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Y0[N --Y  Y d Y d Y dY  Y d Y d Y d Y d Y  odY   Y  Y   Y  dUniqueIDFirstNameMiddleNameLastNameDOBSSNAddressCity StateZip Years MonthsOtherState OtherDescription-. -/YY-YYY"ParentalBioFatherPrimaryKeyUniqueIDv1@ , ,* Y YN11Y  Y d Y d Y d Y dY  Y Sd Y d Y Fd Y  od Y  odY  Y  Y  d Y  id Y  Bd Y  MdY   Y  idUniqueIDFirstNameMiddleNameLastNameMaidenNameDOBSSNAddressCity StateZip Years MonthsPrevAddressPrevCityPrevStatePrevZipPrevOtherState(PrevOtherDescriptionqIy12a&asii13yanyoss1tiYYY"ParentalBioMotherPrimaryKeyUniqueIDv1 0 0 7YN55Y Y Y Y  Y Y Y  Y DefaultStateDefaultOffice$DefaultPanelToShow(MaximumMonthsAllowed>GenerateCaseNumberAutomatically&PrintPartialReportsCodebookButton DefaultDirectorydv@@4  o YN88Y  Y d Y d Y d Y d Y d Y d Y d Y d Y  dY  Y dY  Y Y  Y   Y  $ Y  d Y  dY  (Y  0 Y  d Y  d Y dUniqueIDFirstNameMiddleNameLastNameMaidenNameRelationshipStreetAddressCity StateZipDOB$PlaceOfLastContact"DateOfLastContact"TimeOfLastContactSickFamilyDiseases$OtherChildrenDeathDeceasedName(DeceasedRelationshipDeceasedDateDeceasedAgeDeceasedCauseDeceasedCityDeceasedState89YY ExposureContactsUniqueIDv1 7 Y YN;;Y  Y dY Y Y  Y d Y ddUniqueIDNameAge Height WeightLocationImpaired ;<YYUnqiueID"WitnessCoSleepersv1 : Y|hingUnN >>|!Y  Y Y  Y  Y  Y eY  Y  Y NY  Y   Y   Y   Y   Y   Y  TableIDNameControlNumberControlTypeValidationRuleValidationTextAllowZeroLengthAttributesDefaultValueRequiredSizeTypeInputMaskCaptionRowSourceDescriptiontaduP>uioYxYPDataDictionaryTablesDataDictionaryFieldsTableID>>>>v1b? = + y  b ][`='p/N2HomeAddressTextBoxField size is variable. TextHome - Address:UUUDD>>$$$ =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@@}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = IncidentAndPrimaryTheSameCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanAddress is the same as Primary Residence0, null - False; -1 - True333) m 2IncidentAddressTextBoxField size is variable. TextIncident Address:[[[HHBB((( =2InfantPriAddressTextBoxField size is variable. TextInfant's Primary Residence Address: oooIICC)))  =2InfantRaceOtherTextBoxField size is variable. TextOtherOOOHHBB((( =InfantRaceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerRace/Ethnic group:@@xx''' mInfantDOBTextBox<=Date() Or Is NullInvalid date - Date entered is greater than today's dateField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date of Birth:q7" =InfantGenderOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerSex / Gender: 1 - Male; 2 - Female; zz))) m2IncidentZipTextBoxField size is variable. Text00000\-9999;;_Zip:ZZZTD>>$$$ =IncidentStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:Statesx''' } 2IncidentCountyTextBoxField size is variable. TextCounty:PPPGGAA''' = 2IncidentCityTextBoxField size is variable. TextCity:LLLEE??%%% = InfantPriZipTextBoxField size is variable. Text00000\-9999;;_Zip:[[[UE??%%% =InfantPriStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:Statesy((( }2InfantPriCountyTextBoxField size is variable. TextCounty:QQQHHBB((( =2InfantPriCityTextBoxField size is variable. TextCity:MMMFF@@&&& =InfantSSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:ZZZTB<<""" =InfantAgeTextBox(>=0 And <=18) Or Is NullPlease enter a valid age - not more than 18 monthsField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerAge (months):q=" =tLVAL  V  N F0 x6p.h&r 1 - Hyperextended (head back); 2 - Flexed (chin to chest); 3 - Neutral; 4 - Turned; 0 - No prenatal care; 2 - Unknown; 1 - Prenatal care; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - Face down on surface; 2 - Face up; 3 - Face right; 4 - Face left; 1 - Sitting; 2 - On back; 3 - On side; 4 - On stomach; 5 - Unknown; 1 - Sitting; 2 - On back; 3 - On side; 4 - On stomach; 5 - Unknown; 1 - Sitting; 2 - On back; 3 - On side; 4 - On stomach; 5 - Unknown; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - Bassinet; 2 - Bedside co-sleeper; 3 - Car seat; 4 - Chair; 5 - Cradle; 6 - Crib; 7 - Floor; 8 - In a person's arms; 9 - Mattress/Box spring; 10 - Mattress on floor; 11 - Playpen; 12 - Portable crib; 13 - Sofa/Couch; 14 - Stroller/Carriage; 15 - Swing; 16 - Waterbed; 17 - Other; 1 - Doctor; 2 - Other Healthcare provider; 3 - Medical records; 4 - Mother/primary caregiver; 5 - Family member; 6 - Other:; 1 - Birth Mother; 2 - Birth Father; 3 - Sibling; 4 - Grandmother; 5 - Grandfather; 6 - Step Mother; 7 - Step Father; 8 - Adoptive/Foster Parent; 9 - Physician; 10 - Health Records; 11 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - White; 2 - Black/African American; 3 - Asian/Pacific Islander; 4 - American Indian/Alaskan Native; 5 - Latino/Hispanic; 6 - Other; =a P R x 0U3LastPlacedDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_When was the infant LAST PLACED?xx''' =FallsLast72HoursDescriptionTextBoxField size is variable. MemoDescribe:___TTNN444+ =AnythingUnusual24HoursDescriptionTextBoxField size is variable. MemoDescribe:eeeZZTT:::1 =WhatHappenedTextBoxField size is variable. MemoTell me what happened:]]]EE??%%% =2RelationshipOtherTextBoxField size is variable. TextOtherQQQJJDD***! =GivenTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Approx. time~ss""" =GivenDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Date given~ss""" =2DosageTextBoxField size is variable. TextDose last givenPPP??99 =2NameTextBoxField size is variable. TextNameCCC==77 =2ImpairedTextBoxField size is variable. TextImpaired (intoxicated, tired)```AA;;!!! =2LocationTextBoxField size is variable. TextLocation in relation to infantaaaAA;;!!! =WeightTextBox>0 And <450Please enter a valid weight in pounds - between 1 and 450Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleWeight (in pounds)g, =HeightTextBox>1.5 And <7.5Please enter a valid height in feet - between 1.5 and 7.5 feetField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleHeight (in feet)n. =AgeTextBox>0 And <100Please enter a valid age in years - between 1 and 100Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerAge (in years)`) =2NameTextBoxField size is variable. TextNameCCC==77 =RelationshipOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongRelationship to the deceased:@@zz))) mDOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date of Birth:xmm =2WorkPhoneTextBoxField size is variable. Text!\(000") "000\-0000;0;_Phone:ccc[B<<""" = 2HomePhoneTextBoxField size is variable. Text!\(000") "000\-0000;0;_Phone:ccc[B<<""" =2WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:VVVP@::  =WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:Statest### }2WorkCityTextBoxField size is variable. TextCity:HHHAA;;!!! = 2WorkAddressTextBoxField size is variable. TextWork - Address: VVVDD>>$$$ = 2HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:VVVP@::  = HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:Statest### } 2HomeCityTextBoxField size is variable. TextCity:HHHAA;;!!! =,=OQ  e ` 3 ~m`ABUIPillowsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerPillows># =@BUISheepskinTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerSheepskin@% =?BUISheetsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerSheets=" =>BUIAdultBlanketsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerAdult BlanketsD)  ==BUIAdultComfortersTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerAdult Comforters/duvets   F+" =<BUIComfortersTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerInfant/child Comforters (thick)   A& =;BUINumInfBlanketTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerInfant/child BlanketsD)  =:BUIReceivingBlanketsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerReceiving BlanketsH-$ =72WearingTextBoxField size is variable. TextWhat was the infant wearing (ex. t-shirt, disposable diaper)~~~@@::  =*2LastPlacedUsualPositionTextBoxField size is variable. TextWhat was the infant's usual position?wwwPPJJ000' =!ExplInfantAliveTextBoxField size is variable. MemoExplain how you knew the infant was still alive:zzzHHBB((( = 2LocFoundTextBoxField size is variable. TextLocation (room):SSSAA;;!!! =LocFoundTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:vv%%% =LocFoundDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_When was the infant FOUND? vv%%% =2LastKnwAliveTextBoxField size is variable. TextLocation (room):WWWEE??%%% =LastKnwAliveTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:zz)))  =LastKnwAliveDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_When was the infant LAST KNOWN ALIVE? zz)))  =2LastPlacedTextBoxField size is variable. TextLocation (room): VVVCC==### =LastPlacedTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:xx''' == k C  "`CaregiverOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongAre you the usual caregiver?  1 - Yes; 0 - No; }}ww&&& mkInfantReasonCheckOnTextBoxField size is variable. TextWhat led you to check on the infant?rrrLLFF,,,# = 2RouteTextBoxField size is variable. TextRouteEEE>>88 = 2DosageTextBoxField size is variable. TextDoseEEE??99 = 2NameTextBoxField size is variable. TextName of medicationQQQ==77 =CommentsTextBoxField size is variable. TextReasons/CommentsSSSAA;;!!! =SourceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongSource of medical information:@@zztt### mLBOIOtherNumberTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerOther (specify number and type)   B' =KBOINumPillowsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerPillowsA& =JBOISheetsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerSheets=" =IBOIAdultBlanketsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerAdult BlanketsD)  =HBOIAdultComfortersTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerAdult Comforters/duvets   F+" =GBOIComfortersTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerInfant/child Comforters (thick)   A& =FBOIInfantBlanketsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerInfant/child BlanketsE*! =EBOIReceivingBlanketsTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerReceiving BlanketsH-$ =CBUIOtherNumberTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerOther (specify number and type)   B' =BBUIRubberPlasticSheetTextBox(>=0 And <=10) Or Is NullAmount specified appears to be invalid. Enter a valid range between 0 and 10Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 0IntegerRubber or plastic Sheet   I.% =H= y  V 7_/2CZ~24BreastMilkOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Breast milk (one/both sides, length of time)B@@zz))) mLastFedTimeTextBox>=0 And <24Please enter a valid time in military formatField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:_1$ =LastFedDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_On what day and at what approximate time was the infant last fed?uu$$$ =24BreastMilkOuncesTextBox(>=0 And <50) Or Is NullPlease enter a valid amount of ounces - between 0 and 50Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerouncesE+" =2LastFedRelationshipTextBoxField size is variable. TextWhat is his/her relationship to the infant?yyyLLFF,,,# =LastFedPersonTextBoxField size is variable. TextWhat is the name of the person who last fed the infant?FF@@&&& = 72StoolOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integeri) Stool changesB@ @~~uu$$$ m 72DiarrheaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerh) DiarrheaB@ @xx''' m72ChokingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerg) ChokingB@ @ww&&& m72VomitingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerf) VomitingB@ @xx''' m72ApetiteOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integere) Decrease in appetiteB@ @ww&&& m72FussinessOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerd) Fussiness or excessive cryingB@@yy((( m72LethargyOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Lethargy or sleeping more than usualB@@xx''' m72SweatingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Excessive sweatingB@@xx''' m72FeverOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) FeverB@@~~uu$$$ m2SourceOtherDescriptionTextBoxField size is variable. TextOther:WWWOOII///& =#PWherePlacedOtherDescriptionTextBoxField size is variable. TextOther[[[TTNN444+ =&WhereFoundOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerWhere was infant (P)laced, (L)ast known alive, (F)ound ? X@@xx''' mFallsLast72HoursOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid the infant experience any falls or any injury within the last 72 hours? 0 - No; 1 - Yes; ~~---  mAnythingUnusual24HoursOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid you notice anything unusual or different about the infant in the last 24 hours?  0 - No; 1 - Yes; 333& mH=# K u Q P bGf|02PosFoundUsualPositionTextBoxField size is variable. TextWhat was the infant's usual position?uuuNNHH...% =/PosFoundUsualOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas this the infant's usual position? 1 - Yes; 0 - No; {{*** m-2PosKnwnAliveUsualPositionTextBoxField size is variable. TextWhat was the infant's usual position?yyyRRLL222) =,PosKnwnAliveUsualOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas this the infant's usual position? 1 - Yes; 0 - No; ...! m)PosLastPlacedUsualOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas this the infant's usual position? 1 - Yes; 0 - No; ///" m.PosFoundOptionGroupField size is variable. TextIn what position was the infant LAST FOUND? @@sEE??