_vase PP BC barrs--spouse/partner had vasectomy Num 1 1 PRAMS Survey
(FORCED SKIP)
_ bcb_want PP BC barrs--dont want to use(FORCED SKIP) Char 1 1 1 1 PRAMS Survey
bcp_cond BC postpart--condoms(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_impl BC postpart--contraceptive implant(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_iud BC postpart--IUD(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_lam BC postpart--Lactational Amenorrhea Method Num 1 PRAMS Survey
(LAM)(FORCED SKIP)
bcp_nsex BC postpart--abstinence(FORCED Num 1 1 PRAMS survey
bcp_oth BC postpart--other(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_pill BC postpart--pill(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_ptrg BC postpart--contraceptive patch/ring(FORCED Num 1 1 1 PRAMS Survey
SKIP)
bcp_pull BC postpart--withdrawal(FORCED SKIP) Num 1 1 1 PRAMS Survey
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Variable Name Description Type Ph6 Ph7 Phil Ph9 Data Source
bcp_rhyt BC postpart--natural family planning/fertility Num 1 1 1 PRAMS Survey
awareness methods(FORCED SKIP)
bcp_sht3 BC postpart--shots/injections(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_tube BC postpart--tubes tied(FORCED SKIP) Num 1 1 1 PRAMS Survey
bcp_vase BC postpart--vasectomy(FORCED SKIP) Char 1 1 1 PRAMS Survey
bf5ever Breastfeed--ever(FORCED SKIP) Num 1 1 1 PRAMS survey
bf5ingth BF duration--length of time(FORCED Num 1 1 1 PRAMS survey
bf5ingtu BF duration--wks/mnths(FORCED Num 1 1 1 PRAMS survey
bf5still Breastfeed--still(FORCED SKIP) Num 1 1 1 PRAMS survey
bf6food b2)BF oth foods--baby's age Num 1 PRAMS Survey
bf6foodu bl)BF oth food--wks/mnths Num 1 PRAMS Survey
bf6ligd a2)BF oth liquids--baby's age Num 1 PRAMS Survey
bf6ligdu al)BF oth liquids--wks/mnths Num 1 PRAMS Survey
bfc5diff BF cont barrs--difficulty latching Num 1 1 PRAMS survey
bfc5hcp BF cont barrs--provider told me to stop(FORCED Num 1 PRAMS Survey
SKIP)
bfc5home BF cont barrs--household duties Num 1 PRAMS survey
bfc5illm BF cont barrs--mom sick(FORCED Num 1 PRAMS survey
bfc5jaun BF cont barrs--jaundice(FORCED Num 1 PRAMS survey
bfc5milk BF cont barrs--not producing milk Num 1 1 PRAMS survey
bfc5oth BF cont barrs--other(FORCED SKIP) Num 1 1 PRAMS survey
bfc5sat BF cont barrs--milk didnt satisfy Num 1 PRAMS survey
bfc5sore BF cont barrs--nipples sore(FORCED Num 1 PRAMS survey
bfc5stop BF cont barrs--right time to stop Num 1 1 PRAMS survey
bfc5work BF cont barrs--work/school(FORCED SKIP) Num 1 PRAMS Survey
bfc5wt BF cont barrs--not gaining weight Num 1 1 PRAMS survey
bfc6hard BF cont barrs--too hard-painful-time consuming Num 1 PRAMS Survey
(FORCED SKIP)
bfc8husb BF cont barrs--partner did not support Num 1 PRAMS survey
bfc8schl BF cont barrs--school(FORCED SKIP) Num 1 PRAMS survey
bfc8work BF cont barrs--work(FORCED SKIP) Num 1 PRAMS survey
bfinf_bdr BF info--from baby doctor(FORCED Num 1 PRAMS survey
bfinf_dr BF info--from my doctor(FORCED Num 1 PRAMS survey
bfinf_fam BF info--from family/friends(FORCED Num 1 PRAMS survey
bfinf_grp BF info--from support group(FORCED Num 1 PRAMS survey
bfinf_hot BF info--from hotline(FORCED SKIP) Num 1 PRAMS survey
bfinf_nur BF info--from nurse/midwife/doula Num 1 PRAMS survey
bfinf_oth BF info--other(FORCED SKIP) Num 1 PRAMS survey
bfinf_spc BF info--from breastfeeding or lactation Num 1 PRAMS survey
bfp_ins Discrimination --ins/medicaid status Num 1 1 1 PRAMS survey
bfp_ms Discrimination --marital status Num 1 1 1 PRAMS survey
bfp_oth Discrimination --other Num 1 1 1 PRAMS survey
bfp_race Discrimination --race/ethnicity/culture Num 1 1 1 PRAMS survey
bfp_wgt Discrimination --weight Num 1 1 1 PRAMS survey
bpg_deprs Health prob--Depression Num 1 PRAMS Survey
bpg_deprs8 Health prob during 3 months bef preg--Depression Num 1 1 PRAMS Survey
bpg_diab Diabetes before pregnancy Num 1 1 PRAMS Survey _
bpg_diab8 Health prob during 3 months bef preg--Diabetes Num 1 1 PRAMS Survey
bpg_hbp Health prob--HBP Num 1 PRAMS Survey
bpg_hbp8 Health prob during 3 months bef preg--HBP Num 1 1 PRAMS Survey
bpg_hlth Before pregnancy: advise about improving health Num 1 PRAMS Survey
brstfeed_dur BF duration--length of time(FORCED SKIP) Num 1 PRAMS Survey
brstfeed_status How many weeks or months breastfeed or feed Num 1 PRAMS Survey
pumped milk to baby(FORCED SKIP)
bstp_tlk R7 g)B Strep--health care talk about Num 1 1 PRAMS Survey
ces_comp C-section--complication(FORCED Num 1 1 PRAMS survey
ces_dgr C-section--labor dangerous(FORCED Num 1 1 PRAMS survey
ces_due C-section--past due date(FORCED Num 1 1 PRAMS survey
ces_ind C-section--induce failed(FORCED Num 1 1 PRAMS survey
ces_nvag C-section--not want vaginal(FORCED Num 1 1 PRAMS survey
ces_oth C-section--other reason(FORCED Num 1 1 PRAMS survey
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Variable Name Description Type Ph6 Ph7 Phil Ph9 Data Source
ces_plan C-section--schedule delivery(FORCED Num 1 1 PRAMS survey
ces_pos C-section--wrong position(FORCED Num 1 1 PRAMS survey
ces_prev C-section--prey c-section(FORCED Num 1 1 PRAMS survey
ces_prob C-section--fetal problems before/during Num 1 1 PRAMS survey
ces_size C-section--baby too big(FORCED SKIP) Num 1 1 PRAMS survey
ces_time C-section--labor too long(FORCED Num 1 1 PRAMS survey
covidl9shot_get3bp Got vaccine in 3 mths bef preg--COVID-19 Num 1 PRAMS Survey
covidl9shot_getdp Got vaccine during preg--COVID-19 Num 1 PRAMS Survey
covidl9shot_no Did not get vaccine in 3 mths bef or during preg-- Num 1 PRAMS Survey
COVID-19
covidl9shot_offer Vaccine offered by HCP during 12 mths bef delivery-- Num 1 PRAMS Survey
COVID-19
dds_acpt8 DOS care barrs dur preg--couldnt find dentist/clinic Num 1 1 PRAMS Survey
taking preg patients
dds_care DDS--important to care for teeth/gums Num 1 PRAMS Survey
dds_cln DDS--teeth cleaned during preg Num 1 1 1 PRAMS Survey
dds_cost8 DDS care barrs dur preg--couldnt afford to go Num 1 1 PRAMS Survey
dds_ever Y2)DDS--teeth cleaned Num 1 PRAMS Survey
dds_ins DOS--insurance Num 1 PRAMS Survey
dds_medi8 DDS care barrs dur preg--couldnt find dentist/clinic Num 1 1 PRAMS Survey
taking Medicaid patients
dds_ntwt8 DDS care barrs dur preg--no need to see a dentist Num 1 1 PRAMS Survey
for a problem
dds_pprt Y3b)DDS cleaning--after preg Num 1 PRAMS Survey
dds_preg Y3a)DOS cleaning--dur preg Num 1 PRAMS Survey
dds_prob DOS--needed to see for problem Num 1 PRAMS Survey
dds_safe8 DOS care barrs dur preg--didnt think it was safe Num 1 1 PRAMS Survey
during pregnancy
dds_talk DOS--dental talk Num 1 PRAMS Survey
ddswent DOS--went for problem Num 1 PRAMS Survey
del_mth a)Admin for del--month Num 1 PRAMS Survey
del_yr4 c)Admin for del--year Num 1 PRAMS Survey
del6how Delivery--method used Num 1 1 PRAMS survey
diff_care9 Before pregnancy--Have difficulty with dressing or Num 1 PRAMS Survey
bathing self
diff_err9 Before pregnancy--Have difficulty doing errands Num 1 PRAMS Survey
alone due to condition
diff_hear9 Before pregnancy--Have serious difficulty hearing or Num 1 PRAMS Survey
deaf
diff_rem9 Before pregnancy--Have serious difficulty Num 1 PRAMS Survey
concentrating/remembering/making decisions due
to condit
diff_see9 Before pregnancy--Have serious difficulty seeing or Num 1 PRAMS Survey
blind
diff_walk9 Before pregnancy--Have serious difficulty walking or Num 1 PRAMS Survey
climbing stairs
dis_mth a)Mom discharge--month Num 1 PRAMS Survey
dis_yr4 c)Mom discharge--year Num 1 PRAMS Survey
discr_age Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--age
discr_disability Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--disability status
discr_hthins Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--type/lack health insurance
discr_immigrst Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--immigration status
discr_income Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--income
discrjustsys Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--involve justice system(jail/prison)
discr_language Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--language or accent
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Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
discr_oft_racethn During life until now,how often discriminated Num 1 PRAMS Survey
against because of race/ethnicity/skin color
discr_other Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--another reason
discr_racethn Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--race/ethnicity/skin color
discr_religion Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--religion _
discr_sexorient Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--sexual orientation
discr_situ_court Ever treated unfairly due to race/ethnicity/skin color Num 1 PRAMS Survey
--In the courts
discr_situ_house Ever treated unfairly due to race/ethnicity/skin color Num 1 PRAMS Survey
--Housing(renting/buying/mortgage)
discr_situjob Ever treated unfairly due to race/ethnicity/skin color Num 1 PRAMS Survey
--Job(hiring/promotion/firing)
discr_situ_medcare Ever treated unfairly due to race/ethnicity/skin color Num 1 PRAMS Survey
--Getting medical care
discr_situ_police Ever treated unfairly due to race/ethnicity/skin color Num 1 PRAMS Survey
--Police(stopped/searched/threatened)
discr_situ_school Ever treated unfairly due to race/ethnicity/skin color Char 1 PRAMS Survey
--At school or my childs school
discr_usesubst Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--use subst(alc/tob/other drugs)
discr_weight Discrimination while getting healthcare during/after Num 1 PRAMS Survey
preg--weight
doc_bfpg stWA61)Bef preg--doctor Num 1 1 PRAMS Survey
doula_Id Doula support--during birth of baby Num 1 PRAMS Survey
doula_pg Doula support--during pregnancy Num 1 PRAMS Survey
doula_pp Doula support--since baby born Num 1 PRAMS Survey
dr_lwk Doctor--baby visit 1st week Num 1 PRAMS Survey
drk_2yrs DRK--last 2 years Num 1 1 1 PRAMS survey
drk4p1_lsttrim Four or more alcoholic drinks in 2 hours--1st Num 1 PRAMS Survey
trimester(FORCED SKIP)
drk4pl_2ndtrim Four or more alcoholic drinks in 2 hours--2nd Num 1 PRAMS Survey
trimester(FORCED SKIP)
drk4pl_3rdtrim Four or more alcoholic drinks in 2 hours--3rd Num 1 PRAMS Survey
trimester(FORCED SKIP)
drk6_3b DRK--3 mnths bef-drinks/wk Num 1 1 PRAMS Survey
drk6_3bb DRK--3 mnths bef-four+drinks/sit Num 1 1 PRAMS Survey
drk6_31 DRK--last 3 mnths-drinks/wk Num 1 1 PRAMS Survey
drk6_31b DRK--last 3 mnths-four+drinks/sit Num 1 PRAMS Survey
drk8_3b DRK--3 mnths bef,drinks/wk(FORCED Num 1 PRAMS survey
drk8_31 DRK--last 3 mnths,drinks/wk(FORCED Num 1 PRAMS survey
drkany_lsttrim Any alcoholic drinks--1st trimester Num 1 PRAMS Survey
drkany_2ndtrim Any alcoholic drinks--2nd trimester Num 1 PRAMS Survey
drkany_3rdtrim Any alcoholic drinks--3rd trimester Num 1 PRAMS Survey
drp_ins stWA67b)HCW DISCRIM--ins/medicaid sta Num 1 PRAMS Survey
drp_ms stWA67d)HCW DISCRIM--marital status Num 1 PRAMS Survey
drp_oth stWA67e)HCW DISCRIM--other Num 1 PRAMS Survey
drp_race stWA67a)HCW DISCRIM--race/ethnicity Num 1 PRAMS Survey
drp_wgt stWA67c)HCW DISCRIM--weight Num 1 PRAMS Survey
due_mth a)Due date--month Num 1 PRAMS Survey
due_yr4 c)Due date--year Num 1 PRAMS Survey
ecig_3b ECIG--3 months before,how often Num 1 PRAMS survey
ecig_31 ECIG--last 3 months,how often Num 1 PRAMS survey
ecig_stopsmk ECIG--use e-cig or other e-nicotine products to cut Num 1 PRAMS Survey
down/stop smoking cig(FORCED SKIP)
ecig9_3b ECIG--3 months before,how often(FORCED SKIP) Num 1 PRAMS Survey
ecig9_31 ECIG--last 3 months,how often(FORCED SKIP) Num 1 PRAMS Survey
ep6appt a)PNC later--no appt Num 1 1 PRAMS Survey
ep6busy e)PNC later--too busy Num 1 1 PRAMS Survey
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Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
ep6chld h)PNC later--no child care Num 1 1 PRAMS Survey
