DOCUMENTATION OF THE

DETAIL NATALITY TAPE FILE FOR

1995 DATA

DETAIL NATALITY FOR PUERTO RICO, VIRGIN ISLANDS, AND GUAM ARE INCLUDED AS A SEPARATE DATA SET IN THE PUBLIC-USE FILE

Public Use Data Tape Documentation - Natality Detail 1995 Data

This tape documentation was prepared in the Division of Vital Statistics. Manju Sharma of the Systems, Programming, and Statistical Resources Branch was responsible for developing the natality documentation and for providing all of the computer programming services necessary to keep it up-to-date. Thomas Dunn assisted Ms. Sharma in updating this documentation.

Sally Curtin of the Reproductive Statistics Branch prepared the Technical Appendix. The Registration Methods Section and the Data Acquisition and Evaluation Branch provided consultation to State Vital Statistics offices regarding collection of birth certificate data.

Questions on the documentation or general questions concerning the natality file should be directed to the of the Systems, Programming, and Statistical Resources Branch, Division of Vital Statistics, NCHS, 6525 Belcrest Road, Room 840, Hyattsville, MD 20782 (301-436-8900).

Questions concerning the Technical Appendix or substantive questions concerning the natality data should be directed to the Reproductive Statistics Branch, Division of Vital Statistics, NCHS, 6525 Belcrest Road, Room 840, Hyattsville, MD 20782 (301-436-8954).

Documentation of the Detail Natality Data File for 1995 Data

Since 1985 natality statistics for all States and the District of Columbia have been based on information from the total file of records. The information is received on computer data tapes coded by the States and provided to the National Center for Health Statistics (NCHS) through the Vital Statistics Cooperative Program. NCHS receives the data for this file from the registration offices of all States, the District of Columbia, and New York City. Natality data for Puerto Rico, Virgin Islands, and Guam are included as separate data-sets in the public-use file.

Natality data for the United States are limited to births occurring within the United States to U.S. residents and nonresidents. Births to nonresidents of the United States are excluded from all tabulations by place of residence. Births occurring to U.S. citizens outside the United States are not included in this file. Natality data for Puerto Rico, Virgin Islands, and Guam are limited to births occurring with in the respective territories.

Effective January 1, 1989, a revised U.S. Standard Certificate of Live Birth replaced the 1978 revision. The 1989 revision provides a wide variety of new information on maternal and infant health characteristics, representing a significant departure from previous versions in both content and format. For a more detailed discussion of the revised and new items refer to the technical appendix part of this document.

The Office of Management and Budget revised its designation of metropolitan statistical areas based on figures from the 1990 Census. Effective with the 1990 data file, NCHS has been using these new definitions and codes as indicated in the listing of 320 Metropolitan Statistical Areas ( MSA 's), Primary Metropolitan Statistical Areas ( PMSA 's), and New England County Metropolitan Areas ( NECMA 'S) included in this documentation. There are also 20 Consolidated Metropolitan Statistical Areas ( CMSA 's), which are made up of PMSA 's. Because other geographic changes based on 1990 Census became effective with 1994 data file, the metropolitan statistical area destination were updated as well. Effective with the 1994 data-file there are 311 MSA 's, PMSA 's, and NECMA 'S and 18 CMSA 's as indicated in the listing included in this documentation.

NCHS has adopted a new policy on release of vital statistics unit record data files. This new policy was implemented for the 1989 vital event files to prevent the inadvertent disclosure of individuals and institutions. As a result, the files for 1989 and later years do not contain the actual day of the birth or the dates of birth of the mother or father. The geographic detail is also restricted; only counties and cities of 100,000 or more population based on the 1990 Census, as well as metropolitan areas of 100,000 or more population based on the 1990 Census, are identified.

Included in this document are:

1.	List of data elements and tape locations.

2.	Machine/File/Data Characteristics.

3.	Detail Record Layout.

SYMBOLS USED IN TABLES

Symbol	Explanation

---	Data not available

...	Category not applicable

-	Quantity zero

0.0	Quantity more than 0 but less than 0.05

*	Figure does not meet standards of reliability

or precision

1.	General

a.	Data year	1-4

b.	Record type	5

c.	Resident status	6

2.	Occurrence

a.	NCHS State	16-17

b.	Expanded NCHS State	14-15

c.	NCHS County	18-20

d.	Population size - county	26

e.	Division	12

f.	Region	11

g.	FIPS State	21-22

h.	FIPS County	23-25

3.	Residence

a.	NCHS State	32-33

b.	Expanded NCHS State	30-31

c.	NCHS County	34-36

d.	NCHS City	37-39

e.	Population size - city	40

f.	Population size - county	58

g.	NCHS PSMA / MSA	347-349

h.	Met/ Nonmet county	41

i .	Division	28

j.	Region	27

k.	FIPS State	42-43

l.	FIPS County	44-46

m. FIPS Place 47-51

n.	CMSA	52-53

o.	FIPS PSMA / MSA	54-57

4.	Prenatal Care

a.	Month began	106-109

b.	Number of visits	110-113

c.	Adequacy of care recode	93

5.	Child

a.	Sex	188-189

b.	Number at delivery	201

c.	Birthweight	193-199

d.	Apgar score	205-207

e.	Gestation	181-187,208-209

f.	Month/year of birth	172-173,176-179

g.	Day of week of birth	180

6.	Mother

a.	Age	68-76,91-92

b.	Race	79-82

c.	Marital status	86-87

d.	Education	83-85

e.	Place of birth	88-90

f.	Hispanic origin	77-78

7.	Pregnancy History

a.	Born alive, now living	94-95

b.	Born alive, now dead	96-97

c.	Other terminations	98-99

d.	Total birth order	103-105

e.	Live birth order	100-102

8.	Father

a.	Age	154-157,166-167

b.	Race	160-162

c.	Hispanic origin	158-159

9.	Other Items

a.	Residence reporting flags	307-326

b.	Attendant at birth	10

c.	Place of delivery	8-9

d.	Interval since last live birth	128-132

10.	Medical and Health Data

a.	Method of delivery	217-222,224

b.	Medical risk factors	225-241

c.	Other risk factors

Tobacco	242-245

Alcohol	246-249

Weight gain during pregnancy	250-252

d.	Obstetric procedures	253-259

e.	Complications of labor and/or

delivery	260-275

f.	Abnormal conditions of the

newborn	276-284

g.	Congenital anomalies	285-306

Machine/File/Data Characteristics:

ALL DATA SETS:

1.	Machine used:	IBM/3081/K

2.	Language used:	PL/I

3.	File organization:	One file, multiple reels

4.	Record format:	Blocked, fixed format

5.	Record mode:	IBM/ EBCDIC 8-bit code

6.	Code scheme:	Numeric/Alphabetic/Blanks

7.	Last block:	May be a short block

8.	Record length:	350

9.	Blocksize :	32550

U.S. DATA SET:

1. Record count:

2. Data counts:	ALL BIRTHS:

a.	By occurrence:	3,903,012

b.	By residence:	3,899,589

c.	To foreign residents:	3,423

PUERTO RICO, VIRGIN ISLANDS, AND GUAM DATA SET:

1.	Record count:	69,868

PUERTO RICO:

2.	Data counts:	ALL BIRTHS:

a.	By occurrence:	63,518

b.	By residence:	63,425

VIRGIN ISLANDS:

1.	Record count:

2.	Data counts:	ALL BIRTHS:

a.	By occurrence:	2,164

b.	By residence:	2,063

GUAM:

1.	Record count:

2.	Data counts:	ALL BIRTHS:

a.	By occurrence:	4,186

b.	By residence:	4,179

1-4	4	DATAYEAR

Year Birth of Child (Data Year)

1995	...	1995

5	1	RECTYPE

Record Type

1	...	Resident: State and county of occurrence and residence are the same.

2	...	Nonresident: State and/or county of occurrence and residence are different.

6	1	RESTATUS

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 of mother is outside of the U.S.

Puerto Rico 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.

4	...	FOREIGN RESIDENTS: Occurred in Puerto Rico to a resident of any other place.

6	1	RESTATUS

Resident Status ( Cont'd )

Virgin Islands 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.

4	...	FOREIGN RESIDENTS: Occurred in the 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 of the U.S.

7	1	RECWT

Record Weight

1	...	Constant - as of the 1985 data year, this file contains data on a 100-percent basis from all reporting areas.

8	1	PLDEL

Place or Facility of Birth

1	...	Hospital

2	...	Freestanding Birthing Center

3	...	Clinic or Doctor's Office

4	...	A Residence

5	...	Other

9	...	Unknown or Not Stated

9	1	PLDEL3

Place or Facility of Birth Recode

1	...	In Hospital

2	...	Not in a Hospital

3	...	Unknown or Not Stated

10	1	BIRATTND

Attendant at Birth

1	...	Doctor of Medicine (M.D.)

2	...	Doctor of Osteopathy (D.O.)

3	...	Certified Nurse Midwife ( C.N.M. )

4	...	Other Midwife

5	...	Other

9	...	Unknown or Not Stated

11-26	16	NOCCUR

Place of Occurrence

11-13	3	RDSSCOCC

Region, Division, and State Subcode of

Occurrence

11	1	REGNOCC

Region of Occurrence

12	1	DIVOCC

Division of Occurrence

13	1	STSUBOCC

State Subcode of Occurrence

States are coded within division and the code

structure is designed to sequence the States

as they appear in NCHS publications.

000 ...	Not applicable: P.R., V.I., or Guam

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

13	1	STSUBOCC

State Subcode of Occurrence ( Cont'd )

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

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

13	1	STSUBOCC

State Subcode of Occurrence ( Cont'd )

9 ... Pacific

1 ... Washington

2 ... Oregon

3 ... California

4 ... Alaska

5 ... Hawaii

14-15	2	STNATEXP

Expanded State of Occurrence

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

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

14-15	2	STNATEXP

Expanded State of Occurrence ( Cont'd )

United States

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

Virgin Islands

54	...	Virgin Islands

Guam

55	...	Guam

16-17	2	STATENAT

State of Occurrence

United States

01	...	Alabama

02	...	Alaska

03	...	Arizona

04	...	Arkansas

05	...	California

16-17	2	STATENAT

State of Occurrence ( Cont'd )

United States

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

16-17	2	STATENAT

State of Occurrence ( Cont'd )

United States

48 ...	Washington

49 ...	West Virginia

50 ...	Wisconsin

51 ...	Wyoming

Puerto Rico

52	...	Puerto Rico

Virgin Islands

53	...	Virgin Islands

Guam

54	...	Guam

18-20	3	CNTYNAT

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 and 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

21-25	5	FIPSOCC

Federal Information Processing Standards ( FIPS )

Geographic Codes (Occurrence)

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 changed to reflect the

results of the 1990 Census.

