III. Tape Format and Variable Definition The attached record layout provides documentation of variables, variable categories, and variable location on the multiple cause-of-death public-use tapes. It is noted that the following material, while used in the processing of mortality data, is not included in this package: A. Manual of the International Statistical Classification of Diseases, Injuries, and the Cause-of-Death, Ninth Revision (ICD-9) Volumes 1 and 2. B. NCHS Instruction Manual Data Preparation Part 2a, Vital Statistics Instructions for Classifying the Underlying Cause-of-Death, 1995. C. NCHS Instruction Manual Data Preparation, Part 2b, Vital Statistics Instructions for Classifying Multiple Cause-of-Death, 1995. D. NCHS Instruction Manual Data Preparation, Part 2c, Vital Statistics ICD-9 ACME Decision Tables for Classifying Underlying Causes-of-Death, 1995. E. NCHS Instruction Manual Data Preparation, Part 2d, Vital Statistics NCHS Procedures for Mortality Medical Data System file Preparation and Maintenance, Effective 1979. F. NCHS Instruction Manual Data Tabulation, Part 2f, Vital Statistics ICD-9 TRANSAX Disease Reference Tables for Classifying Multiple Causes-of-Death, 1982-95. G. NCHS Instruction Manual Data Preparation, Part 4, Vital Statistics Demographic Classification and Coding Instructions for Death Records, 1997. H. NCHS Instruction Manual Tabulation, Part 11, Vital Statistics Computer Edits for Mortality Data, Effective 1990. These documents describe in detail the rules employed for demographic and medical classification on death records. Volumes 1 and 2 of the ICD-9 may be purchased from WHO Publication Center USA, 49 Sheridan Avenue, Albany, New York, 12210. The remaining documents (Items B-H), while not absolutely essential to the proper interpretation of the data for a number of general applications, should nevertheless be studied carefully prior to any detailed analysis of demographic or medical data variables. In particular, there are a number of exceptions to the ICD rules in multiple cause-of-death coding which, if not treated properly, may result in faulty analysis of the data. Users who do not already have access to these documents may request them from the Chief, Data Preparation Branch, Division of Data Processing, National Center for Health Statistics, P.O. Box 12214, Research Triangle Park, North Carolina 27709. In addition, the user should refer to the Technical Appendices of the Vital Statistics of the United States for information on the source of data, coding procedures, quality of the data, etc. Technical Appendix information is enclosed. IV. Multiple Cause Data The original scheme for coding conditions contained on the death certificate was designed with two objectives in mind. First, to facilitate etiological studies of the relationships among conditions, it was necessary to reflect accurately in coded form each condition and its location on the certification in the exact manner given by the certifier. Secondly, the codification needed to be carried out in a manner by which the underlying cause-of-death could be assigned through computer applications. The approach was to suspend the linkage provisions of the ICD for the purpose of condition coding and code each entity with minimum regard to other conditions present on the certification. This general approach is hereafter called entity coding. Unfortunately, the set of multiple cause codes produced by entity coding is not conducive to a third objective -- the generation of person based multiple cause statistics. Person based analysis requires that each condition be coded within the context of every other condition on the same certificate and modified or linked to such conditions as provided by ICD-9. By definition, the entity data cannot meet this requirement since the linkage provisions distort the character and placement of the information originally recorded by the certifying physician. Since the two objectives are incompatible, DVS has chosen to create from the original set of entity codes a new code set called record axis multiple cause data. Essentially, the axis of classification has been converted from a entity basis to a record (or person) basis. The record axis codes are assigned in terms of the set of codes that best describe the overall medical certification portion of the death certificate. This translation is accomplished by a computer system called TRANSAX (TRANSLATION OF AXIS) through selective use of traditional linkage and modification rules for mortality coding. Underlying cause linkages which simply prefer one code over another for purposes of underlying cause selection are not included. Each entity code on the record is examined and modified or deleted as necessary to create a set of codes which are free of contradictions and are the most precise within the constraints of ICD-9 and medical information on the record. Repetitive codes are deleted. The process may (1) combine two entity axis categories together to a new category thereby eliminating a contradiction or standardizing the data; or (2) eliminate one category in favor of another to promote specificity of the data or resolve contradictions. The following examples from ICD-9 illustrate the effect of this translation: Case 1: When reported on the same record as separate entities, cirrhosis of liver and alcoholism are coded to 5715 (cirrhosis of liver without mention of alcohol) and 303 (alcohol dependence syndrome). Tabulation of records with 5715 would on the surface falsely imply that such records had no mention of alcohol. A preferable codification would be 5712 (alcoholic cirrhosis of liver) in lieu of both 5715 and 303. Case 2: If “gastric ulcer” and “bleeding gastric ulcer” are reported on a record they are coded to 5319 (gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation) and 5314 (gastric ulcer, chronic or unspecified, with hemorrhage). A more concise codification would be to code 5314 only since the 5314 shows both the gastric ulcer and the bleeding. A. Entity Axis Codes The original conditions coded for selection of the underlying cause-of-death are reformatted and edited prior to creating the public-use tape. The following paragraphs describe the format and application of entity axis data. FORMAT: Each entity-axis code is displayed as an overall seven byte code with subcomponents as follows: 1. Line indicator: The first byte represents the line of the certificate on which the code appears. Six lines (1-6) are allowable with the fourth and fifth denoting one or two written in “due to”s beyond the three lines provided in Part I of the U.S. standard death certificate. Line “6" represents Part II of the certificate. 