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National Fatality Review Case Reporting System Data Dictionary

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National Fatality Review Case Reporting System Data Dictionary Data Dictionary National Fatality Review Case Reporting System Version 5.0 Data entry website: https://data.ncfrp.org 1-800-656-2434 [email protected] www.ncfrp.org SAVING LIVES TOGETHER 0 Contents Case Number .................................................................................................................................... 4 Section A. Child Information ............................................................................................................ 6 A1. Child Information (Complete for all ages) ............................................................................. 6 A2. Complete for Children Over One Year Old ............................................................................ 9 A3. Complete for All Infants Under One Year ............................................................................ 11 A4. Expanded Infant/Maternal Questions ................................................................................. 21 A5. Maternal Interview .............................................................................................................. 34 Section B. Biological Parent Information ................................................................................... 38 Section C. Primary Caregiver(s) Information ................................................................................. 42 Section D. Supervisor Information ................................................................................................. 46 Section E. Incident Information ..................................................................................................... 50 Section F. Investigation Information .............................................................................................. 53 Section G. Official Manner and Primary Cause of Death ............................................................... 56 Section H. Detailed Information by Cause of Death ...................................................................... 58 H1. Motor Vehicle and other Transport .................................................................................... 58 H2. Fire, Burn, or Electrocution ................................................................................................. 60 H3. Drowning ............................................................................................................................. 62 H4. Unintentional Asphyxia ....................................................................................................... 65 H5. Assault, Weapon, or Person’s Body Part ............................................................................. 66 H6. Fall or Crush ......................................................................................................................... 68 H7. Poisoning, Overdose, or Acute Intoxication ........................................................................ 69 H8. Medical Condition ............................................................................................................... 70 H9. Other Known Injury Cause ................................................................................................... 71 Section I. Other Circumstances of Incident ................................................................................... 73 I1: Sudden and Unexpected Death in the Young (SDY) ............................................................. 73 I2. Death Related to Sleeping or the Sleeping Environment ..................................................... 83 I3. Was Death a Consequence of a Problem with a Consumer Product .................................... 87 I4. Did Death Occur During Commission of Another Crime ....................................................... 87 I5. Child Abuse, Neglect, Poor Supervision, and Exposure to Hazards ...................................... 88 I6. Suicide ................................................................................................................................... 93 1 Section J. Person Responsible (Other than Decedent) .................................................................. 96 Section K. Services to Family and Community as a Result of the Death...................................... 101 Section L. Prevention Initiatives Resulting from the Review ....................................................... 102 Section M. The Review Meeting Process ..................................................................................... 105 Section N. SUID and SDY Case Registry ........................................................................................ 107 Section O. Narrative ..................................................................................................................... 110 O1. Narrative ........................................................................................................................... 110 O2. Issues Summary (present and contributing factors) ......................................................... 110 1. Pre-, Inter-, and Post-conception Care ............................................................................ 110 2. Medical: Mother .............................................................................................................. 111 3. Family Planning ............................................................................................................... 112 4. Substance Use .................................................................................................................. 113 5. Prenatal Care/Delivery ................................................................................................... 113 6. Medical: Fetal/Infant ..................................................................................................... 114 7. Pediatric Care ................................................................................................................... 114 8. Environment .................................................................................................................... 115 9. Injuries ............................................................................................................................. 116 10. Social Support .............................................................................................................. 116 11. Partner/FOB/Caregivers ................................................................................................ 116 12. Family Transition ........................................................................................................... 116 13. Mental Health/Stress ................................................................................................... 117 14. Family Violence/Neglect .............................................................................................. 118 15. Culture ........................................................................................................................... 119 16. Payment for Care ......................................................................................................... 119 17. Services Provided .......................................................................................................... 120 18. Transportation .............................................................................................................. 120 19. Documentation ............................................................................................................. 120 20. Other ............................................................................................................................. 121 Section P: Form Completed By .................................................................................................... 121 2 Description of Integrated CDR/FIMR Case Reporting System The National Fatality Review Case Reporting System (NFR-CRS), Version 5.0 integrates Child Death Review (CDR) reporting and Fetal and Infant Mortality Review (FIMR) reporting into one data system. Depending on the age of the child or the cause of the death being reviewed, some sections of the database and data dictionary will be relevant to the case you are reviewing and some will not. The table below outlines which sections are CDR-specific, which ones are FIMR- specific, and which sections are shared by both fatality review forms. Overview of the CDR and FIMR Case Reporting System Section Description CDR FIMR A1 Child information (age, race, etc.) √ √ A2 Children over 1 year old √ A3 Infants √ √ A4 Expanded infant/maternal questions (expanded medical √ complications, education topics, referrals, etc.) A5 Maternal interview √ B Biological parents √ √ C Caregiver √ √ D Supervisor √ √ E Incident √ √ F Investigation √ √ G Cause of Death √ √ H Detailed causes (motor vehicle, fall/crush, drowning, etc.) √ √ I1 Sudden Death in the Young (SDY) √ I2 Sleep-related environment √ √ I3 Problem with a consumer product √ √ I4 Commission of a crime √ √ I5 Child abuse, neglect, poor supervision, exposure to hazards √ √ I6 Suicide (displayed if manner = suicide) √ J Person(s) responsible √ √ K Services provided √ √ L Prevention initiatives √ √ M Review meeting √ √ N SUID/SDY categorization √ O1 Narrative √ √ O2 Issues (present and contributing factors) √ P Form completion √ √ 3 Case Number The first data entry page that appears on your screen is the Case Definition Page, which corresponds to the “Case Number” section of the paper form. This is where you create
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