Hawaii Birth Certificate Requirements

“Public Health Regulations”, Chapter 8, Section 1 (still in effect today) says: Certificates of vital statistics events are to be filled in by typewriter or in ink. If ink is used only permanent ink will be acceptable. All signatures are to be made with permanent ink. In all other respects, the certificates shall comply with provisions of Section 57-14, R.L.H. 1955.”

 

Section 57-14 (1955) says, “The form of certificates shall include as a minimum the items required by the respective standard certificates as recommended by the United States Public Health Service, National Office of Vital Statistics, subject to approval of and modification by the board. The form and use of such certificates shall be subject to the provisions of section 57-19 and 57-21. (R.L. 1945, s. 3100.15, add. L. 1949, c. 327, s. 15.)”

 

At http://www.enotes.com/public-health-encyclopedia/vital-statistics , it says, “In 1946 responsibility for collecting and publishing national vital statistics was transferred from the Census Bureau to the U.S. Public Health Service, first in the National Office of Vital Statistics and later (1960) in the National Center for Health Statistics (NCHS). In 1987 NCHS became part of the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services.

 

So what was the US Public Health Service, National Office of Vital Statistics is now the Centers for Disease Control and Prevention. Information regarding the current standard certificates is found at http://www.cdc.gov/nchs/nvss/vital_certificate_revisions.htm . The 2003 Standard Birth Certificate includes these items (found at http://www.cdc.gov/nchs/data/dvs/FinalBirthSpecs3-24-2005.pdf ) :

 

Item 2 TIME OF BIRTH

Item 3 SEX

Item 4 DATE OF BIRTH (infant)

Items 5-7, 17, 26 FACILITY NAME; CITY, TOWN OR LOCATION OF BIRTH; COUNTY OF BIRTH;

FACILITY ID; PLACE WHERE BIRTH OCCURRED

Item 8b DATE OF BIRTH (mother)

Item 8d BIRTHPLACE (state, territory, or foreign country)

Item 9a-g RESIDENCE OF MOTHER: STATE; COUNTY; CITY, TOWN OR LOCATION;

STREET AND NUMBER; APT. NO.; ZIP CODE; INSIDE CITY LIMITS?

Item 10b DATE OF BIRTH (father)

Item 15 MOTHER MARRIED?

Item 20 MOTHER=S EDUCATION

Item 21 MOTHER OF HISPANIC ORIGIN?

Item 22 MOTHER=S RACE

Item 23 FATHER=S EDUCATION

Item 24 FATHER OF HISPANIC ORIGIN?

Item 25 FATHER=S RACE

Item 27 ATTENDANT=S NAME, TITLE, AND NPI

Item 28 MOTHER TRANSFERRED FOR MATERNAL MEDICAL OR FETAL INDICATIONS

FOR DELIVERY?

Item 29a-b DATES OF FIRST AND LAST PRENATAL CARE VISIT

Item 30 TOTAL NUMBER OF PRENATAL CARE VISITS FOR THIS PREGNANCY

Item 31 MOTHER=S HEIGHT

Item 32 MOTHER=S PREPREGNANCY WEIGHT

Item 33 MOTHER=S WEIGHT AT DELIVERY

Item 34 DID MOTHER GET WIC FOOD FOR HERSELF DURING THIS PREGNANCY?

Items 35a-c, 36a-b NUMBER OF PREVIOUS LIVE BIRTHSNOW LIVING, NOW DEAD; DATE OF LAST

LIVE BIRTH; NUMBER OF OTHER PREGNANCY OUTCOMES; DATE OF LAST

OTHER PREGNANCY OUTCOME

Item 37 CIGARETTE SMOKING BEFORE AND DURING PREGNANCY

Item 38 PRINCIPAL SOURCE OF PAYMENT FOR THIS DELIVERY

Item 39 DATE LAST NORMAL MENSES BEGAN

Item 41 RISK FACTORS IN THIS PREGNANCY

Item 42 INFECTIONS PRESENT AND/OR TREATED DURING THIS PREGNANCY

Item 43 OBSTETRIC PROCEDURES

Item 44 ONSET OF LABOR

Item 45 CHARACTERISTICS OF LABOR AND DELIVERY

Item 46 METHOD OF DELIVERY

4/2004; Updated 3/18/2005

Item 47 MATERNAL MORBIDITY

Item 49 BIRTHWEIGHT

Item 50 OBSTETRIC ESTIMATION OF GESTATION

Item 51 APGAR SCORE

Items 52, 53 PLURALITY; IF NOT SINGLE BIRTHBORN FIRST, SECOND, THIRD, ETC.