ep6leave f)PNC later--no leave time work or sc Num 1 1 PRAMS Survey
ep6medi g)PNC later--no Medicaid/Healthy Opti Num 1 1 PRAMS Survey
ep6mony b)PNC later--no money Num 1 1 PRAMS Survey
ep6numb VAR:#BARRIERS TO EARLY PNC Num 1 1 PRAMS Survey
ep6pnc k)PNC later--didn't want PNC Num 1 1 PRAMS Survey
ep6preg i)PNC later--didn't know I was pregna Num 1 1 PRAMS Survey
ep6secrt j)PNC later--keep preg secret Num 1 1 PRAMS Survey
ep6start d)PNC later--no early ins care Num 1 1 PRAMS Survey
ep6tran c)PNC later--no transportation Num 1 1 PRAMS Survey
erly6pnc PNC early--as wanted Num 1 1 PRAMS Survey
feel_pg Preg--intention Num 1 PRAMS Survey
f112_get Got flu shot Num 1 PRAMS Survey
f112_mth a)Flu shot--month Num 1 PRAMS Survey
f112_off HCW offer/tell to get shot Num 1 PRAMS Survey
f112_yr b)Flu shot--year Num 1 PRAMS Survey
flh_avl b)No H1N1 shot--not available Num 1 PRAMS Survey
flh_get Got H1N1 shot Num 1 PRAMS Survey
flh_mth a)H1N1 shot--month Num 1 PRAMS Survey
flh_nor e)No H1N1 shot--don't normally get on Num 1 PRAMS Survey
flh_off HCW offer/tell to get H1N1 shot Num 1 PRAMS Survey
flh_reas f)No H1N1 shot--other Num 1 PRAMS Survey
flh_src a)Where mom got H1N1 shot Num 1 PRAMS Survey
flh_tlk a)No H1N1 shot--doctor Num 1 PRAMS Survey
flh_wby d)No H1N1 shot--harm baby Num 1 PRAMS Survey
flh_wme c)No H1N1 shot--side effects Num 1 PRAMS Survey
flh_yr b)H1N1 shot--year Num 1 PRAMS Survey
fls_get Got Seasonal shot Num 1 PRAMS Survey
fls_mth a)Seasonal shot--month Num 1 _ PRAMS Survey
fls_nor d)No Seasonal shot--don't normally ge Num 1 PRAMS Survey
fls_off HCW offer/tell to get Seasonal shot Num 1 PRAMS Survey
flh_reas e)No Seasonal shot--other Num 1 PRAMS Survey
fls_tlk a)No Seasonal shot--doctor Num 1 PRAMS Survey
flu_wby c)No Seasonal shot--harm baby Num 1 PRAMS Survey
fls_wme b)No Seasonal shot--side effects Num 1 PRAMS Survey
fls_yr b)Seasonal shot--year Num 1 PRAMS Survey
flu_dx Diagnosed with flu dur preg Num 1 PRAMS Survey
flu_fev Sick with fever dur preg Num 1 PRAMS Survey
flu_get Got flu shot Num 1 PRAMS Survey
flu_hosp Hospitalized for flu dur preg Num 1 PRAMS Survey
flu_lang Language--English/Spanish Num 1 PRAMS Survey
flu_mth Flu shot--month(FORCED SKIP) Num 1 PRAMS Survey
flu_mth_dk Flu shot--mth (DONT KNOW=7777) Num 1 PRAMS Survey
flu_nor f)No shot--don't normally get one Num 1 PRAMS Survey
flu_oth h)No shot--other specified Char 1 PRAMS Survey
flu_preg L13)Flu vacc--dur preg Num 1 PRAMS Survey
flu_reas g)No shot--other Num 1 PRAMS Survey
flu_src a)Where got shot _ Num 1 PRAMS Survey
flu_srco b)Where shot--other specified Char 1 PRAMS Survey
flu_tlk a)No shot--doctor Num 1 PRAMS Survey
flu_type Type of survey reponse Num 1 PRAMS Survey
flu_wby c)No shot--harm baby Num 1 PRAMS Survey
flu_wme b)No shot--side effects Num 1 PRAMS Survey
flu_wno d)No shot--not worried about getting Num 1 PRAMS Survey
flu_wrk e)No shot--don't think flu shot works Num 1 PRAMS Survey
flu_yr4 Flu shot--year(FORCED SKIP) Num 1 PRAMS Survey
flubby No shot--harm baby(FORCED SKIP) Num 1 1 PRAMS survey
flunor No shot--dont normally get one Num 1 1 PRAMS survey
fluoth No shot--other(FORCED SKIP) Num 1 1 PRAMS survey
flupreg Flu vacc--before delivery Num 1 1 PRAMS survey
flushot Flu vacc--info from care workers Num 1 1 PRAMS survey
Page 28 of 50
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Variable Name i Description Type Ph6 Ph7 Ph8 Ph9 Data Source
flushot_get3bp Got vaccine in 3 mths bef preg --Flu Num 1 PRAMS Survey
flushot_getdp Got vaccine during preg--Flu Num 1 PRAMS Survey
flushot_no Did not get vaccine in 3 mths bef or during preg--Flu Num 1 PRAMS Survey
flushot_offer Vaccine offered by HCP during 12 mths bef delivery-- Num 1 PRAMS Survey
Flu
fluside No shot--side effects(FORCED SKIP) Num 1 1 PRAMS survey
flutlk No shot--doctor didnt mention(FORCED Num 1 1 PRAMS survey
fluwno No shot--not worried about getting sick Num 1 1 PRAMS survey
fluwrk No shot--dont think flu shot works Num 1 1 PRAMS survey
food_you stWA65)Past 12 mnths-enough food Num 1 PRAMS Survey
fs_ranout Food Security in 12 mths bef delivery--food didnt Num 1 PRAMS Survey
last
fs_worried Food Security in 12 mths bef delivery--worried food Num 1 PRAMS Survey
would run out
hap_angr9 Viol aft preg,curr/ex spouse/partner--afraid Num 1 PRAMS Survey
own/familys safety from anger/threats
hap_ctrl9 Viol aft preg,curr/ex spouse/partner--tried to Num 1 PRAMS Survey
control daily activities
hap_saf9 Viol aft preg,curr/ex spouse/partner--threatened or Num 1 PRAMS Survey
made feel unsafe
hap_sex9 Viol aft preg,curr/ex spouse/partnerr--forced Num 1 PRAMS Survey
touching/sex didnt want
hdp_angr Viol dur--no safety Num 1 1 PRAMS survey
hdp_angr9 Viol dur preg,curr/ex spouse/partner--afraid Num 1 PRAMS Survey
own/familys safety from anger/threats
hdp_ctrl Viol dur--felt controlled Num 1 1 PRAMS survey
hdp_ctrl9 Viol dur preg,curr/ex spouse/partner--tried to Num 1 PRAMS Survey
control daily activities
hdp_saf Viol dur--threatened Num 1 1 PRAMS survey
hdp_saf9 Viol dur preg,curr/ex spouse/partner--threatened Num 1 PRAMS Survey
or made feel unsafe
hdp_sex _ Viol dur--forced sex Num 1 1 PRAMS survey
hdp_sex9 Viol dur preg,curr/ex spouse/partnerr--forced Num 1 PRAMS Survey
touching/sex didnt want
hi_comp Insurance paid by--purchase from company Num 1 PRAMS Survey
hi_hcex Insurance paid by--Health Care Exchange(at time of Num 1 PRAMS SURVEY
survey)
hi_ihs Current insurance paid by--<state specific Num 1 1 1 PRAMS Survey
IHS/Tribal>
hi_medic Current insurance paid by--Medicaid Num 1 1 1 PRAMS Survey
hi_milit Current insurance paid by--<state specific TRICARE Num 1 1 1 PRAMS Survey
or military>
hi_none Current insurance paid by--No insurance Num 1 1 1 PRAMS Survey
hi_oth Current insurance paid by--other Num 1 1 1 PRAMS Survey
hi_par Insurance paid by--parent(at time of survey) Num 1 PRAMS SURVEY
hi_priv Current insurance paid by--me,someone else,or a Char 1 PRAMS Survey
job
hi_work Insurance paid by--job Num 1 PRAMS Survey
hi_work8 Insurance paid by--job(at time of survey) Num 1 PRAMS SURVEY
hivtest HIV test--have dur preg Num 1 1 PRAMS Survey
hppg_bed W2b)Help dur preg--bed rest Num 1 1 PRAMS Survey
hppg_mon W2a)Help dur preg--loan money Num 1 1 PRAMS Survey
hppg_rid W2c)Help dur preg--need ride Num 1 1 PRAMS Survey
hppg_tlk , W2d)Help dur preg--talk Num 1 1 PRAMS Survey
hth_anx Health prob during 3 months bef preg--Anxiety s Num 1 1 1 PRAMS Survey
hth_asma , Health prob during 3 months bef preg--Asthma Num 1 1 1 PRAMS Survey
hth_hrt j Health prob--Heart Num 1 PRAMS Survey
hth_seiz Health prob--Epilepsy Num 1 PRAMS Survey
hth_thyr Health prob--Thyroid Num 1 PRAMS survey
hv5_need 16b)HIV barrs--already tested Num 1 PRAMS Survey
hv5_oth , I6c)HIV barrs--other Num 1 PRAMS Survey
hv5_risk I6a)HIV barrs--didn't think at risk Num 1 PRAMS Survey
Page 29 of 50
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Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
hv5_tsto 14)HIV test--offered dur preg Num 1 1 PRAMS Survey
hv5_tstr 15)HIV test--decline Num 1 PRAMS Survey
idob_mth Infant birth--month Num 1 1 1 PRAMS survey
idob_yr4 Infant birth--year Num 1 1 1 PRAMS survey
inc_ndep Income--number of dependents(+self) Num 1 1 1 1 PRAMS Survey
incomes Income--12 mnths bef-total income Num 1 PRAMS Survey
income? Income--12 mnths bef-total income Num 1 PRAMS Survey
income8 Income--12 mnths bef,total income Num 1 PRAMS survey
income9 Income--During 12 mnths bef delivery,yearly total Num 1 PRAMS Survey
household income
inf_icu Infant ICU--at birth Num 1 1 PRAMS Survey
inflive5 Infant alive--now(FORCED SKIP) Num 1 1 1 1 PRAMS Survey
infwmom5 Infant living--with mom(FORCED SKIP) Num 1 1 1 1 PRAMS Survey
inscomp Insurance paid by--purchase from company Num 1 PRAMS Survey
inshcex Insurance paid by--Health Care Exchange(before Num 1 PRAMS SURVEY
pregnancy)
insihs Month before preg insurance paid by--<state Num 1 1 1 PRAMS Survey
specific IHS/Tribal>
insihth e)Insurance paid by--IHS Num 1 PRAMS Survey
insmed Month before preg insurance paid by--Medicaid Num 1 1 1 1 PRAMS Survey
insmil Month before preg insurance paid by--<state Num 1 1 1 1 PRAMS Survey
specific TRICARE or military>
insnone Month before preg insurance paid by--No insurance Num 1 1 1 1 PRAMS Survey
insoth Month before preg insurance paid by--other Num 1 1 1 1 PRAMS Survey
inspaid (b)Insurance paid by--someone else Num 1 PRAMS Survey
inspar Insurance paid by--parent (before pregnancy) Num 1 PRAMS SURVEY
inspriv Month before preg insurance paid by--me, Char 1 PRAMS Survey
someone else,or a job
inswork (a)Insurance paid by--job Num 1 1 PRAMS Survey
inswork8 Before preg insurance paid by--job Num 1 PRAMS survey
Ith_hosp Hosp baby stay--length of time Num 1 1 1 PRAMS survey
Ith_hosp9 Hosp baby stay--length of time Num 1 PRAMS Survey
Iv_emgfd PP--emergency food Num 1 PRAMS Survey
Ivafford9 Leave after baby born--could not afford(FORCED Num 1 PRAMS Survey
SKIP)
Ivafraid9 Leave after baby born--afraid to lose job(FORCED Num 1 PRAMS Survey
SKIP)
Ivenough9 Leave after baby born--not enough leave time Num 1 PRAMS Survey
(FORCED SKIP)
Ivnoflex9 Leave after baby born--no flexible schedule Num 1 PRAMS Survey
(FORCED SKIP)
Ivunpaid9 Leave after baby born--no paid leave(FORCED SKIP) Num 1 PRAMS Survey
Ivworkld9 Leave after baby born--too much work(FORCED Num 1 PRAMS Survey
SKIP)
mdob_mth Moms birth--month Num 1 1 1 1 PRAMS Survey
mdob_yr4 Moms birth--year Num 1 1 1 1 PRAMS Survey
mh_nery MH--felt nervous/anxious/on edge since birth Num 1 PRAMS Survey
mh_pgdx8 Health prob during preg--Depression Num 1 PRAMS survey
mh_ppdpr MH--depress since birth Num 1 1 1 PRAMS Survey
mh_ppint MH--no interest since birth Num 1 1 1 PRAMS Survey
mh_screenap MH--HCP screened for depression/anxiety after Num 1 PRAMS Survey
preg
mh_screendp MH--HCP screened for depression/anxiety during Num 1 PRAMS Survey
preg
mh_worry MH--not able to stop/control worrying since birth Num 1 PRAMS Survey
mhpp getsery MH--since baby born able to get mental health Num 1 PRAMS Survey
services needed(FORCED SKIP)
mhpp_needsery MH--since baby born felt needed mental health Num 1 PRAMS Survey
services
mhppb_afford MH pp sery barrs--couldnt afford(FORCED SKIP) Num 1 PRAMS Survey
mhppb_appt MH pp sery barrs--couldnt get appt as soon as Num 1 PRAMS Survey
needed(FORCED SKIP)
Page 30 of 50
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Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
mhppb_comm MH pp sery barrs--concerned might be committed Num 1 PRAMS Survey
to psychiatric hospital(FORCED SKIP)
mhppb_conf MH pp sery barrs--concerned info shared might not Num 1 PRAMS Survey
be kept confidential(FORCED SKIP)
mhppb_far MH pp sery barrs--no transportation/too far Num 1 PRAMS Survey
away/hours not convenient(FORCED SKIP)
mhppb_find MH pp sery barrs--didnt want others to find out Num 1 PRAMS Survey
that needed treatment(FORCED SKIP)
mhppb_hicov MH pp sery barrs--health ins doesnt cover any Num 1 PRAMS Survey
mental health services(FORCED SKIP)
mhppb_hipay MH pp sery barrs--health ins doesnt pay enough for Num 1 PRAMS Survey
mental health services(FORCED SKIP)
mhppb_meds MH pp sery barrs--concerned might have to take Num 1 PRAMS Survey
medicine(FORCED SKIP)
mhppb_oth MH pp sery barrs--other (FORCED SKIP) Num 1 PRAMS Survey
mhppb_time MH pp sery barrs--didnt have time due to Char 1 PRAMS Survey
job/childcare/other commitments(FORCED SKIP)
mhppb_where MH pp sery barrs--didnt know where to go to get Num 1 PRAMS Survey
services(FORCED SKIP)
mjcan9_3bp Use marijuana or cannabis --during 3 months before Num 1 PRAMS Survey
pregnancy
mjcan9_pg Use marijuana or cannabis--during pregnancy Num 1 PRAMS Survey
mjcan9_pp Use marijuana or cannabis--since baby born Num 1 PRAMS Survey
mnghbp_checkap HCP manage HBP during preg--Talk about regularly Num 1 PRAMS Survey
check BP after preg(FORCED SKIP)
mnghbp_checkdp HCP manage HBP during preg--Tell regularly check Num 1 PRAMS Survey
BP during preg(FORCED SKIP)
mnghbp_ref HCP manage HBP during preg--Refer to different Num 1 PRAMS Survey
healthcare provider(FORCED SKIP)
mnghbp_risk HCP manage HBP during preg--Talk about risk for Num 1 PRAMS Survey
HBP and heart disease after preg(FORCED SKIP)
mnghbp_wtap HCP manage HBP during preg--Talk about getting to Num 1 PRAMS Survey
healthy weight after preg(FORCED SKIP)
mom_cm Moms height--centimeters Num 1 1 PRAMS survey
mom_feet Moms height--feet Num 1 1 1 PRAMS survey
mom_inch Moms height--inches Num 1 1 1 PRAMS survey
mom_Ibkg Moms weight--bef preg Num 1 1 1 PRAMS survey
morb_bld a)Morbidity--vagbleeding Num 1 PRAMS Survey
morb_bp8 Health prob during preg--HBP Num 1 PRAMS survey
morb_car j)Morbidity--car crash injury Num 1 PRAMS Survey
morb_cry d)Morbidity--cervix closed Num 1 PRAMS Survey
morb_kid b)Morbidity--kidney/bladder infect Num 1 PRAMS Survey
morb_lab g)Morbidity--preterm labor Num 1 PRAMS Survey
morb_nau c)Morbidity--nausea Num 1 PRAMS Survey
morb_pla f)Morbidity--placenta Num 1 PRAMS Survey
morb_prm h)Morbidity--PROM Num 1 PRAMS Survey
morb_trn i)Morbidity--Blood transfusion Num 1 PRAMS Survey
morb5bp e)Morbidity--HBP Num 1 PRAMS Survey
nbc_get No BC--couldnt get(FORCED SKIP) Num 1 1 1 PRAMS survey
nbc_husb No BC--husb/part didnt want(FORCED Num 1 1 1 PRAMS survey
nbc_mem No BC--forgot(FORCED SKIP) Num 1 1 PRAMS survey
nbc_mind No BC--didnt mind preg(FORCED Num 1 1 1 PRAMS survey
nbc_oth No BC--other(FORCED SKIP) Num 1 1 1 PRAMS survey
nbc_side No BC--side effects(FORCED SKIP) Num 1 1 1 PRAMS survey
nbc_ster No BC--sterile(FORCED SKIP) Num 1 1 1 PRAMS survey
nbc_time No BC--couldnt at time(FORCED SKIP) Num 1 1 1 PRAMS survey
pab_xhus Abuse--12 mnths bef preg,ex-spouse/partner Num 1 1 PRAMS Survey
pab6hus Abuse--12 mnths bef preg,spouse/partner Num 1 1 1 1 PRAMS Survey
pad_xhus Abuse--during preg,ex-spouse/partner Num 1 1 PRAMS Survey
pad6hus Abuse--during preg,spouse/partner Num 1 1 1 1 PRAMS Survey
pbc_cond BC preg--condoms(FORCED SKIP) Num 1 PRAMS survey
pbc_impl BC preg--contraceptive implant Num 1 PRAMS survey
Page 31 of 50
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Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
pbc_iud BC preg--IUD(FORCED SKIP) Num 1 PRAMS survey
pbc_map BC preg--morning after pill(FORCED Num 1 PRAMS survey
pbc_oth BC preg--other(FORCED SKIP) Num 1 PRAMS survey
pbc_pill BC preg--pill(FORCED SKIP) Num 1 PRAMS survey
pbc_ptrg BC preg--contraceptive patch/ring Num 1 PRAMS survey
pbc_pull BC preg--withdrawal(FORCED SKIP) Num 1 PRAMS survey
pbc_rhyt BC preg--rhythm(FORCED SKIP) Num 1 PRAMS survey
pbc_sht3 BC preg--shots every 3 months Num 1 PRAMS survey
pd_ihth e)Delivery paid--IHS Num 1 PRAMS Survey
pd_medic c)Delivery paid--Medicaid/Healthy Opt Num 1 PRAMS Survey
pd_milit d)Delivery paid--Military Num 1 PRAMS Survey
pd_none h)Delivery paid--no insurance Num 1 PRAMS Survey
pd_oth f)Delivery paid--other Num 1 PRAMS Survey
pd_paid b)Delivery paid--insurance not from a Num 1 PRAMS Survey
pd_work a)Delivery paid--insurance from job Num 1 PRAMS Survey
pg_gdb Gestational diabetes-this pregnancy Num 1 1 PRAMS Survey
pg_gdb8 Health prob during preg--Diabetes Num 1 PRAMS survey
pg_mstim Q4)Preg--when want Num 1 PRAMS Survey
pg_tdap8 Receive Tdap vaccination Num 1 PRAMS survey
pg9_anx HCP told had,Health prob during preg--Anxiety Num 1 PRAMS Survey
pg9_asma HCP told had,Health prob during preg--Asthma Num 1 PRAMS Survey
pg9_deprs HCP told had,Health prob during preg--Depression Num 1 PRAMS Survey
pg9_diab HCP told had,Health prob during preg--Diabetes Num 1 PRAMS Survey
pg9_hbp HCP told had,Health prob during preg--HBP Num 1 PRAMS Survey
pgfeel stWA63)Feel about preg Num 1 PRAMS Survey
pgintent Preg--intention Num 1 1 1 PRAMS Survey
pgs_birt Childbirth classes to prepare for birth Num 1 PRAMS Survey
pgwait Preg--when want(FORCED SKIP) Num 1 PRAMS Survey
pgwt_gn Preg weight gain/lost Num 1 PRAMS Survey
pgwt_gnu Unit of preg weight gain/lost Num 1 PRAMS Survey
pgwtgn8 Preg weight gain Num 1 PRAMS survey
pgwtgnu8 Unit of preg weight gain Num 1 PRAMS survey
pnc_lst 1st PNC visit--number Num 1 1 1 PRAMS survey
pnc_lstu 1st PNC visit--wks/mnths Num 1 1 1 PRAMS survey
pnc_get Prenatal care during pregnancy? Num 1 PRAMS Survey
pnc9_1st 1st PNC visit--number(FORCED SKIP) Num 1 PRAMS Survey
pnc9_lstu 1st PNC visit--wks/mnths(FORCED SKIP) Num 1 PRAMS Survey
pot_b4 Marijuana use--12 months before Num 1 PRAMS survey
pot_pg Marijuana use--during Num 1 PRAMS survey
pot_pp Marijuana use--since baby was born Num 1 PRAMS survey
pp_comp Insurance paid by--purchase from company Num 1 PRAMS Survey
(FORCED SKIP)
pp_ihs PNC Insurance paid by--IHS/Tribal Num 1 1 PRAMS survey
pp_ihth e)PNC paid by--IHS Num 1 PRAMS Survey
pp_medic PNC Insurance paid by--Medicaid Num 1 1 1 PRAMS survey
pp_milit PNC Insurance paid by--TRICARE or Num 1 1 1 PRAMS survey
pp_nhope Feelings postpartum-hopeless Num 1 PRAMS Survey
pp_none PNC Insurance paid by--No insurance Num 1 1 1 PRAMS survey
pp_oth PNC Insurance paid by--other(FORCED Num 1 1 1 PRAMS survey
pp_paid b)PNC paid by--insurance not from a j Num 1 PRAMS Survey
pp_sad Feelings postpartum-down-depressed-sa Num 1 PRAMS Survey
pp_slow Feelings postpartum-slowed down Num 1 PRAMS Survey
pp_work a)PNC paid by--Job Num 1 1 PRAMS Survey
pp8_hcex PNC Insurance paid by--Health Care Num 1 PRAMS survey
pp8_nopnc During preg insurance paid by-didnt Num 1 PRAMS survey
pp8_par PNC Insurance paid by--parent Num 1 PRAMS survey
pp8_work PNC Insurance paid by--job(FORCED Num 1 PRAMS survey
pp9_ihs During preg insurance paid by--<state specific Num 1 PRAMS Survey
IHS/Tribal>
pp9_medic During preg insurance paid by--Medicaid Num 1 PRAMS Survey
Page 32 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
pp9_milit During preg insurance paid by--<state specific Num 1 PRAMS Survey
TRICARE or military>
pp9_none During preg insurance paid by--No insurance Num 1 PRAMS Survey
pp9_oth During preg insurance paid by--other Num 1 PRAMS Survey
pp9_priv During preg insurance paid by--me,someone else, Char 1 PRAMS Survey
or a job
ppv_bcm J1c/c)PP talk--BC methods Num 1 1 PRAMS Survey
ppv_busy Postpartum visit--too busy(FORCED SKIP) Num 1 PRAMS Survey
ppv_chk PPV--checkup for self Num 1 1 1 1 PRAMS Survey
ppv_dep J1d/e)PP talk--depression Num 1 1 PRAMS Survey
ppv_hlth 11g/b)PP talk--eating and exercise Num 1 1 PRAMS Survey
ppv_morb stWA69f)PP--tx for conditions dvlp du Num 1 1 PRAMS Survey
ppv_nocc Postpartum visit--no child care(FORCED SKIP) Num 1 PRAMS Survey
ppv_nond Postpartum visit--didnt think I needed(FORCED Num 1 PRAMS Survey
SKIP)
ppv_oth Postpartum visit--other(FORCED SKIP) Num 1 PRAMS Survey
ppv_pay Postpartum visit--not enough money/ins to pay Num 1 PRAMS Survey
(FORCED SKIP)
ppv_reas Postpartum visit--other specified(FORCED SKIP) Char 1 PRAMS Survey
ppv_res J1f/h)PP talk--resources Num 1 1 PRAMS Survey
ppv_smk stWA69g)PP talk--if smoking Num 1 1 PRAMS Survey
ppv_tran Postpartum visit--no way to get to visit(FORCED Num 1 PRAMS Survey
SKIP)
ppv_vitm L16/a)PP talk--advise PNC vitamins Num 1 1 PRAMS Survey
ppv_wait J1b/d)PP talk--wait before preg Num 1 1 PRAMS Survey
pre_abus In 12 mths bef preg,HCP ask if--someone hurting Num 1 1 PRAMS Survey
emotional/physical(FORCED SKIP)
pre_bdef Pre-preg--birth defects(FORCED SKIP) Num 1 PRAMS survey
pre_cbp In 12 mths bef preg,HCP talk about--regularly check Num 1 PRAMS Survey
blood pressure(FORCED SKIP)
pre_ckbp Pre-pregnancy check for high blood pressure Num 1 PRAMS Survey
pre_ckd Pre-pregnancy check for diabetes Num 1 PRAMS Survey
pre_dds (h)Pre-pregnancy teeth cleaned Num 1 1 PRAMS Survey
pre_depr Pre-pregnancy check for depression/anxiety Num 1 PRAMS Survey
pre_diab (d)Pre-pregnancy ck/tx for diabetes Num 1 PRAMS Survey
pre_diet (a)Pre-pregnancy dieting Num 1 1 PRAMS Survey
pre_exer (b)Pre-pregnancy exercise 3+days/wk Num 1 1 PRAMS Survey
pre_hbp (e)Pre-pregnancy ck/tx for high blood p Num 1 PRAMS Survey
pre_hist (g)Pre-pregnancy talk fam med hist Num 1 1 PRAMS Survey
pre_hivt Pre-preg--tested for HIV(FORCED Num 1 PRAMS survey
pre_hlth In 12 mths bef preg,HCP talk about--improve health Num 1 1 PRAMS Survey
before a pregnancy(FORCED SKIP)
pre_kids In 12 mths bef preg,HCP talk about--if want to have Num 1 1 PRAMS Survey
kids(FORCED SKIP)
pre_mh (f)Pre-pregnancy ck/tx for depression/a Num 1 PRAMS Survey
pre_mhdp Pre-preg--feeling down/depressed Num 1 PRAMS survey
pre_mhdp9 In 12 mths bef preg,HCP ask if--felt depressed or Num 1 PRAMS Survey
anxious(FORCED SKIP)
pre_morb Pre-preg--control med conditions Num 1 PRAMS survey
pre_prbc Pre-preg--birth control to prevent preg Num 1 PRAMS survey
pre_prbc9 In 12 mths bef preg,HCP talk about--birth control Num 1 PRAMS Survey
methods(FORCED SKIP)
pre_rx (c)Pre-pregnancy prescrip meds Num 1 1 PRAMS Survey
pre_smk Pre-preg--smoke during preg(FORCED Num 1 PRAMS survey
pre_smk9 In 12 mths bef preg,HCP ask if--smoked Num 1 PRAMS Survey
cigarettes/used vapes/other smokeless tobacco
(FORCED SKIP
pre_sti Pre-preg--talk about STIs(FORCED Num 1 PRAMS survey
pre_sti9 In 12 mths bef preg,HCP talk about--sexually Num 1 PRAMS Survey
transmitted infections(STIs)(FORCED SKIP)
pre_vist Pre preg--health care visit Num 1 PRAMS survey
pre_vit Pre-preg--folic acid(FORCED SKIP) Num 1 PRAMS survey
Page 33 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
pre_work Pre-preg--kind of work(FORCED SKIP) Num 1 PRAMS survey
pre_wt Pre-preg--weight(FORCED SKIP) Num 1 PRAMS survey
pre_wt9 In 12 mths bef preg,HCP talk about--weight Num 1 PRAMS Survey
(FORCED SKIP)
preg_try Preg--trying Num 1 1 1 PRAMS survey
prev_Ib Previous--live birth Num 1 1 PRAMS Survey
prev_lbw Previous live birth--low birth weight(FORCED SKIP) Num 1 PRAMS Survey
prev_pre Previous--premature Num 1 1 PRAMS Survey
prev6nbw Previous--normal birth weight Num 1 PRAMS Survey
prt_nobc9 Abuse--before preg,partner tried to keep from Num 1 PRAMS Survey
using birth control
prt_nocnd9 Abuse--before preg,partner refused to use condom Num 1 PRAMS Survey
when wanted to prevent preg
rcld_accept Labor/Delivery care--comfortable accepting options Num 1 PRAMS Survey
HCP recommended
rcld_choose Labor/Delivery care--able to choose care options Num 1 PRAMS Survey
received
rcld_decline Labor/Delivery care--comfortable declining care if Num 1 PRAMS Survey
didnt want
rcld_questions Labor/Delivery care--comfortable asking questions Num 1 PRAMS Survey
about care
rcld_satisfied Labor/Delivery care--satisfied with care received Num 1 PRAMS Survey
rcld_treat Labor/Delivery care--treated with respect by Num 1 PRAMS Survey
providers
rcpn_accept Prenatal care--comfortable accepting options HCP Num 1 PRAMS Survey
recommended
rcpn_choose Prenatal care--able to choose care options received Num 1 PRAMS Survey
rcpn_decline Prenatal care--comfortable declining care if didnt Num 1 PRAMS Survey
want
rcpn_questions Prenatal care--comfortable asking questions about Num 1 PRAMS Survey
care
rcpn_satisfied Prenatal care--satisfied with care received Num 1 PRAMS Survey
rcpn_treat Prenatal care--treated with respect by providers Num 1 PRAMS Survey
rcpp_accept Postpartum care--comfortable accepting options Num 1 PRAMS Survey
HCP recommended
rcpp_choose Postpartum care—able to choose care options Num 1 PRAMS Survey
received
rcpp_decline Postpartum care--comfortable declining care if Num 1 PRAMS Survey
didnt want
rcpp_questions Postpartum care--comfortable asking questions Num 1 PRAMS Survey
about care
rcpp_satisfied Postpartum care--satisfied with care received Num 1 PRAMS Survey
rcpp_treat Postpartum care--treated with respect by providers Num 1 PRAMS Survey
sft_firearms Any firearms kept in/around home now Num 1 PRAMS Survey