2. Position indicator: The next byte indicates the position of the code on the line, i.e., it is the first (1), second (2), third (3) .... eighth (8) code on the line. 3. Cause category: The next four bytes represent the ICD-9 cause code. 4. Nature of injury flag: ICD-9 uses the same series of numbers (800-999) to indicate nature of injury (N codes) and external cause codes (E codes). This flag distinguishes between the two with a one (1) representing nature of injury codes and a zero (0) representing all other cause codes. A maximum of 20 of these seven byte codes are captured on a record for multiple cause purposes. This may consist of a maximum of 8 codes on any given line with up to 20 codes distributed across three or more lines depending on where the subject conditions are located on the certificate. Codes may be omitted from one or more lines, e.g., line 1 with one or more codes, line 2 with no codes, line 3 with one or more codes. In writing out these codes, they are ordered as follows: line 1 first code, line 1 second code, etc. ----- line 2 first code, line 2 second code, etc. ----- line 3 ---- line 4 ----- line 5 ----- line 6. Any space remaining in the field is left blank. The specifics of locations are contained in the record layout given later in this document. EDIT: The original conditions are edited to remove invalid codes, reverify the coding of certain rare causes of death, and assure age/cause and sex/cause compatibility. Detailed information relating to the edit criteria and the sets of cause codes which are valid to underlying cause coding and multiple cause coding are provided in part II of the NCHS Vital Statistics Instruction Manual Series. Table 2, Number of Resident Deaths Tabulated by Mention of an Underlying Cause, Record Axis Multiple Cause, or Entity Axis Multiple Cause-of-Death by ICD-9 Category, provides a summary list of valid underlying cause and multiple cause codes. ENTITY AXIS APPLICATIONS: The entity axis multiple cause data set is appropriate to analyses which require that each condition be coded as a stand alone entity without linkage to other conditions and/or require information on the placement of such conditions in the certificate. Within this framework, the entity data are appropriate to the examination of etiological relationships among conditions, accuracy of certification reporting, and the validity of traditional assumptions in underlying cause selection. Additionally, the entity data provide in certain categories a more detailed code assignment which is linked out in the creation of record axis data. Where such detail is needed for a study, the user should selectively employ entity data. Finally, the researcher may not wish to be bound by the assumptions used in the axis translation process preferring rather to investigate hypotheses of his own predilection. By definition, the main limitation of entity axis data is that an entity code does not necessarily reflect the best code for a condition when considered within the context of the medical certification as a whole. As a result certain entity codes can be misleading or even contradict other codes in the record. For example, category 5750 is titled “Acute cholecystitis without mention of calculus”. Within the framework of entity codes this is interpreted to mean that the codable entity itself contained no mention of calculus rather than that calculus was not mentioned anywhere on the record. Tabulation of records with a “5750" as a count of persons having acute cholecystitis without mention of calculus would therefore be erroneous. This illustrates the fact that under entity coding the ICD-9 titles cannot be taken literally. The user must study the rules for entity coding as they relate to his/her research prior to utilization of entity data. The user is further cautioned that the inclusion notes in ICD-9 which relate to modifying and combining categories are seldom applicable to entity coding (except where provided in Part 2b of the Vital Statistics Instruction Manual Series). In tabulating the entity axis data, one may count codes with the resultant tabulation of an individual code representing the number of times the disease(s) represented by the code appears in the file. In this kind of tabulation of morbid condition prevalence, the counts among categories may be added together to produce counts for groups of codes. Alternatively, subject to the limitations given above, one may count persons having mention of the disease represented by a code or codes. In this instance it is not correct to add counts for individual codes to create person counts for groups of codes. Since more than one code in the researcher’s interest may appear together on the certificate, totaling must account for higher order interactions among codes. Up to 20 codes may be assigned on a record; therefore, a 20-way interaction is theoretically possible. All totaling must be based on mention of one or more of the categories under investigation. B. Record Axis Codes The following paragraphs describe the format and application of record-axis data. Part 2f of the Vital Statistics Instruction Manual Series describes the TRANSAX process for creating record axis data from entity axis data. FORMAT: Each record (or person) axis code is displayed in five bytes. Location information is not relevant. The Code consists of the following components: 1. Cause category: The first four bytes represent the ICD-9 cause code. 2. Nature of injury flag: The last byte contains a 0 or 1 with the 1 indicating that the cause is a nature of injury category. Again, a maximum of 20 codes are captured on a record for multiple cause purposes. The codes are written in a 100-byte field in ascending code number (5 bytes) order with any unused bytes left blank. EDIT: The record axis codes are edited for rare causes and age/cause and sex/cause compatibility. Likewise, individual code validity is checked. The valid code set for record axis coding is the same as that for entity coding. RECORD AXIS APPLICATIONS: The record axis multiple cause data set is the basis for NCHS core multiple cause tabulations. Location of codes is not relevant to this data set and conditions have been linked into the most meaningful categories for the certification. The most immediate consequence for the user is that the codes on the record already represent mention of a disease assignable to that particular ICD-9 category. This is in contrast to the entity code which is assigned each time such a disease is reported on two different lines of the certification. Secondly, the linkage implies that within the constraints of ICD-9 the most meaningful code has been assigned. The translation process creates for the user a data set which is edited for contradictions, duplicate codes, and imprecisions. In contrast to entity axis data, record axis data are classified in a manner comparable to underlying cause of death classification thereby facilitating joint analysis of these variables. Likewise, they are comparable to general morbidity coding where the linkage provisions of ICD-9 are usually utilized. A potential disadvantage of record axis data is that some detail is sacrificed in a number of the linkages. The user can take the record axis