1. (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. (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. (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. (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. (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. (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. (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. (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.

[Statutory Authority: 2019 c 148. WSR 21-06-041, § 246-492-020, filed 2/24/21, effective 4/1/21.]