Changes In Birth Certificate Prompts And Lists For AVSS Version 4.14

The VS-10A Medical Data Supplemental Worksheet, for use with the VS-10D Birth Certificate, will change on January 1, 2005. These changes to the VS-10A are required to conform to National Center for Health Statistics standards. Fields 25D, 28A, and 28B will be changed, but all other fields will be unaffected. Accordingly, AVSS Version 4.14 has been programmed to switch on new user prompts and selection lists for these three fields for births occurring on or after January 1, 2005.

Version 4.14 will be deployed during December 2004. The changes will be transparent to users when creating birth certificates with birth dates before January 1, 2005 and the 1989-2004 VS10-A Worksheet will continue to be used. For later birth dates, the lists for Fields 25D, 28A, and 28B will change and the 2005 VS-10A Worksheet should be used. Five sub-prompts for Fields 28AA, 28AB, 28AC, 28AD, and 28AE will replace the single prompt for Field 28A. See the examples below of lists and prompts for more details.

Field 25D For Births Before 2005:
25D. PRINCIPAL SOURCE OF PAYMENT FOR PRENATAL CARE > ^L
10=NO CHARGE
11=OTHER NONGOVERNMENT PROGRAMS
12=MEDICALLY INDIGENT
13=MEDI-CAL CPS PROGRAM
99=UNKNOWN
00=NONE
01=MEDICARE
02=MEDI-CAL
03=WORKERS' COMPENSATION
04=TITLE V (MCH FUNDS)
05=OTHER GOVERNMENT PROGRAMS
06=BLUE CROSS/BLUE SHIELD
07=PRIVATE INSURANCE COMPANY
08=HEALTH MAINTENANCE ORGANIZATION/PREPAID HEALTH PLAN
09=SELF PAY

Field 25D For Births On/After 2005 Has A Shorter Selection List:
25D. PRINCIPAL SOURCE OF PAYMENT FOR PRENATAL CARE > ^L
13=MEDI-CAL, WITH CPSP SUPPORT SERVICES
14=OTHER (New Choice)
99=UNKNOWN
00=NO PRENATAL CARE
02=MEDI-CAL, WITHOUT CPSP SUPPORT SERVICES
05=OTHER GOVERNMENT PROGRAMS (FEDERAL, STATE, LOCAL)
07=PRIVATE INSURANCE
09=SELF PAY

Field 28A For Births Before 2005 Has Only One Prompt:
28A. METHOD OF DELIVERY > ^L
01=CESAREAN SECTION - PRIMARY
02=CESAREAN SECTION - REPEAT
03=VAGINAL BIRTH - SPONTANEOUS
04=VAGINAL BIRTH AFTER PREVIOUS CESAREAN SECTION
05=VAGINAL BIRTH - FORCEPS
06=VAGINAL BIRTH - VACUUM

Field 28A For Births On/After 2005 Has Five Sub-prompts And A Longer List For Method Of Delivery:
28AA. METHOD OF DELIVERY: FINAL DELIVERY ROUTE > ^L
11=CESAREAN-PRIMARY, WITH TRIAL OF LABOR ATTEMPTED (New Choice)
12=CESAREAN-REPEAT, WITH TRIAL OF LABOR ATTEMPTED (New Choice)
15=VAGINAL-FORCEPS, AFTER PREVIOUS CESAREAN (New Choice)
16=VAGINAL-VACUUM, AFTER PREVIOUS CESAREAN (New Choice)
21=CESAREAN-PRIMARY, WITH VACUUM (New Choice)
22=CESAREAN-REPEAT, WITH VACUUM (New Choice)
31=CESAREAN-PRIMARY, WITH VACUUM & TRIAL OF LABOR ATTEMPTED (New Choice)
32=CESAREAN-REPEAT, WITH VACUUM & TRIAL OF LABOR ATTEMPTED (New Choice)
01=CESAREAN-PRIMARY
02=CESAREAN-REPEAT
03=VAGINAL-SPONTANEOUS
04=VAGINAL-SPONTANEOUS, AFTER PREVIOUS CESAREAN
05=VAGINAL-FORCEPS
06=VAGINAL-VACUUM

28AB. METHOD OF DELIVERY: IF MOTHER HAD A PREVIOUS CESAREAN - HOW MANY? > ? (New Prompt)
THIS FIELD IS REQURED.
ENTER THE NUMBER OF PREVIOUS CESAREANS.
IF THERE HAVE BEEN MORE THAN 9 ENTER 9.
IF THIS INFORMATION IS UNKNOWN ENTER 'UNK'.

28AC. METHOD OF DELIVERY: FETAL PRESENTATION AT BIRTH > ^L (New Prompt)
20=CEPHALIC FETAL PRESENTATION AT DELIVERY
30=BREECH FETAL PRESENTATION AT DELIVERY
40=OTHER FETAL PRESENTATION AT DELIVERY
90=UNKNOWN

28AD. METHOD OF DELIVERY: WAS VAGINAL DELIVERY WITH FORCEPS ATTEMPTED, BUT UNSUCCESSFUL? > ^L (New Prompt)
50=YES
58=NO
59=UNKNOWN

28AE. METHOD OF DELIVERY: WAS VAGINAL DELIVERY WITH VACUUM ATTEMPTED, BUT UNSUCCESSFUL? > ^L (New Prompt)
60= YES
68= NO
69= UNKNOWN

Field 28B For Births Before 2005:
28B. PRINCIPAL SOURCE OF PAYMENT FOR DELIVERY > ^L
10=NO CHARGE
11=OTHER NONGOVERNMENT PROGRAMS
12=MEDICALLY INDIGENT
99=UNKNOWN
00=MEDICALLY UNATTENDED BIRTH
01=MEDICARE
02=MEDI-CAL
03=WORKERS' COMPENSATION
04=TITLE V (MCH FUNDS)
05=OTHER GOVERNMENT PROGRAMS
06=BLUE CROSS/BLUE SHIELD
07=PRIVATE INSURANCE COMPANY
08=HEALTH MAINTENANCE ORGANIZATION/PREPAID HEALTH PLAN
09=SELF PAY

Field 28B For Births On/After 2005 Has A Shorter Selection List:
28B. PRINCIPAL SOURCE OF PAYMENT FOR DELIVERY > ^L
14=OTHER (New Choice)
15=INDIAN HEALTH SERVICE (New Choice)
16=CHAMPUS/TRICARE (New Choice)
99=UNKNOWN
00=MEDICALLY UNATTENDED BIRTH
02=MEDI-CAL
05=OTHER GOVERNMENT PROGRAMS (FEDERAL, STATE, LOCAL)
07=PRIVATE INSURANCE
09=SELF PAY

Updated November 16, 2004 by RL Williams

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