%%% m+PosKnwnAliveOptionGroupField size is variable. TextIn what position was the infant LAST KNOWN ALIVE? @@}IICC))) m(PosLastPlacedOptionGroupField size is variable. TextIn what position was the infant LAST PLACED? @@yJJDD*** mApproximateTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/TimeApproximate Timeyy((( =TreatmentTextBoxField size is variable. TextTreatmentMMMBB<<""" = TimeToBeTakenTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Military Timeww&&& = 2PreviousCityTextBoxField size is variable. TextCity:LLLEE??%%% = MonthsResidingAtThisAddressTextBox(>=0 And <=12) Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerMonths:OO4+ = 2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =StateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:Statesp }2CityTextBoxField size is variable. TextCity:DDD==77 =2AddressTextBoxField size is variable. TextCurrent Address:RRR@@::  =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date of Birth:xmm =2MaidenNameTextBoxField size is variable. TextMaiden Name:QQQCC==### =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" = 24FormulaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Formula (brand, water source - ex: Similac, tap water)B@@ww&&& m24FormulaOuncesTextBox(>=0 And <50) Or Is NullPlease enter a valid amount of ounces - between 0 and 50Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerounces|B( ==.k  ?  ./a24OtherOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerg) OtherB@@~~uu$$$ m24SolidsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerf) SolidsB@@vv%%% m24OtherLiquidsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integere) Other liquids (teas, juices)B@@||+++ m24OtherLiquidsOuncesTextBox(>=0 And <50) Or Is NullPlease enter a valid amount of ounces - between 0 and 50Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerouncesG-$ =24WaterOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerd) Water (brand, bottled, tap, well)B@@~~uu$$$ m 24WaterOuncesTextBox(>=0 And <50) Or Is NullPlease enter a valid amount of ounces - between 0 and 50Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerouncesz@& = 24CowsMilkOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Cow's milkB@@xx''' m 24CowsMilkOuncesTextBox(>=0 And <50) Or Is NullPlease enter a valid amount of ounces - between 0 and 50Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerounces}C)  =2AnyAllergiesDescriptionTextBoxField size is variable. TextDescribe:[[[PPJJ000' =AnyAllergiesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Allergies (food, medication, or other)B@@zz))) m72VaccinationsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIn the 72 hours prior to the infant's death, was the infant given any vaccinations or medications? 0 - No; 1 - Yes; ||+++ m72InjuryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIn the 72 hours prior to death, was the infant injured or did he/she have any other condition(s) not mentioned? 0 - No; 1 - Yes; ||vv%%% m72OtherMedicalConditionCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Booleann) Other,0, null - False; -1 - True111' m72SeizuresOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerm) Seizures or convulsionsB@@xx''' m 72ApneaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerk) Apnea (stopped breathing)B@@~~uu$$$ m 72CyanosisOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerl) Cyanosis (turned blue/gray)B@@xx''' m 72BreathingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerj) Difficulty breathingB@@yy((( m1PosFaceLastPlacedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerFACE position when LAST PLACED? @@...! mq=3;I  D w:sZ2AnyCyanosisDescriptionTextBoxField size is variable. TextDescribe:ZZZOOII///& =AnyCyanosisOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerd) Cyanosis (turned blue/gray)B@Hyy((( m2AnyApneaDescriptionTextBoxField size is variable. TextDescribe:WWWLLFF,,,# =AnyApneaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Apnea (stopped breathing)B@Hvv%%% m2AnyAbnormalGrowthDescriptionTextBoxField size is variable. TextDescribe:```UUOO555, =AnyAbnormalGrowthOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Abnormal growth or weight gain/lossB@H...! m6PosNeckFoundOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerNECK position when FOUND? @Hzz))) m5PosFaceFoundOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerFACE position when FOUND? @Hzz))) m4PosNeckAliveOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerNECK position when LAST KNOWN ALIVE? @Hzz))) m3PosFaceAliveOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerFACE position when LAST KNOWN ALIVE? @Hzz))) m2PosNeckLastPlacedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerNECK position when LAST PLACED? @@...! mWindowFanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWindow Fan0, null - False; -1 - True}}tt### m FloorFanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanFloor/table fan0, null - False; -1 - True||ss""" m CeilingFanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCeiling fan0, null - False; -1 - True~~uu$$$ m WindowACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanA/C Window unit0, null - False; -1 - True||ss""" m CentralACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCentral Air0, null - False; -1 - True}}tt### m MinorsLivingAtSceneTextBox>=0 Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerNumber of children<<,# =PrenatalCareOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerAt how many weeks or months did the birth mother begin prenatal care?r@@zz))) m YearsResidingAtThisAddressTextBox>0 Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerHow long has the birth mother been a resident at this address?BB3* = PreviousStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:Statesx''' }LVALl(x 6 p . N  @ z 8 RJ:^ 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - In person; 2 - Telephone; 3 - Other; 2 - Unknown; 0 - No; 1 - Yes; 1 - Breast-feeding; 2 - Bottle-feeding; 3 - Eating solid foods; 4 - Not during feeding; 1 - In person; 2 - Telephone; 3 - Other; 1 - Bassinet; 2 - Bedside co-sleeper; 3 - Car seat; 4 - Chair; 5 - Cradle; 6 - Crib; 7 - Floor; 8 - In a person's arms; 9 - Mattress/Box spring; 10 - Mattress on floor; 11 - Playpen; 12 - Portable crib; 13 - Sofa/Couch; 14 - Stroller/Carriage; 15 - Swing; 16 - Waterbed; 17 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - Bassinet; 2 - Bedside co-sleeper; 3 - Car seat; 4 - Chair; 5 - Cradle; 6 - Crib; 7 - Floor; 8 - In a person's arms; 9 - Mattress/Box spring; 10 - Mattress on floor; 11 - Playpen; 12 - Portable crib; 13 - Sofa/Couch; 14 - Stroller/Carriage; 15 - Swing; 16 - Waterbed; 17 - Other; 1 - Singleton; 2 - Twin; 3 - Triplet; 4 - Quadruplet or higher gestation; 2 - On time; 1 - Early; 3 - Late; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - Breathing; 0 - Not Breathing; 1 - Hot; 2 - Cold; 3 - Normal; 4 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - Hyperextended (head back); 2 - Flexed (chin to chest); 3 - Neutral; 4 - Turned; 1 - Face down on surface; 2 - Face up; 3 - Face right; 4 - Face left; 1 - Hyperextended (head back); 2 - Flexed (chin to chest); 3 - Neutral; 4 - Turned; 1 - Face down on surface; 2 - Face up; 3 - Face right; 4 - Face left; C=: J & A z  <?}[ToysCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanToys0, null - False; -1 - True~xxoo mZStuffedAnimalsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanStuffed Animals0, null - False; -1 - Trueyy((( mYPositionalSupportsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPositional Supports0, null - False; -1 - True}},,," mXInfantPillowsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanInfant Pillows0, null - False; -1 - Truexx''' mWBumperPadsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanBumper Pads0, null - False; -1 - True~~uu$$$ mV2OtherTempTextBoxField size is variable. TextOtherIIIBB<<""" =URoomTempOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerWhat was the temperature of the infant's room?\@ Hvv%%% mT2OtherDeviceTextBoxField size is variable. TextOtherKKKDD>>$$$ =RAirPurifierCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanAir Purifier0, null - False; -1 - Truevv%%% mQVaporizerCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanVaporizer0, null - False; -1 - True}}tt### mPHumidifierCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanHumidifier0, null - False; -1 - True~~uu$$$ mOApneaMonitorCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanApnea Monitor0, null - False; -1 - Trueww&&& mNNoDevicesCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanNone0, null - False; -1 - True}}tt### m%BirthDefectsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid the infant have any birth defects? 0 - No; 1 - Yes; zz))) m$2AnyOtherDescriptionTextBoxField size is variable. TextDescribe:WWWLLFF,,,# =#AnyOtherOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerh) OtherB@ Hvv%%% m"2AnyDisordersDescriptionTextBoxField size is variable. TextDescribe:[[[PPJJ000' =!AnyDisordersOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerg) Metabolic disordersB@ Hzz))) m 2AnyCardiacDescriptionTextBoxField size is variable. TextDescribe:YYYNNHH...% =AnyCardiacOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerf) Cardiac (heart) abnormalitiesB@Hxx''' m2AnySeizuresDescriptionTextBoxField size is variable. TextDescribe:ZZZOOII///& =AnySeizuresOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integere) Seizures or convulsionsB@Hyy((( m= , ]  7 Y QP^9M<2BirthHospAddressTextBoxField size is variable. TextStreet addressYYYIICC)))  =;2BirthHospNameTextBoxField size is variable. TextBirth hospital name[[[FF@@&&& =021stVisitPhoneTextBoxField size is variable. Text!\(000") "000\-0000;;_i) Phone numberooo^F@@&&& =.1stVisitStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerh) State, ZIPStatesxx''' }-21stVisitCityTextBoxField size is variable. Textg) CityNNNEE??%%% =,21stVisitAddressTextBoxField size is variable. Textf) AddressTTTHHBB((( =+21stVisitHospNameTextBoxField size is variable. Texte) Hospital/clinic]]]IICC)))  =*21stVisitDocNameTextBoxField size is variable. Textd) Physician's name]]]HHBB((( =)21stVisitActionTextBoxField size is variable. Textc) Action takenXXXGGAA''' =12ndVisitDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Second most recent visitvv%%% ='1stVisitDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_First most recent visitvv%%% =(21stVisitReasonTextBoxField size is variable. Textb) Reason for visit\\\GGAA''' =lDiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Discoloration around face/nose/mouthB@ H{{*** mjInfantStopBreathingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid you witness the infant stop breathing? 0 - No; 1 - Yes; 000# miInfantBreathingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhen found, was the infant...?H@ H}},,, mgInfantWedgingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas there evidence of wedging? 0 - No; 1 - Yes; {{*** meInfantCoSleepingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas anyone sleeping with the infant ? 0 - No; 1 - Yes; ~~---  md2OtherReachDescriptionTextBoxField size is variable. TextOtherUUUNNHH...% =bNothingReachCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanNothing0, null - False; -1 - Trueww&&& maPacifierReachCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPacifier0, null - False; -1 - Truexx''' m`PillowsReachCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPillows0, null - False; -1 - Trueww&&& m_ToysReachCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanToys0, null - False; -1 - True}}tt### m^BlanketsReachCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanBlankets0, null - False; -1 - Truexx''' m]2OtherItemsDescriptionTextBoxField size is variable. TextOtherUUUNNHH...% ==UX   - n,Z:InfantResuscitationNonEMSOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid anyone else other than EMS try to resuscitate the infant? 0 - No; 1 - Yes; 666) m2OtherFeelDescriptionTextBoxField size is variable. TextOtherTTTMMGG---$ =UnknownCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True{{rr!!! m~RigidCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRigid0, null - False; -1 - Trueyypp m}LimpCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanLimp0, null - False; -1 - True~xxoo m|CoolToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCool to touch0, null - False; -1 - Truevv%%% m{WarmToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWarm to touch0, null - False; -1 - Truevv%%% mzSweatyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSweaty0, null - False; -1 - Truezzqq  mxAppOtherOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longg) OtherB@H||vv%%% mvBodyMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longf) Marks on body (scratches or bruises)B@H}}ww&&& mtRashPetechiaeOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longe) Rash or petechiaeB@H{{*** mrPressureMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longd) Pressure marks (pale areas, blanching)B@H{{*** mpSkinDiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Skin discoloration (livor mortis)B@H...! mnSecretionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Secretions (foam, froth)B@Hww&&& mElectricFurnaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric furnace or boiler0, null - False; -1 - Truezz))) mGasFurnaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanGas furnace or boiler0, null - False; -1 - True~~uu$$$ m24NewFoodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas a new food introduced in the 24 hours prior to his/her death? 0 - No; 1 - Yes; }}ww&&& m?2BirthHospZipTextBoxField size is variable. Text00000\-9999;;_ZipZZZUE??%%% =>BirthHospStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerStateStatesy((( }=2BirthHospCityTextBoxField size is variable. TextCityLLLFF@@&&& ==?\ S AOxElectricSpaceHeaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric space heater0, null - False; -1 - True~~---# mPregnancyComplicationsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDuring her pregnancy with the infant, did the birth mother have any complications? 0 - No; 1 - Yes; 333& m2BottleProppedObjectTextBoxField size is variable. TextObject used:ZZZLLFF,,,# =BottleProppedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas the bottle propped? 0 - No; 1 - Yes; {{*** mBottleToSleepOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas the infant last placed to sleep with a bottle? 0 - No; 1 - Yes; {{*** m24NewfoodDescriptionTextBoxField size is variable. MemoDescribe (content, amount, change in formula, introduction of solids, other)MMGG---$ =IDeliveryComplicationsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWere there any complications during delivery or at birth? 0 - No; 1 - Yes; 222% mHGestationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerWas the infant a singleton, twin, triplet, or higher gestation?@Hww&&& mFBirthDeliveryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerCompared to the delivery date, was the infant born on time, early or late?J@H{{*** mEBirthWeightGramsTextBox(>=0 And <=60000) Or Is NullPlease enter a valid weigth in gramsField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoublegramsmG)  =DBirthWeightOzTextBox(>=0 And <16) Or Is NullPlease enter a valid ounces measurementField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Doubleouncesi@& =CBirthWeightLbsTextBox(>=0 And <=120) Or Is NullPlease enter a valid pounds measurementField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoublepoundslC' =@BirthHospDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date of dischargeww&&& =OtherChildDthOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the parent/caregiver ever had a child die suddenly and unexpectedly?  0 - No; 1 - Yes; {{*** mInfantResuscitationDescriptionTextBoxField size is variable. TextPlease describe what was done as part of resuscitation:WWQQ777. =2InfantResuscitationPersonTextBoxField size is variable. TextWho and When?aaaRRLL222) =InfantResuscitationTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:000' =InfantResuscitationDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;" "Date:000' =[=.Q  l VB~g"Hny2AppOtherDescriptionTextBoxField size is variable. TextLLLLLFF,,,# w2BodyMarksDescriptionTextBoxField size is variable. TextMMMMMGG---$ u2RashPetechiaeDescriptionTextBoxField size is variable. TextQQQQQKK111( s2PressureMarksDescriptionTextBoxField size is variable. TextQQQQQKK111( q2SkinDiscolorationDescriptionTextBoxField size is variable. TextUUUUUOO555, o2SecretionDescriptionTextBoxField size is variable. TextMMMMMGG---$ cOtherReachCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True~~~uu$$$ M\OtherItemsNearCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - Trueyy((( MSOtherCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - Trueyyypp M"WherePlacedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerX@Hyy((( Mm2DiscolorationDescriptionTextBoxField size is variable. TextQQQQQKK111( h2WedgingDescriptionTextBoxField size is variable. TextKKKKKEE+++" M2BOIOtherTextBoxField size is variable. TextAAAAA;;!!! D2BUIOtherTextBoxField size is variable. TextAAAAA;;!!! ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@H}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =92WrappedDescriptionTextBoxField size is variable. TextDescribe:VVVKKEE+++" =$WhereLastKnownAliveOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integer(check P, L, or F in front of the appropriate response)X@H000# m8WrappedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas the infant tightly wrapped or swaddled? 0 - No; 1 - Yes; {{uu$$$ mOtherChildDeathDescriptionTextBoxField size is variable. TextPlease explain:dddSSMM333* =WoodFireplaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWood burning fireplace0, null - False; -1 - Truexx''' mElectricCeilingHeatCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric (radiant) ceiling heat0, null - False; -1 - True~~---# mElectricBaseboardHeatCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric baseboard heat0, null - False; -1 - True///% m=?c  s ]:g;vUBottleOuncesTextBox(>=0 And <20) Or Is NullPlease enter a valid bottle measure - between 0 and 20 ouncesField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhat was the quantity of liquid (in ounces) in the bottle? ~?% =BBirthLengthTypeComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. 2Integer1;Inches;2;Centimeters|z))) ]:22ndVisitPhoneTextBoxField size is variable. Text!\(000") "000\-0000;;_^^^^F@@&&& 922ndVisitZipTextBoxField size is variable. Text00000\-9999;;_TTTTD>>$$$ 82ndVisitStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerStatesxx''' ]722ndVisitCityTextBoxField size is variable. TextEEEEE??%%% 622ndVisitAddressTextBoxField size is variable. TextHHHHHBB((( 522ndVisitHospNameTextBoxField size is variable. TextIIIIICC)))  422ndVisitDocNameTextBoxField size is variable. TextHHHHHBB((( 322ndVisitActionTextBoxField size is variable. TextGGGGGAA''' 222ndVisitReasonTextBoxField size is variable. TextGGGGGAA''' /21stVisitZipTextBoxField size is variable. Text00000\-9999;;_TTTTD>>$$$ &BirthDefectsDescriptionTextBoxField size is variable. TextPPPPPJJ000' ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@H}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =272InjuryDescriptionTextBoxField size is variable. TextDescribe:WWWLLFF,,,# =272OtherMedicalDescriptionTextBoxField size is variable. TextSpecify:\\\RRLL222) =ABirthLengthTextBox(>1 And <60) Or Is NullPlease enter a valid birth lengthField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleWhat was the infant's length at birth? `=$ =LAlertsDescriptionTextBoxField size is variable. MemoSpecify:TTTJJDD***! =KAlertsToPathologistOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongAre there any alerts to pathologist? 0 - No; 1 - Yes; 000# mJComplicationsDescriptionTextBoxField size is variable. MemoDescribe the complications:nnnQQKK111( ='PWhereFoundOtherDescriptionTextBoxField size is variable. TextSSSSSMM333* %PWhereLKAOtherDescriptionTextBoxField size is variable. TextQQQQQKK111( OtherFeelCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True}}}tt### M(== A - 5`Gr3d224OtherDescriptionTextBoxField size is variable. TextKKKKKEE+++" 224SolidsDescriptionTextBoxField size is variable. TextLLLLLFF,,,# 224OtherLiquidsDescriptionTextBoxField size is variable. TextRRRRRLL222) 224WaterDescriptionTextBoxField size is variable. TextKKKKKEE+++"  224CowsMilkDescriptionTextBoxField size is variable. TextNNNNNHH...% 224FormulaDescriptionTextBoxField size is variable. TextMMMMMGG---$ 224BreastMilkDescriptionTextBoxField size is variable. TextPPPPPJJ000' ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@H}},,, mOtherACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOther0, null - False; -1 - True{{rr!!! mUnknownACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True}}tt### mOpenWindowCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOpen window(s)0, null - False; -1 - True~~uu$$$ mWoodStoveCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWood burning stove0, null - False; -1 - True}}tt### mKeroseneSpaceHeaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanKerosene space heater0, null - False; -1 - True~~---# mCoalFurnaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCoal burning furnace0, null - False; -1 - Truevv%%% mPregnancyOTCMedsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Over the counter medicationsB@H~~---  mPregnancyInjuriesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas the birth mother injured during her pregnancy with the infant? 0 - No; 1 - Yes; ...! m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =AdditionalFactorsDescriptionTextBoxField size is variable. Memo(ex: exposed to cigarette smoke or fumes at someone else's home, infant unusually heavy, placed with positional supports or wedges)UUOO555, =AdditionalFactorsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongAre there any factors, circumstances, or environmental concerns that may have impacted the infant that have not yet been identified? 0 - No; 1 - Yes; ,, ...! mDeathDuringOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerDid death occur during?@Hyy((( m0=?m 4 f  GpNHf'SmokeSmellCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSmoky smell (like cigaretters)0, null - False; -1 - True~~uu$$$ m&InsectsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanInsects0, null - False; -1 - True{{rr!!! m%2OtherWaterDescriptionTextBoxField size is variable. TextOtherUUUNNHH...% =#UnknownWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - Trueww&&& m"WellCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWell0, null - False; -1 - True~xxoo m!BottledWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanBottled water0, null - False; -1 - Trueww&&& m PublicWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPublic/municipal water source0, null - False; -1 - Truevv%%% mOutsideTempTextBoxIs Not Null And (>=-100 And <=150)Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleOutside temperatureHH$ =ActualRoomTempTextBoxIs Not Null And (>=-100 And <=150)Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleActual room temperatureKK' =ThermostatReadingTextBoxIs Not Null And (>=-100 And <=150)Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleThermostat readingNN*! =ThermostatSettingTextBoxIs Not Null And (>=-100 And <=150)Field is sorted in descending order (Z to A or 100 to 0). Field size is fixed. DoubleThermostat settingNN*! =/CurrentAlcoholOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integere) AlcoholB@Q||+++ m-CurrentPrescriptionsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Prescription medicationsB@Q111$ m+CurrentCigarettesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerd) CigarettesB@Q...! m)CurrentOTCMedsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Over the counter medicationsB@Q||+++ m'PregnancyOtherDrugsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerf) OtherB@Q000# m%PregnancyHerbalOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Herbal remediesB@Q}},,, m#PregnancyAlcoholOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integere) AlcoholB@Q~~---  m!PregnancyPrescriptionsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Prescription medicationsB@H333& mPregnancyCigarettesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerd) CigarettesB@H000# mLVAL-|:t2 V H  @ PLj(b Zx6D~& 1 - In person; 2 - Telephone; 3 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - In person; 2 - Telephone; 3 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - Yes; 0 - No; 2 - Unknown; 1 - Breathing; 2 - Not breathing; 1 - In person; 2 - Telephone; 3 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - Responsive; 2 - Unresponsive; 1 - In person; 2 - Telephone; 3 - Other; 1 - Left at scene; 2 - Released to funeral home; 3 - Morgue; 4 - ME/C facility; 5 - Transported to the hospital; 6 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - Biological Mother/Father; 2 - Grandmother/Father; 3 - Adoptive or Foster Parents; 4 - Physician; 5 - Health Records; 6 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - White; 2 - Black/African American; 3 - Asian/Pacific Islander; 4 - American Indian/Alaskan Native; 5 - Latino/Hispanic ; 6 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - In person; 2 - Telephone; 3 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; =6Y  0 ^ | &<<kPrenatalCareWeeksStartedTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerWeeks:111( =2PrenatalCareHospitalTextBoxField size is variable. TextHospital / Clinic:aaaMMGG---$ =2PrenatalCareProviderTextBoxField size is variable. TextPhysician / Provider:dddMMGG---$ =2PrenatalCareAddressTextBoxField size is variable. TextStreet:UUULLFF,,,# =2PrenatalCareCityTextBoxField size is variable. TextCity:PPPIICC)))  =PrenatalCareStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()IntegerState:States|+++! }2PrenatalCareZipTextBoxField size is variable. Text00000\-9999;;_Zip:^^^XHBB((( =2PrenatalCarePhoneTextBoxField size is variable. Text!\(000") "000\-0000;;_Phone:jjjbJDD***! =3CurrentOtherDrugsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerf) OtherB@Q...! m1CurrentHerbalOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Herbal remediesB@Q{{*** mPrimaryResidenceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas this the primary residence? 1 - Yes; 0 - No; ~~---  mPPlaceOfOccurrenceTextBoxField size is variable. TextWhere did the incident or death occur?rrrJJDD***! =32OtherItemsDescriptionTextBoxField size is variable. TextOtherUUUNNHH...% =1ParaphernaliaCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPresence of drug paraphernalia0, null - False; -1 - Truexx''' m0ContainersCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPresence of alcohol containers0, null - False; -1 - True~~uu$$$ m.OdorsFumesCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOdors or fumes0, null - False; -1 - True~~uu$$$ m-RodentsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRodents or vermin0, null - False; -1 - True{{rr!!! m,PeelingPaintCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPeeling paint0, null - False; -1 - Trueww&&& m+PetsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPets0, null - False; -1 - True~xxoo m*MoldCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanMold0, null - False; -1 - True~xxoo m)StandingWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanVisible standing water0, null - False; -1 - Truexx''' m(DampnessCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanDampness0, null - False; -1 - True||ss""" m=OT 1  d w  (9T KinNotificationCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanNotify next of kin or verify notification0, null - False; -1 - Truezz))) m EvidenceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanMaterials collected / Evidence logged0, null - False; -1 - True||ss""" m AdditionalScenesCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanAdditional scene(s)? (forms attached)0, null - False; -1 - True{{***  m OtherFactorsTextBoxField size is variable. MemoAre there any factors, circumstances or environmental concerns about the incident scene investigation, that may have impacted the infant and that have not been identified?EE??%%% =ChildcareFacilityOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIs the site of the incident or death scene a daycare or other childcare setting? 1 - Yes; 0 - No; ...! m22CurrentOtherDrugsDailyConsumptionTextBoxField size is variable. TextZZZZZTT:::1 02CurrentHerbalDailyConsumptionTextBoxField size is variable. TextVVVVVPP666- .2CurrentAlcoholDailyConsumptionTextBoxField size is variable. TextWWWWWQQ777. ,2CurrentPrescriptionsDailyConsumptionTextBoxField size is variable. Text]]]]]WW===4 *2CurrentCigarettesDailyConsumptionTextBoxField size is variable. TextZZZZZTT:::1 (2CurrentOTCMedsDailyConsumptionTextBoxField size is variable. TextWWWWWQQ777. &2PregnancyOtherDrugsDailyConsumptionTextBoxField size is variable. Text\\\\\VV<<<3 $2PregnancyHerbalDailyConsumptionTextBoxField size is variable. TextXXXXXRR888/ "2PregnancyAlcoholDailyConsumptionTextBoxField size is variable. TextYYYYYSS9990  2PregnancyPrescriptionsDailyConsumptionTextBoxField size is variable. Text_____YY???6 2PregnancyCigarettesDailyConsumptionTextBoxField size is variable. Text\\\\\VV<<<3 2PregnancyOTCMedsDailyConsumptionTextBoxField size is variable. TextYYYYYSS9990 ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@ Q}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =PPregnancyInjuriesDescriptionTextBoxField size is variable. TextSpecify:___UUOO555, =PPregnancyComplicationsDescriptionTextBoxField size is variable. TextSpecify:dddZZTT:::1 =PrenatalCareMonthsStartedTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerMonths:222) =n=o{  jT6t2Y DSIETATextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_DSI at scene:{pp = EMSReportCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanEMS run sheet / report0, null - False; -1 - True}}tt### m MediaCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPhotos or video taken and noted0, null - False; -1 - Trueyypp m 911TapeCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean911 Tape0, null - False; -1 - True{{rr!!! m ReferralCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanReferral for counseling0, null - False; -1 - True||ss""" m2OtherItemsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True~~~uu$$$ M$OtherWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True~~~uu$$$ M2OtherACDescriptionTextBoxField size is variable. TextKKKKKEE+++" ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@ Q}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =/2OdorsDescriptionTextBoxField size is variable. TextDescribe:TTTIICC)))  =2TimeOperatingTextBoxField size is variable. TextHow long has been the daycare operating for business? ~~~FF@@&&& =2AgentNameTextBoxField size is variable. TextAgency Name:PPPBB<<""" =AdultsSupervisingTextBox>=0 Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerHow many adults were supervising the child(ren)?::*! =MinorsUnderCareTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerHow many children were under the care of the provider at the time of the incident or death? yy((( =4GeneralAppearanceTextBoxField size is variable. MemoDescribe the general appearance of incident scene:~~~JJDD***! =AdultsLivingAtSceneTextBox>=0 Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerHow many people live at the site of the incident or death scene?<<,# =2AgentLicenseNumberTextBoxField size is variable. TextWhat is the license number and licensing agency for the daycare?KKEE+++" = RecreationCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanDoll reenactment / Scene re-creation0, null - False; -1 - True~~uu$$$ m0=?  % g  S [ 4]j .2InfantRaceOtherTextBoxField size is variable. TextOtherOOOHHBB((( = InfantRaceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerRace/Ethnic group:@ Qxx''' m InfantGenderOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerSex: 1 - Male; 2 - Female; zz))) m 2InvestigatorNameTextBoxField size is variable. TextInvestigator Information:dddIICC)))  = InfantAgeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. IntegerAge (months):||ss""" = InfantDOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:~ss""" = PronouncedDeadTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:||+++" = ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@ Q}},,, m 2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ = PronouncedDeadDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Pronounced Dead: Date:||+++" = InvestigationTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:{{***! = InvestigationDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Investigated: Date:{{***! = 2InvestigatorPhoneTextBoxField size is variable. Text!\(999") "000\-0000;;_Phone:jjjbJDD***! = 2InvestigatingAgencyTextBoxField size is variable. TextAgency: VVVLLFF,,,# = CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' = 2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ = CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = InfDifferencesDetailsTextBoxField size is variable. MemoDetail any differences, inconsistencies of relevant information: (ex: placed on sofa, last known alive on chair)NNHH...% = LawETATextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Law enforcement at scene:{pp = InformationDifferencesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIf more than one person was interviewed, does the information differ? 0 - No; 1 - Yes; 333& m CommentsTextBoxField size is variable. MemoInvestigator's NotesWWWAA;;!!! = InfantAtHospETATextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Infant at hospital: yy((( == z ?1P< 2ResponsiblePhysicianNameTextBoxField size is variable. TextName of physician responsible for treatment at hospitalQQKK111( = 2HospitalAddressTextBoxField size is variable. TextAddress:RRRHHBB((( = 2HospitalNameTextBoxField size is variable. TextHospital Information:\\\EE??%%% = DiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Discoloration around face/nose/mouthB@ Q{{*** m 2PlaceFoundTextBoxField size is variable. TextWhere was the infant when you arrived at the scene?xxxCC==### = 2WhoCalledRelationshipTextBoxField size is variable. TextRelationship:]]]NNHH...% = 2WhoCalledTextBoxField size is variable. TextName:IIIBB<<""" = EMSDispatchedDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date/Time Dispatched?{{***! = 2EMSAgencyTextBoxField size is variable. TextAgency:KKKBB<<""" = 2EMSLastNameTextBoxField size is variable. TextLast Name:PPPDD>>$$$ = 2EMSFirstNameTextBoxField size is variable. TextFirst Name:RRREE??%%% = CPRDoneOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWas anyone doing CPR when EMS arrived? 0 - No; 1 - Yes; {{uu$$$ m ArrivalDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_At what date and time did you arrive?uu$$$ = RecentHospOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongRecent hospitalization 1 - Yes; 0 - No; ~~xx''' m DietOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDiet (e.g., solids introduced, etc.) 1 - Yes; 0 - No; xxrr!!! m UnsafeSleepOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongUnsafe sleep condition (ex: couch/sofa, waterbed, stuffed toys, pillows, soft bedding) 1 - Yes; 0 - No; yy((( m EnvHazardsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongEnvironmental hazards (ex: carbon monoxide, noxious gases, chemicals, drugs, devices) 1 - Yes; 0 - No; ~~xx''' m ThermiaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHyperthermia/Hypothermia (ex: excessive wrapping, blankets, clothing, or hot or cold environments) 1 - Yes; 0 - No; {{uu$$$ m SleepChangeOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongChange in sleep condition (ex: unaccustomed stomach sleep position, location, or sleep surface) 1 - Yes; 0 - No; yy((( m SharedSurfaceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongSharing of sleep surface with adults, children or pets 1 - Yes; 0 - No; {{*** m AsphyxiaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongAsphyxia (ex: overlying, wedging, choking, nose/mouth obstruction, re-breathing, neck compression, immersion in water) 1 - Yes; 0 - No; ||vv%%% m=.T i   - 87=\ %SuspiciousOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongSuspicious circumstances 1 - Yes; 0 - No; ~~xx''' m #TraumaPoisoningOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPrevious encounters with police or social service agencies 1 - Yes; 0 - No; }},,, m "ResuscitativeTreatmentOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPre-terminal resuscitative treatment 1 - Yes; 0 - No; 333& m ObjectionToAutopsyOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongObjection to autopsy 1 - Yes; 0 - No; ///" m OrganDonorOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongRequest for tissue or organ donation 1 - Yes; 0 - No; ~~xx''' m PoliceHistoryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPrevious encounters with police or social service agencies 1 - Yes; 0 - No; {{*** m PriorSiblingDeathsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPrior sibling deaths 1 - Yes; 0 - No; ///" m NaturalCausesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongCause of death due to natural causes other than SIDS (ex: birth defects, complications of preterm birth) 1 - Yes; 0 - No;  {{*** m ReligiousHistoryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHistory of religious, cultural, or ethnic remedies 1 - Yes; 0 - No; ~~---  m RecentInjuryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongRecent fall or other injury 1 - Yes; 0 - No; zz))) m CareWithoutDiagnosisHistoryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHistory of medical care without diagnosis 1 - Yes; 0 - No; 888+ m LifeThreatHistoryOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHistory of acute life-threatening events (ex: apnea, seizures, difficulty breathing) 1 - Yes; 0 - No; ...! m PreviousDiagnosisOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPrevious medical diagnosis 1 - Yes; 0 - No; ...! m2StreetAddressTextBoxField size is variable. Textf) Street AddressYYYFF@@&&& =2RelationshipTextBoxField size is variable. Texte) Relationship to infant```EE??%%% =2MaidenNameTextBoxField size is variable. Textd) Maiden NameSSSCC==### =2LastNameTextBoxField size is variable. Textc) Last NameOOOAA;;!!! =2MiddleNameTextBoxField size is variable. Textb) Middle NameSSSCC==### =2FirstNameTextBoxField size is variable. Texta) First NameQQQBB<<""" =OutcomeTextBoxField size is variable. TextOutcomeIII@@::  =T=U  p G I] { )2PathologistAgencyTextBoxField size is variable. TextAgency:SSSJJDD***! = (2PathologistNameTextBoxField size is variable. TextPathologist Information:bbbHHBB((( = 'CommentsTextBoxField size is variable. MemoAny "Yes" answers should be explained and detaileduuuAA;;!!! = 2PlaceOfLastContactTextBoxField size is variable. Textj) Where did contact with the infant occur?KKEE+++" = DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_i) Date of Birthxmm = 2ZipTextBoxField size is variable. Text00000\-9999;;_Zip Code:WWWL<66 =2StateComboBoxField size is variable. Texth) StateStates]]I??99 }2CityTextBoxField size is variable. Textg) CityFFF==77 =2ConcernsDescriptionTextBoxField size is variable. Text(ex. mother smoked while breast feeding, exposed to a large number of people at church or public events, air travel)LLFF,,,# =AnyConcernsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongAre there any factors, circumstances, or environmental concerns? 0 - No; 1 - Yes; yy((( mVisitedDayCareOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid the infant visit a daycare in the 24 hours prior to the death? 0 - No; 1 - Yes; ||+++ mImmunizationsReceivedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the infant ever received immunizations or shots?  