21-22	2	STOCCFIP

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

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

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

21-22	2	STOCCFIP

State of Occurrence ( FIPS ) ( Cont'd )

United States

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

Guam

66	...	Guam

23-25	3	CNTOCFIP

County of Occurrence ( FIPS )

001- nnn	...	Counties and county equivalents (independent and coextensive cities) are numbered alphabetically within each State. (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	CNTOCPOP

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

27-58	32	NRESID

Place of Residence

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.

27-29	3	RDSCRES

Region, Division, and State Subcode of Residence

27	1	REGNRES

Region of Residence

28	1	DIVRES

Division of Residence

29	1	STSUBRES

State Subcode of Residence

States are coded within Division and the code

structure is designed to sequence the States as they

appear in NCHS publications.

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

29	1	STSUBRES

State Subcode of Residence ( Cont'd )

APPLICABLE TO U.S. ONLY

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

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

29	1	STSUBRES

State Subcode of Residence ( Cont'd )

APPLICABLE TO U.S. ONLY

9 ... Pacific

1 ... Washington

2 ... Oregon

3 ... California

4 ... Alaska

5 ... Hawaii

30-31	2	STRESEXP

Expanded State of Residence

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

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

30-31	2	STRESEXP

Expanded State of Residence ( Cont'd )

United States occurrence

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

53-58,60	...	Foreign Residents

53	...	Puerto Rico

54	...	Virgin Islands

55	...	Guam

56	...	Canada

57	...	Cuba

58	...	Mexico

60	...	Remainder of the world

Puerto Rico occurrence

53	...	Puerto Rico

01-52,54-58,60	...	Foreign residents: Refer to

U.S. for specific code

structure.

30-31	2	STRESEXP

Expanded State of Residence ( Cont'd )

Virgin Islands occurrence

54	...	Virgin Islands

01-53,55-58,60	...	Foreign residents: Refer to

U.S. for specific code

structure.

Guam occurrence

55	...	Guam

01-52	...	U.S. resident is also

considered a resident of Guam.

53-58,60	...	Foreign residents: Refer to

U.S. for specific code

structure.

32-33	2	STATERES

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

32-33	2	STATERES

State of Residence ( Cont'd )

United States occurrence

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

52-57,59	...	Foreign Residents

52	...	Puerto Rico

53	...	Virgin Islands

54	...	Guam

55	...	Canada

56	...	Cuba

57	...	Mexico

59	...	Remainder of the world

Puerto Rico occurrence

52	...	Puerto Rico

01-51,53-57,59	...	Foreign Residents: Refer to

U.S. for specific code

structure.

32-33	2	STATERES

State of Residence ( Cont'd )

Virgin Islands occurrence

53	...	Virgin Islands

01-52,54-57,59	...	Foreign Residents: Refer to

U.S. for specific code

structure.

Guam occurrence

54	...	Guam

01-51	...	U.S. resident is also

considered a resident of Guam.

52-57,59	...	Foreign Residents: Refer to

U.S. for specific code

structure.

34-36	3	CNTYRES

County of Residence

A complete list of counties is shown in the

Geographic Code Outline further back in this

document.

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.)

999	...	County of less than 100,000

population

ZZZ	...	Foreign Residents

37-39	3	CITYRES

City of Residence

A complete list of cities is shown in the

Geographic Code Outline further back in this

document.

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

ZZZ	...	Foreign residents

40	1	CITRSPOP

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

41	1	METRORES

Metropolitan - Nonmetropolitan County of Residence

NOTE:	GUAM AND THE VIRGIN ISLANDS DO NOT HAVE ANY

METROPOLITAN AREAS

1	...	Metropolitan county

2	...	Nonmetropolitan county

Z	...	Foreign residents

42-57	16	FIPSRES

Federal Information Processing Standards ( FIPS ) Geographic Codes (Residence)

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 changed to reflect the results

of the 1990 Census.

42-43	2	STRESFIP

State of Residence ( FIPS )

United States occurrence

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

30	...	Montana

31	...	Nebraska

32	...	Nevada

42-43	2	STRESFIP

State of Residence ( FIPS ) ( Cont'd )

United States occurrence

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

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

00-56,66,78 ...	Foreign Residents: Refer to U.S. for specific code structure

72	...	Puerto Rico

Virgin Islands occurrence

00-56,66,72 ...	Foreign Residents: Refer to U.S. for specific code structure

78	...	Virgin Islands

Guam occurrence

00,72,78	...	Foreign Residents: Refer to U.S. for specific code structure

01-56	...	U.S. Resident is also considered a resident of Guam. Refer to U.S. for specific code structure

66	...	Guam

44-46	3	CNTYRFIP

County of Residence ( FIPS )

001- nnn	...	Counties and county equivalents (independent and coextensive cities) are numbered alphabetically within each State. (Note: To uniquely identify a county, both the State and county codes must be used.)

999	...	County of less than 100,000 population

000	...	Foreign residents

47-51	5	PLACEFIP

Place (City) of Residence

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

52-53	2	CMSA

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 June 30,

1990.

All AREAS

00	...	Not a CMSA

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

52-53	2	CMSA

CMSA of Residence ( FIPS ) ( Cont'd )

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-NJ-CT-PA, CMSA

77	...	Philadelphia-Wilmington-Atlantic

City, PA-NJ-DE-MD, CMSA

79	...	Portland-Salem, OR-WA, CMSA

82	...	Sacramento- 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

54-57	4	SMSARFIP

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 as of

1990. For New England, the New England County

Metropolitan Areas ( NECMA 's) are used.

Further back in this document is a list of PMS A's,

MS A's, NECM A's, and their component counties.