sft_loaded Any of these firearms now loaded(FORCED SKIP) Num 1 PRAMS Survey
sft_unlock Any of these loaded firearms also unlocked(FORCED Num 1 PRAMS Survey
SKIP)
sleep_back How baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--back(FORCED SKIP)
sleep_side How baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--side(FORCED SKIP)
sleep_stomach How baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--stomach(FORCED SKIP)
sleepbed Fl)Sleep--someone with baby Num 1 1 PRAMS Survey
sleepown Sleep--baby alone(FORCED SKIP) Num 1 PRAMS survey
sleepown9 Sleep--how often baby slept alone in crib when Num 1 PRAMS Survey
mom sleeping in past two weeks(FORCED SKIP)
sleeppos Sleeping position--baby(FORCED Num 1 1 1 PRAMS survey
slp_bpad9 Baby placed to sleep with in past 2 weeks--crib Num 1 PRAMS Survey
bumper pads(mesh or non-mesh)(FORCED SKIP)
slp_cdb9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--baby board or cradleboard(FORCED
Page 34 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
slp_chr Baby slept--on couch/sofa/chair Num 1 PRAMS survey
slp_chr9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--couch/sofa/armchair(FORCED SKIP)
slp_com9 Baby placed to sleep with in past 2 weeks-- Num 1 PRAMS Survey
comforters/quilts/blankets/non-fitted sheets
(FORCED SK
slp_crb8 Baby slept--in crib/bassinet/play yard Num 1 PRAMS survey
slp_crb9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--crib/portable crib/bassinet(FORC
slp_cst9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--infant car seat(FORCED SKIP)
slp_ibs9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--in-bed sleeper(FORCED SKIP)
slp_mat8 Baby slept--on mattress/bed(FORCED Num 1 PRAMS survey
slp_mat9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--mattress/bed(twin or larger)(FO
slp_nblk Baby slept--with blanket(FORCED Num 1 PRAMS survey
slp_npad Baby slept--with bumper pads(FORCED Num 1 PRAMS survey
slp_othwhere9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--other(FORCED SKIP)
slp_othwith9 Baby placed to sleep with in past 2 weeks--other Num 1 PRAMS Survey
(FORCED SKIP)
slp_room Sleep--baby in room with mom Num 1 PRAMS survey
slp_room9 Sleep--crib in room with mom or other adult in past Num 1 PRAMS Survey
2 weeks(FORCED SKIP)
slp_sak Baby slept--in sleep sack or wearable Num 1 PRAMS survey
slp_sak9 Baby placed to sleep with in past 2 weeks--in sleep Num 1 PRAMS Survey
sack or wearable blanket(FORCED SKIP)
slp_swd9 Baby placed to sleep with in past 2 weeks--in a Num 1 PRAMS Survey
swaddled blanket(FORCED SKIP)
slp_swg Baby slept--in car seat/swing Num 1 PRAMS survey
slp_swg9 Where baby placed to sleep at night/during naps in Num 1 PRAMS Survey
past 2 weeks--swing/rocker/other inclined sleep
slp_toypil Baby slept--with toys,cushions,or Num 1 PRAMS survey
slp_toypil9 Baby placed to sleep with in past 2 weeks--soft Char 1 PRAMS Survey
toys/cushions/pillows(incl nursing pillows)(FORC
slp2back Recommend sleep--place on back Num 1 PRAMS survey
slp2crb Recommend sleep--place in crib/ Num 1 PRAMS survey
slp2myrm Recommend sleep--place baby crib/ Num 1 PRAMS survey
slp2ntbd Recommend sleep--can or cannot go in Num 1 PRAMS survey
smk_chew SMK--chewing tobacco,snuff,snus,dip Num 1 PRAMS survey
smk_ecig SMK--used ecigs in last 2 yrs Num 1 1 PRAMS Survey
smk_hook SMK--used hookah in last 2 yrs Num 1 PRAMS survey
smk_nwrl Inside smoking rules now Num 1 PRAMS Survey
smk2yrs SMK-- >=1 cigs last 2 yrs Num 1 1 1 1 PRAMS Survey
smk6_3b SMK--3 mnths bef,#cigs/day(FORCED Num 1 1 1 PRAMS survey
smk6_31 SMK--last 3 mnths,#cigs/day(FORCED Num 1 1 1 PRAMS survey
smk6_3n SMK--now,#cigs/day(FORCED SKIP) Num 1 1 1 PRAMS survey
smk9_3b SMK--3 mnths bef,#cigs/day(FORCED SKIP) Num 1 PRAMS Survey
smk9_31 SMK--last 3 mnths,#cigs/day(FORCED SKIP) Num 1 PRAMS Survey
smk9_3n SMK--now,#cigs/day(FORCED SKIP) Num 1 PRAMS Survey
_smka_cal stWA64g)SMK advise--refer quit line Num 1 PRAMS Survey
smka_gum stWA64c)SMK advise--use nicotine gum Num 1 PRAMS Survey
smka_pat stWA64d)SMK advise--use nicotine patc Num 1 PRAMS Survey
smka_pil stWA64f)SMK advise--use pill Num 1 PRAMS Survey
smka_qt stWA64a)SMK--advise to quit Num 1 PRAMS Survey
smka_spy stWA64e)SMK advise--use spray/inhaler Num 1 PRAMS Survey
smka_stp stWA64b)SMK advise--how to quit Num 1 PRAMS Survey
srvcnsl Used sery--counseling Num 1 PRAMS Survey
strs_arg Stress--argue lots Num 1 1 1 PRAMS survey
strs_awy Stress--apart from husb/part work Num 1 1 PRAMS survey
Page 35 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
strs_bil Stress during 12 mths bef delivery--couldnt pay Num 1 1 1 1 PRAMS Survey
rent/mortgage/bills
strs_dh3 Stress--others close died Num 1 1 1 PRAMS survey
strs_drg Stress during 12 mths bef delivery--someone close Num 1 1 1 1 PRAMS Survey
had problem with alc/drugs
strs_dv3 Stress during 12 mths bef delivery--separated or Num 1 1 1 1 PRAMS Survey
divorced
strs_evict Stress during 12 mths bef delivery--evicted or Num 1 PRAMS Survey
forced to move
strs_fm3 Stress--family member ill Num 1 1 1 PRAMS survey
strs_ft4 j)Stress--physical fight Num 1 PRAMS Survey
strs_hom d)Stress--homeless Num 1 PRAMS Survey
strsjl3 Stress--husb/part/self in jail Num 1 1 1 PRAMS survey
strsjlpart Stress during 12 mths bef delivery--spouse/part in Num 1 PRAMS Survey
jail
strsjlself Stress during 12 mths bef delivery--self in jail Num 1 PRAMS Survey
strs,job Stress--husb/part lost job Num 1 1 1 PRAMS survey
strsjobloss Stress during 12 mths bef delivery--spouse/part/self Num 1 PRAMS Survey
lost job
strs_mov Stress--moved Num 1 1 1 PRAMS survey
strs_norps Stress during 12 mths bef delivery--no regular place Num 1 PRAMS Survey
to sleep
strs_pay Stress during 12 mths bef delivery--spouse/part/self Num 1 1 1 PRAMS Survey
reduce wrk/pay
strs_pg Stress--husb/part preg no Num 1 1 1 PRAMS survey
strs_scvsod Stress during 12 mths bef delivery--someone close Num 1 PRAMS Survey
was very sick or died
strs_wrk Stress--mom lost job Num 1 1 1 PRAMS survey
strshome Stress during 12 mths bef delivery--homeless or Num 1 1 1 PRAMS Survey
slept outside/car/shelter
sure_pg b)Sure preg--time Num 1 PRAMS Survey
sure_pgu a)Sure preg--wks/mnths Num 1 PRAMS Survey
tdapshot_get3bp Got vaccine in 3 mths bef preg--TDAP Num 1 PRAMS Survey
tdapshot_getdp Got vaccine during preg--TDAP Num 1 PRAMS Survey
tdapshot_no Did not get vaccine in 3 mths bef or during preg-- Num 1 PRAMS Survey
TDAP
tdapshot_offer Vaccine offered by HCP during 12 mths bef delivery-- Num 1 PRAMS Survey
TDAP
tlk_abus I)HCW talk--physical abuse Num 1 1 PRAMS Survey
tlk_bdef g)HCW talk--birth defects tests Num 1 1 PRAMS Survey
tlk_belt d)HCW talk--seatbelt use Num 1 1 PRAMS Survey
tlk_bf b)HCW talk--breastfeeding Num 1 1 PRAMS Survey
tlk_cigs HCW ask--if smoking cigs(FORCED Num 1 PRAMS survey
tlk_dpranx PNC HCP talk about--what to do if feel depressed or Num 1 PRAMS Survey
anxious during/after pregnancy(FORCED SKIP)
tlk_dprs k)HCW talk--depression Num 1 1 PRAMS Survey
tlk_drk c)HCW talk--drinking alcohol Num 1 1 PRAMS Survey
tlk_drug f)HCW talk--illegal drugs Num 1 1 PRAMS Survey
tlk_etoh PNC HCP ask if--drinking alcohol(FORCED SKIP) Num 1 1 PRAMS Survey
tlk_hivt j)HCW talk--testing for HIV Num 1 1 PRAMS Survey
tlk_labr i)HCW talk--early labor Num 1 PRAMS Survey
tlk_meds e)HCW talk--safe meds Num 1 1 PRAMS Survey
tlk_pret h)HCW talk--preterm labor signs Num 1 1 PRAMS Survey
tlk_ptlabr PNC HCP talk about--signs and symptoms of Num 1 PRAMS Survey
preterm labor(FORCED SKIP)
tlk_screen PNC HCP talk about--screening for birth defects or Num 1 PRAMS Survey
diseases that run in family(FORCED SKIP)
tlk_smk a)HCW talk--smoking Num 1 1 PRAMS Survey
tlk_smkvap PNC HCP ask if--smoked cigarettes/used Num 1 PRAMS Survey
vapes/other smokeless tobacco(FORCED SKIP)
tlk_wt HCW ask--amt weight gain(FORCED Num 1 1 PRAMS survey
Page 36 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
tlk_wtgn PNC HCP talk about--how much weight should gain Num 1 PRAMS Survey
during pregnancy(FORCED SKIP)
tlk6depr stWA22j)Baby blues/PPD Num 1 PRAMS Survey
tlk6famh stWA22i)Family diseases/birth defects Num 1 1 PRAMS Survey
tlk6wtwa R2 h)HCW ask--amt weight gain Num 1 PRAMS Survey
tod_mth Today--month Num 1 1 1 1 PRAMS Survey
tod_yr4 Today--year Num 1 1 1 1 PRAMS Survey
tox_merc R14 f)Toxo--eating fish Num 1 1 PRAMS Survey
transport_errand During 12 mths bef delivery--lack of transport kept Num 1 PRAMS Survey
from doing errands
transport_medappt During 12 mths bef delivery--lack of transport kept Num 1 PRAMS Survey
from med appts
transport_meetwork During 12 mths bef delivery--lack of transport kept Num 1 PRAMS Survey
from non-med appts/meetings/work
typ_bc Health care type--visit for family planning Num 1 PRAMS survey
typ_bc9 In 12 mths bef preg,Health care type--visit for Num 1 PRAMS Survey
family planning/birth control
typ_dds Health care type--visit with dentist Num 1 PRAMS survey
typ_dds9 In 12 mths bef preg,Health care type--have teeth Num 1 PRAMS Survey
cleaned
typ_doct Health care type--checkup with dr Num 1 PRAMS survey
typ_doct9 In 12 mths bef preg,Health care type--checkup with Num 1 PRAMS Survey
family doctor
typ_iic9 In 12 mths bef preg,Health care type--visit for Num 1 PRAMS Survey
illness/injury/chronic condition
typ_illn Health care type--visit for illness Num 1 PRAMS survey
typ_injr Health care type--visit for injury Num 1 PRAMS survey
typ_mh Health care type--visit for depression or Num 1 PRAMS survey
typ_mh9 In 12 mths bef preg,Health care type--visit for Num 1 PRAMS Survey
depression or anxiety
typ_obgn Health care type--checkup with my Num 1 PRAMS survey
typ_obgn9 In 12 mths bef preg,Health care type--checkup with Num 1 PRAMS Survey
OB/GYN
typ_othr Health care type--other(FORCED SKIP) Num 1 PRAMS survey
typ_othr9 In 12 mths bef preg,Health care type--other Num 1 PRAMS Survey
typ_ucer9 In 12 mths bef preg,Health care type--visit to Char 1 PRAMS Survey
urgent care/emergency room
typ_what Health care type--other specified Char 1 PRAMS survey
vers Phase 6:Survey 1:QDE version 1 Char 1 PRAMS Survey
vitamin Multivitamin--#of times/wk Num 1 1 1 PRAMS survey
vpp_abus PPV ask if--someone hurting emotional/physical Num 1 1 PRAMS Survey
(FORCED SKIP)
vpp_bcm PPV talk about--BC methods(FORCED SKIP) Num 1 1 PRAMS Survey
vpp_check PPV talk about--regularly checking blood pressure Num 1 PRAMS Survey
(FORCED SKIP)
vpp_depr PPV--ask about depression(FORCED Num 1 PRAMS survey
vpp_diab PPV--tested for diabetes(FORCED SKIP) Num 1 1 PRAMS Survey
vpp_dpranx PPV talk about--what to do if feel depressed or Num 1 PRAMS Survey
anxious(FORCED SKIP)
vpp_eat PPV talk about--eating and exercise(FORCED SKIP) Num 1 1 PRAMS Survey
vpp_nsrt PPV--insert IUD or implant(FORCED Num 1 PRAMS survey
vpp_presbc PPV--prescribe birth control(FORCED Num 1 PRAMS survey
vpp_rxdpranx PPV-- prescribed medication for depression or Num 1 PRAMS Survey
anxiety(FORCED SKIP)
vpp_smkvap PPV ask if--smoking cigarettes/using vapes/other Num 1 PRAMS Survey
smokeless tobacco(FORCED SKIP)
vpp_smok PPV--HCW ask about smoking cigs Num 1 PRAMS survey
vpp_vit PPV--folic acid(FORCED SKIP) Num 1 PRAMS survey
vpp_wait PPV talk about--wait before preg(FORCED SKIP) Num 1 1 PRAMS Survey
vpp_warn PPV talk about--warning signs of medical problems Num 1 PRAMS Survey
at risk for due to pregnancy(FORCED SKIP)
Page 37 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
vst_care Home visitor since baby born--to help learn care for Num 1 1 PRAMS Survey
self/baby(FORCED SKIP)
vst_prep Home visitor during pregnancy-- to help prepare for Num 1 1 PRAMS Survey
baby
vstr_abus Home visitor during preg--talk about if someone Num 1 PRAMS Survey
hurting mom emot/phys(FORCED SKIP)
vstr_bf Home visitor during preg--talk about breastfeeding Num 1 PRAMS Survey
(FORCED SKIP)
