Abortion Data Dictionary, PDR File; 7/20/2011 Field Name Description/Label ____________________________________________________________________________ WA STATE FILE NUMBER TERMDATE

AGE City of Residence Literal County of Residence Literal STATE RESIDENCE RACE WA State File Number Date of termination Patient’s age City of residence County of residence State of Residence Race 1 - White 2 - Black 3 - American Indian or Native Alaskan 4 - Asian or Pacific Islander 5 - Mixed 6 - Spanish Origin or Descent 7 - Other 8 - Not stated 9 - Unknown HISPANIC ORIGIN Hispanic Ethnic Origin 1 - Yes 2 - No or Unknown Previous Spontaneous Abortions Number of prev. spon. Abortions 98 – Not Stated 99 - Unknown Previous Live Births 98 – Not Stated 99 - Unknown Previous Abortions (Not including this one) 98 – Not Stated 99 - Unknown 01 - Suction Curettage 02 - Medical (Non-surgical), specify medication(s) 03 - Dilation and evacuation (D&E)

PREVLIVE

PREVAB

PRIMPROC

Field Name

Description/Label 04 - Intra-Uterine Instillation (Saline or Prostaglandin) 05 - Sharp curettage (D&C) 06 - Hysterotomy/Hysterectomy 07 - Other 98 - Not Stated 99 - Unknown

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Field Name MEDICAL ABORTION – MED COMPLI1-COMPLI3

Description/Label Medication used Complications of Pregnancy Termination Procedure 00 01 02 03 04 05 06 07 08 09 98 99 None Cervical Laceration Perforation Hemorrhage Infection Failed Abortion Death Retained Products Other Post Abortion Syndrome Not stated Unknown

MGT1- MGT3

Secondary Management Procedure 00 01 02 03 04 05 98 99 None Resuction or other procedure Hospitalization Transfusion Laparotomy Laparoscopy Not stated Unknown

MENSDATE ESTGEST

Last Menses Date MM/DD/YY Physician’s Estimate of Gestation (weeks from last menstrual period) Was a prenatal diagnostic procedure performed that revealed a fetal abnormality? Y - Yes N - No U - Unknown blank - not stated

PREDIAG PROCEDURE

PROC1- PROC3

Type of Prenatal Diagnostic Procedure 01 02 03 04 Amniocentesis Ultrasound Cordoncentesis Chorionic Villus Sampling 05 - Maternal Serum -

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Field Name

Description/Label Alpha Fetaprotein 06 - Other 98 - Not stated 99 - Unknown

ANOMALY

Type of Fetal Anomaly Literal blank - if preceding prenatal diagnosis fields are not reported

CONFDIAG BY AUTOPSY

Was diagnosis (of fetal abnormality)confirmed after pregnancy termination? Y - Yes N - No or Unknown

FACDIAG

Facility/Agency where Prenatal Diagnosis was Made 00 - Blank 01 - Inland Empire Genetics Counseling Service 02 - Mary Bridge Children’s Health Center 03 - Blue Mountain Genetics Counseling Service 04 - Central Washington Genetics Program 05 - Madigan Army Hospital 06 - Swedish Hospital Medical Center 07 - University of Washington 08 - Group Health Cooperative 09 - Oregon Health Sciences Univ. 10 - Emanuel Hospital and Health Center 11 - Kaiser Permanente, Northwest Region 12 - Other 98 - Not stated 99 - Unknown

RPTDATE RACELIT PRPROCOT

Date Abortion Report Submitted MM/DD/YY Race Literal Reported Under “Other Race” Primary Procedure Literal Reported Under “Other Primary Procedure”

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Field Name COMPOTH

Description/Label Complications Literal Reported Under “Other Complications”

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