0000	...	Nonmetropolita n counties or foreign residents

0040-9360	...	Code range

9999	...	Area of less than 100,000 population

58	1	CNTRSPOP

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 resident

59-67	9	R1A

Reserved Positions

68	1	MAGERFLG

Reported Age of Mother Used Flag

This position is flagged whenever the mother's

reported age is used. The reported age is used, if

valid, when age could not be computed or when the

computed age is outside the 10-49 code range.

Blank	...	Reported age is not used

1	...	Reported age is used

69	1	MAGEIMP

Age of Mother Imputation Flag

Blank	...	Age is not imputed

1	...	Age is imputed

70-71	2	DMAGE

Age of Mother

This item is: a) computed using dates of birth of

mother and of delivery; b) reported; or c) imputed.

This is the age item used in NCHS publications.

10-49	...	Age in single years

72-73	2	MAGE36

Age of Mother Recode 36

01	...	Under 15 years

02	...	15 years

03	...	16 years

04	...	17 years

05	...	18 years

06	...	19 years

07	...	20 years

08	...	21 years

09	...	22 years

10	...	23 years

11	...	24 years

12	...	25 years

13	...	26 years

14	...	27 years

15	...	28 years

16	...	29 years

17	...	30 years

72-73	2	MAGE36

Age of Mother Recode 36 ( Cont'd )

18	...	31 years

19	...	32 years

20	...	33 years

21	...	34 years

22	...	35 years

23	...	36 years

24	...	37 years

25	...	38 years

26	...	39 years

27	...	40 years

28	...	41 years

29	...	42 years

30	...	43 years

31	...	44 years

32	...	45 years

33	...	46 years

34	...	47 years

35	...	48 years

36	...	49 years

74-75	2	MAGE12

Age of Mother Recode 12

01	...	Under 15 years

03	...	15 years

04	...	16 years

05	...	17 years

06	...	18 years

07	...	19 years

08	...	20 - 24 years

09	...	25 - 29 years

10	...	30 - 34 years

11	...	35 - 39 years

12	...	40 - 44 years

13	...	45 - 49 years

76	1	MAGE8

Age of Mother Recode 8

1	...	Under 15 years

2	...	15 - 19 years

3	...	20 - 24 years

4	...	25 - 29 years

76	1	MAGE8

Age of Mother Recode 8 ( Cont'd )

5	...	30 - 34 years

6	...	35 - 39 years

7	...	40 - 44 years

8	...	45 - 49 years

77	1	ORMOTH

Hispanic Origin of Mother

Hispanic origin is reported by all areas except Puerto Rico.

0	...	Non-Hispanic

1	...	Mexican

2	...	Puerto Rican

3	...	Cuban

4	...	Central or South American

5	...	Other and unknown Hispanic

9	...	Origin unknown or not stated

78	1	ORRACEM

Hispanic Origin and Race of Mother Recode

Hispanic origin is reported by all areas except Puerto Rico.

1	...	Mexican

2	...	Puerto Rican

3	...	Cuban

4	...	Central or South American

5	...	Other and unknown Hispanic

6	...	Non-Hispanic White

7	...	Non-Hispanic Black

8	...	Non-Hispanic other races

9	...	Origin unknown or not stated

79	1	MRACEIMP

Race of Mother Imputation Flag

Blank	...	Race is not imputed

1	...	Unknown race is imputed

2	...	All other races, formerly code 09,

is imputed

80-81	2	MRACE

Race of Mother

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 code 08 for all other

areas. For consistency with Census race code 09

(all other races) used prior to 1992 has been

imputed.

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

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

80-81	2	MRACE

Race of Mother ( Cont'd )

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

Guam 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

10	...	Guamanian

82	1	MRACE3

Race of Mother Recode

For All Areas

1	...	White

2	...	Races other than White or Black

3	...	Black

83-84	2	DMEDUC

Education of Mother

Effective with 1992 data, all areas report

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

83-84	2	DMEDUC

Education of Mother ( Cont'd )

13	...	1 year of college

14	...	2 years of college

15	...	3 years of college

16	...	4 years of college

17	...	5 or more years of college

99	...	Not stated

85	1	MEDUC6

Education of Mother Recode

1	...	0 - 8 years

2	...	9 - 11 years

3	...	12 years

4	...	13 - 15 years

5	...	16 years and over

6	...	Not stated

86	1	DMARIMP

Marital Status of Mother Imputation Flag

Blank ... Marital Status is not imputed

1 ... Marital Status is imputed

87	1	DMAR

Marital Status of Mother

Marital status is not reported by all areas. See

reporting flags.

United States/Virgin Island/Guam

1	...	Married

2	...	Unmarried

9	...	Unknown or not stated

Puerto Rico

1	...	Married

2	...	Unmarried parents living together

3	...	Unmarried parents not living

together

9	...	Unknown or not stated

88-89	2	MPLBIR

Place of Birth of Mother

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

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

88-89	2	MPLBIR

Place of Birth of Mother ( Cont'd )

44	...	Texas

45	...	Utah

46	...	Vermont

47	...	Virginia

48	...	Washington

49	...	West Virginia

50	...	Wisconsin

51	...	Wyoming

52	...	Puerto Rico

53	...	Virgin Islands

54	...	Guam

55	...	Canada

56	...	Cuba

57	...	Mexico

59	...	Remainder of the World

99	...	Not classifiable

90	1	MPLBIRR

Place of Birth of Mother Recode

1	...	Native born

2	...	Foreign born

3	...	Unknown or not stated

91-92	2	DMAGERPT

Reported Age of Mother

10-49	...	Age in single years

99	...	Unknown or not stated

93	1	ADEQUACY

Adequacy Of Care Recode ( Kessner Index)

This recode is based on a modified Kessner

criterion. Month Prenatal Care Began, Number of

Prenatal Visits, and Gestation are the items used to

generate this recode .

1	...	Adequate

2	...	Intermediate

3	...	Inadequate

4	...	Unknown

94-95	2	NLBNL

Number of Live Births, Now Living

Does not include this birth or adoptions.

00-30	...	Stated number of births

99	...	Unknown or not stated

96-97	2	NLBND

Number of Live Births, Now Dead

Does not include this birth or adoptions.

00-30	...	Stated number of births

99	...	Unknown or not stated

98-99	2	NOTERM

Number of Other Terminations

Includes spontaneous and induced at any time after

conception.

00-30	...	Stated number of other terminations

99	...	Unknown or not stated

100-101	2	DLIVORD

Detail Live Birth Order

Sum of live births now living and now dead plus one.

If either item is unknown, this item is made

unknown.

00-31	...	Number of children born alive to

mother

99	...	Unknown

102	1	LIVORD9

Live Birth Order Recode

1	...	First Child

2	...	Second Child

3	...	Third Child

4	...	Fourth Child

5	...	Fifth Child

6	...	Sixth Child

102	1	LIVORD9

Live Birth Order Recode ( Cont'd )

7	...	Seventh Child
8	...	Eighth Child and over

9	...	Unknown or not stated

103-104	2	DTOTORD

Detail Total Birth Order

Sum of live birth order and other terminations.

If either item is unknown, this item is made

unknown.

01-40	...	Total number of live births and

other terminations

99	...	Unknown

105	1	TOTORD9

Total Birth Order Recode

1	...	First Child

2	...	Second Child

3	...	Third Child

4	...	Fourth Child

5	...	Fifth Child

6	...	Sixth Child

7	...	Seventh Child

8	...	Eighth Child and over

9	...	Unknown or not stated

106-107	2	MONPRE

Detail Month of Pregnancy Prenatal Care Began

00	...	No prenatal care

01	...	1st month

02	...	2nd month

03	...	3rd month

04	...	4th month

05	...	5th month

06	...	6th month

07	...	7th month

08	...	8th month

09	...	9th month

99	...	Unknown or not stated

108	1	MPRE6

Month Prenatal Care Began Recode 6

1	...	1st - 2nd month

2	...	3rd month

3	...	4th - 6th month

4	...	7th - 9th month

5	...	No prenatal care

6	...	Unknown or not stated

109	1	MPRE5

Month Prenatal Care Began Recode 5

1	...	1st Trimester (1st -3rd month)

2	...	2nd Trimester (4th -6th month)

3	...	3rd Trimester (7th -9th month)

4	...	No Prenatal Care

5	...	Unknown or not stated

110-111	2	NPREVIST

Total Number of Prenatal Visits

00	...	No prenatal visits

01-48	...	Stated number of visits

49	...	49 or more visits

99	...	Unknown or not stated

112-113	2	NPREV12

Number of Prenatal Visits Recode

01	...	No visits

02	...	1 - 2 visits

03	...	3 - 4 visits

04	...	5 - 6 visits

05	...	7 - 8 visits

06	...	9 - 10 visits

07	...	11 - 12 visits

08	...	13 - 14 visits

09	...	15 - 16 visits

10	...	17 - 18 visits

11	...	19 visits or more

12	...	Unknown or not stated number of

visits

114-121	8	LMPDATE

Date Last Normal Menses Began

114-115	2	LMPMON

Month Last Normal Menses Began

01	...	January

02	...	February

03	...	March

04	...	April

05	...	May

06	...	June

07	...	July

08	...	August

09	...	September

10	...	October

11	...	November

12	...	December

99	...	Unknown or not stated month of LMP

116-117	2	LMPDAY

Day Last Normal Menses Began

01-31	...	As applicable to month of LMP

99	...	Unknown or not stated day of LMP

118-121	4	LMPYR

Year Last Normal Menses Began

1993	...	1993

1995	...	1995

9999	...	Unknown or not stated year of LMP

122-127	6	R8

Reserved positions

128-130	3	DISLLB

Interval Since Last Live Birth

This item is computed from date of birth of this

child and date of last live birth.

777	...	No previous live birth

000	...	Zero months (plural birth)

001-468	...	One to four hundred sixty-eight

months

999	...	Unknown

131-132	2	ISLLB10

Interval Since Last Live Birth Recode

00	...	Not applicable (no previous live

birth)

01	...	Zero months (plural birth)

02	...	1 - 11 months

03	...	12 - 17 months

04	...	18 - 23 months

05	...	24 - 35 months

06	...	36 - 47 months

07	...	48 - 59 months

08	...	60 - 71 months

09	...	72 months and over

10	...	Unknown

133-137 5 Imputed Birthweight

Created beginning with 1995 data

133 1 BWIMP

Imputed Birthweight Flag

Blank	...	Birthweight is not imputed

1	...	Birthweight is imputed

134-137 4 Imputed Birthweight

138-152	15	R2

Reserved Positions

153	1	FAGERFLG

Reported Age of Father Used Flag

This position is flagged whenever the father's

reported age in years is used. The reported age is

used, if valid, when age derived from date of birth

is not available or when it is less than 10.

Blank	...	Reported age is not used

1	...	Reported age is used

154-155	2	DFAGE

Age of Father

This item is either computed from date of birth of

father and of child or is the reported age. This is

the age item used in NCHS publications.