(specify)

Item 54 ABNORMAL CONDITIONS OF THE NEWBORN

Item 55 CONGENITAL ANOMALIES OF THE NEWBORN

Item 56 WAS INFANT TRANSFERRED WITHIN 24 HOURS OF DELIVERY? IF YES,

NAME OF FACILITY INFANT TRANSFERRED TO

Item 57 IS INFANT LIVING AT THE TIME OF REPORT?

Item 58 IS INFANT BEING BREASTFED?

 

 

Detailed specifications to be satisfied by software vendors who will contract with the states, are found at http://www.cdc.gov/nchs/data/dvs/FinalBirthSpecs3-24-2005.pdf . This file includes detailed instructions for how the birth facts are to be keyed in by computer operators – instructions which the state and/or vendor would give to hospitals who enter birth data and DOH office workers who key in information from paper certificates to convert them to electronic files.

Advertisements

10 Comments

  1. HistorianDude
    Posted March 10, 2010 at 7:00 pm | Permalink | Reply

    You do realize (I hope) that no Birth Certificate on the planet actually includes all that information… right?

    • Posted March 10, 2010 at 7:58 pm | Permalink | Reply

      Original birth certificates do. Hawaii law requires all that to be on an original birth certificate.

      When a person requests a copy of their birth certificate they usually don’t get the medical portion; they usually get an abstract of information from the original certificate. That’s why I specified that I was not asking for what a person gets when they request a copy; I was requesting what is required to be reported by the hospital or witness of an unattended birth. The current DOH administrative rules allow a person to get EVERYTHING that’s on their original birth certificate if they specifically ask for it all – either as a photocopy or as a new form with answers transcribed in ink.

  2. HistorianDude
    Posted March 10, 2010 at 8:30 pm | Permalink | Reply

    Actually… no.

    1) The current CDC reporting standards are (as I’m sure you are aware) vastly more detailed and complex than those of the US Public Health Service in 1955. As a result no state (including Hawaii) has ever made the actual effort to implement them as a standard state birth certificate. To the extent that they are reported by any state, most of that data is collected and maintained separately from the birth certificate.

    Note: This is simply an example where the reality has outstripped a very, very old law rendering it operationally obsolete.

    2) The Revised Laws of Hawaii (1955) were pre-statehood laws and have been rather comprehensively replaced by the Hawaii Revised Statutes. But even in 1955 the law contained a caveat that conformance to those standards were “subject to approval of and modification by the board.” This is a loop hole large enough to drive an aircraft carrier through.

    While it appears quite clear that the DOH has already determined that you are a “vexatious requestor” and are unashamedly jerking you around, it probably does not help rehabilitate your reputation with them by accusing them of violating a law that they never had any intention of following in the first place.

    Again, no birth certificate on the planet actually includes all that information, and there there is no effort currently underway anywhere to do so.

    • Posted March 10, 2010 at 9:29 pm | Permalink | Reply

      Dr Conspiracy from Obamaconspiracy (definitely NOT a “birther”) says it better than I could so I’ll let you see his words – which I’ve also linked to in the post. Here’s the link: https://butterdezillion.wordpress.com/2010/03/10/dr-conspiracy-on-birth-certificates/

      Again, many thanks, Dr Conspiracy, for clarifying this for me. These things are not easy to keep straight, and the Hawaii DOH has not been forthright on these questions.

      • HistorianDude
        Posted March 10, 2010 at 9:47 pm | Permalink

        It does not appear you are understanding what the “Doctor” was telling you there. Most importantly, you appear to have missed this comment:

        “You are confusing what the hospital reports to the health department with what the health department prints on a certificate for private individuals.”

        One area where he might have been far more clear is where he called whatever Hawaii uses to collect the CDC information “Hawaii’s birth certificate.” Depending on Hawaii’s information system, there may be no such certificate at all and it almost certainly would not be called a “birth certificate”

        If you actually look at the “[d]Detailed specifications to be satisfied by software vendors” you link to, the preferred and alternative sources for each data element are described, and guidance is different regarding whether or not the submission is being made electronically or via some paper instrument. If the designed system is electronic (and it likely is, given the move to computer generated COLBs on the part of Hawaii several years ago) then the data is probably gleaned from multiple Hospital information systems, and input into screens rather than filled out as a form.