1 - Yes; 0 - No; 222% mSourceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIndicate Information Source:@Qzztt### mHB1DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Hepatitis B # 1|qq  =2SourceDescriptionTextBoxField size is variable. TextSpecify:TTTJJDD***! = AppOtherOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longg) OtherB@Q||vv%%% m BodyMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longf) Marks on body (scratches or bruises)B@Q}}ww&&& m RashPetechiaeOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longe) Rash or petechiaeB@Q{{*** m PressureMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longd) Pressure marks (pale areas, blanching)B@Q{{*** m SkinDiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Skin discoloration (livor mortis)B@Q...! m SecretionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Secretions (foam, froth)B@Qww&&& m &OtherAlertsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongOther alerts for pathologist's attention 1 - Yes; 0 - No; yy((( m]=z: &  B p ?vsHl$ 8EMSCommentsTextBoxField size is variable. MemoAdditional comments from the EMS personnel:qqqDD>>$$$ = 7CaregiverReactionTextBoxField size is variable. MemoDescribe the reaction of the caregiver(s) to infant's death:JJDD***! = 52HospitalNameTextBoxField size is variable. TextSpecify hospital name and name of person who received the infant:EE??%%% = 4FinalDispositionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhat was the final disposition of the infant? @Q~~---  m 22DoctorFirstNameTextBoxField size is variable. TextFirst Name:UUUHHBB((( = 32DoctorLastNameTextBoxField size is variable. TextWhat was the name of the authorizing medical control physician who pronounced death? GGAA''' = 1ResuscitationEffortsTerminationDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_At what date and approximate time were the resuscitative efforts terminated? <<<3 = "ResuscitativeEffortsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid you administer resuscitative efforts? 1 - Yes; 0 - No; 111$ m OtherFeelCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOther,0, null - False; -1 - True}}tt### m UnknownCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True{{rr!!! m RigidCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRigid, stiff0, null - False; -1 - Trueyypp m LimpCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanLimp, flexible0, null - False; -1 - Truexxoo m CoolToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCool to touch0, null - False; -1 - Truevv%%% m WarmToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWarm to touch0, null - False; -1 - Truevv%%% m SweatyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSweaty0, null - False; -1 - Truezzqq  m ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@Q}},,, m 2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ = CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' = 2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ = CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = ,2PathologistFaxTextBoxField size is variable. Text!\(999") "000\-0000;0;_Fax:fff`GAA''' = +2PathologistPhoneTextBoxField size is variable. Text!\(999") "000\-0000;0;_Phone:jjjbICC)))  =R=:h  9 q T AL5x /ResuscitationNotTerminatedByEMSCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanNot terminated by EMS0, null - False; -1 - True999/ m .ResuscitationInjuriesTextBoxField size is variable. MemoDescribe any injuries sustained by infant during resuscitative efforts (if any): NNHH...% = -ResuscitationDurationTextBoxField size is variable. MemoDescribe the nature and duration of resuscitation efforts and treatments: NNHH...% = 2CPRWhoTextBoxField size is variable. Textwho?EEE??99 = 62OtherDispositionDescriptionTextBoxField size is variable. TextOther[[[TTNN444+ = ;InvestigatorCommentTextBoxField size is variable. MemoInvestigator's NotesbbbLLFF,,,# = :Tape911CheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean911 Tape0, null - False; -1 - True{{rr!!! m 9EMSReportCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanEMS Run Report/Sheet0, null - False; -1 - True}}tt### mSupervisingAdultsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow many adults were supervising the children?{{***! = DPT2DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Diphtheria, Tetanus, Pertussis # 2 (DPT)}rr!!! = DPT1DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Diphtheria, Tetanus, Pertussis # 1 (DPT)}rr!!! =HB3DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Hepatitis B # 3|qq  =HB2DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Hepatitis B # 2|qq  = &StaffCommentsTextBoxField size is variable. MemoHospital staff's comments regarding family's reaction to infant's deathFF@@&&& = #OtherFeelCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOther0, null - False; -1 - True}}tt### m "UnknownCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True{{rr!!! m RigidCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRigid/stiff0, null - False; -1 - Trueyypp m !LimpCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanLimp/flexible0, null - False; -1 - Truexxoo m CoolToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCool to touch0, null - False; -1 - Truevv%%% m WarmToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWarm to touch0, null - False; -1 - Truevv%%% m SweatyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSweaty0, null - False; -1 - Truezzqq  m=@k  , i F0y%Oq3GX )EvidenceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSecure evidence and release infant's property0, null - False; -1 - True||ss""" m (MedicalRecordsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanObtain medical records or code sheet0, null - False; -1 - Trueyy((( m 2AppOtherDescriptionTextBoxField size is variable. TextLLLLLFF,,,#  2BodyMarksDescriptionTextBoxField size is variable. TextMMMMMGG---$  2RashPetechiaeDescriptionTextBoxField size is variable. TextQQQQQKK111(  2PressureMarksDescriptionTextBoxField size is variable. TextQQQQQKK111(  2SkinDiscolorationDescriptionTextBoxField size is variable. TextUUUUUOO555,  2SecretionDescriptionTextBoxField size is variable. TextMMMMMGG---$  2DiscolorationDescriptionTextBoxField size is variable. TextQQQQQKK111(  ArrivalTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_uu$$$  EMSDispatchedTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_{{***!  ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@Q}},,, m 2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ = CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' = 2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ = CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = !2OtherFeelDescriptionTextBoxField size is variable. Text specifyWWWMMGG---$ = &ImmobilizedCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanInfant Immobilized0, null - False; -1 - Truevv%%% m +2OtherResuscitativeDescriptionTextBoxField size is variable. TextOther]]]VVPP666- = )ElectricShockCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric Shock0, null - False; -1 - Truexx''' m %GastricTubeCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanGastric Tube0, null - False; -1 - Truevv%%% m (IntubationCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanIntubation0, null - False; -1 - True~~uu$$$ m $IV-IOCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanIV/IO Access0, null - False; -1 - Trueyypp m 'MedicationsGivenCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanMedications0, null - False; -1 - True{{***  m #CPRCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCPR0, null - False; -1 - True|wwnn m=G J A J " `wNV -TraumaOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longh) Suspicion of inflicted traumaB@!Qzztt### m +HemorrhagesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longe) Retinal hemorrhagesB@ Qyy((( m OtherMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longj) OtherB@Q~~xx''' m MarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longg) Bruising or other injuryB@Qyyss""" m PetechiaeOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longf) Cutaneous petechiaeB@Q}}ww&&& m PressureMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longd) Pale areas around nose or mouthB@Q{{*** m LivorMortisOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longc) Livor MortisB@Qyy((( m SecretionsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longb) SecretionsB@Q~~xx''' m DiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longa) DiscolorationsB@Q{{*** m ResponsiveOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhat was the level of consciousness upon arrival at the hospital?H@Q~~xx''' m DeadCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanDead0, null - False; -1 - True~xxoo m 2SigningPhysicianPhoneTextBoxField size is variable. Text!\(999") "000\-0000;0;_Phone:ooogNHH...% = 2SigningPhysicianNameTextBoxField size is variable. TextName of physician who signed the death certificateMMGG---$ = 2ResponsiblePhysicianPhoneTextBoxField size is variable. Text!\(999") "000\-0000;0;_Phone:ssskRLL222) = 2HospitalCityTextBoxField size is variable. TextCity:LLLEE??%%% = 2HospitalZipTextBoxField size is variable. Text00000\-9999;;_Zip:ZZZTD>>$$$ = 2HospitalStateComboBoxField size is variable. =GetCurrentState()TextState:Stateswwc[[UA''' } ArrivalDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_On what day and at what approximate time did the infant arrive at the hospital?uu$$$ = 0ResuscitationEffortsTerminationTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_<<<3  *OtherResuscitativeEffortCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True222( M ArrivalTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:uu$$$ = 'InvestigatorNotesTextBoxField size is variable. MemoInvestigator's Notes```JJDD***! =>=G$u , ] 1rG)Rz 2PressureMarksDescriptionTextBoxField size is variable. TextQQQQQKK111(  2LivorMortisDescriptionTextBoxField size is variable. TextOOOOOII///&  2SecretionsDescriptionTextBoxField size is variable. TextNNNNNHH...%  2DiscorolationDescriptionTextBoxField size is variable. TextQQQQQKK111(  ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@#Q}},,, m 2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =%HA2DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Hepatitis A # 2|qq  =#HA1DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Hepatitis A # 1|qq  =!FluDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Influenza (Flu)|qq  =PneumococcalDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Pneumococcalzz)))  =VaricellaDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Varicella (Chicken Pox)ww&&& =MMRDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Measles, Mumps, Rubella (MMR)|qq  =Polio3DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Inactivated Poliovirus # 3 (Polio)tt### =Polio2DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Inactivated Poliovirus # 2 (Polio)tt### =Polio1DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Inactivated Poliovirus # 1 (Polio)tt### =Hib3DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Haemophilus Influenzae Type b # 3 (Hib)}rr!!! =Hib2DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Haemophilus Influenzae Type b # 2 (Hib)}rr!!! =Hib1DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Haemophilus Influenzae Type b # 1 (Hib)}rr!!! = DPT3DateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Diphtheria, Tetanus, Pertussis # 3 (DPT)}rr!!! = CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' = 2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ = CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = /MalnourishedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longi) MalnourishedB@"Qzz))) mF=!2_ " } 2  >{U-eX$2HA1ReactionsTextBoxField size is variable. TextEEEEE??%%% "2FluReactionsTextBoxField size is variable. TextEEEEE??%%%  2PneumococcalReactionsTextBoxField size is variable. TextNNNNNHH...% SickAdultsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWere any of these adults sick? 0 - No; 1 - Yes; ~~xx''' m2VaricellaReactionsTextBoxField size is variable. TextKKKKKEE+++" 2MMRReactionsTextBoxField size is variable. TextEEEEE??%%% 2Polio3ReactionsTextBoxField size is variable. TextHHHHHBB((( 2Polio2ReactionsTextBoxField size is variable. TextHHHHHBB((( 2Polio1ReactionsTextBoxField size is variable. TextHHHHHBB((( 2Hib3ReactionsTextBoxField size is variable. TextFFFFF@@&&& 2Hib2ReactionsTextBoxField size is variable. TextFFFFF@@&&& 2Hib1ReactionsTextBoxField size is variable. TextFFFFF@@&&& 2DPT3ReactionsTextBoxField size is variable. TextFFFFF@@&&&  2DPT2ReactionsTextBoxField size is variable. TextFFFFF@@&&&  2DPT1ReactionsTextBoxField size is variable. TextFFFFF@@&&& 2HB3ReactionsTextBoxField size is variable. TextEEEEE??%%% 2HB2ReactionsTextBoxField size is variable. TextEEEEE??%%% 2HB1ReactionsTextBoxField size is variable. TextEEEEE??%%% ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@&Q}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =)ImmunizationsUpdatedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongAre the immunizations up to date? B@%Q111$ m'OtherDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Other/Specify~ss""" = BreathingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongH@$Q}}}ww&&& M .2MalnourishedDescriptionTextBoxField size is variable. TextPPPPPJJ000'  ,2TraumaDescriptionTextBoxField size is variable. TextJJJJJDD***!  *2HemorrhagesDescriptionTextBoxField size is variable. TextOOOOOII///&  $2OtherFeelDescriptionTextBoxField size is variable. TextMMMMMGG---$  2OtherMarksDescriptionTextBoxField size is variable. TextNNNNNHH...