codes as literally representing the information conveyed in ICD-9 category titles. While knowledge of the rules for combining and linking and coding conditions is useful, it is not a prerequisite to meaningful analysis of the data as long as one is willing to accept the assumptions of the axis translation process. The user is cautioned, however, that due to special rules in mortality coding, not all linkage notes in ICD-9 are utilized. (See Part 2f of the Vital Statistics Instruction Manual Series.) The user should proceed with caution in using record axis data to count conditions as opposed to people with conditions since linkages have been invoked and duplicate codes have been eliminated. As with entity data, person based tabulations which combine individual cause categories must take into account the possible interaction of up to 20 codes on a single certificate. V. Additional Information In using the NCHS multiple cause data tapes, the user is urged to review the information in this document and its references. The instructional material does change from year to year and revision to revision. The user is cautioned that coding of specific ICD-9 categories should be checked in the appropriate instruction manual. What may appear on the surface to be the correct code by ICD-9 may in fact not be correct as given in the instruction manuals. If on the surface it is not obvious whether entity axis or record axis data should be employed in a given application, detailed examination of Part 2f of the Vital Statistics Instruction Manual Series and its attachments will probably provide the necessary information to make a decision. It allows the user to determine the extent of the trade-offs between the two sets of data in terms of specific categories and the assumption of axis translation. In certain situations, a combination of entity and record axis data may be the more appropriate alternative. Several basic tabulations of data from selected variables contained on this tape have been produced and are included with this document as an aid to the user in determining if his own tabulations are correct. For verification of multiple cause-of-death data at the “each cause” level of detail, Table 1 provides counts of the number of deaths on which a given ICD-9 category is mentioned as the underlying cause-of-death, a record axis multiple cause-of-death, and an entity axis multiple cause-of-death, respectively. The counts for the record axis multiple cause-of-death field are divided into two distinct subtotals: (1) “total mention” and (2) “secondary”. Secondary is defined as any code which is present in the record axis field but is not the underlying cause-of-death. Tables 2-7 provide additional control totals for the three cause-of-death fields by age, race, and sex. Tables 8-10 ignore cause-of-death and provide control totals based on age, race, sex, State of residence, State of occurrence, and month. Tables 1-9 are based on resident deaths in the United States (excludes deaths to non-residents). Table 10 is based upon deaths occurring in the United States (includes deaths to foreign residents). For help with questions concerning multiple cause-of-death analysis, please refer to the following publications: National Center for Health Statistics. Multiple causes of death in the United States. Monthly vital statistics report; vol 32 no 10, suppl.(2). Hyattsville, Maryland: Public Health Service, 1984. Chamblee, R.F. and Evans, M.C. TRANSAX: The NCHS system for producing multiple cause-of-death statistics, 1968-78. Vital and Health Statistics. Series 1, no 20. Public Health Service, Washington, DC: U.S. Government Printing Office, June 1986. Israel, R.A., Rosenberg, H.M., and Curtin, L.R. Analytical potential for multiple cause-ofdeath data. American Journal of Epidemiology 124(2): 161-179. August, 1986. Manton, K.G. and Stallard, E. Recent trends in mortality analysis. Orlando, Florida; Academic Press, inc., 1984. When further analytical assistance is needed, contact the Mortality Statistics Branch, Division of Vital Statistics, NCHS, 6525 Belcrest Road, Room 840, Hyattsville, Maryland 20782, Telephone (301) 436-8884. For technical assistance pertaining to the creation of the multiple cause-of-death file, contact Donna Glenn, Statistician, Technical Services Branch, Division of Vital Statistics, NCHS, Room 148, P.O. Box 12214, Research Triangle Park, North Carolina 27709. Telephone (919) 541-0999. VI. List of Data Elements and Tape Locations Tape Data Items Locations 1. General a. Data year 115-118 b. Record Type 19 c. Resident status 20 d. Month of death 55-56 e. Day of week of death 83 f. Place of death and decedent’s status 75 2. Occurrence a. State 21-22,28 b. Expanded State 29-30 c. County 23-25 d. County Population size 49 e. Region 26 f. Division 27 g. FIPS State 119-120 h. FIPS County 121-123 3. Residence a. State 31-32,43 b. Expanded State 44-45 c. County 33-35 d. County Population size 50 e. City 36-38 f. City Population size 39 g. Met/Nonmet county 40 h. Region 41 i. Division 42 j. PMSA/MSA 46-48 k. PMSA/MSA Population size 51 l. FIPS State 124-125 m. FIPS County 126-128 n. FIPS Place 97-101 o. FIPS PMSA/MSA 129-132 p. FIPS CMSA 134-135 1. The Decedent a. Sex 59 b. Race 60-63 c. Age 64-74 d. Marital status 77 e. State of birth 78-79 f. Hispanic origin 80-81,82 g. Kind of Business or Industry 85-87 h. Usual Occupation 88-90 i. Education 52-53, 54 VI. List of Data elements and Tape Locations - Con. Data Items Tape Locations 2. Underlying Cause a. ICD-9 code 142-145 b. 282 cause recode 146-150 c. 72 cause recode 151-153 d. 61 cause recode 154-156 e. 52 cause recode 91-93 f. 34 cause recode 157-159 g. Place of accident 141 h. Injury at work 136 3. Multiple Conditions a. Entity-Axis conditions 1. Number of 160-161 2. The conditions 162-301 b. Record-Axis conditions 1. Number of 338-339 2. The conditions 341-440 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 1-3 3 Reserved Positions 4-9 6 Certificate Number These positions are blank. 10-11 2 Reserved Positions 12-18 7 Sequence Number These positions are blank 19 1 Record Type 1 ... RESIDENTS State and County of Occurrence and Residence are the same. 2 ... NONRESIDENTS State and/or County of Occurrence and Residence are different. 20 1 Resident Status United States Occurrence 1 ... RESIDENTS State and County of Occurrence and Residence are the same. 2 ... INTRASTATE NONRESIDENTS State of Occurrence and Residence are the same, but County is different. 3 ... INTERSTATE NONRESIDENTS State of Occurrence and Residence are different, but both are in the U.S. 4 ... FOREIGN RESIDENTS State of Occurrence is one of the 50 States or the District of Columbia, but Place of Residence is outside of the U.S. Puerto Rico Occurrence 1 ... RESIDENTS Territory and County-equivalent of Occurrence and Residence are the same. 2 ... INTRASTATE NONRESIDENTS Territory of Occurrence and Residence are the same, but Countyequivalent is different. 