Washington Administrative Code
Title 246 - Health, Department of
HEALTH INFORMATION
Chapter 246-492
Section 246-492-020 - Direct and indirect identifiers
Universal Citation: WA Admin Code 246-492-020
Current through Register Vol. 24-06, March 15, 2024
(1) The department may disclose vital records information for persons named in any birth, death, or fetal death record in accordance with chapter 70.58A RCW and this chapter.
(2) The department may aggregate data from birth and fetal death records, and may release such aggregated data with either direct identifiers or indirect identifiers, or both, in accordance with chapter 70.58A RCW and this chapter.
(3) Birth record direct and indirect identifiers are as follows:
| Birth Record Item | Direct or Indirect Identifier |
| Child Name | Direct Identifier |
| Child Date of Birth | Indirect Identifier |
| Child Time of Birth | Indirect Identifier |
| Child Sex | Indirect Identifier |
| Type of Birthplace | Indirect Identifier |
| Planned Birthplace, if different | Indirect Identifier |
| Name of Facility | Direct Identifier |
| County of Birth | Indirect Identifier |
| City of Birth | Indirect Identifier |
| Mother/Parent Name | Direct Identifier |
| Mother/Parent Date of Birth | Indirect Identifier |
| Mother/Parent Birthplace | Indirect Identifier |
| Mother/Parent Social Security Number | Direct Identifier |
| Do you want to get a Social Security Number for your child? | Indirect Identifier |
| Mother/Parent Residence: Number and Street | Direct Identifier |
| Mother/Parent Residence: City/County | Indirect Identifier |
| Mother/Parent Residence: Country | Indirect Identifier |
| Mother/Parent Residence: State | Indirect Identifier |
| Mother/Parent Residence: Zip Code | Indirect Identifier |
| Mother/Parent Tribal Reservation | Indirect Identifier |
| Mother/Parent Residence Inside City Limits? | Indirect Identifier |
| Mother/Parent Length at Current Residence | Indirect Identifier |
| Mother/Parent Telephone Number | Direct Identifier |
| Mother/Parent Mailing Address: Number and Street | Direct Identifier |
| Mother/Parent Mailing Address: Country | Indirect Identifier |
| Mother/Parent Mailing Address: State | Indirect Identifier |
| Mother/Parent Mailing Address: City | Indirect Identifier |
| Mother/Parent Mailing Address: Zip Code | Indirect Identifier |
| Mother/Parent Occupation | Indirect Identifier |
| Mother/Parent Industry | Indirect Identifier |
| Mother/Parent Education Level | Indirect Identifier |
| Mother/Parent Hispanic Origin? | Indirect Identifier |
| Mother/Parent Race | Indirect Identifier |
| Mother/Parent Current Height | Indirect Identifier |
| Mother/Parent Prepregnancy Weight | Indirect Identifier |
| Were WIC benefits utilized during pregnancy? | Indirect Identifier |
| Cigarette Smoking Before and During Pregnancy | Indirect Identifier |
| Mother/Parent Marital Status | Indirect Identifier |
| Father/Parent Name | Direct Identifier |
| Father/Parent Date of Birth | Indirect Identifier |
| Father/Parent Birthplace | Indirect Identifier |
| Father/Parent Social Security Number | Direct Identifier |
| Father/Parent Occupation | Indirect Identifier |
| Father/Parent Industry | Indirect Identifier |
| Father/Parent Education Level | Indirect Identifier |
| Father/Parent Hispanic Origin? | Indirect Identifier |
| Father/Parent Race | Indirect Identifier |
| Date of First Prenatal Care Visit | Indirect Identifier |
| Date of Last Prenatal Care Visit | Indirect Identifier |
| Total Number of Prenatal Visits During Pregnancy | Indirect Identifier |
| Number of Previous Live Births | Indirect Identifier |
| Date of Last Live Birth | Indirect Identifier |
| Number of Pregnancy Outcomes | Indirect Identifier |
| Date of Last Other Pregnancy Outcomes | Indirect Identifier |
| Date Last Normal Menses Began | Indirect Identifier |
| Mother/Parent Weight at Delivery | Indirect Identifier |
| Was mother/parent transferred to higher level care for maternal medical or fetal indications for delivery? | Indirect Identifier |
| Principle Source of Payment for Delivery | Indirect Identifier |
| Birth Weight | Indirect Identifier |
| Infant Head Circumference | Indirect Identifier |
| Obstetric Estimate of Gestation | Indirect Identifier |
| Apgar Score | Indirect Identifier |
| Plurality | Indirect Identifier |
| Birth Order | Indirect Identifier |
| Was infant transferred within 24 hours of delivery? | Indirect Identifier |
| Is infant living at the time of report? | Indirect Identifier |
| Is infant being breastfed? | Indirect Identifier |
| Risk Factors in this Pregnancy | Indirect Identifier |
| Infections Present and/or Treated During Pregnancy | Indirect Identifier |
| Maternal Morbidity | Indirect Identifier |
| Method of Delivery | Indirect Identifier |
| Obstetric Procedures | Indirect Identifier |
| Onset of Labor | Indirect Identifier |
| Characteristics of Labor and Delivery | Indirect Identifier |
| Abnormal Conditions of the Newborn | Indirect Identifier |
| Congenital Anomalies of the Newborn | Indirect Identifier |
| Attendant Name | Direct Identifier |
| Attendant Title | Indirect Identifier |
| NPI of person delivering the baby | Direct Identifier |
| Certifier Name | Direct Identifier |
| Certifier Title | Indirect Identifier |
| Date Certified | Indirect Identifier |
(4) Fetal death record direct and indirect identifiers are as follows:
| Fetal Death Record Item | Direct or Indirect Identifier |
| Fetus Name | Direct Identifier |
| Fetus Sex | Indirect Identifier |
| Fetus Date of Delivery | Indirect Identifier |
| Fetus Time of Delivery | Indirect Identifier |
| Type of Birthplace | Indirect Identifier |
| Name of Facility | Direct Identifier |
| Facility ID | Indirect Identifier |
| Location of Delivery | Direct Identifier |
| Zip Code of Delivery | Indirect Identifier |
| County of Delivery | Indirect Identifier |
| Mother/Parent Name | Direct Identifier |
| Mother/Parent Date of Birth | Indirect Identifier |
| Mother/Parent Birthplace | Indirect Identifier |
| Mother/Parent Residence: Number and Street | Direct Identifier |
| Mother/Parent Residence: City/County | Indirect Identifier |
| Mother/Parent Residence: Country | Indirect Identifier |
| Mother/Parent Residence: State | Indirect Identifier |
| Mother/Parent Residence: Zip Code | Indirect Identifier |
| Mother/Parent Tribal Reservation | Indirect Identifier |
| Mother/Parent Residence Inside City Limits? | Indirect Identifier |
| Mother/Parent Length at Current Residence | Indirect Identifier |
| Father/Parent Name | Direct Identifier |
| Father/Parent Date of Birth | Indirect Identifier |
| Father/Parent Birthplace | Indirect Identifier |
| Name of Person Completing Cause of Death | Direct Identifier |
| Title of Person Completing Cause of Death | Indirect Identifier |
| Date Signed by Person Completing Cause of Death | Indirect Identifier |
| Name of Person Delivering Fetus | Direct Identifier |
| Title of Person Delivering Fetus | Indirect Identifier |
| NPI of Person Delivering Fetus | Direct Identifier |
| Method of Disposition | Indirect Identifier |
| Date of Disposition | Indirect Identifier |
| Place of Disposition | Indirect Identifier |
| Location of Disposition | Indirect Identifier |
| Name of Funeral Facility | Indirect Identifier |
| Address of Funeral Facility | Indirect Identifier |
| Initiating Cause/Condition | Indirect Identifier |
| Other Significant Causes or Conditions | Indirect Identifier |
| Estimated Time of Fetal Death | Indirect Identifier |
| Was an autopsy performed? | Indirect Identifier |
| Was a histological placental examination performed? | Indirect Identifier |
| Were autopsy or histological placental examination results used in determining the cause of death? | Indirect Identifier |
| Date Received by County Registrar | Indirect Identifier |
| Weight of Fetus | Indirect Identifier |
| Obstetric Estimate of Gestation | Indirect Identifier |
| Plurality | Indirect Identifier |
| Birth Order | Indirect Identifier |
| Mother/Parent Education | Indirect Identifier |
| Mother/Parent of Hispanic Origin? | Indirect Identifier |
| Mother/Parent Race | Indirect Identifier |
| Mother/Parent Occupation | Indirect Identifier |
| Mother/Parent Industry | Indirect Identifier |
| Mother/Parent Marital Status | Indirect Identifier |
| Mother/Parent Height | Indirect Identifier |
| Did mother/parent get WIC food for herself during this pregnancy? | Indirect Identifier |
| Mother/Parent Prepregnancy Weight | Indirect Identifier |
| Mother/Parent Weight at Delivery | Indirect Identifier |
| Date Last Normal Menses Began | Indirect Identifier |
| Date of First Prenatal Care Visit | Indirect Identifier |
| Date of Last Prenatal Care Visit | Indirect Identifier |
| Total Number of Prenatal Visits for this Pregnancy | Indirect Identifier |
| Number of Previous Live Births | Indirect Identifier |
| Number of other Pregnancy Outcomes | Indirect Identifier |
| Cigarette Smoking Before and During Pregnancy | Indirect Identifier |
| Was mother transferred to higher level care for maternal medical or fetal indications for delivery? | Indirect Identifier |
| Father/Parent Education | Indirect Identifier |
| Father/Parent Hispanic Origin | Indirect Identifier |
| Father/Parent Race | Indirect Identifier |
| Father/Parent Occupation | Indirect Identifier |
| Father/Parent Industry | Indirect Identifier |
| Risk Factors in this Pregnancy | Indirect Identifier |
| Method of Delivery | Indirect Identifier |
| Congenital Anomalies of the Fetus | Indirect Identifier |
| Maternal Morbidity | Indirect Identifier |
| Infections Present and/or Treated During this Pregnancy | Indirect Identifier |
(5) The department may release data files linked with birth or fetal death record items. When data files are released by the department in a form or format that is linked with birth or fetal death data, the linked data will be treated with the same restrictions as the most restrictive record item in the linked birth and fetal death data files.
(6) The department may calculate additional data items from the birth or fetal death record items listed in subsections (3) and (4) of this section. These calculated data items shall maintain the same direct or indirect identifier categorization as the most restrictive record items listed in subsections (3) and (4) of this section from which the department derived the additional calculated data.
(7) The department may deidentify birth or fetal death record items listed in subsections (3) and (4) of this section that are direct identifiers. The department may release such deidentified items as an indirect identifier.
(8) The department may limit or restrict the release of vital record items in data files to maintain confidentiality standards and protect the information for persons named in any birth, death, or fetal death record.
Disclaimer: These regulations may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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