vstr_drk Home visitor during preg--talk about drinking Num 1 PRAMS Survey
(FORCED SKIP)
vstr_emo Home visitor during preg--talk about emotional well Num 1 PRAMS Survey
being(FORCED SKIP)
vstr_hivt Home visitor during preg--talk about HIV test Num 1 PRAMS Survey
(FORCED SKIP)
vstr_smk Home visitor during preg--talk about smoking Num 1 PRAMS Survey
(FORCED SKIP)
vstr_stit Home visitor during preg--talk about STI tests Num 1 PRAMS Survey
(FORCED SKIP)
vstr_tim Home visitor during preg--times visited(FORCED Num 1 PRAMS Survey
SKIP)
vstr_tst Home visitor during preg--talk about tests for birth Num 1 PRAMS Survey
defects(FORCED SKIP)
vstrb_dk Home visitor since baby born--dont know(FORCED Num 1 PRAMS Survey
SKIP)
vstrb_doul Home visitor since baby born--doula/childbirth Num 1 PRAMS Survey
educator(FORCED SKIP)
vstrb_nurs Home visitor since baby born--nurse/nurses Num 1 PRAMS Survey
aide/midwife(FORCED SKIP)
vstrb_oth Home visitor since baby born--someone else Num 1 PRAMS Survey
(FORCED SKIP)
vstrb_teach Home visitor since baby born--teacher/health Char 1 PRAMS Survey
educator(FORCED SKIP)
vstrp_dk Home visitor dur preg--dont know(FORCED SKIP) Num 1 PRAMS Survey
vstrp_doul Home visitor dur preg--doula/childbirth educator Num 1 PRAMS Survey
(FORCED SKIP)
vstrp_nurs Home visitor dur preg--nurse/nurses aide/midwife Num 1 PRAMS Survey
(FORCED SKIP)
vstrp_oth Home visitor dur preg--someone else(FORCED SKIP) Num 1 PRAMS Survey
vstrp_teach Home visitor dur preg--teacher/health educator Char 1 PRAMS Survey
(FORCED SKIP)
warn_fam During preg got info on warning signs from--family Num 1 PRAMS Survey
or friends(FORCED SKIP)
warn_gotinfo During preg got info on warning signs needing Num 1 PRAMS Survey
medical attention dur/aft preg
warn_hcp During preg got info on warning signs from-- Num 1 PRAMS Survey
healthcare provider(FORCED SKIP)
warn_hearher During preg got info on warning signs from--any Num 1 PRAMS Survey
source using slogan--Hear Her--(FORCED SKIP)
warn_wsm During preg got info on warning signs from-- Num 1 PRAMS Survey
websites or social media(FORCED SKIP)
why_p_crcd_mw Marijuana--why used during preg:relieve symptoms Num 1 PRAMS Survey
of chronic condition(FORCED SKIP)
why_p_fun_mw Marijuana--why used during preg:fun/relax Num 1 PRAMS Survey
(FORCED SKIP)
why_p_nsvm_mw Marijuana--why used during preg:relieve Num 1 PRAMS Survey
nausea/vomiting(FORCED SKIP)
why_p_othr_mw Marijuana--why used during preg:other(FORCED Num 1 PRAMS Survey
SKIP)
why_p_pain_mw Marijuana--why used during preg:relieve pain Num 1 PRAMS Survey
(FORCED SKIP)
why_p_slp_mw Marijuana--why used during preg:help sleep Num 1 PRAMS Survey
(FORCED SKIP)
Page 38 of 50
rev 05/202S
Variable Name Description Type Ph6 Ph7 PM Ph9 Data Source
why_p_strs_mw Marijuana--why used during preg:relieve Char 1 PRAMS Survey
stress/anxiety(FORCED SKIP)
wic_preg WIC--dur preg Num 1 1 PRAMS Survey
wrk_preg During pregnancy--work for pay Num 1 PRAMS Survey
wrknolv9 No leave from job after baby born(FORCED SKIP) Num 1 PRAMS Survey
wrkpolv9 Paid leave from job after baby born(FORCED SKIP) Num 1 PRAMS Survey
wrkupolv9 Unpaid leave from job after baby born(FORCED SKIP) Num 1 PRAMS Survey
dp_hcwppr HCW talk--PPR use during pregnancy harm baby Num 1 1 PRAMS Opioid QX
dp_mat MAT during pregnacy(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_ppr_cod Rx Pain Reliever--Codeine Num 1 1 PRAMS Opioid QX
dp_ppr_fent Rx Pain Reliever--Fentanyl Num 1 1 PRAMS Opioid QX
dp_ppr_hcod Rx Pain Reliever--Hydrocodone Num 1 1 PRAMS Opioid QX
dp_ppr_hmor Rx Pain Reliever--Hydromorphone or meperidine Num 1 1 PRAMS Opioid QX
dp_ppr_mor Rx Pain Reliever--Morphine Num 1 1 PRAMS Opioid QX
dp_ppr_ocod Rx Pain Reliever--Oxycodone Num 1 1 PRAMS Opioid QX
dp_ppr_omor Rx Pain Reliever--Oxymorphone Num 1 1 PRAMS Opioid QX
dp_ppr_tra Rx Pain Reliever--Tramadol Num 1 1 PRAMS Opioid QX
dp_pprcut PPR use--Need cut down(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprcuthlp PPR use--Help cutting down(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprcuttbl PPR use--Trouble cutting down(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprlc_den Location obtain PPR--Dentist or oral health provider Num 1 1 PRAMS Opioid QX
(FORCED SKIP)
dp_pprlc_dr Location obtain PPR--Fam doctor or PCP(FORCED Num 1 1 PRAMS Opioid QX
SKIP)
dp_pprlc_er Location obtain PPR--Emergency room(FORCED Num 1 1 PRAMS Opioid QX
SKIP)
dp_pprlc_fam Location obtain PPR--Friend or family(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprlc_nrx Location obtain PPR--Other way,without a Rx Num 1 1 PRAMS Opioid QX
(FORCED SKIP)
dp_pprlc_ob Location obtain PPR--OBGYN,midwife,prenatal Num 1 1 PRAMS Opioid QX
care(FORCED SKIP)
dp_pprlc_oth Location obtain PPR--Other(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprlc_rx Location obtain PPR--Left over from old Rx(FORCED Char 1 1 PRAMS Opioid QX
SKIP)
dp_pprus_emo Reason for use PPR--Help with feelings or emotions Num 1 1 PRAMS Opioid QX
(FORCED SKIP)
dp_pprus_hgh Reason for use PPR--Feel good or get high(FORCED Num 1 1 PRAMS Opioid QX
SKIP)
dp_pprus_hok Reason for use PPR--Hooked(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprus_inj Reason for use PPR--Relieve pain from injury, Num 1 1 PRAMS Opioid QX
condition or surgery during preg(FORCED SKIP)
dp_pprus_injbp Reason for use PPR--Relieve pain from injury, Num 1 1 PRAMS Opioid QX
condition or surgery before preg(FORCED SKIP)
dp_pprus_oth Reason for use PPR--Other(FORCED SKIP) Num 1 1 PRAMS Opioid QX
dp_pprus_rlx Reason for use PPR--Relax,relieve tension or stress Num 1 1 PRAMS Opioid QX
(FORCED SKIP)
dp_pprus_slp Reason for use PPR--Help sleep(FORCED SKIP) Char 1 1 PRAMS Opioid QX
dp_pruse_acet PR use during pregnancy--Acetaminophen Num 1 1 PRAMS Opioid QX
dp_pruse_asp PR use during pregnancy--Asprin Num 1 1 PRAMS Opioid QX
dp_pruse_ibu PR use during pregnancy--Ibuprofen Num 1 1 PRAMS Opioid QX
dp_pruse_nap PR use during pregnancy--Naproxen Num 1 1 PRAMS Opioid QX
drgp_add Drug use during pregnancy--adderall or other Num 1 1 PRAMS Opioid QX
stimulant(Same as Standard DRUG_03d)
drgp_anxty Drug use during pregnancy--prescription for anxiety Num 1 PRAMS Opioid QX
(Same as Standard DRUG_03b)
drgp_bntn Drug use during pregnancy-- Num 1 PRAMS Opioid QX
benzodiazepines/tranquilizers(Same as Standard
DRUG_03e)
drgp_cbdp Substance use during pregnancy--CBD products Num 1 PRAMS Opioid QX
(Same as Standard DRUG_03h)
drgp_ccn Substance use during pregnancy--Cocaine(Same as Num 1 1 PRAMS Opioid QX
Standard DRUG_03n)
Page 39 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Phil Ph9 Data Source
drgp_depr Drug use during pregnancy--prescription for Num 1 PRAMS Opioid QX
depression(Same as Standard DRUG_03a)
drgp_fnthrn Drug use during pregnancy--fentanyl/heroin(Same Num 1 PRAMS Opioid QX
as Standard DRUG_031)
drgp_k2 Drug use during pregnancy--synthetic marijuana or Num 1 1 PRAMS Opioid QX
K2,spice(Same as Standard DRUG_03j)
drgp_krat Drug use during pregnancy—kratom(Same as Num 1 PRAMS Opioid QX
Standard DRUG_03k)
drgp_Isd Substance use during pregnancy--Hallucinogens, Num 1 1 PRAMS Opioid QX
LSD(Same as Standard DRUG_03o)
drgp_mjcan Drug use during pregnancy--marijuana/cannabis Num 1 PRAMS Opioid QX
(Same as Standard DRUG_03h)
drgp_mtdn Drug use during pregnancy-- Num 1 PRAMS Opioid QX
methadone/buprenorphine(Same as Standard
DRUG_03f)
drgp_nalo Drug use during pregnancy-- naloxone(Same as Num 1 PRAMS Opioid QX
Standard DRUG_03g)
drgp_rx Drug use during pregnancy--prescription pain(Same Num 1 PRAMS Opioid QX
as Standard DRUG_03c)
drgp_spd Drug use during pregnancy--amphetamines,meth Num 1 1 PRAMS Opioid QX
(Same as Standard DRUG_03m)
pprhrm_inf PPR risk--baby Num 1 1 PRAMS Opioid QX
pprhrm_mom PPR risk--mom Num 1 1 PRAMS Opioid QX
tl_pprtm_Ingth Time used PPR--1st trim-length of time Num 1 1 PRAMS Opioid QX
T1_PPRTM_LNGTU
tl_pprtm_Ingtu Time used PPR--1st trim-wks/months(FORCED Num 1 1 PRAMS Opioid QX
SKIP)
t2_pprtm_Ingth Time used PPR--2nd trim-length of time Num 1 1 PRAMS Opioid QX
T1_PPRTM_LNGTU
t2_pprtm_Ingtu Time used PPR--2nd trim-wks/months Num 1 1 PRAMS Opioid QX
T1_PPRTM_LNGTU
t3_pprtm_Ingth Time used PPR--3rd trim-length of time Num 1 1 PRAMS Opioid QX
T1_PPRTM_LNGTU
t3_pprtm_Ingtu Time used PPR--3rd trim-wks/months Num 1 1 PRAMS Opioid QX
T1_PPRTM_LNGTU
drgp_anx Substance use during pregnancy--Medication for Num 1 PRAMS Opioid
anxiety
drgp_cbd Substance use during pregnancy--CBD Num 1 PRAMS Opioid
drgp_dep Substance use during pregnancy--Medication for Num 1 PRAMS Opioid
depression
drgp_hrn Substance use during pregnancy--Heroin Num 1 PRAMS Opioid
drgp_huf Substance use during pregnancy--Huffing Num 1 PRAMS Opioid
drgp_mj Substance use during pregnancy--Marijuana Num 1 PRAMS Opioid
drgp_mth Substance use during pregnancy--Methadone Num 1 PRAMS Opioid
drgp_nal Substance use during pregnancy--Naloxone Num 1 PRAMS Opioid
drgp_tnq Substance use during pregnancy--Tranquilizers Num 1 PRAMS Opioid
dp_covac COVID-19 vaccination during pregnancy Num 1 PRAMS COVID Vax
hcw_ofrvac HCW do during pregnancy--Offered COVID-19 Num 1 PRAMS COVID Vax
vaccine
hcw_recvac HCW do during pregnancy--Recommend COVID-19 Num 1 PRAMS COVID Vax
vaccine
hcw_refvac HCW do during pregnancy--Referred for COVID-19 Num 1 PRAMS COVID Vax
vaccine
hcw_tlkvac HCW do during pregnancy--Talk about COVID-19 Num 1 PRAMS COVID Vax
vaccine
infcovac Trusted sources of information for COVID-19 vaccine Num 1 PRAMS COVID Vax
pp_covac Postnatal COVID-19 vaccination(FORCED SKIP) Num 1 PRAMS COVID Vax
vacbar_altmet Barriers COVID-19 vaccine--Preferred other Num 1 PRAMS COVID Vax
methods(FORCED SKIP)
vacbar_noben Barriers COVID-19 vaccine--Vaccines not beneficial Num 1 PRAMS COVID Vax
(FORCED SKIP)
Page 40 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
vacbar_norsk Barriers COVID-19 vaccine--Not at risk(FORCED Num 1 PRAMS COVID Vax
SKIP)
vacbar_oth Barriers COVID-19 vaccine--Other(FORCED SKIP) Num 1 PRAMS COVID Vax
vacbar_prot Barriers COVID-19 vaccine--Think it would not Num 1 PRAMS COVID Vax
protect(FORCED SKIP)
vacbar_serill Barriers COVID-19 vaccine--Not serious illness Num 1 PRAMS COVID Vax
(FORCED SKIP)
vacbarr_alrg Barriers COVID-19 vaccine--Allergy(FORCED SKIP) Num 1 PRAMS COVID Vax
vacbarr_alwd Barriers COVID-19 vaccine--Not allowed(FORCED Num 1 PRAMS COVID Vax
SKIP)
vacbarr_appt Barriers COVID-19 vaccine--No appointment Num 1 PRAMS COVID Vax
(FORCED SKIP)
vacbarr_avail Barriers COVID-19 vaccine--Not available(FORCED Num 1 PRAMS COVID Vax
SKIP)
vacbarr_cov Barriers COVID-19 vaccine--Already had COVID-19 Num 1 PRAMS COVID Vax
(FORCED SKIP)
vacbarr_devtm Barriers COVID-19 vaccine--Concerned developed Num 1 PRAMS COVID Vax
quickly(FORCED SKIP)
vacbarr_efinf Barriers COVID-19 vaccine--Concerned side effects Num 1 PRAMS COVID Vax
for baby(FORCED SKIP)
vacbarr_efmom Barriers COVID-19 vaccine--Concerned side effects Num 1 PRAMS COVID Vax
for mom(FORCED SKIP)
vacbarr_elig Barriers COVID-19 vaccine--Not eligible(FORCED Num 1 PRAMS COVID Vax
SKIP)
vacbarr_hcwno Barriers COVID-19 vaccine--HCW told not to get Num 1 PRAMS COVID Vax
(FORCED SKIP)
vacbarr_info Barriers COVID-19 vaccine--Not enough information Num 1 PRAMS COVID Vax
(FORCED SKIP)
vacbarr_tran Barriers COVID-19 vaccine--No transportation Num 1 PRAMS COVID Vax
(FORCED SKIP)
vacbarr_vacbp Barriers COVID-19 vaccine--Vaccinated before Num 1 PRAMS COVID Vax
pregnancy(FORCED SKIP)
work_none Work Activities--None Num 1 PRAMS COVID Vax
wrk_hltcr Work Activities--Health no direct medical care Num 1 PRAMS COVID Vax
wrk_medcr Work activities--Health direct medical care Num 1 PRAMS COVID Vax
wrk_nopubl Work Activities--No contact public Num 1 PRAMS COVID Vax
wrk_publ Work Activities--Regular contact public Num 1 PRAMS COVID Vax
_ashk_ew Ashkenazi Jewish heritage Num 1 PRAMS CANCER