4 ... FOREIGN RESIDENTS Occurred in Puerto Rico to a resident of any other place. 20 1 Resident Status - Con. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline Virgin Islands Occurrence 1 ... RESIDENTS Territory and County-equivalent of Occurrence and Residence are the same. 2 ... INTRASTATE NONRESIDENTS Territory of Occurrence and Residence are the same, but Countyequivalent is different. 4 ... FOREIGN RESIDENTS Occurred in Virgin Islands to a resident of any other place. Guam Occurrence 1 ... RESIDENTS Occurred in Guam to a resident of Guam or to a resident of the U.S. 4 ... FOREIGN RESIDENTS Occurred in Guam to a resident of any place other than Guam or the U.S. American Samoa Occurrence 1 ... RESIDENTS Territory and County-equivalent of Occurrence and Residence are the same. 2 ... INTRASTATE NONRESIDENTS Territory of Occurrence and Residence are the same, but Countyequivalent is different. 4 ... FOREIGN RESIDENTS Occurred in American Samoa to a resident of any other place. 21-30 10 PLACE OF OCCURRENCE Refer to the Geographic Code Outline further back in this document for a detailed list of areas and codes. Some Geographic Codes have changed to reflect the results of the 1990 Census. 21-22 2 State of Occurrence United States 01 ... Alabama 02 ... Alaska 03 ... Arizona 21-22 2 State of Occurrence - Con. 04 ... Arkansas 05 ... California 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 06 ... Colorado 07 ... Connecticut 08 ... Delaware 09 ... District of Columbia 10 ... Florida 11 ... Georgia 12 ... Hawaii 13 ... Idaho 14 ... Illinois 15 ... Indiana 16 ... Iowa 17 ... Kansas 18 ... Kentucky 19 ... Louisiana 20 ... Maine 21 ... Maryland 22 ... Massachusetts 23 ... Michigan 24 ... Minnesota 25 ... Mississippi 26 ... Missouri 27 ... Montana 28 ... Nebraska 29 ... Nevada 30 ... New Hampshire 31 ... New Jersey 32 ... New Mexico 33 ... New York 34 ... North Carolina 35 ... North Dakota 36 ... Ohio 37 ... Oklahoma 38 ... Oregon 39 ... Pennsylvania 40 ... Rhode Island 41 ... South Carolina 42 ... South Dakota 43 ... Tennessee 44 ... Texas 45 ... Utah 46 ... Vermont 47 ... Virginia 21-22 2 State of Occurrence - Con. 48 ... Washington 49 ... West Virginia 50 ... Wisconsin 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 51 ... Wyoming Puerto Rico 52 ...Puerto Rico Virgin Islands 53 ...Virgin Islands Guam 54 ...Guam American Samoa 61 ...American Samoa 23-25 3 County of Occurrence 001-nnn ... Counties and county equivalents (independent and coextensive cities) are numbered alphabetically within each State and identify each county with a population of 100,000 or more in 1990. (Note: To uniquely identify a county, both the State and county codes must be used.) A complete list of counties is shown in the Geographic Code Outline further back in this document. 999 ... County of less than 100,000 population 26 1 Region 27-28 2 Division and State Subcode of Occurrence States are coded within Division. 26 is Region. 27 is Division. 28 is State subcode. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 000 ... Not applicable: Puerto Rico, Virgin Islands, Guam or American Samoa occurrence. 1 ... NORTHEAST 1 ... New England 1 ... Maine 2 ... New Hampshire 3 ... Vermont 4 ... Massachusetts 5 ... Rhode Island 6 ... Connecticut 2 ... Middle Atlantic 1 ... New York 2 ... New Jersey 3 ... Pennsylvania 2 ... MIDWEST 3 ... East North Central 1 ... Ohio 2 ... Indiana 3 ... Illinois 4 ... Michigan 5 ... Wisconsin 4 ... West North Central 1 ... Minnesota 2 ... Iowa 3 ... Missouri 4 ... North Dakota 5 ... South Dakota 6 ... Nebraska 7 ... Kansas 3 ... SOUTH 5 ... South Atlantic 1 ... Delaware 2 ... Maryland 3 ... District of Columbia 4 ... Virginia 5 ... West Virginia 6 ... North Carolina 7 ... South Carolina 8 ... Georgia 9 ... Florida 26-28 3 Region Division and State Subcode of Occurrence - Con. 6 ... East South Central 1 ... Kentucky 2 ... Tennessee 3 ... Alabama 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 4 ... Mississippi 7 ... West South Central 1 ... Arkansas 2 ... Louisiana 3 ... Oklahoma 4 ... Texas 4 ... WEST 8 ... Mountain 1 ... Montana 2 ... Idaho 3 ... Wyoming 4 ... Colorado 5 ... New Mexico 6 ... Arizona 7 ... Utah 8 ... Nevada 9 ... Pacific 1 ... Washington 2 ... Oregon 3 ... California 4 ... Alaska 5 ... Hawaii 29-30 2 Expanded State of Occurrence Code This item is designed to separately identify New York City records from other New York State records. United States 01 ... Alabama 02 ... Alaska 03 ... Arizona 04 ... Arkansas 05 ... California 06 ... Colorado 07 ... Connecticut 08 ... Delaware 09 ... District of Columbia 10 ... Florida 29-30 2 Expanded State of Occurrence - Con. 11 ... Georgia 12 ... Hawaii 13 ... Idaho 14 ... Illinois 15 ... Indiana 16 ... Iowa 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 17 ... Kansas 18 ... Kentucky 19 ... Louisiana 20 ... Maine 21 ... Maryland 22 ... Massachusetts 23 ... Michigan 24 ... Minnesota 25 ... Mississippi 26 ... Missouri 27 ... Montana 28 ... Nebraska 29 ... Nevada 30 ... New Hampshire 31 ... New Jersey 32 ... New Mexico 33 ... New York 34 ... New York City 35 ... North Carolina 36 ... North Dakota 37 ... Ohio 38 ... Oklahoma 39 ... Oregon 40 ... Pennsylvania 41 ... Rhode Island 42 ... South Carolina 43 ... South Dakota 44 ... Tennessee 45 ... Texas 46 ... Utah 47 ... Vermont 48 ... Virginia 49 ... Washington 50 ... West Virginia 51 ... Wisconsin 52 ... Wyoming Puerto Rico 53 ... Puerto Rico 29-30 2 Expanded State of Occurrence - Con. Virgin Islands 54 ...Virgin Islands Guam 55 ... Guam 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline American Samoa 62 ...American Samoa 31-48 18 PLACE OF RESIDENCE Refer to the Geographic Code Outline further back in this document for a detailed list of areas and codes. 31-32 2 State of Residence United States Occurrence 01 ... Alabama 02 ... Alaska 03 ... Arizona 04 ... Arkansas 05 ... California 06 ... Colorado 07 ... Connecticut 08 ... Delaware 09 ... District of Columbia 10 ... Florida 11 ... Georgia 12 ... Hawaii 13 ... Idaho 14 ... Illinois 15 ... Indiana 16 ... Iowa 17 ... Kansas 18 ... Kentucky 19 ... Louisiana 20 ... Maine 21 ... Maryland 22 ... Massachusetts 23 ... Michigan 24 ... Minnesota 25 ... Mississippi 26 ... Missouri 27 ... Montana 28 ... Nebraska 31-32 2 State of Residence - Con. U.S. Occurrence 29 ... Nevada 30 ... New Hampshire 31 ... New Jersey 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 32 ... New Mexico 33 ... New York 34 ... North Carolina 35 ... North Dakota 36 ... Ohio 37 ... Oklahoma 38 ... Oregon 39 ... Pennsylvania 40 ... Rhode Island 41 ... South Carolina 42 ... South Dakota 43 ... Tennessee 44 ... Texas 45 ... Utah 46 ... Vermont 47 ... Virginia 48 ... Washington 49 ... West Virginia 50 ... Wisconsin 51 ... Wyoming 52-57,59,61 ... Foreign residents 52 ... Puerto Rico 53 ... Virgin Islands 54 ... Guam 55 ... Canada 56 ... Cuba 57 ... Mexico 59 ... Remainder of the world 61 ... American Samoa Puerto Rico Occurrence 52 ... Puerto Rico 01-51,53- 57,59,61... Foreign residents: refer to U.S. for specific code structure. 31-32 2 State of Residence - Con. Virgin Islands Occurrence 53 ... Virgin Islands 01-52,54- 57,59,61 ... Foreign residents: refer to U.S. for specific code structure. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline Guam Occurrence 54 ... Guam 01-51 ... U.S. resident. Also considered a resident of Guam. 52-53,55-57, 59,61 ... Foreign residents: refer to U.S. for specific code structure. American Samoa Occurrence 61 ... American Samoa 01-57, 59 ... Foreign residents: refer to U.S. for specific code structure. 33-35 3 County of Residence 001-nnn ...Counties and county equivalents (independent and coextensive cities) are numbered alphabetically within each State and identify each county with a population of 100,000 or more in 1990. (Note: to uniquely identify a county, both the State and county codes must be used.) A complete list of counties is shown in the Geographic Code outline further back in this document. zzz ...Foreign residents 999 ...County of less than 100,000 population 36-38 3 City of Residence 001-nnn ...Cities are numbered alphabetically within each State and identify each city with a population of 100,000 or more in 1990. (Note: To uniquely identify a city, both the State and city codes must be used. State, county and city codes may also be used.) 999 ...balance of county; or city of less than 100,000 population ZZZ ...Foreign residents 39 1 Population Size of City of Residence Based on the results of the 1990 Census. 0 ...Place of 1,000,000 or more 1 ...Place of 500,000 to 1,000,000 2 ...Place of 250,000 to 500,000 3 ...Place of 100,000 to 250,000 9 ...All other areas in the U.S. Z ...Foreign residents 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 40 1 Metropolitan - Nonmetropolitan County of Residence NOTE: American Samoa, Guam and the Virgin Islands do not have any metropolitan areas. 1 ...Metropolitan county 2 ...Nonmetropolitan county Z ...Foreign residents 41 1 Region 42-43 2 Division and State Subcode of Residence States are codes within Division. 41 is Region. 42 is Division. 43 is State subcode. APPLICABLE TO U.S. ONLY. 000 ... Foreign residents 1 ... NORTHEAST 1 ... New England 1 ... Maine 2 ... New Hampshire 3 ... Vermont 4 ... Massachusetts 5 ... Rhode Island 6 ... Connecticut 2 ... Middle Atlantic 1 ... New York 2 ... New Jersey 3 ... Pennsylvania 2 ... MIDWEST 3 ... East North Central 1 ... Ohio 2 ... Indiana 3 ... Illinois 4 ... Michigan 5 ... Wisconsin 41-43 3 Region Division and State of Residence - Con. 4 ... West North Central 1 ... Minnesota 2 ... Iowa 3 ... Missouri 4 ... North Dakota 5 ... South Dakota 6 ... Nebraska 7 ... Kansas 3 ... SOUTH 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 5 ... South Atlantic 1 ... Delaware 2 ... Maryland 3 ... District of Columbia 4 ... Virginia 5 ... West Virginia 6 ... North Carolina 7 ... South Carolina 8 ... Georgia 9 ... Florida 6 ... East South Central 1 ... Kentucky 2 ... Tennessee 3 ... Alabama 4 ... Mississippi 7 ... West South Central 1 ... Arkansas 2 ... Louisiana 3 ... Oklahoma 4 ... Texas 4 ... WEST 8 ... Mountain 1 ... Montana 2 ... Idaho 3 ... Wyoming 4 ... Colorado 5 ... New Mexico 6 ... Arizona 7 ... Utah 8 ... Nevada 9 ... Pacific 1 ... Washington 2 ... Oregon 3 ... California 4 ... Alaska 5 ... Hawaii 44-45 2 Expanded State of Residence Code This item is designed to separately identify New York City records from other New York State records. United States Occurrence 01 ... Alabama 02 ... Alaska 03 ... Arizona 04 ... Arkansas 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 05 ... California 06 ... Colorado 07 ... Connecticut 08 ... Delaware 09 ... District of Columbia 10 ... Florida 11 ... Georgia 12 ... Hawaii 13 ... Idaho 14 ... Illinois 15 ... Indiana 16 ... Iowa 17 ... Kansas 18 ... Kentucky 19 ... Louisiana 20 ... Maine 21 ... Maryland 22 ... Massachusetts 23 ... Michigan 24 ... Minnesota 25 ... Mississippi 26 ... Missouri 27 ... Montana 28 ... Nebraska 29 ... Nevada 30 ... New Hampshire 31 ... New Jersey 32 ... New Mexico 33 ... New York 34 ... New York City 35 ... North Carolina 36 ... North Dakota 37 ... Ohio 38 ... Oklahoma 39 ... Oregon 40 ... Pennsylvania 41 ... Rhode Island 44-45 2 Expanded State of Residence - Con. 42 ... South Carolina 43 ... South Dakota 44 ... Tennessee 45 ... Texas 46 ... Utah 47 ... Vermont 48 ... Virginia 49 ... Washington 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 50 ... West Virginia 51 ... Wisconsin 52 ... Wyoming 53-58, 60, 62 ... Foreign Residents 53 ... Puerto Rico 54 ... Virgin Island 55 ... Guam 56 ... Canada 57 ... Cuba 58 ... Mexico 60 ... Remainder of the world 62 ... American Samoa Puerto Rico Occurrence 53 ... Puerto Rico 01-52, 54- 58,60,62 ... Foreign residents: refer to U.S. for specific code structure. Virgin Islands Occurrence 54 ... Virgin Islands 01-53,55- 58,60,62 ... Foreign residents: refer to U.S. for specific code structure. Guam Occurrence 55 ... Guam 01-52 ... U.S. resident. Also considered a resident of Guam. 53-54, 56-58, 60,62 ... Foreign residents: refer to U.S. for specific code structure. American Samoa Occurrence 62 ... American Samoa 01-58, 60 ... Foreign residents: refer to U.S. for specific code structure. 46-48 3 NCHS PMSA/MSA of Residence Primary Metropolitan Statistical Areas and Metropolitan Statistical Areas are those defined by the U.S. Office of Management and Budget (OMB) as of 1990. For New England, the New England County Metropolitan Areas (NECMA) are used. Further back in this document is a list of PMSA’s, MSA’s, NECMA’s, and their component counties. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 000 ... Nonmetropolitan counties 001-311 ... Code range 999 ... Area of less than 100,000 population ZZZ ... Foreign residents 49 1 Population Size of County of Occurrence Based on the results of the 1990 Census 0 ... County of 1,000,000 or more 1 ... County of 500,000 to 1,000,000 2 ... County of 250,000 to 500,000 3 ... County of 100,000 to 250,000 9 ... County of less than 100,000 50 1 Population Size of County of Residence Based on the results of the 1990 Census 0 ... County of 1,000,000 or more 1 ... County of 500,000 to 1,000,000 2 ... County of 250,000 to 500,000 3 ... County of 100,000 to 250,000 9 ... County of less than 100,000 Z ... Foreign residents 51 1 PMSA/MSA Population Size Based on the results of the 1990 Census 1 ... Area of 250,000 or more 2 ... Area of 100,000 to 250,000 9 ... Area of less than 100,000 or nonmetropolitan area Z ... Foreign residents 52-53 2 Education 00 ... No formal education 01-08 ... Years of elementary school 09 ... 1 year of high school 10 ... 2 years of high school 11 ... 3 years of high school 12 ... 4 years of high school 13 ... 1 year of college 14 ... 2 years of college 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 15 ... 3 years of college 16 ... 4 years of college 17 ... 5 or more years of college 99 ... Not stated 54 1 Education Recode 1 ... 