%  2MarksDescriptionTextBoxField size is variable. TextIIIIICC)))   2PetechiaeDescriptionTextBoxField size is variable. TextMMMMMGG---$ V=<^F # t V JLRa-2FirstNameTextBoxField size is variable. Texta) First NameQQQBB<<""" =OtherChildrenDeathOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longi) Has this person experienced the death of any of their own children or of any other children while in their care?B@*Q///" mFamilyDiseasesOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longn) For persons biologically related to the infant (e above) are there any known conditions or diseases that run in the family?B@)Q ||+++ mSickOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longm) During the prior to the infant's death was this person sick?B@(Qxxrr!!! m2DeceasedCityTextBoxField size is variable. TextVI) Place of death (city/state)gggEE??%%% =2DeceasedCauseTextBoxField size is variable. TextV) Cause of death[[[FF@@&&& =DeceasedAgeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIV) Child's age at death{{uu$$$ =DeceasedDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_III) Date of deathvv%%% =2DeceasedRelationshipTextBoxField size is variable. TextII) Relationship to caregivernnnMMGG---$ =2DeceasedNameTextBoxField size is variable. TextI) Child's NameYYYEE??%%% = TimeOfLastContactTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_l) Approximate time of last contact with the infant{{***! = DateOfLastContactTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_k) Date of last contact with infant{{***! =2LocationDescriptionTextBoxField size is variable. TextLLLLLFF,,,# 2SickAdultsDescriptionTextBoxField size is variable. TextNNNNNHH...% ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@'Q}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =LocationVisitedOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid the infant visit a location with large number of people within the last 24 hours?  0 - No; 1 - Yes; }},,, m ChildrenOnCareTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow many children were under the care of the provider at that day?~~xx''' =(2OtherReactionsTextBoxField size is variable. TextGGGGGAA''' &2HA2ReactionsTextBoxField size is variable. TextEEEEE??%%% h=&p D j t !KiSycu2I2LastNameTextBoxField size is variable. TextLast Name:OOOCC==### =2I2MiddleNameTextBoxField size is variable. TextMiddle Name:SSSEE??%%% =2I2FirstNameTextBoxField size is variable. TextFirst Name:QQQDD>>$$$ =2Phone2TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone2:```W?99 =2Phone1TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone1:```W?99 =2WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:VVVP@::  =WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:Stateszztt### } 2WorkCityTextBoxField size is variable. TextCity:HHHAA;;!!! = 2WorkStreetTextBoxField size is variable. TextStreet:LLLCC==### = 2HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:VVVP@::  = HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:Stateszztt### } 2HomeCityTextBoxField size is variable. TextCity:HHHAA;;!!! =2HomeStreetTextBoxField size is variable. TextStreet:LLLCC==### =2RelationshipTextBoxField size is variable. TextRelationship to Infant:^^^EE??%%% =2MaidenNameTextBoxField size is variable. TextMaiden Name:QQQCC==### =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" = CommentTextBoxField size is variable. Memo(explain circumstances below)___@@::  =SickOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longh) During the prior to the infant's death was this person sick?B@+Qxxrr!!! m2DeceasedStateComboBoxField size is variable. TextStates[[GGGAA''' ]2OriginTextBoxField size is variable. TextOriginGGG??99 =2EvidenceTextBoxField size is variable. TextEvidenceKKKAA;;!!! =2TagTextBoxField size is variable. TextItemBBB<<66 =TimeOfLastContactTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_g) Approximate time of last contact with infant{{***! =DateOfLastContactTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_f) Approximate date of last contact with infant{{***! =2PlaceOfLastContactTextBoxField size is variable. Texte) Where did contact with the infant occur?~~~KKEE+++" =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_d) Date of Birthxmm =2LastNameTextBoxField size is variable. Textc) Last NameOOOAA;;!!! =2MiddleNameTextBoxField size is variable. Textb) Middle NameSSSCC==### == E  M % ) M U,AqIyQU%2I3Phone2TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone2:bbbYA;;!!! =$2I3Phone1TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone1:bbbYA;;!!! =-2I3WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =,I3WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }+2I3WorkCityTextBoxField size is variable. TextCity:JJJCC==### =*2I3WorkStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =)2I3HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =(I3HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }'2I3HomeCityTextBoxField size is variable. TextCity:JJJCC==### =&2I3HomeStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =#2I3RelationshipTextBoxField size is variable. TextRelationship to Infant:```GGAA''' ="2I3MaidenNameTextBoxField size is variable. TextMaiden Name:SSSEE??%%% =!2I3LastNameTextBoxField size is variable. TextLast Name:OOOCC==### = DiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Discoloration around face/nose/mouth 0 - No; 1 - Yes; {{*** m2AgencyTextBoxField size is variable. TextAgency:HHH??99 =2RelationshipTextBoxField size is variable. TextRelationship:TTTEE??%%% =2WhoCalledTextBoxField size is variable. TextWho called?OOOBB<<""" =2FirstNameTextBoxField size is variable. TextInformation about the Law Enforcement officerqqqBB<<""" = 2I3MiddleNameTextBoxField size is variable. TextMiddle Name:SSSEE??%%% =2I3FirstNameTextBoxField size is variable. TextFirst Name:QQQDD>>$$$ =2I2Phone2TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone2:bbbYA;;!!! =2I2Phone1TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone1:bbbYA;;!!! =2I2WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =I2WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }2I2WorkCityTextBoxField size is variable. TextCity:JJJCC==### =2I2WorkStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =2I2HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =I2HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }2I2HomeCityTextBoxField size is variable. TextCity:JJJCC==### =2I2HomeStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =2I2RelationshipTextBoxField size is variable. TextRelationship to Infant:```GGAA''' =2I2MaidenNameTextBoxField size is variable. TextMaiden Name:SSSEE??%%% =1=$J d J l  R ` u,F,N4Bh}SkinDiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Livor Mortis (skin discoloration) 0 - No; 1 - Yes; ...! m SecretionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Secretions (foam, froth) 0 - No; 1 - Yes; ww&&& mB2I5Phone1TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone1:bbbYA;;!!! =K2I5WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =JI5WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }I2I5WorkCityTextBoxField size is variable. TextCity:JJJCC==### =H2I5WorkStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =G2I5HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =FI5HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }E2I5HomeCityTextBoxField size is variable. TextCity:JJJCC==### =D2I5HomeStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =A2I5RelationshipTextBoxField size is variable. TextRelationship to Infant:```GGAA''' =@2I5MaidenNameTextBoxField size is variable. TextMaiden Name:SSSEE??%%% =?2I5LastNameTextBoxField size is variable. TextLast Name:OOOCC==### =>2I5MiddleNameTextBoxField size is variable. TextMiddle Name:SSSEE??%%% ==2I5FirstNameTextBoxField size is variable. TextFirst Name:QQQDD>>$$$ =42I4Phone2TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone2:bbbYA;;!!! =32I4Phone1TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone1:bbbYA;;!!! =<2I4WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =;I4WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }:2I4WorkCityTextBoxField size is variable. TextCity:JJJCC==### =92I4WorkStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =82I4HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =7I4HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }62I4HomeCityTextBoxField size is variable. TextCity:JJJCC==### =52I4HomeStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =22I4RelationshipTextBoxField size is variable. TextRelationship to Infant:```GGAA''' =12I4MaidenNameTextBoxField size is variable. TextMaiden Name:SSSEE??%%% =02I4LastNameTextBoxField size is variable. TextLast Name:OOOCC==### =/2I4MiddleNameTextBoxField size is variable. TextMiddle Name:SSSEE??%%% =.2I4FirstNameTextBoxField size is variable. TextFirst Name:QQQDD>>$$$ ==&@ U { & . "kBodyMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longf) Marks on body (scratches, bruises, other injuries) 0 - No; 1 - Yes; }}ww&&& mRashPetechiaeOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longe) Rash or petechiae 0 - No; 1 - Yes; {{*** mPressureMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longd) Pressure marks, pale areas around nose/mouth, blanching) 0 - No; 1 - Yes; {{*** mConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@,Q}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =R2I6Phone2TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone2:bbbYA;;!!! =Q2I6Phone1TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone1:bbbYA;;!!! =Z2I6WorkZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =YI6WorkStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }X2I6WorkCityTextBoxField size is variable. TextCity:JJJCC==### =W2I6WorkStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =V2I6HomeZipTextBoxField size is variable. Text00000\-9999;;_Zip:XXXRB<<""" =UI6HomeStateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongState:States||vv%%% }T2I6HomeCityTextBoxField size is variable. TextCity:JJJCC==### =S2I6HomeStreetTextBoxField size is variable. TextStreet:NNNEE??%%% =P2I6RelationshipTextBoxField size is variable. TextRelationship to Infant:```GGAA''' =O2I6MaidenNameTextBoxField size is variable. TextMaiden Name:SSSEE??%%% =N2I6LastNameTextBoxField size is variable. TextLast Name:OOOCC==### =M2I6MiddleNameTextBoxField size is variable. TextMiddle Name:SSSEE??%%% =L2I6FirstNameTextBoxField size is variable. TextFirst Name:QQQDD>>$$$ =C2I5Phone2TextBoxField size is variable. Text!\(999") "000\-0000;;_Phone2:bbbYA;;!!! =2AddressTextBoxField size is variable. TextCurrent AddressQQQ@@::  =2NameTextBoxField size is variable. TextName of person colleciton data]]]==77 =2DispositionTextBoxField size is variable. TextDispositionQQQDD>>$$$ =2DescriptionTextBoxField size is variable. TextDescriptionQQQDD>>$$$ ===w  < t  m &@O %ConcaveCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanConcave0, null - False; -1 - True{{rr!!! m$LumpyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanLumpy0, null - False; -1 - Trueyypp m2PhoneTextBoxField size is variable. Text!\(999") "000\-0000;0;_Phone:___W>88 = ArrivalDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_On what day and at what time did you arrive?uu$$$ = ArrivalTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:uu$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =(2MedicinesEvidenceTextBoxField size is variable. Text9) MedicinesXXXJJDD***! =#2SurfaceEvidenceTextBoxField size is variable. Text8) Infant sleep surfaceaaaHHBB((( =2ApneaEvidenceTextBoxField size is variable. Text7) Apnea monitorXXXFF@@&&& =2ClothingEvidenceTextBoxField size is variable. Text6) ClothingVVVIICC)))  =2DiaperEvidenceTextBoxField size is variable. Text5) Infant's last diaper```GGAA''' =2BeddingEvidenceTextBoxField size is variable. Text4) BeddingTTTHHBB((( = 2FormulaEvidenceTextBoxField size is variable. Text3) FormulaTTTHHBB((( =2PacifierEvidenceTextBoxField size is variable. Text2) PacifierVVVIICC)))  =2BabyBottlesEvidenceTextBoxField size is variable. Text1) Baby bottles]]]LLFF,,,# =-SceneDescriptionTextBoxField size is variable. MemoDescribe what the scene looked like upon arrival{{{IICC)))  ="2OtherFeelDescriptionTextBoxField size is variable. TextOtherTTTMMGG---$ = UnknownCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True{{rr!!! mRigidCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRigid, stiff0, null - False; -1 - Trueyypp mLimpCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanLimp, flexible0, null - False; -1 - Truexxoo mCoolToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCool to touch0, null - False; -1 - Truevv%%% mWarmToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWarm to touch0, null - False; -1 - Truevv%%% mSweatyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSweaty0, null - False; -1 - Truezzqq  mAppOtherOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longg) Other 0 - No; 1 - Yes; ||vv%%% m=88p  P >h>!kW2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =9OtherPersonReactionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongOtherB@h000# m7LKAReactionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongLast known aliveB@hyy((( m5FinderReactionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongFinderB@h||+++ m3PlacerReactionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPlacerB@h||+++ m1FatherReactionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongFatherB@h||+++ m/MotherReactionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMotherB@h||+++ mDispatchDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date / Time dispatched:vv%%% =2MiddleNameTextBoxField size is variable. TextMiddle name:QQQCC==### =2LastNameTextBoxField size is variable. TextLast name:MMMAA;;!!! ='WetCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWet0, null - False; -1 - True|wwnn m,DirtyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanDirty0, null - False; -1 - Trueyypp m+CleanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanClean0, null - False; -1 - Trueyypp m*RepairedCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRepaired0, null - False; -1 - True||ss""" m)WornCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWorn0, null - False; -1 - True~xxoo m(BrokenCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanBroken0, null - False; -1 - Truezzqq  m.LawEnforcementDeedsTextBoxField size is variable. MemoDescribe what law enforcement did at the scene|||LLFF,,,# =UnknownLookOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longh) Unknown 0 - No; 1 - Yes; yy((( m#SoftFirmOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow would you describe the surface on which the infant was placed? 