br_ovcnr Breast cancer-with ovarian cancer Num 1 PRAMS CANCER
brcnr_2side Breast cancer-bilateral Num 1 PRAMS CANCER
brcnr_aunt Breast cancer-aunt Num 1 PRAMS CANCER
brcnr_bro Breast cancer-brother Num 1 PRAMS CANCER
brcnr_cous Breast cancer-cousin Num 1 PRAMS CANCER
brcnr_d_dad Breast cancer-fathers dad Num 1 PRAMS CANCER
brcnr_d_mom Breast cancer-fathers mom Num 1 PRAMS CANCER
brcnr_dad Breast cancer-father Num 1 PRAMS CANCER
brcnr_m_dad Breast cancer-mothers dad Num 1 PRAMS CANCER
brcnr_m_mom Breast cancer-mothers mom Num 1 PRAMS CANCER
brcnr_mom Breast cancer-mother Num 1 PRAMS CANCER
brcnr_naunt Breast cancer-#of aunts Num 1 PRAMS CANCER
brcnr_nbro Breast cancer-#of brothers Num 1 PRAMS CANCER
brcnr_ncous Breast cancer-#of counsins Num 1 PRAMS CANCER
brcnr_nsis Breast cancer-#of sisters Num 1 PRAMS CANCER
brcnr_nuncle Breast cancer-#of uncles Num 1 PRAMS CANCER
brcnr_sis Breast cancer-sister Num 1 PRAMS CANCER
brcnr_uncle Breast cancer-uncle Num 1 PRAMS CANCER
brcnr_young Breast cancer-age 50 or younger Num 1 PRAMS CANCER
cnr_couns Talk to genetic counselor about cancer Num 1 PRAMS CANCER
coun_brcnr Counseling for breast cancer(FORCED Num 1 PRAMS CANCER
coun_other Counseling for other cancer(FORCED Num 1 PRAMS CANCER
coun_ovcnr Counseling for ovarian cancer(FORCED Num 1 PRAMS CANCER
couns_reason Reason for talking to genetic counselor Num 1 PRAMS CANCER
Page 41 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
ovcnr_aunt Ovarian cancer-aunt Num 1 PRAMS CANCER
ovcnr_cous Ovarian cancer-cousin Num 1 PRAMS CANCER
ovcnr_d_mom Ovarian cancer-fathers mom Num 1 PRAMS CANCER
ovcnr_m_mom Ovarian cancer-mothers mom Num 1 PRAMS CANCER
ovcnr_mom Ovarian cancer-mom Num 1 PRAMS CANCER
ovcnr_naunt Ovarian cancer-#of aunts Num 1 PRAMS CANCER
ovcnr_ncous Ovarian cancer-#of cousins Num 1 PRAMS CANCER
ovcnr_nsis Ovarian cancer-#of sisters Num 1 PRAMS CANCER
ovcnr_sis Ovarian cancer-sister Num 1 PRAMS CANCER
father_year_of_birth Father's year of birth Num 1 1 DOH Calculated from Birth
marital_status Marital status of mother Num 1 DOH Calculated from Birth
ach Accountable Communities of Health(ACH) Num 1 1 DOH Calculated
age1517 Mother's age at birth,indicating if 15-17 years old or Num 1 1 DOH Calculated
not
age4 Mother's age at time of birth in 4 categories Num 1 1 DOH Calculated
ages Mother's age at time of birth in 5 categories: Num 1 1 DOH Calculated
age6 Mother's age at time of birth in 6 categories Num 1 1 DOH Calculated
agetn Mother's age at birth,indicating if teenager Num 1 1 DOH Calculated
cnty_res Mom's county of resident-ONLY USED IN FILES FOR Num 1 1 DOH Calculated
LHJs
dadrace Father's race,grouped Num 1 1 DOH Calculated
ed2 Mother's education,less than high school degree Num 1 1 DOH Calculated
fpc Finite population correction factor:samcnt/totcnt Num 1 1 DOH Calculated
lbw Low birth weight flag Num 1 1 DOH Calculated
momrace Mother's race,grouped Num 1 1 DOH Calculated
mother_month_of_birth Mother's month of birth extracted from Num 1 DOH Calculated
father_date_of_birth(birth certificate)
mother_year_of_birth Mother's year of birth extracted from Num 1 DOH Calculated
father_date_of_birth(birth certificate)
mrace_aian_calc Mother's race-american indian/alaska native(alone Num 1 DOH Calculated
or in combination)
mrace_asian_calc Mother's race-asian(alone or in combination) Num 1 DOH Calculated
mrace_black_calc Mother's race-black(alone or in combination) Num 1 DOH Calculated
mrace_nhpi_calc Mother's race-native hawaiian pacific islander Num 1 DOH Calculated
(alone or in combination)
mrace_white_calc Mother's race-white(alone or in combination) Num 1 DOH Calculated
pgint3 Pregnancy intention(3 categories) Num 1 1 DOH Calculated
race_dad Mother's race calculated by NCHS Num 1 DOH Calculated
race_mom Mother's race calculated by NCHS Num 1 DOH Calculated
race7 Race/Ethnicity,Hispanic regardless of race,then race Num 1 1 DOH Calculated
categories
sex_num Infant sex-numeric Num 1 DOH Calculated
stratumy Stratification variable Num 1 1 DOH Calculated
vlbw Very low birth weight flag Num 1 1 DOH Calculated
abnormal_conditions_none Abnormal Conditions of Newborn,None of the above Char 1 1 DOH Birth Certificate
abnormal_conditions_unknown Abnormal Conditions of Newborn,Unknown Char 1 1 DOH Birth Certificate
anencephaly Congenital Malformations,Anencephaly Char 1 1 DOH Birth Certificate
anesthesia Characteristics of Labor and Delivery,Anesthesia Char 1 1 DOH Birth Certificate
During Labor
antibiotics Characteristics of Labor and Delivery,Antibiotics Num 1 1 DOH Birth Certificate
Received by Mother
apgar_10 APGAR Score-10 Minute Num 1 1 DOH Birth Certificate
apgar_5 APGAR Score-5 Minute Char 1 1 DOH Birth Certificate
assist_vent Abnormal Conditions of Newborn,Assisted Char 1 1 DOH Birth Certificate
Ventilation,Immediate
assist_vent_6 Abnormal Conditions of Newborn,Assisted Char 1 1 DOH Birth Certificate
Ventilation,Over 6 Hours
assisted_reproduction Medical Risk Factor,Infertility Treatments,ART Char 1 1 DOH Birth Certificate
attempt_forceps Method of Delivery,Forceps Failed Char 1 1 DOH Birth Certificate
attempt_vacuum Method of Delivery,Vacuum Extraction Failed Char 1 1 DOH Birth Certificate
attendant_title Title of Attendant Char 1 1 DOH Birth Certificate
Page 42 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
augmentation Characteristics of Labor and Delivery,Augmentation Char 1 1 DOH Birth Certificate
of Labor
birthplace_state_nchs_code Birthplace State NCHS code Num 1 1 DOH Birth Certificate
calculated_gestation Calculated Gestation from last menses Num 1 1 DOH Birth Certificate
certifier_class Classification of Certifier Num 1 1 DOH Birth Certificate
certyear Birth Certificate Year Char 1 1 DOH Birth Certificate
cervical_cerclage Obstetric Procedure,Cervical Cerclage Char 1 1 DOH Birth Certificate
child_antibiotics Abnormal Conditions of Newborn,Antibiotics for Char 1 1 DOH Birth Certificate
Newborn Sepsis
child_injury Abnormal Conditions of Newborn,Birth injury Char 1 1 DOH Birth Certificate
child_seizure Abnormal Conditions of Newborn,Seizure Char 1 1 DOH Birth Certificate
child_transfer Baby Transferred to Another Facility Char 1 1 DOH Birth Certificate
chlamydia Maternal Infections,Chlamydia Char 1 1 DOH Birth Certificate
chorioamnionitis Characteristics of Labor and Delivery, Char 1 1 DOH Birth Certificate
Chorioamnionitis Diagnosed
cleft_lip Congenital Malformations,Cleft Lip Char 1 1 DOH Birth Certificate
cleft_palate Congenital Malformations,Cleft Palate Char 1 1 DOH Birth Certificate
congenital_anomaly_none Congenital Malformations,None of the Above Char 1 1 DOH Birth Certificate
congenital_anomaly_unknown Congenital Malformations,Unknown Char 1 1 DOH Birth Certificate
congenital_heart Congenital Malformations,Cyanotic Congenital Heart Char 1 1 DOH Birth Certificate
Disease
congenital_hernia Congenital Malformations,Congenital Diaphragmatic Char 1 1 DOH Birth Certificate
Hernia
delivery_method_calculation Delivery Method,CalculatedNumeric Num 1 1 DOH Birth Certificate
delivery_method_final Method of Delivery,Final Route and Method Char 1 1 DOH Birth Certificate
down_confirm Congenital Malformations,Down Syndrome Char 1 1 DOH Birth Certificate
Karyotype Confirmed
down_pending Congenital Malformations,Down Syndrome Char 1 1 DOH Birth Certificate
Karyotype Pending
down_syndrome Congenital Malformations,Down Syndrome Char 1 1 DOH Birth Certificate
ecv_failed Obstetric Procedure,External Cephalic Version, Char 1 1 DOH Birth Certificate
Failed
ecv_success Obstetric Procedure,External Cephalic Version, Char 1 1 DOH Birth Certificate
Successful
facility_type Type of Birth Facility Char 1 1 DOH Birth Certificate
father_birthplace_country_fips_c Father Birthplace Country FIPS Code Char 1 1 DOH Birth Certificate
father_birthplace_state Father's Birth State-Literal Char 1 1 DOH Birth Certificate
father_calculated_age Father's Age Char 1 1 DOH Birth Certificate
father_education Father's Education Level Highest grade completed by Num 1 1 DOH Birth Certificate
the mother.
father_hispanic Father's Hispanic Origin Char 1 1 DOH Birth Certificate
father_race_summary_code Father's Summary Race Char 1 1 DOH Birth Certificate
fertility_treatment Medical Risk Factor,Infertility Treatments,Drugs Char 1 1 DOH Birth Certificate
fetal_intolerance Characteristics of Labor and Delivery, Fetal Num 1 1 DOH Birth Certificate
Intolerance of Labor
fetal_presentation Method of Delivery,Fetal Presentation Char 1 1 DOH Birth Certificate
gastroschisis Congenital Malformations,Gastrochisis Char 1 1 DOH Birth Certificate
gestation_calculated_flag Gestation,Calculated Flag Num 1 1 DOH Birth Certificate
gestation_estimate Gestation Estimate in Weeks Char 1 1 DOH Birth Certificate
gestational_diabetes Medical Risk Factor,Diabetes,Gestational Char 1 1 DOH Birth Certificate
gestational_hypertention Medical Risk Factor,Hypertension,Gestational Char 1 1 _ DOH Birth Certificate
gonorrhea Maternal Infections,Gonorrhea Char 1 1 DOH Birth Certificate
group_b_strep Medical Risk Factor,Group B Strep Num 1 1 DOH Birth Certificate
head_circumference Child's Head Circumference,Centimeters Char 1 1 DOH Birth Certificate
hep_b Maternal Infections,Hepatitis B Char 1 1 DOH Birth Certificate
hep_c Maternal Infections,Hepatitis C Char -
1 1 DOH Birth Certificate
herpes Maternal Infections,Herpes Simplex Virus(HSV) Char 1 1 DOH Birth Certificate
hiv Maternal Infections,HIV Infection Char 1 1 DOH Birth Certificate
hypertension_eclampsia Medical Risk Factor,Hypertension,Eclampsia Char 1 1 DOH Birth Certificate
hypospadias Congenital Malformations,Hypospadias Char 1 1 DOH Birth Certificate
hysterectomy Maternal Morbidity,Unplanned Hysterectomy Char 1 1 DOH Birth Certificate
Page 43 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
induction Characteristics of Labor and Delivery,Induction of Char 1 1 DOH Birth Certificate
Labor
infections_none Maternal Infections,None of the Above Char 1 1 DOH Birth Certificate
infections_other Maternal Infections,Other Char 1 1 DOH Birth Certificate
infections_other_specify Maternal Infections,Other Literal Specify Char 1 1 DOH Birth Certificate
infections_unknown Maternal Infections,Unknown Char 1 1 DOH Birth Certificate
intended_facility Intended Facility Type Char 1 1 DOH Birth Certificate
intensive_care Maternal Morbidity,Admission to Intensive Care Char 1 1 DOH Birth Certificate
Unit
labor_onset_none Onset of Labor,None of the Above Char 1 1 DOH Birth Certificate
labor_onset_unknown Onset of Labor,Unknown Char 1 1 DOH Birth Certificate
last_prenatal_visit_month Last Prenatal Care Visit Month Char 1 1 DOH Birth Certificate
last_prenatal_visit_year Last Prenatal Care Visit Year Char 1 1 DOH Birth Certificate
limb_defect Congenital Malformations,Limb Reduction Defect Char 1 1 DOH Birth Certificate
mat_labor_characteristics_none Characteristics of Labor and Delivery, None of the Char 1 1 DOH Birth Certificate
above
mat_labor_characteristics_unk Characteristics of Labor and Delivery,Unknown Char 1 1 DOH Birth Certificate
maternal_morbidity_none Maternal Morbidity,None of the Above Char 1 1 DOH Birth Certificate
maternal_morbidity_unknown Maternal Morbidity,Unknown Char 1 1 DOH Birth Certificate
maternal_transfusion Maternal Morbidity,Maternal Transfusion Char 1 1 DOH Birth Certificate
meconium_stain Characteristics of Labor and Delivery,Meconium Num 1 1 DOH Birth Certificate
Staining
month_prenatal_care_began Month Prenatal Care Began Char 1 1 DOH Birth Certificate
mother_birthplace_country_fips_c Mother Birthplace Country FIPS Code Char 1 1 DOH Birth Certificate
mother_birthplace_state Mother's Birth State-Literal Char 1 1 DOH Birth Certificate
mother_education Mother's Education Level Highest grade completed Num 1 1 DOH Birth Certificate
by the mother.