0 - 8 years 2 ... 9 - 11 years 3 ... 12 years 4 ... 13 - 15 years 5 ... 16 years or more 6 ... Not stated 55-56 2 Month of Death 01 ... January 02 ... February 03 ... March 04 ... April 05 ... May 06 ... June 07 ... July 08 ... August 09 ... September 10 ... October 11 ... November 12 ... December 57-58 2 Reserved Positions 59 1 Sex 1 ... Male 2 ... Female 60-63 4 RACE 60-61 2 Detail Race United States Occurrence Beginning with 1992 data, some areas started reporting additional Asian or Pacific Islander codes for race. Codes 18 - 68 replace old code 08 for these areas. Code 78 replaces old 08 for all other areas. For consistency with Census races, code 09 (all other races) has been imputed. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 01 ... White 02 ... Black 03 ... American Indian (includes Aleuts and Eskimos) 04 ... Chinese 05 ... Japanese 06 ... Hawaiian (includes Part-Hawaiian) 07 ... Filipino 18 ... Asian Indian 28 ... Korean 38 ... Samoan 48 ... Vietnamese 58 ... Guamanian 68 ... Other Asian or Pacific Islander in areas reporting codes 18-58 78 ... Combined other Asian or Pacific Islander, includes codes 18-68 for areas that do not report them separately Puerto Rico Occurrence 00 ... Other races 01 ... White 02 ... Black Virgin Islands Occurrence 01 ... White 02 ... Black 03 ... American Indian (includes Aleuts and Eskimos) 04 ... Chinese 05 ... Japanese 06 ... Hawaiian (includes Part-Hawaiian) 07 ... Filipino 08 ... Other Asian or Pacific Islander 60-61 2 Detail Race - Con. Guam Occurrence 01 ... White 02 ... Black 03 ... American Indian (Includes Aleuts and Eskimos) 04 ... Chinese 05 ... Japanese 06 ... Hawaiian (includes Part-Hawaiian) 07 ... Filipino 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 08 ... Other Asian or Pacific Islander 58 ... Guamanian American Samoa Occurrence 01 ... White 02 ... Black 03 ... American Indian (includes Aleuts and Eskimos) 04 ... Chinese 05 ... Japanese 06 ... Hawaiian (includes Part-Hawaiian) 07 ... Filipino 08 ... Other Asian or Pacific Islander 62 1 Race Recode 3 1 ... White 2 ... Races other than White or Black 3 ... Black 63 1 Race Recode 2 1 ... White 2 ... All other races 64-74 11 REPORTED AGE 64-66 3 Detail Age Three positions are used to code detail age. Location 64 identifies age in years, months, days, etc. Locations 65-66 are the number of years, months, days, etc. 0 01-99 ... Years less than 100 1 00-99 ... Years 100 or more 2 01-11,99 ... Months 3 01-03,99 ... Weeks 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 4 01-27,99 ... Days 5 01-23, 99 ... Hours 6 01-59, 99 ... Minutes 9 99 ... Age not stated 67-68 2 Age Recode 52 01 ... Under 1 hour (includes not stated hours and minutes) 02 ... 1 - 23 hours 03 ... 1 day (includes not stated days) 04 ... 2 days 05 ... 3 days 06 ... 4 days 07 ... 5 days 08 ... 6 days 09 ... 7 - 13 days (includes not stated weeks) 10 ... 14 - 20 days 11 ... 21 - 27 days 12 ... 1 month (includes not stated months) 13 ... 2 months 14 ... 3 months 15 ... 4 months 16 ... 5 months 17 ... 6 months 18 ... 7 months 19 ... 8 months 20 ... 9 months 21 ... 10 months 22 ... 11 months 23 ... 1 year 24 ... 2 years 25 ... 3 years 26 ... 4 years 27 ... 5 - 9 years 28 ... 10 - 14 years 29 ... 15 - 19 years 67-68 2 Age Recode 52 - Con. 30 ... 20 - 24 years 31 ... 25 - 29 years 32 ... 30 - 34 years 33 ... 35 - 39 years 34 ... 40 - 44 years 35 ... 45 - 49 years 36 ... 50 - 54 years 37 ... 55 - 59 years 38 ... 60 - 64 years 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 39 ... 65 - 69 years 40 ... 70-74 years 41 ... 75-79 years 42 ... 80 - 84 years 43 ... 85 - 89 years 44 ... 90 - 94 years 45 ... 95 - 99 years 46 ... 100 - 104 years 47 ... 105 - 109 years 48 ... 110 - 114 years 49 ... 115 - 119 years 50 ... 120 - 124 years 51 ... 125 years and over 52 ... Age not stated 69-70 2 Age Recode 27 01 ... Under 1 month (includes not stated weeks, days, hours, and minutes) 02 ... 1 month - 11 months (includes not stated months) 03 ... 1 years 04 ... 2 years 05 ... 3 years 06 ... 4 years 07 ... 5 - 9 years 08 ... 10 - 14 years 09 ... 15 - 19 years 10 ... 20 - 24 years 11 ... 25 - 29 years 12 ... 30 - 34 years 13 ... 35 - 39 years 14 ... 40 - 44 years 15 ... 45 - 49 years 16 ... 50 - 54 years 17 ... 55 - 59 years 18 ... 60 - 64 years 19 ... 65 - 69 years 69-70 2 Age Recode 27 - Con. 20 ... 70 - 74 years 21 ... 75 - 79 years 22 ... 80 - 84 years 23 ... 85 - 89 years 24 ... 90 - 94 years 25 ... 95 - 99 years 26 ... 100 years and over 27 ... Age not stated 71-72 2 Age Recode 12 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 01 ... Under 1 year (includes not stated infant ages) 02 ... 1 - 4 years 03 ... 5 - 14 years 04 ... 15 - 24 years 05 ... 25 - 34 years 06 ... 35 - 44 years 07 ... 45 - 54 years 08 ... 55 - 64 years 09 ... 65 - 74 years 10 ... 75 - 84 years 11 ... 85 years and over 12 ... Age not stated 73-74 2 Infant Age Recode 22 Blank ... Age 1 year and over or not stated 01 ... Under 1 hour (includes not stated hours and minutes) 02 ... 1 - 23 hours 03 ... 1 day (includes not stated days) 04 ... 2 days 05 ... 3 days 06 ... 4 days 07 ... 5 days 08 ... 6 days 09 ... 7 days (includes not stated weeks) 10 ... 14 - 20 days 11 ... 21 - 27 days 12 ... 1 month (includes not stated months) 13 ... 2 months 14 ... 3 months 15 ... 4 months 16 ... 5 months 17 ... 6 months 18 ... 7 months 19 ... 8 months 73-74 2 Infant Age Recode 22 - Con. 20 ... 9 months 21 ... 10 months 22 ... 11 months 75 1 Place of Death and Decedent’s Status 1 ... Hospital, clinic or Medical Center - Inpatient 2 ... Hospital, Clinic or Medical Center - Outpatient or admitted to Emergency Room 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 3 ... Hospital, Clinic or Medical Center - Dead on Arrival 4 ... Hospital, Clinic or Medical Center - Patient status unknown 5 ... Nursing home 6 ... Residence 7 ... Other 9 ... Place of death unknown 76 1 Reserved Position 77 1 Marital Status 1 ... Never married, single 2 ... Married 3 ... Widowed 4 ... Divorced 8 ... Marital Status not on certificate 9 ... Marital Status not stated 78-79 2 State of Birth 01 ... Alabama 02 ... Alaska 03 ... Arizona 04 ... Arkansas 05 ... California 06 ... Colorado 07 ... Connecticut 08 ... Delaware 09 ... District of Columbia 10 ... Florida 11 ... Georgia 12 ... Hawaii 13 ... Idaho 14 ... Illinois 78-79 2 State of Birth - Con. 15 ... Indiana 16 ... Iowa 17 ... Kansas 18 ... Kentucky 19 ... Louisiana 20 ... Maine 21 ... Maryland 22 ... Massachusetts 23 ... Michigan 24 ... Minnesota 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 25 ... Mississippi 26 ... Missouri 27 ... Montana 28 ... Nebraska 29 ... Nevada 30 ... New Hampshire 31 ... New Jersey 32 ... New Mexico 33 ... New York 34 ... North Carolina 35 ... North Dakota 36 ... Ohio 37 ... Oklahoma 38 ... Oregon 39 ... Pennsylvania 40 ... Rhode Island 41 ... South Carolina 42 ... South Dakota 43 ... Tennessee 44 ... Texas 45 ... Utah 46 ... Vermont 47 ... Virginia 48 ... Washington 49 ... West Virginia 50 ... Wisconsin 51 ... Wyoming 52 ... Puerto Rico 53 ... Virgin Island 54 ... Guam 55 ... Canada 56 ... Cuba 57 ... Mexico 59 ... Remainder of the world 61 ... American Samoa 99 ... State of birth unknown 80-81 2 Hispanic Origin Beginning data year 1997 all States report Hispanic Origin. 00 ... Non - Hispanic 01 ... Mexican 02 ... Puerto Rican 03 ... Cuban 04 ... Central or South American 05 ... Other or unknown Hispanic 99 ... Unknown 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 82 1 Hispanic Origin/Race Recode 1 ... Mexican 2 ... Puerto Rican 3 ... Cuban 4 ... Central or South American 5 ... Other or unknown Hispanic 6 ... Non - Hispanic white 7 ... Non - Hispanic black 8 ... Non - Hispanic other races 9 ... Hispanic origin unknown 83 1 Day of Week of Death 1 ... Sunday 2 ... Monday 3 ... Tuesday 4 ... Wednesday 5 ... Thursday 6 ... Friday 7 ... Saturday 9 ... Unknown 84 1 Reserved Position 85-87 3 Kind of Business or Industry This item is not reported by all States. Refer to the Addendum to the Technical Appendix at the back of this publication for a list of reporting States. A new coding structure was instituted for the 1993 data year. For a complete list of categories and codes refer to: U.S. Bureau of the Census: Classified index of industries and occupations. 1990 Census of Population and Housing. First Edition. Washington. U.S. Government Printing Office, April 1992. 010-960 ... Code range (not inclusive) 85-87 3 Kind of Business or Industry - Con. In addition to the codes shown in the Census publication, the following codes are also applicable: 961 ... Own home/At home 970 ... Retired; with no other industry reported 990 ... Blank, Unknown, NA 88-90 3 Usual Occupation 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline This item is not reported by all States. Refer to the Addendum to the Technical Appendix at the back of this publication for a list of reporting States. A new coding structure was instituted for the 1993 data year. For a complete list of categories and codes refer to the Census Bureau publication mentioned above. 003-905 ... Code range (not inclusive) In addition to the codes shown in the Census publication, the following codes are also applicable: 913 ... Retired; with no other occupation reported 914 ... Housewife/Homemaker 915 ... Student 916 ... Volunteer 917 ... Unemployed, never worked, disabled, child, infant 999 ... Blank, Unknown, NA 91-93 3 52 Cause Recode A recode of the cause code into 52 groups designed for use in producing tabulations. Further back in this document is a complete list of recodes and categories. 010-560 ... Code range (not inclusive) 94-96 3 Reserved Positions 97-101 5 Place (city) of Residence (FIPS) A complete list of cities is shown in the Geographic code outline further back in this document. Effective with the 1994 data year, the FIPS place code has been added to the Mortality record. It identifies each city of 100,000 population or more in 1990. 00000 ... Foreign residents 00001- nnnnn ... code range 99999 ... Balance of county; or city of less than 100,000 population 102-114 13 Reserved Positions 115-118 4 Current Data Year 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 1997 ...1997 119-132 14 FEDERAL INFORMATION PROCESSING STANDARDS (FIPS) GEOGRAPHIC CODES Refer to the Geographic Code Outline further back in this document for a detailed list of areas and codes. For an explanation of FIPS codes, reference should be made to various National Institute of Standards and Technology (NIST) publications. Some geographic codes have been changed to reflect the results of the 1990 Census. 119-120 2 State of Occurrence (FIPS) United States 01 ... Alabama 02 ... Alaska 04 ... Arizona 05 ... Arkansas 06 ... California 08 ... Colorado 09 ... Connecticut 10 ... Delaware 11 ... District of Columbia 12 ... Florida 13 ... Georgia 15 ... Hawaii 16 ... Idaho 17 ... Illinois 18 ... Indiana 19 ... Iowa 119-120 2 State of Occurrence (FIPS) - Con. 20 ... Kansas 21 ... Kentucky 22 ... Louisiana 23 ... Maine 24 ... Maryland 25 ... Massachusetts 26 ... Michigan 27 ... Minnesota 28 ... Mississippi 29 ... Missouri 30 ... Montana 31 ... Nebraska 32 ... Nevada 33 ... New Hampshire 34 ... New Jersey 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 35 ... New Mexico 36 ... New York 37 ... North Carolina 38 ... North Dakota 39 ... Ohio 40 ... Oklahoma 41 ... Oregon 42 ... Pennsylvania 44 ... Rhode Island 45 ... South Carolina 46 ... South Dakota 47 ... Tennessee 48 ... Texas 49 ... Utah 50 ... Vermont 51 ... Virginia 53 ... Washington 54 ... West Virginia 55 ... Wisconsin 56 ... Wyoming Puerto Rico 72 ... Puerto Rico Virgin Islands 78 ... Virgin Islands 119-120 2 State of Occurrence (FIPS) - Con. Guam 66 ... Guam American Samoa 60 ... American Samoa 121-123 3 County of Occurrence (FIPS) Counties and county equivalents (independent and coextensive cities) are numbered alphabetically within each State and identify each county with a population of 100,000 or more in 1990. (Note: To uniquely identify a county, both the state and county codes must be used.) A complete list of counties is shown in the Geographic Code Outline further back in this document. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 001-nnn ... Code range 999 ... County of less than 100,000 population 124-125 2 State of Residence (FIPS) 00 ... Foreign residents 01 ... Alabama 02 ... Alaska 04 ... Arizona 05 ... Arkansas 06 ... California 08 ... Colorado 09 ... Connecticut 10 ... Delaware 11 ... District of Columbia 12 ... Florida 13 ... Georgia 15 ... Hawaii 16 ... Idaho 17 ... Illinois 18 ... Indiana 19 ... Iowa 20 ... Kansas 21 ... Kentucky 22 ... Louisiana 23 ... Maine 24 ... Maryland 25 ... Massachusetts 26 ... Michigan 27 ... Minnesota 28 ... Mississippi 29 ... Missouri 124-125 2 State of Residence (FIPS) - Con. 30 ... Montana 31 ... Nebraska 32 ... Nevada 33 ... New Hampshire 34 ... New Jersey 35 ... New Mexico 36 ... New York 37 ... North Carolina 38 ... North Dakota 39 ... Ohio 40 ... Oklahoma 41 ... Oregon 42 ... Pennsylvania 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 44 ... Rhode Island 45 ... South Carolina 46 ... South Dakota 47 ... Tennessee 48 ... Texas 49 ... Utah 50 ... Vermont 51 ... Virginia 53 ... Washington 54 ... West Virginia 55 ... Wisconsin 56 ... Wyoming Puerto Rico Occurrence 72 ... Puerto Rico 00-56,60, 66, 78 ... Foreign residents: refer to U.S. for specific code structure. Virgin Islands Occurrence 78 ... Virgin Islands 00-56,60, 66, 72 ... Foreign residents: refer to U.S. for specific code structure. Guam Occurrence 66 ... Guam 01-56 ... U.S. Resident. Also considered a resident of Guam. 00, 60, 72, 78 ... Foreign residents: refer to U.S. for specific code structure. 124-125 2 State of Residence (FIPS) - Con. American Samoa Occurrence 60 ... American Samoa 00-56, 66, 72, 78 ... Foreign residents: refer to U.S. for specific code structure. 126-128 3 County of Residence (FIPS) Counties and county equivalents (independent and coextensive cities) are numbered alphabetically within each State and identify each county with a population of 100,000 or more in 1990. (Note: To uniquely identify a county, both the state and county codes must be used.) A complete list of counties is shown in the Geographic Code Outline further back in this document. 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 000 ... Foreign residents 001-nnn ... Code range 999 ... County of less than 100,000 population 129-132 4 PMSA/MSA of Residence (FIPS) Primary Metropolitan Statistical Areas and Metropolitan Statistical Areas are those defined by the U.S. Office of Management and Budget (OMB) as of 1990. For New England, the New England County Metropolitan Areas (NECMA) are used. Further back in this docuent is a list of PMSA’s, MSA’s, NECMA’s, and their component counties. 0000 ... Nonmetropolitan counties or foreign residents 0040-9360 ... Code range 9999 ... Area of less than 100,000 population 133 1 Reserved Position 134-135 2 CMSA of Residence (FIPS) Consolidated Metropolitan Statistical Areas are groupings of certain Primary Metropolitan Statistical Areas and are defined by the U.S. Office of Management and Budget (OMB) as of 1990. All Areas 00 ... Not a CMSA 134-135 2 CMSA of Residence (FIPS) - Con. United States Occurrence 07 ... Boston - Worcester-Lawrence, MA-NH-ME-CT, CMSA 14 ... Chicago - Gary-Kenosha, IL-IN-WI, CMSA 21 ... Cincinnati - Hamilton, OH-KY-IN, CMSA 28 ... Cleveland - Akron, OH, CMSA 31 ... Dallas - Fort Worth, TX, CMSA 34 ... Denver - Boulder-Greeley, CO, CMSA 35 ... Detroit - Ann Arbor-Flint, MI, CMSA 42 ... Houston - Galveston-Brazoria, TX, CMSA 49 ... Los Angeles -Riverside- Orange County, CA, CMSA 56 ... Miami - Fort Lauderdale, FL, CMSA 63 ... Milwaukee - Racine, WI, CMSA 70 ... New York -Northern New Jersey-Long Island, NY-NJCT- PA, CMSA 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 77 ... Philadelphia - Wilmington-Atlantic City, PA-NJ-DEMD. CMSA 79 ... Portland - Salem , OR-WA, CMSA 82 ... Sacremento - Yolo, CA, CMSA 84 ... San Francisco -Oakland-San Jose, CA, CMSA 91 ... Seattle - Tacoma-Bremerton, WA, CMSA 97 ... Washington - Baltimore, DC-MD-VA-WV, CMSA Puerto Rico Occurrence 87 ... San Juan -Caguas-Arecibo, PR, CMSA 136 1 Injury at Work 1 ... Yes 2 ... No 9 ... Unknown 137 1 Race Imputation Flag Blank ... Race is not imputed 1 ... Unknown race is imputed 2 ... All other races, formerly code 09, is imputed 138 1 Age Substitution Flag If reported age is unknown but a valid age is calculated using dates of birth and death, the calculated age is substituted for the unknown reported age. 1 ... Calculated age is substituted for reported age 139-140 2 Reserved Positions 141 1 Place of Accident for Causes E850-E869 and E880-E928 Blank ... Causes other than E850-E869 and E880-E928 0 ... Home 1 ... Farm 2 ... Mine and Quarry 3 ... Industrial Place and Premises 4 ... Place for Recreation and Sport 5 ... Street and Highway 6 ... Public Building 7 ... Resident Institution 8 ... Other Specified Places 9 ... Place of Accident not specified 142-159 18 UNDERLYING CAUSE OF DEATH 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 142-145 4 ICD Code (9th Revision) See the International Classification of Diseases, 1975 Revision, Volume 1. For injuries and poisoning, the external cause is coded (E800-E999) rather than the Nature of Injury (800-999). These positions do not include the letter E for the external cause of injury. For those causes that do not have a 4th digit, location 145 is blank. 146-150 5 282 Cause Recode A recode of the ICD cause code into 282 groups for NCHS publications. Further back in this document is a complete list of recodes and the causes included. 00300-35800 ... Code range (not inclusive) 151-153 3 72 Cause Recode A recode of the ICD cause code into 72 groups for NCHS publications. Further back in this document is a complete list of recodes and the causes included. 010-840 ... Code range (not inclusive) 154-156 3 61 Infant Cause Recode A recode of the ICD cause code into 61 groups for NCHS publications. Further back in this document is a complete list of recodes and the causes included. 010-680 ... Code range (not inclusive) 157-159 3 34 Cause Recode A recode of the ICD cause code into 34 groups for NCHS publications. Further back in this document is a complete list of records and the causes included. 010-370 ... Code range (not inclusive) 160-440 281 MULTIPLE CONDITIONS 160-161 2 Number of Entity-Axis Conditions 00-20 ... Code range 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 162-301 140 ENTITY - AXIS CONDITIONS Space has been provided for maximum of 20 conditions. Each condition takes 7 positions in the record. Records that do not have 20 conditions are blank in the unused area. Position 1: Part/line number on certificate 1 ... Part I, line 1 (a) 2 ... Part I, line 2 (b) 3 ... Part I, line 3 (c) 4 ... Part I, line 4 (d) 5 ... Part I, line 5 (e) 6 ... Part II Position 2: Sequence of condition within part/line 1-7 ... Code range Position 3 - 6: Condition code See Table 1 for a complete list of codes ENTITY - AXIS CONDITIONS - Con. Position 7: Nature of Injury Flag 1 ... Indicates that the code in positions 3-6 is a Nature of Injury code 0 ... All other codes 162-168 7 1st Condition 169-175 7 2nd Condition 176-182 7 3rd Condition 183-189 7 4th Condition 190-196 7 5th Condition 197-203 7 6th Condition 204-210 7 7th Condition 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 211-217 7 8th Condition 218-224 7 9th Condition 225-231 7 10th Condition 232-238 7 11th Condition 239-245 7 12th Condition 246-252 7 13th Condition 253-259 7 14th Condition 260-266 7 15th Condition 267-273 7 16th Condition 274-280 7 17th Condition 281-287 7 18th Condition 288-294 7 19th Condition 295-301 7 20th Condition 302-337 36 Reserved Positions 338-339 2 Number of Record-Axis Conditions 00-20 ... Code range 340 1 Reserved Position 341-440 100 RECORD - AXIS CONDITIONS Space has been provided for a maximum of 20 conditions. Each condition takes 5 positions in the record. Records that do not have 20 conditions are blank in the unused area. Positions 1 - 4: Condition Code See Table 1 for a complete list of codes Position 5: Nature of Injury Flag 1 ... Indicates that the code in positions 1-4 is a Nature of Injury code 1997 Mortality Multiple Cause-of-Death Record Tape Field Location Size Item and Code Outline 0 ... All other codes 341-345 5 1st Condition 346-350 5 2nd Condition 351-355 5 3rd Condition 356-360 5 4th Condition 361-365 5 5th Condition 366-370 5 6th Condition 371-375 5 7th Condition 376-380 5 8th Condition 381-385 5 9th Condition 386-390 5 10th Condition 391-395 5 11th Condition 396-400 5 12th Condition RECORD - AXIS CONDITIONS - Con. 401-405 5 13th Condition 406-410 5 14th Condition 411-415 5 15th Condition 416-420 5 16th Condition 421-425 5 17th Condition 426-430 5 18th Condition 431-435 5 19th Condition 436-440 5 20th Condition