1 - Soft; 2 - Firm; ||vv%%% m&StainedCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanStained0, null - False; -1 - True{{rr!!! m LVAL++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++LVAL|:t V  J n , f $ `v 1 - In person; 2 - Telephone; 3 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - Apartment; 2 - Multifamily home; 3 - Institution; 4 - Single family house; 5 - Mobile home; 6 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - In person; 2 - Telephone; 3 - Other; 1 - Breathing; 2 - Not breathing; 3 - Unresponsive; 2 - Unknown; 0 - No; 1 - Yes; 1 - Biological Mother/Father; 2 - Grandmother/Father; 3 - Adoptive or Foster Parents; 4 - Physician; 5 - Health Records; 6 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - In person; 2 - Telephone; 3 - Other; 2 - Unknown; 0 - No; 1 - Yes; 1 - Left at scene; 2 - Released to funeral home; 3 - Morgue; 4 - ME/C facility; 5 - Transported to the hospital; 6 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 1 - In person; 2 - Telephone; 3 - Other; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2 - Unknown; 0 - No; 1 - Yes; 2= Ix  F v  L # M :"<VtzE2FinderContactReasonTextBoxField size is variable. TextReason for contact:aaaLLFF,,,# =B2PlacerContactReasonTextBoxField size is variable. TextReason for contact:aaaLLFF,,,# =?2FatherContactReasonTextBoxField size is variable. TextReason for contact:aaaLLFF,,,# =<2MotherContactReasonTextBoxField size is variable. TextReason for contact:aaaLLFF,,,# =L2OtherContactOutcomeTextBoxField size is variable. TextOutcome:VVVLLFF,,,# =I2LKAContactOutcomeTextBoxField size is variable. TextOutcome:TTTJJDD***! =F2FinderContactOutcomeTextBoxField size is variable. TextOutcome:WWWMMGG---$ =C2PlacerContactOutcomeTextBoxField size is variable. TextOutcome:WWWMMGG---$ =@2FatherContactOutcomeTextBoxField size is variable. TextOutcome:WWWMMGG---$ ==2MotherContactOutcomeTextBoxField size is variable. TextOutcome:WWWMMGG---$ =JOtherContactOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongOtherB@ hzz))) mGLKAContactOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongLast known aliveB@ h~~xx''' mDFinderContactOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongFinderB@ h{{*** mAPlacerContactOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongPlacerB@ h{{*** m>FatherContactOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongFatherB@h{{*** m;MotherContactOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMotherB@h{{*** m2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =2AddressTextBoxField size is variable. TextCurrent AddressQQQ@@::  =2BeddingOriginTextBoxField size is variable. TextFFFFF@@&&& 2FormulaNameTextBoxField size is variable. TextDDDDD>>$$$  2FormulaDispositionTextBoxField size is variable. TextKKKKKEE+++"  2FormulaDescriptionTextBoxField size is variable. TextKKKKKEE+++"  2FormulaOriginTextBoxField size is variable. TextFFFFF@@&&&  2PacifierNameTextBoxField size is variable. TextEEEEE??%%% 2PacifierDispositionTextBoxField size is variable. TextLLLLLFF,,,# 2PacifierDescriptionTextBoxField size is variable. TextLLLLLFF,,,# 2PacifierOriginTextBoxField size is variable. TextGGGGGAA''' 2BabyBottlesNameTextBoxField size is variable. TextHHHHHBB((( 2BabyBottlesDispositionTextBoxField size is variable. TextOOOOOII///& 2BabyBottlesDescriptionTextBoxField size is variable. TextOOOOOII///& 2BabyBottlesOriginTextBoxField size is variable. TextJJJJJDD***! ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@h}},,, m-=! / E  Y & e=t oh}[2PriorDFCSReasonTextBoxField size is variable. TextReason for contact:]]]HHBB((( =Z2PriorDFCSAgencyTextBoxField size is variable. TextAgency name:VVVHHBB((( =Y2PriorDFCSCaseWorkerTextBoxField size is variable. TextCase Worker name:___LLFF,,,# =XPriorDFCSDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date first contacted:ww&&& =W2LastDFCSCommentsTextBoxField size is variable. TextComments:TTTIICC)))  =V2LastDFCSOutcomeTextBoxField size is variable. TextOutcome:RRRHHBB((( =U2LastDFCSReasonTextBoxField size is variable. TextReason for contact:\\\GGAA''' =T2LastDFCSAgencyTextBoxField size is variable. TextAgency name:UUUGGAA''' =S2LastDFCSCaseWorkerTextBoxField size is variable. TextCase Worker name:^^^KKEE+++" =RLastDFCSDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date first contacted:vv%%% ='2SurfaceNameTextBoxField size is variable. TextDDDDD>>$$$ &2SurfaceDispositionTextBoxField size is variable. TextKKKKKEE+++" %2SurfaceDescriptionTextBoxField size is variable. TextKKKKKEE+++" $2SurfaceOriginTextBoxField size is variable. TextFFFFF@@&&& "2ApneaNameTextBoxField size is variable. TextBBBBB<<""" !2ApneaDispositionTextBoxField size is variable. TextIIIIICC)))   2ApneaDescriptionTextBoxField size is variable. TextIIIIICC)))  2ApneaOriginTextBoxField size is variable. TextDDDDD>>$$$ 2ClothingNameTextBoxField size is variable. TextEEEEE??%%% 2ClothingDispositionTextBoxField size is variable. TextLLLLLFF,,,# 2ClothingDescriptionTextBoxField size is variable. TextLLLLLFF,,,# 2ClothingOriginTextBoxField size is variable. TextGGGGGAA''' 2DiaperNameTextBoxField size is variable. TextCCCCC==### 2DiaperDispositionTextBoxField size is variable. TextJJJJJDD***! 2DiaperDescriptionTextBoxField size is variable. TextJJJJJDD***! 2DiaperOriginTextBoxField size is variable. TextEEEEE??%%% 2BeddingNameTextBoxField size is variable. TextDDDDD>>$$$ 2BeddingDispositionTextBoxField size is variable. TextKKKKKEE+++" 2BeddingDescriptionTextBoxField size is variable. TextKKKKKEE+++" PDFCSComplaintsOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHave there been any contacts/complaints to social services regarding this family and other siblings in the home?B@h||+++ mMFinalDispositionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhat was the final disposition of the infant?@ h~~---  mK2OtherContactReasonTextBoxField size is variable. TextReason for contact:```KKEE+++" =H2LKAContactReasonTextBoxField size is variable. TextReason for contact:^^^IICC)))  =5= |   |  5_6#Gk/]2RelationshipTextBoxField size is variable. TextRelationship to infant:^^^EE??%%% =,2MedicinesNameTextBoxField size is variable. TextFFFFF@@&&& +2MedicinesDispositionTextBoxField size is variable. TextMMMMMGG---$ *2MedicinesDescriptionTextBoxField size is variable. TextMMMMMGG---$ )2MedicinesOriginTextBoxField size is variable. TextHHHHHBB((( :2OtherReactionDescriptionTextBoxField size is variable. TextQQQQQKK111( 82LKAReactionDescriptionTextBoxField size is variable. TextOOOOOII///& 62FinderReactionDescriptionTextBoxField size is variable. TextRRRRRLL222) 42PlacerReactionDescriptionTextBoxField size is variable. TextRRRRRLL222) 22FatherReactionDescriptionTextBoxField size is variable. TextRRRRRLL222) 02MotherReactionDescriptionTextBoxField size is variable. TextRRRRRLL222) DispatchTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_vv%%% 2UnknownLookDescriptionTextBoxField size is variable. TextOOOOOII///& !OtherFeelCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True}}}tt### M2AppOtherDescriptionTextBoxField size is variable. TextLLLLLFF,,,# 2BodyMarksDescriptionTextBoxField size is variable. TextMMMMMGG---$ 2RashPetechiaeDescriptionTextBoxField size is variable. TextQQQQQKK111( 2PressureMarksDescriptionTextBoxField size is variable. TextQQQQQKK111( 2SkinDiscolorationDescriptionTextBoxField size is variable. TextUUUUUOO555, 2SecretionDescriptionTextBoxField size is variable. TextMMMMMGG---$  2DiscolorationDescriptionTextBoxField size is variable. TextQQQQQKK111( ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@h}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =QTotalDFCSContactsTextBox>0 And Is Not NullThere must exist at least one complaint for you to have checked YES aboveField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongTotal number of contacts with social services:>*! =O2OtherDispositionDescriptionTextBoxField size is variable. TextOther[[[TTNN444+ =N2HospitalNameTextBoxField size is variable. TextSpecify hospital name and name of person who received the infant:EE??%%% =]2PriorDFCSCommentsTextBoxField size is variable. TextComments:UUUJJDD***! =\2PriorDFCSOutcomeTextBoxField size is variable. TextOutcome:SSSIICC)))  ==+f  a 7 _x}<_2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MaidenNameTextBoxField size is variable. TextMaiden Name:QQQCC==### =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! = 2OtherDescriptionTextBoxField size is variable. TextList all previous states:dddIICC)))  = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } OtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the mother ever lived in a state other than this one? 0 - No; 1 - Yes; ~~xx''' m YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the mother been a resident of this state?uuoo = 2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MaidenNameTextBoxField size is variable. TextMaiden Name:QQQCC==### =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =SourceOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongIndicate Information Source:@hzztt### m2OtherSourceTextBoxField size is variable. TextSpecify:NNNDD>>$$$ =AppOtherOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longg) OtherB@h||vv%%% mBodyMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longf) Marks on body (scratches, bruises, other injuries)B@h}}ww&&& mRashPetechiaeOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longe) Rash or petechiaeB@h{{*** mPressureMarksOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longd) Pressure marks, pale areas around nose/mouth, blanching)B@h{{*** mSkinDiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerc) Livor Mortis (skin discoloration)B@h...! mSecretionOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integerb) Secretions (foam, froth)B@hww&&& m DiscolorationOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Integera) Discoloration around face/nose/mouthB@h{{*** m=Vk  4 h 0 ^BjP@ ConditionFoundOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhen the infant was found, was s/he:n@h||+++ m LetToRespondTextBoxField size is variable. MemoWhat led you to respond?___EE??%%% =AgeMonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longmonths0;1;2;3;4;5;6;7;8;9;10;11zztt### }AgeYearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longyearsxxrr!!! =GenderOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongSex / Gender: 1 - Male; 2 - Female; zztt### mDOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_Date of Birth:xmm =2MiddleNameTextBoxField size is variable. TextMiddle name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast name:MMMAA;;!!! =UnknownLookOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Longh) UnknownB@hyy((( m2PhoneTextBoxField size is variable. Text!\(999") "000\-0000;0;_Phone:___W>88 =$ResuscitationDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_On what day and at what time were the first resuscitative efforts given? {{***! =%ResuscitationTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_Time:{{***! ='ResuscitationEffortsTextBoxField size is variable. MemoDescribe what you did as part of the resuscitative efforts MMGG---$ =#2OtherFeelDescriptionTextBoxField size is variable. TextOtherTTTMMGG---$ =!UnknownCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True{{rr!!! m RigidCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRigid / stiff0, null - False; -1 - Trueyypp mLimpCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanLimp / flexible0, null - False; -1 - Truexxoo mCoolToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCool to touch0, null - False; -1 - Truevv%%% mWarmToTouchCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWarm to touch0, null - False; -1 - Truevv%%% mSweatyCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSweaty0, null - False; -1 - Truezzqq  m2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm ==v~ } g B yCP`C2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =)CPRDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_When:|qq  =*CPRDescriptionTextBoxField size is variable. MemoDescribe: SSSGGAA''' =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =2AddressTextBoxField size is variable. TextCurrent AddressQQQ@@::  =2PrevOtherDescriptionTextBoxField size is variable. TextList all previous states:hhhMMGG---$ =PrevOtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the mother ever lived in a state other than this one? 0 - No; 1 - Yes; ||+++ m2PrevZipTextBoxField size is variable. Text00000\-9999;;_Zip:VVVP@::  =2PrevStateComboBoxField size is variable. =GetCurrentState()TextState:Statesss_WWQ=### } 2PrevCityTextBoxField size is variable. TextCity:HHHAA;;!!! = 2PrevAddressTextBoxField size is variable. TextPrevious Address WWWDD>>$$$ = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the mother been a resident of this state?uuoo = 2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@h}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' =NoOtherCaregiversCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanNO OTHER CAREGIVERS0, null - False; -1 - True||+++! m(CPRTrainingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHave you ever received any first aid and/or CPR Training?  