Center for Health Statistics Center for Public Health Practice Public Health Division Oregon Health Authority Instructions for completing the Oregon Report of Live Birth on paper These instructions are intended for births occurring outside of a licensed facility reported on paper reports of live birth (Certificate of Live Birth Form 45-1). Mailing Address Oregon Vital Records P.O. Box 14050 Portland, OR 97293-0050 Registration Manager: Marsha Trump 971-673-1191 [email protected] Document Change Activity The following is a record of the changes that have occurred on this document from the time of its original approval Rev. date Change Description Author Date May 13, 2011 Revised instructions regarding attendant certifier for Hampton 8/3/11 out of facility birth to comply with ORS 432.206(3) October 1, Removed items as reportable to match national Hampton 8/15/14 2014 standards; recognition of marriage between persons of same sex November 24, Revised instructions to match most recent Certificate Jackson 11/30/15 2015 of Live Birth Form 45-1. March 3, 2018 Revised instructions on new sex designation Zapata 03/03/18 May 11, 2020 Revised contact information Ruden 5/11/20 GENERAL INFORMATION – OREGON REPORTS OF LIVE BIRTH Births that occur outside a licensed facility create specific legal obligations and practical limitations. The attending physician, midwife, or other person as identified by statute (below) also referred to as the certifier of the birth, is required to report births that occur outside of a facility to the Center for Health Statistics within five days. This is different from births occurring in a licensed facility where the facility has the legal obligation to report the birth. In facilities, the certifier is often an employee of the facility and not the attendant at birth. The report of live birth is submitted by facilities and birth attendants using one of two methods. The most common method is entering and certifying the birth in the Oregon Vital Events Registration System (OVERS). The second method of submitting a Report of Live Birth is completing the paper Certificate of Live Birth form and signing as certifier. These instructions are intended for use by physicians, naturopathic doctors, midwives and others responsible for reporting births that occur in Oregon when the birth is reported on a paper Certificate of Live Birth form. If the certifier is not a licensed birth attendant and is not a midwife registered with the Center for Health Statistics, additional documentation will be required before the birth is registered. There have been two changes which are included in these instructions but not changed on the form. The first is several items on the Certificate of Live Birth form are no longer collected and do not need to be completed before submission. Those items are marked in these instructions. The second change is a change in state law and policies on recognizing marriage between persons of the same sex. If the birth mother is legally married to a same-sex spouse or a partner in an Oregon registered Domestic Partnership, all requests for ‘Father’ information on the Certificate of Live Birth should include the second parent. A ‘parent – parent’ form is available for certified copies of the record of birth. Relevant Oregon Revised Statutes (ORS) excerpts – full content can be located at https://www.oregonlegislature.gov/bills_laws/lawsstatutes/2013ors432.html. ORS 432.005 Definitions. 3 of 32 (21) “Live birth” means the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy, that, after such expulsion or extraction, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. IMPORTANT – If an infant breathes or shows any other evidence of life after complete delivery, even though it may be only momentary, the birth must be registered as a live birth and a report of death must also be filed. 432.088 Mandatory submission and registration of reports of live birth; persons required to report; rules. (1) A report of live birth for each live birth that occurs in this state shall be submitted to the Center for Health Statistics, or as otherwise directed by the State Registrar of the Center for Health Statistics, within five calendar days after the live birth and shall be registered if the report has been completed and filed in accordance with this section. (5)(a) When a live birth occurs outside an institution, the information for the report of live birth shall be submitted within five calendar days of the live birth in a format adopted by the state registrar by rule in the following order of priority: (A) By an institution where the mother and child are examined, if examination occurs within 24 hours of the live birth; (B) By a physician in attendance at the live birth; (C) By a nurse practitioner, as defined in ORS 678.010, or direct entry midwife licensed under ORS 687.405 to 687.495 in attendance at the live birth; (D) By a person not described in subparagraphs (A) to (C) of this paragraph and not required by law to be licensed to practice midwifery who is registered with the Center for Health Statistics to submit reports of live birth and who was in attendance at the live birth; or (E) By the father, the mother or, in the absence of the father and the inability of the mother, the person in charge of the premises where the live birth occurred. (b) The state registrar may establish by rule the manner of submitting the information for the report of live birth by a person described in paragraph (a)(D) of this subsection or a physician, nurse practitioner or 4 of 32 licensed direct entry midwife who attends the birth of his or her own child, grandchild, niece or nephew. 432.075 Duty to furnish information to state registrar; immunity. (1) A person having knowledge of the facts shall furnish all information the person may possess regarding a live birth, death, fetal death, induced termination of pregnancy, marriage, declaration of domestic partnership or dissolution of marriage or domestic partnership upon demand of the State Registrar of the Center for Health Statistics. (2) A person required to report information under this chapter or the rules adopted under this chapter shall provide the information to the state registrar within five calendar days of receiving the information. (3) Within five calendar days of receipt of autopsy results or other information that would provide pending or missing information or correct errors in a reported cause of death, the medical certifier or medical examiner required to report the death under ORS 432.133 shall submit an affidavit on the cause of death to amend the record. (4) A person or institution that in good faith provides information required by this chapter or by rules adopted under this chapter shall not be subject to an action for civil damages. (5) The state registrar may require alternative documentation from the provider of information relating to the occurrence of a vital event for the purpose of quality assurance. Work Sheets: Reports of live birth require many items of information and it is common practice to provide a work sheet to obtain information from the parent(s) of the child. To avoid misunderstandings on items such as names and parents’ dates of birth, the Center for Health Statistics has established a standard worksheet. Effective January 1, 2015, all birth certifiers are required to use the standard worksheet or submit alternatives to the State Registrar for approval prior to use. The worksheets include all of the information required on the Report of Live Birth. Birth Worksheets for facilities (or attendant-certifiers) are available in English, and parents’ worksheets are available in both English and in Spanish. Worksheets are available in Microsoft Word and Adobe portable document format (PDF) on the Center for Health Statistics website: 5 of 32 http://public.health.oregon.gov/BirthDeathCertificates/RegisterVitalRecords/ Pages/InstructionsBirth.aspx. Please note that birth worksheets are not part of the medical record. They should be stored separately, retained for no less than one year and no more than two years, then shredded as the disposal method. Under no circumstances should a copy of the completed report of live birth or birth worksheet(s) become a part of the medical record. A copy of the original report of live birth should never be given to the parent(s) for any reason. If this has been your practice, you must stop immediately. Why is so much information collected? The information collected on the Report of Live Birth through the Certificate of Live Birth serves three purposes. First, the establishment of identity and relationships. This includes not only the child’s name, date of birth, sex, and place of birth, but also the parents’ names, dates of birth, and places of birth. Second, health and medical information is collected for public health assessment and research. Prenatal care, cigarette smoking, weight gain, complications of labor and delivery, race, previous pregnancy outcomes, and many other items are gathered to strengthen public health knowledge and practices relating to pregnancies and live births. And third, the social security numbers of the mother and the father/second parent are collected solely for the purpose of child support in accordance with federal law. These numbers are not used for any other purpose within vital records. All items are required to be asked and should be as fully completed as possible with information available from the medical record or from the parents’ worksheet.