10-98	...	Age in single years

99	...	Unknown or not stated

156-157	2	FAGE11

Age of Father Recode

01	...	Under 15 years

02	...	15 - 19 years

03	...	20 - 24 years

04	...	25 - 29 years

05	...	30 - 34 years

06	...	35 - 39 years

07	...	40 - 44 years

08	...	45 - 49 years

09	...	50 - 54 years

10	...	55 - 98 years

11	...	Not stated

158	1	ORFATH

Hispanic Origin of Father

Hispanic origin of father is reported by all areas except Puerto Rico.

0	...	Non - Hispanic

1	...	Mexican

2	...	Puerto Rican

3	...	Cuban

4	...	Central or South American

5	...	Other and unknown Hispanic

9	...	Origin unknown or not stated

159	1	ORRACEF

Hispanic Origin and Race of Father Recode

Hispanic origin of father is reported by all areas except Puerto Rico.

1	...	Mexican

2	...	Puerto Rican

3	...	Cuban

4	...	Central or South American

5	...	Other and unknown Hispanic

6	...	Non - Hispanic White

7	...	Non - Hispanic Black

8	...	Non - Hispanic other or unknown race

9	...	Origin unknown or not stated

160-161	2	FRACE

Race of Father

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 code 08 for all other

areas. For consistency with Census race code 09

(all other races) used prior to 1992 has been

imputed.

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

160-161	2	FRACE

Race of Father ( Cont'd )
Puerto Rico 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

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

Guam 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

10	...	Guamania n

162	1	FRACE4

Race of Father Recode

1	...	White

2	...	Races other than White, Black, or

unknown

3	...	Black

4	...	Unknown or not stated

163-165	3	R2A

Reserved positions

Item was dropped in 1995

166-167	2	DFAGERPT

Reported Age of Father

10-98	...	Age in single years

99	...	Unknown or not stated

168	1	FRACEIMP

Race of Father Imputation Flag

(Unknown race of father is not imputed. However,

the all other races code is changed to unknown.)

Blank	...	Race is not changed

3	...	All other races, formerly code 09,

is changed to code 99

169	1	R3

Reserved Position

170	1	CDOBMIMP

Month of Birth of Child Imputation Flag

Blank	...	Month is not imputed

1	...	Month is imputed

171	1	RB

Reserved Position

172-173	2	BIRMON

Month of Birth

01	...	January

02	...	February

03	...	March

04	...	April

05	...	May

06	...	June

07	...	July

08	...	August

09	...	September

10	...	October

11	...	November

12	...	December

174-175	2	RC

Reserved Positions

176-179	4	BIRYR

Year of Birth

1995	...	1995

180	1	WEEKDAY

Day of Week Child Born

1	...	Sunday

2	...	Monday

3	...	Tuesday

4	...	Wednesday

5	...	Thursday

6	...	Friday

7	...	Saturday

181	1	GESTESTM

Clinical Estimate of Gestation Used Flag

This position is flagged whenever the clinical

estimate of gestation is used. It is used when

gestation could not be computed or when the computed

gestation is outside the 17-47 code range.

Blank	...	Clinical Estimate is not used

1	...	Clinical Estimate is used

182	1	GESTIMP

Gestation Imputation Flag

Blank	...	Gestation is not imputed

1	...	Gestation is imputed

183-184	2	DGESTAT

Gestation - Detail in Weeks

This item is: a) computed using dates of birth of

child and last normal menses; b) imputed from LMP

date; c) the clinical estimate; or d) unknown when

there is insufficient data to impute or no valid

clinical estimate. This is the gestation item used

in NCHS publications.

17-47	...	17th through 47th week of gestation

99	...	Unknown

185-186	2	GESTAT10

Gestation Recode 10

01	...	Under 20 weeks

02	...	20 - 27 weeks

03	...	28 - 31 weeks

04	...	32 - 35 weeks

05	...	36 weeks

06	...	37 - 39 weeks

07	...	40 weeks

08	...	41 weeks

09	...	42 weeks and over

10	...	Not stated

187	1	GESTAT3

Gestation Recode 3

1	...	Under 37 weeks

2	...	37 weeks and over

3	...	Not stated

188	1	CSEXIMP

Sex Imputation Flag

Blank	...	Sex is not imputed

1	...	Sex is imputed

189	1	CSEX

Sex

1	...	Male

2	...	Female

190-192	3	RD

Reserved Positions

193-196	4	DBIRWT

Birth Weight - Detail in Grams

0227-8165	...	Number of grams

9999	...	Not stated birth weight

197-198	2	BIRWT12

Birth Weight Recode 12

01	...	499 grams or less

02	...	500 - 999 grams

03	...	1000 - 1499 grams

04	...	1500 - 1999 grams

05	...	2000 - 2499 grams

06	...	2500 - 2999 grams

07	...	3000 - 3499 grams

08	...	3500 - 3999 grams

09	...	4000 - 4499 grams

10	...	4500 - 4999 grams

11	...	5000 - 8165 grams

12	...	Not stated

199	1	BIRWT4

Birth Weight Recode 4

1	...	1499 grams or less

2	...	1500 - 2499 grams

3	...	2500 - grams or more

4	...	Unknown or not stated

200	1	PLURIMP

Plurality Imputation Flag

Blank	...	Plurality is not imputed

1	...	Plurality is imputed

201	1	DPLURAL

Plurality

1	...	Single

2	...	Twin

3	...	Triplet

4	...	Quadruplet

5	...	Quintuplet or higher

202-204	3	R6

Reserved positions

Item was dropped in 1995

205-206	2	FMAPS

Five Minute Apgar Score

Apgar Score is not reported by all areas. See

reporting flags.