        In that case, while the CDC’s reporting requirements would be met, no single paper document would exist that would include all the data fields. There would then be no “blank form” to provide you.

        If this is so, the Hawaii DOH would be technically correct in their responses to you. Understand that I share your suspicion that they really know exactly what you are asking for. But having decided you are a “vexatious requestor” they are in no mood to be nice any more.

      • Posted March 10, 2010 at 10:17 pm | Permalink

        They never were nice.

        I think the CDC’s sample birth certificate is a good example of what Hawaii or other states should have available for people to view – as required by Hawaii law. Also, I asked for the forms required to be filled out for an unattended birth. They never responded to that.

        But Cathy Takase testified that people like me are “mentally ill” because we can’t recognize that we’ve already been given our answers.

        Folks, this is what we can expect if government takes over healthcare.

      • HistorianDude
        Posted March 10, 2010 at 11:21 pm | Permalink

        It is clear that you “think the CDC’s sample birth certificate is a good example of what Hawaii or other states should have available for people to view.” I think gasoline should still be less than a buck a gallon. Neither of us are likely to get our wish.

        We are all of us victims to what is true rather than what we wish was true.

      • Posted March 11, 2010 at 2:24 am | Permalink

        lol. You won’t get any arguments from me on that one. There’s a lot that is less than we’d like it to be. The challenge is to know when to accept and when to fight. We have to choose our battles wisely, and that’s not always easy – nor will every person arrive at the same answers. It’s fun to be able to work it through together though. Thanks for posting and at least hearing what I have to say.

  3. ksdb
    Posted March 11, 2010 at 4:28 pm | Permalink | Reply

    I was checking out the link on the birth specs PDF. Page 30 has an interesting entry:

    “If the birth occurred en route, that is in a moving conveyance, enter the city, town, village, or location where the child was first removed from the conveyance.”

    IIUC, this is saying that if the child was born in an airplane or on a boat, such as returning to Hawaii from, let’s say Kenay, then the child would be listed as born in Hawaii, as long as that was where the child was removed from the airplane or boat. Theoretically, the baby could have actually been born in another country, but reported as having been born en route. Voila! The baby is now listed as born in Honolulu. This now explains why Chiyome Fukino might have said she looked at vital records (plural) that verified Obama being born in Hawaii. Maybe a plane ticket needed to be filed along with affadavits or other forms to register Obama’s birth en route.

    Now it looks like they’re supposed to enter ‘boat’ or ‘airplane’ in the record, but maybe that wouldn’t show up on a birth abstract or COLB … or maybe such information could have been digitally removed after the COLB was scanned ???

    I’m not sure if this reflects the standards that were in effect in 1961 on how to report births en route, but it makes sense as to being a reason why Obama wouldn’t want to show a long form. If that form doesn’t specifically cite a hospital as the place of birth, it looks like Obama could have been born virtually anywhere.

    Also, I did a little digging on the 1961 Natality report and found out that it doesn’t include births outside the United States (assuming Obama might have originally been listed as a foreign birth on a Hawaiian birth certificate). The report says that as many as 336 births reported in the Hawaii total took place in states other than Hawaii. At least two such births took place in Washington state (SAD was definitely in Seattle shortly after Obama’s birth if not prior).

    Also, there’s a graph that shows how many births occurred each month in each state . Adding up the first seven months in Hawaii, showed there were something like 9,934 births. If certificate numbers are sequential as we suspect, Obama’s certificate number (and the Nordykes too) should have been in the lower 10,000s.

    In August, there were an average of 47 births per day, so by Aug. 4, when Obama was born or even by Aug. 8 when the birth was allegedly filed, you still don’t quite get to 10641. Obama’s number (and the Nordykes) would be about 400-500 digits too high … UNLESS there were that many foreign births registered earlier in the year in Hawaii (which is about 71 per month or about 2 1/2 per day).

    The only other thing that explains the certificate-numbering discrepancy might be if there were dropped numbers throughout the year, for unknown reasons. Regardless, these statistics show that Hawaii registered out of state births (since the Natality report is based directly on state vital records reports), and probably registered foreign births too. If Obama wasn’t born en route, it’s still possible he was born out of state, but registered in Hawaii.

Leave a Reply

Please log in using one of these methods to post your comment:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: