| Abnormal Conditions |
X |
X |
X |
| Age of Decedent |
X |
|
|
| Age of Father |
X |
X |
X |
| Age of Mother |
X |
X |
X |
| Amendment Type |
X |
|
|
| Autopsy Performed on Decedent |
X |
|
X |
| Biopsy Performed on Decedent |
X |
|
|
| Birth Local Registrar's Number (1) |
X |
X |
|
| Birth Local Registration District |
X |
X |
|
| Birth Order |
X |
X |
X |
| Birth State File Number (1) |
X |
X |
|
| Birthplace of Mother |
X |
X |
X |
| Birthweight (In Grams) |
X |
X |
X |
| Census Place Mother’s Residence |
X |
X |
X |
| Census Tract of Mother’s Residence (2) |
|
X |
|
| Complication of Labor/Delivery |
X |
X |
X |
| Complication of Pregnancy |
X |
X |
X |
| County of Birth/Delivery |
X |
X |
X |
| Date of Birth/Delivery |
X |
X |
X |
| Date of Birth Registration |
X |
X |
|
| Date of Child's Death |
X |
X |
|
| Date of Decedent’s Death |
X |
|
X |
| Date of Fetal Death Registration |
|
|
X |
| Date of Last Live Birth |
X |
X |
X |
| Date of Last Menses |
X |
X |
X |
| Date of Last Termination |
X |
X |
X |
| Death in Hospital |
X |
|
|
| Death Local Registrar’s Number (1) |
X |
|
|
| Death Local Registration District |
X |
|
|
| Death Reported To Coroner |
X |
|
X |
| Death State File Number (1) |
X |
|
|
| Expected Principal Source of Payment for Delivery |
X |
X |
X |
| Father's Date of Birth |
X |
X |
|
| Father's Multi-Race Code (3) |
|
X |
|
| Father's Years of Education |
X |
X |
X |
| Fetal Death State File Number |
|
|
X |
| Fetal Death Local Registrar’s Number (1) |
|
|
X |
| Fetal Death Local Registration District |
|
|
X |
| First Name of Child (1) |
X |
X |
X |
| Group Cause of Death (4) |
X |
|
|
| Hispanic Origin Code of Father |
X |
X |
X |
| Hispanic Origin Code of Mother |
X |
X |
X |
| Hispanic Origin of Decedent |
X |
|
|
| Hospital Ownership Code |
|
|
X |
| Hour of Birth/Delivery |
X |
X |
X |
| Infant Group Cause of Death (4) |
X |
|
|
| Last Name of Child (1) |
X |
X |
X |
| Last Name of Father (1) |
X |
X |
X |
| Length of Gestation (In Days) |
X |
X |
X |
| Live Births Now Deceased |
X |
X |
X |
| Live Births Now Living |
X |
X |
X |
| Maternity Hospital Code |
X |
X |
X |
| Method of Delivery This Birth |
X |
X |
X |
| Middle Name of Child (1) |
X |
X |
X |
| Month Prenatal Care Began |
X |
X |
|
| Mother's Date of Birth |
X |
X |
X |
| Mother's First Name (1) |
X |
X |
X |
| Mother’s Maiden Name (Birth Surname) (1) |
X |
X |
X |
| Mother's Multi-Race Code (3) |
|
X |
|
| Mother's Place of Residence |
X |
X |
X |
| Mother’s Residential Address (1) |
|
X |
|
| Mother's Residential Zip Code |
X |
X |
X |
| Mother's Years of Education |
X |
X |
X |
| Multiple Conditions of Death |
|
|
X |
| Number of Prenatal Care Visits |
X |
X |
|
| Operation Performed |
X |
|
|
| Place of Decedent’s Residence |
X |
|
|
| Place Where Death Occurred |
X |
|
|
| Planned Birthplace |
X |
X |
|
| Principal Source of Payment for Prenatal Care |
X |
X |
X |
| Race-Ethnicity of Decedent |
X |
|
|
| Race-Ethnicity of Father |
X |
X |
X |
| Race-Ethnicity of Mother |
X |
X |
X |
| Sex of Child |
X |
X |
X |
| State of Residence of Mother |
X |
X |
|
| Terminations 20 Weeks Plus |
X |
X |
X |
| Terminations Before 20 Weeks |
X |
X |
X |
| Total Children Born Alive |
X |
X |
X |
| Total Children Ever Born |
X |
X |
X |
| Type of Birth |
X |
X |
X |
| Type of Certifier of Birth |
X |
X |
|
| Type of Certifier of Death |
X |
|
X |
| Type of Event |
X |
X |
|
| Type of Facility Where Decedent Died |
X |
|
X |
| Underlying Cause of Death (4) |
X |
|
X |
| Year of Event |
X |
X |
|