00-10	...	A score of 0-10

99	...	Unknown or not stated

207	1	FMAPSR

Five Minute Apgar Score Recode

Apgar Score is not reported by all areas. See

reporting flags.

1	...	A score of 0-3

2	...	A score of 4-6

3	...	A score of 7-8

4	...	A score of 9-10

5	...	Not stated

208-209	2	CLINGEST

Clinical Estimate of Gestation

Clinical estimate is not reported by all areas. See

reporting flags.

17-47	...	Estimated gestation in weeks

99	...	Unknown or not stated

210-216	7	R4

Reserved Positions

217-306	90	MEDINFO

Medical and Health Data

Some States do not report an entire item while other

States do not report all of the categories within an

item.

If an item is not reported, it is indicated by code

zero in the appropriate reporting flag.

If a category within an item is not reported it is

indicated by code 8 in the position for that

category.

217-222	6	DELMETH

Method of Delivery

Each method is assigned a separate position, and the

code structure for each method (position) is:

1	...	The method was used

2	...	The method was not used

8	...	Method not on certificate

9	...	Method unknown or not stated

217	1	VAGINAL

Vaginal

218	1	VBAC

Vaginal birth after previous C-section

219	1	PRIMAC

Primary C -section

220	1	REPEAC

Repeat C -section

221	1	FORCEP

Forceps

222	1	VACUUM

Vacuum

223	1	R5

Reserved Position

224	1	DELMETH5

Method of Delivery Recode

1	...	Vaginal (excludes vaginal after

previous C-section)

2	...	Vaginal birth after previous

C-section

3	...	Primary C -section

4	...	Repeat C -section

5	...	Not stated

225-241	17	MEDRISK

Medical Risk Factors

Each risk factor is assigned a separate position,

and the code structure for each risk factor

(position) is:

1	...	Factor reported

2	...	Factor not reported

8	...	Factor not on certificate

9	...	Factor not classifiable

225	1	ANEMIA

Anemia ( Hct .<30/Hgb.<10)

226	1	CARDIAC

Cardiac disease

227	1	LUNG

Acute or chronic lung disease

228	1	DIABETES

Diabetes

229	1	HERPES

Genital herpes

230	1	HYDRA

Hydramnios / Oligohydramnios

231	1	HEMO

Hemoglobinopathy

232	1	CHYPER

Hypertension, chronic

233	1	PHYPER

Hypertension, pregnancy-associated

234	1	ECLAMP

Eclampsia

235	1	INCERVIX

Incompetent cervix

236	1	PRE4000

Previous infant 4000+ grams

237	1	PRETERM

Previous preterm or small-for-gestational-age infant

238	1	RENAL

Renal disease

239	1	RH

Rh sensitization

240	1	UTERINE

Uterine bleeding

241	1	OTHERMR

Other Medical Risk Factors

242-252	11	OTHERRSK

Other Risk Factors for this Pregnancy

242-245	4	TOBACRSK

Tobacco Risks

242	1	TOBACCO

Tobacco Use During Pregnancy

1	...	Yes

2	...	No

9	...	Unknown or not stated

243-244	2	CIGAR

Average Number of Cigarettes Per Day

00-97	...	As stated

98	...	98 or more cigarettes per day

99	...	Unknown or not stated

245	1	CIGAR6

Average Number of Cigarettes Per Day Recode

0	...	Nonsmoker

1	...	1 - 5 cigarettes per day

2	...	6 - 10 cigarettes per day

3	...	11 - 20 cigarettes per day

4	...	21 - 40 cigarettes per day

5	...	41 or more cigarettes per day

6	...	Unknown or not stated

246-249	4	ALCOHRSK

Alcohol

246	1	ALCOHOL

Alcohol Use During Pregnancy

1	...	Yes

2	...	No

9	...	Unknown or not stated

247-249	2	DRINK

Average Number of Drinks Per Week

00-97	...	As stated

98	...	98 or more drinks per week

99	...	Unknown or not stated

249	1	DRINK5

Average Number of Drinks Per Week Recode

0	...	Non drinker

1	...	1 drink per week

2	...	2 drinks per week

3	...	3 - 4 drinks per week

4	...	5 or more drinks per week

5	...	Unknown or not stated

250-252	3	WTGANRSK

Weight Gain During Pregnancy

250-251	2	WTGAIN

Weight Gain

00-97	...	Stated number of pounds

98	...	98 pounds or more

99	...	Unknown or not stated

252	1	WTGAIN9

Weight Gain Recode

1	...	Less than 16 pounds

2	...	16 - 20 pounds

3	...	21 - 25 pounds

4	...	26 - 30 pounds

5	...	31 - 35 pounds

6	...	36 - 40 pounds

7	...	41 - 45 pounds

8	...	46 or more pounds

9	...	Unknown or not stated

253-259	7	OBSTETRC

Obstetric Procedures

Each procedure is assigned a separate position, and

the code structure for each procedure (position)

is:

1	...	Procedure reported

2	...	Procedure not reported

8	...	Procedure not on certificate

9	...	Procedure not classifiable

253	1	AMNIO

Amniocentesis

254	1	MONITOR

Electronic fetal monitoring

255	1	INDUCT

Induction of labor

256	1	STIMULA

Stimulation of labor

257	1	TOCOL

Tocolysis

258	1	ULTRAS

Ultrasound

259	1	OTHEROB

Other Obstetric Procedures

260-275	16	LABOR

Complications of Labor and/or Delivery

Each complication is assigned a separate position,

and the code structure for each complication

(position) is:

1	...	Complication reported

2	...	Complication not reported

8	...	Complication not on certificate

9	...	Complication not classifiable

260	1	FEBRILE

Febrile (>100 degrees F. or 38 degrees C.)

261	1	MECONIUM

Meconium , moderate/heavy

262	1	RUPTURE

Premature rupture of membrane (>12 hours)

263	1	ABRUPTIO

Abruptio placenta

264	1	PREPLACE

Placenta previa

265	1	EXCEBLD

Other excessive bleeding

266	1	SEIZURE

Seizures during labor

267	1	PRECIP

Precipitous labor (<3 hours)

268	1	PROLONG

Prolonged labor (>20 hours)

269	1	DYSFUNC

Dysfunctional labor

270	1	BREECH

Breech/ Malpresentation

271	1	CEPHALO

Cephalopelvic disproportion

272	1	CORD

Cord prolapse

273	1	ANESTHE

Anesthetic complications

274	1	DISTRESS

Fetal distress

275	1	OTHERLB

Other Complication of Labor and/or Delivery

276-284	9	NEWBORN

Abnormal Conditions of the Newborn

Each condition is assigned a separate position, and

the code structure for each condition (position) is:

1	...	Condition reported

2	...	Condition not reported

8	...	Condition not on certificate

9	...	Condition not classifiable

276	1	NANEMIA

Anemia ( Hct .<39/Hgb.<13)

277	1	INJURY

Birth injury

278	1	ALCOSYN

Fetal alcohol syndrome

279	1	HYALINE

Hyaline membrane disease

280	1	MECONSYN

Meconium aspiration syndrome

281	1	VENL30

Assisted ventilation, less than 30 minutes

282	1	VEN30M

Assisted ventilation, 30 minutes or more

283	1	NSEIZ

Seizures

284	1	OTHERAB

Other Abnormal Conditions of the Newborn

285-306	22	CONGENIT

Congenital Anomalies

Each anomaly is assigned a separate position, and

the code structure for each anomaly (position) is:

1	...	Anomaly reported

2	...	Anomaly not reported

8	...	Anomaly not on certificate

9	...	Anomaly not classifiable

285	1	ANEN

Anencephalus

286	1	SPINA

Spina bifida/ Meningocele

287	1	HYDRO

Hydrocephalus

288	1	MICROCE

Microcephalus

289	1	NERVOUS

Other central nervous system anomalies

290	1	HEART

Heart malformations

291	1	CIRCUL

Other circulatory/respiratory anomalies

292	1	RECTAL

Rectal atresia /stenosis

293	1	TRACHEO

Tracheo - esophageal fistula/Esophageal atresia

294	1	OMPHALO

Omphalocele / Gastroschisis

295	1	GASTRO

Other gastrointestinal anomalies

296	1	GENITAL

Malformed genitalia

297	1	RENALAGE

Renal agenesis

298	1	UROGEN

Other urogenital anomalies

299	1	CLEFTLP

Cleft lip/palate

300	1	ADACTYLY

Polydactyly / Syndactyly / Adactyly

301	1	CLUBFOOT

Club foot

302	1	HERNIA

Diaphragmatic hernia

303	1	MUSCULO

Other musculoskeletal / integumental anomalies

304	1	DOWNS

Down's syndrome

305	1	CHROMO

Other chromosomal anomalies

306	1	OTHERCON

Other Congenital Anomalies

307-326	20	FLRES

Reporting Flags for Place of Residence

These positions contain flags to indicate whether or

not the specified item is included on the birth

certificate of the State of residence or of the MSA

of residence. The code structure for each flag

(position) is:

0	...	The item is not reported

1	...	The item is reported or partially

reported.

307	1	ORIGM

Origin of mother

308	1	ORIGF

Origin of father

309	1	EDUCM

Education of mother

310	1	EDUCF

Education of father

311	1	GESTE

Clinical estimate of gestation

312	1	R6A

Reserved position

313	1	FMAPSRF

5 - minute Apgar score

314	1	DELMETRF

Method of delivery

315	1	MEDRSK

Medical risk factors

316	1	TOBUSE

Tobacco use

317	1	ALCUSE

Alcohol use

318	1	WTGN

Weight gain

319	1	OBSTRC

Obstetric procedures

320	1	CLABOR

Complications of labor and/or delivery

321	1	ABNML

Abnormal conditions of newborn

322	1	CONGAN

Congenital anomalies

323	1	R6

Reserved Position

324	1	EDUCSMSA

Education of Mother (Based on MSA )

325	1	APIFLAG

Race codes 18-68 reported (beginning with 1992 data)

326-346	21	R7

Reserved positions

347-349	3	SMSARES

PSMA / MSA of Residence (NCHS)

Primary Metropolitan Statistical Areas and

Metropolitan Statistical Areas are those defined by

the U.S. Office of Management and Budget (OMB) as

of June 30, 1990. For New England, the New England

County Metropolitan Areas ( NECMA 's) are used.

Further back in this document is a list of PMSA 's,

MSA 's, NECMA 's, and their component counties.

000	...	Nonmetropolitan counties

001-320	...	Code range

999	...	Area of less than 100,000 population	ZZZ	...	Foreign residents

350	1	POPSMAS

PMSA / MSA Population Size

Based on 1990 Census county population counts

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 resident