mother_hispanic Mother's Hispanic Origin Char 1 1 DOH Birth Certificate
mother_months_at_residence Mother's Months Residence Num 1 1 DOH Birth Certificate
mother_race_summary_code Mother's Summary Race Char 1 1 DOH Birth Certificate
mother_residence_county Mother's Residence County Char 1 1 DOH Birth Certificate
mother_residence_county_wa_code Mother Residence County WA Code Char 1 1 DOH Birth Certificate
mother_residence_state_nchs_code Mother Residence State NCHS Code Char 1 1 DOH Birth Certificate
mother_transfer Mother Transferred After Attempted Delivery Num 1 1 DOH Birth Certificate
mother_years_at_residence Mother's Years Residence Char 1 1 DOH Birth Certificate
msb Congenital Malformations,Meningomyelocele/Spina Num 1 1 DOH Birth Certificate
Bifida
nchs_month_prenatal_care_began NCHS Prenatal Care Char 1 1 DOH Birth Certificate
nicu_admission Abnormal Conditions of Newborn,NICU Admission Char 1 1 DOH Birth Certificate
non_vertex_presentation Characteristics of Labor and Delivery,Non Vertex Num 1 1 DOH Birth Certificate
Presentation
num_prev_cesarean Medical Risk Factor,Number of Previous Cesarean Char 1 1 DOH Birth Certificate
Sections
obstet_proc_none Obstetric Procedure,None of the Above Char 1 1 DOH Birth Certificate
obstet_proc_unknown Obstetric Procedure,Unknown Char 1 1 DOH Birth Certificate
omphalocele Congenital Malformations,Omphalocele Char 1 1 DOH Birth Certificate
operation Maternal Morbidity,Unplanned Operating Room Char 1 1 DOH Birth Certificate
Procedure
other_chrom Congenital Malformations,Chromosomal Disorder Char 1 1 DOH Birth Certificate
other_chrom_confirm Congenital Malformations,Chromosomal Disorder Char 1 1 DOH Birth Certificate
Karyotype Confirmed
other_chrom_pending Congenital Malformations,Chromosomal Disorder Num 1 1 DOH Birth Certificate
Karyotype Pending
other_preg_outcomes Other Pregnancy Outcomes Num 1 1 DOH Birth Certificate
other_preg_outcomes_month Other Preg Outcomes Month Num 1 1 DOH Birth Certificate
other_preg_outcomes_year Other Preg Outcomes Year Char 1 1 DOH Birth Certificate
perineal_laceration Maternal Morbidity,Perineal Laceration Char 1 1 DOH Birth Certificate
poor_preg_outcomes Medical Risk Factor,Other Previous Poor Pregnancy Char 1 1 DOH Birth Certificate
Outcomes
precipitous_labor Onset of Labor,Precipitous Labor Char 1 1 DOH Birth Certificate
prepreg_diabetes Medical Risk Factor,Diabetes,Prepregnancy Char 1 1 DOH Birth Certificate
Page 44 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
prepreg_hypertension Medical Risk Factor,Hypertension,Prepregnancy Char 1 1 DOH Birth Certificate
preterm_births Medical Risk Factor,Previous Preterm Birth Char 1 1 DOH Birth Certificate
previous_cesarean Medical Risk Factor,Previous Cesarean Section Num 1 1 DOH Birth Certificate
prior_live_births_deceased Number of Prior Live Births,Now Dead Num 1 1 DOH Birth Certificate
prior_live_births_living Number of Prior Live Births,Now Living Char 1 1 DOH Birth Certificate
prolonged_labor Onset of Labor,Prolonged Labor Char 1 1 DOH Birth Certificate
risk_factors_none Medical Risk Factor,None of the Above Char 1 1 DOH Birth Certificate
risk_factors_unknown Medical Risk Factor,Unknown Char 1 1 DOH Birth Certificate
ruptured_membranes Onset of Labor,Premature Rupture of Membranes Char 1 1 DOH Birth Certificate
ruptured_uterus Maternal Morbidity,Ruptured Uterus Char 1 1 DOH Birth Certificate
source_of_payment Delivery Source of Payment Char 1 1 DOH Birth Certificate
steroids Characteristics of Labor and Delivery,Steroids for Char 1 1 DOH Birth Certificate
Fetal Lung
surfactant Abnormal Conditions of Newborn,Surfactant Char 1 1 DOH Birth Certificate
Replacement
syphilis Maternal Infections,Syphilis Char 1 1 DOH Birth Certificate
tocolysis Obstetric Procedure,Tocolysis Char 1 1 DOH Birth Certificate
vaginal_bleeding Medical Risk Factor,Vaginal Bleeding Char 1 1 DOH Birth Certificate
cell BC WT:RECLASSIFIED STRATUM Num 1 1 1 1 CDC Weighting
inqx In Combined Questionnaire Num 1 1 1 1 CDC Weighting
nest_yr BC WT:YEAR(SUDAAN NEST VARIABLE) Num 1 1 1 1 CDC Weighting
sam_yrs BC WT:NUMBER OF YEARS(SUD SAMCNT VAR) Num 1 1 1 1 CDC Weighting
samcnt BC WT:SAMPLE COUNT Num 1 1 1 1 CDC Weighting
stratumc BC WT:STRATA STATE'S COMBINED Num 1 1 1 1 CDC Weighting
sud_nest Combined the state stratification scheme(variable Num 1 1 CDC Weighting
STRATUMC)and sample year(variable NEST_YR)into
totcnt BC WT:TOTAL COUNT Num 1 1 1 1 CDC Weighting
wtanal BC WT:ANALYSIS WT Num 1 1 1 1 CDC Weighting
wtfour BC WT:FULL-YEAR WT Num 1 CDC Weighting
wtone BC WT:SAMPLE WEIGHT Num 1 1 1 1 CDC Weighting
wtthree BC WT:NONCOVERAGE WT Num 1 1 1 1 CDC Weighting
wttwo BC WT:NONRESPONSE WT Char 1 1 1 1 CDC Weighting
batch BATCH NUMBER Num 1 1 1 1 CDC Operations
id MOTHERS ID NUMBER Num 1 1 1 1 CDC Operations
language Language--English/Spanish/Chinese Num 1 1 1 1 CDC Operations
mode_prt MODE OF PARTICIPATION Num 1 1 1 1 CDC Operations
modecont MODE OF CONTACT Num 1 1 1 1 CDC Operations
qx_phase QUESTIONNAIRE PHASE NUMBER Num 1 1 1 1 CDC Operations
type Type of survey response Char 1 1 1 1 CDC Operations
border Birth order Num 1 1 1 1 CDC Birth Certificate
bc_yrllb VAR BC:YEARS SINCE LAST LIVE BTH Num 1 1 1 1 CDC Birth Certificate
brstfed Infant being breast-fed? Num 1 1 1 1 CDC Birth Certificate
_cig_ltri No.of cigarettes smoked daily-lst trimester Num 1 1 1 1 CDC Birth Certificate
cig_2tri No.of cigarettes smoked daily-2nd trimester Num 1 1 1 1 CDC Birth Certificate
cig_3tri No.of cigarettes smoked daily-3rd trimester Num 1 1 1 1 CDC Birth Certificate
cig_prior No.of cigarettes smoked daily-prior to preg Num 1 1 1 1 CDC Birth Certificate
defect Was the baby born with a birth defect? Num 1 1 1 1 CDC Birth Certificate
del_lcs C-sect,1st Num 1 1 1 1 CDC Birth Certificate
del_forc Forceps delivery Num 1 1 1 1 CDC Birth Certificate
del_rcs Repeated C-section Num 1 1 1 1 CDC Birth Certificate
del_vacm Vacuum delivery Num 1 1 1 1 CDC Birth Certificate
del_vag Vaginal delivery Num 1 1 1 1 CDC Birth Certificate
del_vcs Vaginal delivery after C-section Num 1 1 1 1 CDC Birth Certificate
ever_mar Ever married Num 1 1 1 1 CDC Birth Certificate
fhisp_bc Fathers Hispanic ethnicity Num 1 1 1 1 CDC Birth Certificate
frace_ami Paternal race-American Indian/Alaska native Num 1 1 1 1 CDC Birth Certificate
frace_asi Paternal race-Asian Indian Num 1 1 1 1 CDC Birth Certificate
frace_asn_naphsis Paternal Race Asian grouped Num 1 1 1 1 CDC Birth Certificate
frace_aso Paternal race-other Asian Num 1 1 1 1 CDC Birth Certificate
frace_blk Paternal race-Black Num 1 1 1 1 CDC Birth Certificate
frace_chn Paternal race-Chinese Num 1 1 1 1 CDC Birth Certificate
Page 45 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 PM Ph9 Data Source
frace_flp Paternal race-Filipino Num 1 1 1 1 CDC Birth Certificate
frace_gam Paternal race-Guamanian or Chamorro Num 1 1 1 1 CDC Birth Certificate
fracejpn Paternal race-Japanese Num 1 1 1 1 CDC Birth Certificate
frace_kor Paternal race-Korean Num 1 1 1 1 CDC Birth Certificate
frace_nhw Paternal race-Native Hawaiian Num 1 1 1 1 CDC Birth Certificate
frace_oth Paternal race-Other Num 1 1 1 1 CDC Birth Certificate
frace_pio Paternal race-Other Pacific Islander Num 1 1 1 1 CDC Birth Certificate
frace_sam Paternal race-Samoan Num 1 1 1 1 CDC Birth Certificate
frace_vtm Paternal race-Vietnamese Num 1 1 1 1 CDC Birth Certificate
frace_wht Paternal race-White Num 1 1 1 1 CDC Birth Certificate
gest_wk Obstetric estimation of gestation Num 1 1 1 1 CDC Birth Certificate
gest_wk_naphsis Clinical estimate of gestational age grouped Num 1 1 1 1 CDC Birth Certificate
gram Birth weight(GM) Num 1 1 1 1 CDC Birth Certificate
gram_naphsis Birth weight grouped into 250-gram intervals Num 1 1 1 1 CDC Birth Certificate
hisp_bc Mother Hispanic? Num 1 1 1 1 CDC Birth Certificate
infer_tr Infertility treatment Num 1 1 1 1 CDC Birth Certificate
kessner Kessner Index Num 1 1 1 1 CDC Birth Certificate
kotelchuck Kotelchuck Index Num 1 1 1 1 CDC Birth Certificate
Iga Large for Gestational Age Based on 90th Percentile Num 1 1 1 1 CDC Birth Certificate
macrosomia Macrosomia: >=4500 gram birth weight Num 1 1 1 1 CDC Birth Certificate
married Marital status Num 1 1 1 1 CDC Birth Certificate
mat_age Maternal age Num 1 1 1 1 CDC Birth Certificate
mat_age_naphsis Maternal age grouped Num 1 1 1 1 CDC Birth Certificate
mat_deg Maternal highest degree received Num 1 1 1 1 CDC Birth Certificate
mat_dlwt Maternal weight-at delivery Num 1 1 1 1 CDC Birth Certificate
mat_ed Maternal years of education Num 1 1 1 1 CDC Birth Certificate
mat_htft Maternal height-Feet Num 1 1 1 1 CDC Birth Certificate
mat_htin Maternal height-Inches Num 1 1 1 1 CDC Birth Certificate
mat_prwt Maternal weight-Prepregnancy Num 1 1 1 1 CDC Birth Certificate
mat_race Maternal Race Num 1 1 1 1 CDC Birth Certificate
mat_tran Mother transferred? Num 1 1 1 1 CDC Birth Certificate
mat_wic Mother get WIC food during pregnancy? Num 1 1 1 1 CDC Birth Certificate
mm_diab BC:Gestational diabetes? Num 1 1 1 1 CDC Birth Certificate
mm_dob Month of birth Num 1 1 1 1 CDC Birth Certificate
mm_fever BC:mom had fever Note:This variable is from the Num 1 1 1 1 CDC Birth Certificate
"Characteristics of Labor and Delivery(45)"secti
mm_hbp BC:hypertension?Note:This variable is from the Num 1 1 1 1 CDC Birth Certificate
"Risk factors in this pregnancy(41)"section oft _
_mm_Ilb Month last live birth Num 1 1 1 1 CDC Birth Certificate
mm_Imp Month of last menstrual period Num 1 1 1 1 CDC Birth Certificate
mm_mdob Maternal month of birth Num 1 1 1 1 CDC Birth Certificate
mm_nomd BC:No medical risk factors?Note:This variable is Num 1 1 1 1 CDC Birth Certificate
coded as"yes"if prepregnancy diabetes,gestati
mm_pcv Month of first prenatal care visit Num 1 1 1 1 CDC Birth Certificate
mm_prom BC:mom premature ruptured membrane Num 1 1 1 1 CDC Birth Certificate
mom_bmi_bc VAR:MOM BODY MASS INDEX FROM BC Num 1 1 1 1 CDC Birth Certificate
mom_bmig_bc VAR:MOM BMI GROUPED FROM BC Char 1 1 1 1 CDC Birth Certificate
mom_res Maternal county of residence Char 1 1 1 1 CDC Birth Certificate
momcig No.of cigarettes smoked daily during pregnancy Num 1 1 1 1 CDC Birth Certificate
Note:This variable is calculated by finding the ave _
momlbs Maternal weight gain(LBS) Num 1 1 1 1 CDC Birth Certificate
momsmoke Did mom smoke?Note:This variable is coded"yes"if Num 1 1 1 1 CDC Birth Certificate
Mom smoked in any of the three trimesters.
mrace_ami Maternal race-American Indian/Alaska native Num 1 1 1 1 CDC Birth Certificate
mrace_asi Maternal race-Asian Indian Num 1 1 1 1 CDC Birth Certificate
mrace_asn_naphsis Maternal Race Asian grouped Num 1 1 1 1 CDC Birth Certificate
mrace_aso Maternal race-other Asian Num 1 1 1 1 CDC Birth Certificate
mrace_blk Maternal race-Black Num 1 1 1 1 CDC Birth Certificate
mrace_chn Maternal race-Chinese Num 1 1 1 1 CDC Birth Certificate
mrace_flp Maternal race-Filipino Num 1 1 1 1 CDC Birth Certificate
mrace_gam Maternal race-Guamanian or Chamorro Num 1 1 1 1 CDC Birth Certificate
Page 46 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
mracejpn Maternal race-Japanese Num 1 1 1 1 CDC Birth Certificate
mrace_kor Maternal race-Korean Num 1 1 1 1 CDC Birth Certificate
mrace_nhw Maternal race-Native Hawaiian Num 1 1 1 1 CDC Birth Certificate
mrace_oth Maternal race-Other Num 1 1 1 1 CDC Birth Certificate
mrace_pio Maternal race-Other Pacific Islander Num 1 1 1 1 CDC Birth Certificate
mrace_sam Maternal race-Samoan Num 1 1 1 1 CDC Birth Certificate
mrace_vtm Maternal race-Vietnamese Num 1 1 1 1 CDC Birth Certificate
mrace_wht Maternal race-White Num 1 1 1 1 CDC Birth Certificate
nchs_urb_rur2 Urban/rural coding from NCHS-2 levels Num 1 1 CDC Birth Certificate
oth_term No.of Previous Other Pregnancy Outcomes Note: Num 1 1 1 1 CDC Birth Certificate
This variable is from the"NUMBER OF OTHER
PREGNANCY
p_prterm Previous preterm births Num 1 1 1 1 CDC Birth Certificate
pat_ack Acknowledgment of paternity Num 1 1 1 1 CDC Birth Certificate
pat_deg Paternal highest degree received Num 1 1 1 1 CDC Birth Certificate
pat_ed Paternal years of education Num 1 1 1 1 CDC Birth Certificate
pat_race Paternal Race Num 1 1 1 1 CDC Birth Certificate
pay Method of payment Num 1 1 1 1 CDC Birth Certificate
plural Plurality Num 1 1 1 1 CDC Birth Certificate
pnc_ltrm_bc START PNC 1ST TRIMESTER? Num 1 CDC Birth Certificate
pnc_mth Month of first prenatal care visit Note:This variable Num 1 1 1 1 CDC Birth Certificate
is calculated using the Date of Last Menstrua
pnc_vst Number of prenatal care visit Num 1 1 1 1 CDC Birth Certificate
pnc_vst_naphsis Number of Prenatal Care Visits grouped Num 1 1 1 1 CDC Birth Certificate
pob Place of birth Num 1 1 1 1 CDC Birth Certificate
pre_Ib No.of prey live birth Num 1 1 1 1 CDC Birth Certificate
pre_lb_naphsis Number of previous live births grouped Num 1 1 1 1 CDC Birth Certificate
sex Sex of infant Num 1 1 1 1 CDC Birth Certificate
sga_10 Small for Gestational Age Based on 10th Percentile Num 1 1 1 1 CDC Birth Certificate
sga_2sd Small for Gestational Age Based on 2SD from Mean Num 1 1 1 1 CDC Birth Certificate
trans Infant transferred Num 1 1 1 1 CDC Birth Certificate
yy4_dob Year of birth Num 1 1 1 1 CDC Birth Certificate
yy4_IIb Year last live birth Num 1 1 1 1 CDC Birth Certificate
yy4_Imp Year of last menstrual period Num 1 1 1 1 CDC Birth Certificate
yy4_mdob Maternal year of birth Num 1 1 1 1 CDC Birth Certificate
yy4_pcv Year of first prenatal care visit Num 1 1 1 1 CDC Birth Certificate
drk83b_a VAR:YES/NO DRINK 3 BEF PREG Num 1 CDC Analytic Variables
drk831_a VAR:YES/NO DRINK LAST 3 MTH Num 1 CDC Analytic Variables
drk8c_pg VAR:CHANGE DRINKING DURING Num 1 CDC Analytic Variables
ecig_3b_a ecig--3 months before,how often,all moms Num 1 CDC Analytic Variables
ecig_31_a ecig--last 3 months,how often,all moms Num 1 CDC Analytic Variables
mom_bmi VAR:MOM BODY MASS INDEX FROM Num 1 1 1 CDC Analytic Variables
mom_bmig VAR:MOM BMI GROUPED FROM QX Num 1 1 1 CDC Analytic Variables
mom_bmig_qx_rev var:mom bmi grouped from qx revised Num 1 1 1 CDC Analytic Variables
mom_mtrs Mom Height in Meters from Questionnaire Num 1 1 1 CDC Analytic Variables
mom_wt VAR:MOM WT BEFORE PREGNANCY Num 1 1 1 CDC Analytic Variables
nohosp_b VAR:BABY STAY IN HOSP? Num 1 1 1 CDC Analytic Variables
pg_tdap8_dk Receive Tdap vaccination(DONT Num 1 CDC Analytic Variables
pgwtgn8_dk Preg weight gain(DONT KNOW=7777) Num 1 CDC Analytic Variables
pgwtgnu8_dk Unit of preg weight gain(DONT KNOW= Num 1 CDC Analytic Variables
pnc_ltrm VAR:START PNC 1ST TRIMESTER? Num 1 1 1 CDC Analytic Variables
pnc_wks VAR:WEEKS 1ST PNC VISIT Num 1 1 1 CDC Analytic Variables
pncno VAR:NO PNC VISITS Num 1 1 1 CDC Analytic Variables
pp_numb VAR:#SOURCES PAYMENT FOR PNC Num 1 1 1 CDC Analytic Variables
strs_t_g VAR:TOTAL#STRESSES,GROUPED Num 1 1 1 CDC Analytic Variables
strs_tt3 VAR:TOTAL#STRESSES Num 1 1 1 CDC Analytic Variables
bf_4weeks VAR:BREASTFEEDING AT 4 WEEKS Num 1 CDC Analytic
bf_8weeks VAR:BREASTFEEDING AT 8 WEEKS Num 1 CDC Analytic
bf5weeks VAR:#WEEKS BREASTFED BABY Num 1 1 1 1 CDC Analytic
bf9ever VAR:BREASTFEED-EVER Num 1 CDC Analytic
bf9still VAR:BREASTFEED-STILL Num 1 CDC Analytic
Page 47 of 50
rev 05/2025
Variable Name Description Type Ph6 Ph7 Ph8 Ph9 Data Source
disability VAR:ANY DISABILITY BEFORE PREG Num 1 CDC Analytic
drk9pg_a VAR:ANY ALCOHOLIC DRINKS DURING PREG-1ST, Num 1 CDC Analytic
2ND,OR 3RD TRIM
drk9pgb_a VAR:FOUR OR MORE ALCOHOLIC DRINKS IN 2 Num 1 CDC Analytic
HOURS DURING PREG-1ST,2ND,OR 3RD TRIM
ecig9_3b_a VAR:ECIG-YES/NO SMOKE 3 BEF PREG Num 1 CDC Analytic
ecig9_31_a VAR:ECIG-YES/NO SMOKE LAST 3 MTH PREG Num 1 CDC Analytic
fd_insecure_12b VAR:FOOD INSECURITY DURING 12 MTHS BEF Num 1 CDC Analytic
DELIVERY
fpl VAR:FEDERAL POVERTY LEVEL PERCENTAGE Num 1 CDC Analytic
hi_numb VAR:#SOURCES PAYMENT FOR PRESENT HEALTH Num 1 1 1 CDC Analytic
INSURANCE •
inf_live VAR:INFANT ALIVE NOW Num 1 1 1 1 CDC Analytic
inf_wmom VAR:INFANT WITH MOM Num 1 1 1 1 CDC Analytic
infq_age_mod VAR:INF AGE(DAYS)QUEST COMPLETED(CLEANED) Num 1 1 1 1 CDC Analytic
ins_numb VAR:#PRE-PREGNANCY HEALTH INSURANCE PLANS Char 1 1 1 1 CDC Analytic
nohosp9_b VAR:BABY STAY IN HOSP? Char 1 CDC Analytic
notrans_12b VAR:LACKED TRANSPORTATION DURING 12 MTHS Num 1 CDC Analytic
BEF DELIVERY
pncno9 VAR:NO PNC VISITS Num 1 CDC Analytic
pp_anxiety VAR:POSTPARTUM ANXIETY SYMPTOMS Num 1 CDC Analytic
pp_depress VAR: POST-PARTUM DEPRESSION INDICATOR Num 1 1 1 CDC Analytic
pp9_numb VAR:#HEALTH INSURANCE PLANS DURING Num 1 CDC Analytic
PREGNANCY
smk63b_a VAR:YES/NO SMOKE CIGARETTES DURING 3 MTH Num 1 1 1 1 CDC Analytic
BEF PREG
smk631_a VAR:YES/NO SMOKE CIGARETTES LAST 3 MTH PREG Num 1 1 1 1 CDC Analytic
smk6c_nw VAR:CHANGE SMOKING LAST 3&NOW Num 1 1 1 1 CDC Analytic
smk6c_pg VAR:CHANGE SMOKING DURING PREG Num 1 1 1 1 CDC Analytic
smk6c_pp VAR:CHANGE SMOKING 3 BEFORE&NOW Num 1 1 1 1 CDC Analytic
smk6nw_a VAR:YES/NO SMOKE CIGARETTES NOW Char 1 1 1 1 CDC Analytic
strs9_t_g VAR:TOTAL#STRESSES,GROUPED Num 1 CDC Analytic
strs9_tt3 VAR:TOTAL#STRESSES Num 1 CDC Analytic
abcondl-abcond6 Abnormal Conditions of Newborn Char 1 Birth Certificate
attendant_class Classification of Attendant Num 1 Birth Certificate
birth_hr Hour of birth Char 1 Birth Certificate
birth_order Order at Birth Num 1 _ Birth Certificate
birth_weight_grams Birth Weight of Baby-Grams Num 1 Birth Certificate
cephaflg Obstetric Procedure,External Cephalic Version Flag Char 1 Birth Certificate
cigarettes_smoked_lst_tri Number Cigarettes Smoked during 1st Trimester Num 1 Birth Certificate
cigarettes_smoked_2nd_tri Number Cigarettes Smoked during 2nd Trimester Num 1 Birth Certificate
cigarettes_smoked_3_months_prior Number Cigarettes Smoked 3 Months Before Preg Num 1 Birth Certificate
cigarettes_smoked_3rd_tri Number Cigarettes Smoked during 3rd Trimester Num 1 Birth Certificate
diabetes Medical Risk Factor,Diabetes Char 1 Birth Certificate
downsflg Congenital Malformations,Down Syndrome Flag Char 1 Birth Certificate
father_birthplace_cntry_wa_code Father's Birthplace Country WA code Char 1 Birth Certificate
father_educ_8th_grade_or_less Father's Education Years If LE 8th Grade Num 1 Birth Certificate
hyperflg Medical Risk Factor,Hypertension Flag Char 1 Birth Certificate
labcharl-labchar7 Characteristics of Labor and Delivery Char 1 Birth Certificate
labonsl-labons3 Onset of Labor Char 1 Birth Certificate
last_live_birth_month Last Live Birth Month Num 1 Birth Certificate
last_live_birth_year Last Live Birth Year Num 1 Birth Certificate
malfl-malf7 Congenital Malformations Char 1 Birth Certificate
married_2016 Mother's marital status****Replaced in 2017 with Char 1 Birth Certificate
Mother_marital_status with more details****
minfectl-minfect7 Maternal Infections Char 1 Birth Certificate
mmorbidl-mmorbid5 Maternal Morbidity Char 1 Birth Certificate
mother_birthplace_cntry_wa_code Mother's Birthplace Country WA Code Char 1 Birth Certificate
mother_calculated_age Mother's Age Num 1 Birth Certificate
mother_educ_8th_grade_or_Iess Mother's Education Years If LE 8th Grade Num 1 Birth Certificate
mother_height_feet Mother's Height,Feet Num 1 Birth Certificate
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Variable Name Description Type Ph6 Ph7 PM Ph9 Data Source
mother_height_inches Mother's Height,Feet Num 1 Birth Certificate
mother_marital_status Marital status of mother Char 1 Birth Certificate
mother_weight_at_delivery Mother's Weight At Delivery Num 1 Birth Certificate
mother_weight_gain Weight Gain During Pregnancy Num 1 Birth Certificate
mother_weight_prior Weight Prior to Pregnancy Num 1 Birth Certificate
mrfl-mrf6 Medical Risk Factor Char 1 Birth Certificate
number_prenatal_visits Number of Prenatal Visits Num 1 Birth Certificate
obprocl-obproc4 Obstetric Procedure Char 1 Birth Certificate
packs_smoked_lst_tri Packs of Cigarettes Smoked during 1st Trimester Num 1 Birth Certificate
packs_smoked_2nd_tri Packs of Cigarettes Smoked during 2nd Trimester Num 1 Birth Certificate
packs_smoked_3_months_prior Packs of Cigarettes Smoked 3 Months Before Preg Num 1 Birth Certificate
packs_smoked_3rd_tri Packs of Cigarettes Smoked during 3rd Trimester Num 1 Birth Certificate
plurality Plurality Num 1 Birth Certificate
wic WIC Benefits Char 1 Birth Certificate
bf6food_wks VAR:#WEEKS FIRST FED FOOD Num 1 Analytic
bf6liqd_wks VAR:#WEEKS FIRST FED LIQUIDS Num 1 Analytic
drk63b_a VAR:YES/NO DRINK 3 BEF PREG Num 1 1 Analytic
drk631_a VAR:YES/NO DRINK LAST 3 MTH PREG Num 1 1 Analytic
drk6c_pg VAR:CHANGE DRINKING DURING PREG Num 1 1 Analytic
f112_trim VAR:TRIMESTER MOM RECEIVED FLU SHOT Num 1 Analytic
flh_trim VAR:TRIMESTER MOM RECEIVED H1N1 FLU SHOT Num 1 Analytic
fls_trim VAR:TRIMESTER MOM RECEIVED SEASONAL FLU Num 1 Analytic
SHOT
flu_shot_any VAR: MOM RECEIVE ANY KIND OF FLU SHOT? Num 1 Analytic
flu_shot_type VAR:WHICH FLU SHOT(S)DID MOM RECEIVE? Num 1 Analytic
flu_trim VAR:TRIMESTER MOM RECEIVED FLU SHOT Num 1 Analytic
flu_yr4_dk Flu shot--year(DONT KNOW=7777) Num 1 Analytic
flutrim VAR:TRIMESTER MOM RECEIVED FLU SHOT Num 1 Analytic
hivtest_dk VAR:TESTED FOR HIV?(DONT KNOW=7) Num 1 1 Analytic
inf_icu_dk VAR:BABY IN INTENSIVE CARE?(DONT KNOW=7) Num 1 1 Analytic
mom_ht_i VAR:MOM TOTAL HEIGHT(INCHES) Num 1 Analytic
mom_nite VAR:MOM NIGHTS IN HOSPITAL Num 1 Analytic
nohosp_m VAR:MOTHER DELIVERED IN HOSP? Num 1 Analytic
pd_numb VAR:#SOURCES PAYMENT FOR DELIVERY Num 1 Analytic
pgwt_gn_dk Preg weight gain/lost(DONT KNOW=7777) Num 1 Analytic
pgwt_gnu_dk Unit of preg weight gain/lost(DONT KNOW=7) Num 1 Analytic
preghx VAR:HX PREV LIVE BIRTHS Num 1 1 Analytic
sure_pg_dk VAR:WHEN SURE PREGNANT LENGTH?(DONT Num 1 Analytic
KNOW=77)
sure_pgu_dk VAR:WHEN SURE PREGNANT UNIT?(DONT Num 1 Analytic
KNOW=7)
sure_wks VAR:WEEKS WHEN SURE PREG Num 1 Analytic
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APPENDIX F
Exempt Determination from Confidentiality Agreement (from D-012710-H, July 2025):
1. The RESEARCHERS will compile a PRAMS limited dataset (hereinafter referred to as "WA PRAMS
LDS") to include PRAMS survey data linked to Birth records for all previous PRAMS participants
and their infants as defined in APPENDIX E to this Agreement. The RESEARCHERS will update
the WA PRAMS LDS annually as records become available. DOH authorizes RESEARCHERS to
disclose records from the WA PRAMS LDS for research and public health surveillance purposes
following the establishment of a legally-binding agreement with the recipient that contains the
elements of a Data Use Agreement as defined in the HIPAA Privacy Rule. Additional WSIRB
review and approval is not required for such a disclosure.
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