1 - Yes; 0 - No; yy((( m&ResuscitationLocationTextBoxField size is variable. MemoWhere were the resuscitative efforts conducted?NNHH...% = WitnessToBreathingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongDid you witness the infant stop breathing? 1 - Yes; 0 - No; ///" m>=Q3 ]   A  8 .5lv3_s2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =2AddressTextBoxField size is variable. TextStreet:III@@::  =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! = 2OtherDescriptionTextBoxField size is variable. TextList all previous states:dddIICC)))  = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } OtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the father ever lived in a state other than this one? 0 - No; 1 - Yes; ~~xx''' m YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the father been a resident of this state?uuoo =2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2UnknownLookDescriptionTextBoxField size is variable. TextOOOOOII///& "OtherFeelCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Boolean0, null - False; -1 - True}}}tt### M2AppOtherDescriptionTextBoxField size is variable. TextLLLLLFF,,,# 2BodyMarksDescriptionTextBoxField size is variable. TextMMMMMGG---$ 2RashPetechiaeDescriptionTextBoxField size is variable. TextQQQQQKK111( 2PressureMarksDescriptionTextBoxField size is variable. TextQQQQQKK111( 2SkinDiscolorationDescriptionTextBoxField size is variable. TextUUUUUOO555, 2SecretionDescriptionTextBoxField size is variable. TextMMMMMGG---$  2DiscolorationDescriptionTextBoxField size is variable. TextQQQQQKK111( ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@h}},,, m2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' ===  # O r h om,OEL YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the father been a resident of this state?uuoo =2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =2AddressTextBoxField size is variable. TextCurrent AddressQQQ@@::  = 2OtherDescriptionTextBoxField size is variable. TextList all previous states:dddIICC)))  = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } OtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the father ever lived in a state other than this one? 0 - No; 1 - Yes; ~~xx''' m YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the father been a resident of this state?uuoo =2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! =2AddressTextBoxField size is variable. TextCurrent AddressQQQ@@::  = 2OtherDescriptionTextBoxField size is variable. TextList all previous states:dddIICC)))  = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } OtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the father ever lived in a state other than this one? 0 - No; 1 - Yes; ~~xx''' m YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the father been a resident of this state?uuoo =2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 == G ^  l   s>ib ChildrenLivingTextBox>0 Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongNumber of children66' = AdultsLivingTextBox>0 Or Is NullField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow many people live at the infant's primary residence?44% = 2ZIPTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 = StateComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. =GetCurrentState()LongState:Statesp } 2CityTextBoxField size is variable. TextCity:DDD==77 = 2AddressTextBoxField size is variable. TextInformation about the infant's biological mother:sss@@::  =!BodyDiagramPathTextBoxField size is variable. TextBody Diagram:WWWHHBB((( =!SceneDiagramPathTextBoxField size is variable. TextScene Diagram:YYYIICC)))  = BuildingOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongWhat type of building is the primary residence?@h||vv%%% m 2BuildingDescriptionTextBoxField size is variable. TextSpecify:VVVLLFF,,,# = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } 2OtherDescriptionTextBoxField size is variable. TextList previous states:```IICC)))  = OtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the father ever lived in a state other than this one? 1 - Yes; 0 - No; ~~xx''' m YearsTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHow long has the father been a resident of this state?uuoo =2ZipTextBoxField size is variable. Text00000\-9999;;_Zip:RRRL<66 =2StateComboBoxField size is variable. =GetCurrentState()TextState:Statesoo[SSM9 }2CityTextBoxField size is variable. TextCity:DDD==77 =2AddressTextBoxField size is variable. TextStreet:III@@::  =DOBTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/9999;0;_DOB:xmm =2SSNTextBoxField size is variable. Text000\-00\-0000;;_SSN:TTTN<66 =2MiddleNameTextBoxField size is variable. TextMiddle Name:QQQCC==### =2FirstNameTextBoxField size is variable. TextFirst Name:OOOBB<<""" =2LastNameTextBoxField size is variable. TextLast Name:MMMAA;;!!! = 2OtherDescriptionTextBoxField size is variable. TextList all previous states:dddIICC)))  = MonthsComboBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongMonths:0;1;2;3;4;5;6;7;8;9;10;11wwqq  } OtherStateOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongHas the father ever lived in a state other than this one? 0 - No; 1 - Yes; ~~xx''' m=2a  8 V pE{ (PublicWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPublic/municipal water source0, null - False; -1 - Truevv%%% m OtherACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOther0, null - False; -1 - True{{rr!!! m UnknownACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - True}}tt### m OpenWindowCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOpen window(s)0, null - False; -1 - True~~uu$$$ m WoodStoveCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWood burning stove0, null - False; -1 - True}}tt### m KeroseneSpaceHeaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanKerosene space heater0, null - False; -1 - True~~---# m CoalFurnaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCoal burning furnace0, null - False; -1 - Truevv%%% m WoodFireplaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWood burning fireplace0, null - False; -1 - Truexx''' m ElectricCeilingHeatCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric (radiant) ceiling heat0, null - False; -1 - True~~---# m ElectricBaseboardHeatCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric baseboard heat0, null - False; -1 - True///% m ElectricSpaceHeaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric space heater0, null - False; -1 - True~~---# m ElectricFurnaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanElectric furnace or boiler0, null - False; -1 - Truezz))) m GasFurnaceCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanGas furnace or boiler0, null - False; -1 - True~~uu$$$ m WindowFanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWindow Fan0, null - False; -1 - True}}tt### m FloorFanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanFloor/table fan0, null - False; -1 - True||ss""" m CeilingFanCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCeiling fan0, null - False; -1 - True~~uu$$$ m WindowACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanA/C Window unit0, null - False; -1 - True||ss""" m CentralACCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanCentral Air0, null - False; -1 - True}}tt### m.=-k + a -[8"k-Kf %ParaphernaliaCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPresence of drug paraphernalia0, null - False; -1 - Truexx''' m $ContainersCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPresence of alcohol containers0, null - False; -1 - True~~uu$$$ m "OdorsFumesCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOdors or fumes0, null - False; -1 - True~~uu$$$ m!SceneDiagramDescriptionTextBoxField size is variable. TextPPPPPJJ000' !ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@h}},,, m!2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ =!CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' =!2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ =!CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = !RodentsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanRodents or vermin0, null - False; -1 - True{{rr!!! m PeelingPaintCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPeeling paint0, null - False; -1 - Trueww&&& m PetsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanPets0, null - False; -1 - True~xxoo m MoldCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanMold0, null - False; -1 - True~xxoo m StandingWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanVisible standing water0, null - False; -1 - Truexx''' m DampnessCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanDampness0, null - False; -1 - True||ss""" m SmokeSmellCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanSmoky smell (like cigaretters)0, null - False; -1 - True~~uu$$$ m InsectsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanInsects0, null - False; -1 - True{{rr!!! m ,OtherWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOther0, null - False; -1 - True~~uu$$$ m +UnknownWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanUnknown0, null - False; -1 - Trueww&&& m )WellCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanWell0, null - False; -1 - True~xxoo m *BottledWaterCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanBottled water0, null - False; -1 - Trueww&&& ma = 7_ K - \ !BodyDiagramDescriptionTextBoxField size is variable. TextOOOOOII///&  '2OtherItemsDescriptionTextBoxField size is variable. TextNNNNNHH...%  -2OtherWaterDescriptionTextBoxField size is variable. TextNNNNNHH...%  2OtherACDescriptionTextBoxField size is variable. TextKKKKKEE+++"  ConductedMethodOptionGroupField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. LongConducted:X@h}},,, m 2ConductedByTextBoxField size is variable. TextOtherKKKDD>>$$$ = CompletionTimeTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time00:00;0;_at:xx''' = 2CompletedByTextBoxField size is variable. Textby:IIIDD>>$$$ = CompletionDateTextBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. Date/Time99/99/0000;0;_Completed on:xx''' = #2OdorsDescriptionTextBoxField size is variable. TextDescribe:TTTIICC)))  = .GeneralAppearanceTextBoxField size is variable. MemoWhat is the general appearance of the infant's primary residence? JJDD***! = &OtherItemsCheckBoxField is sorted in descending order (Z to A or 100 to 0). Field size is fixed. BooleanOther0, null - False; -1 - True~~uu$$$ m=w av???????? ? ? ? ? ?????????????AAAAAAAAAA A AAAAABBBBBBBBBB B B B B BBBBBCCCCCCCCCC CCDDDDEEEEEEEEFG G G G G I I I I I IIIIIIIIJJJJJJJJJJ J J KKKK K K K K KKKKKKLLLLLMMMMMMM M M M M MMMMMMMMMMMMNNNA A A AAAC DDDDDD D D D D FFFFFFFFF GGGGGGIIIIIIIIIJ J JJJJJJJJJJKKKLLLLL L L NNNNNNN N N N N NNNNNNNNNNNNAAAAC DDDDDDEEF F F F FFFFKL L LLNOOOOOOOOOOOOOOOEEEEEEEE E E E E GGGLOOPPPPPPPPPR R RRRRRRRRSSSSSSSSSS S S S S SSSSSSGGGGGGKKLMMMO O O O O OP P P P P PPPPPPRRRRRRRRRR R R STTTTTTTTT T T T T TTT S S S S T T T T T T U U U U U U U U U U U U U U U U U U U U U U V V V V V V V V W W W W W W W W W W W W W X X X X Y Y Y Y Y Y Y V V V V V V V V V V X X X X X X Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Z Z Z Z Z Z Z Z [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ \ \ C C C E V V V Z Z Z Z Z Z Z Z [ [ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ ] ] ] ] ] ] ] ] ] ] ^ ^ ^ ^ ^ ^ ^ ^EEWXXX X ZZ Z Z ]]]]]] ] ] ] ] ]]]^^ ^ ^ ^ ^ ^^^^^^^^^^^^^^^^^^ __X X X Z ^________ _ WWWWWWXXXXX_ _ _ ________` _``````` ` ` ` ````````````````aaaaaaaaaa a a a a aaaaaa=wB!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B?????????? ? ? ? ? ?????????????AAAAAAAAAA A AAAAABBBBBBBBBB B B B B BBBBBCCCCCCCCCC CCDDDDEEEEEEEEFG G G G G I I I I I IIIIIIIIJJJJJJJJJJ J J KKKK K K K K KKKKKKLLLLLMMMMMMM M M M M MMMMMMMMMMMMNNNA A A AAAC DDDDDD D D D D FFFFFFFFF GGGGGGIIIIIIIIIJ J JJJJJJJJJJKKKLLLLL L L NNNNNNN N N N N NNNNNNNNNNNNAAAAC DDDDDDEEF F F F FFFFKL L LLNOOOOOOOOOOOOOOOEEEEEEEE E E E E GGGLOOPPPPPPPPPR R RRRRRRRRSSSSSSSSSS S S S S SSSSSSGGGGGGKKLMMMO O O O O OP P P P P PPPPPPRRRRRRRRRR R R STTTTTTTTT T T T T TTT S S S S T T T T T T U U U U U U U U U U U U U U U U U U U U U U V V V V V V V V W W W W W W W W W W W W W X X X X Y Y Y Y Y Y Y V V V V V V V V V V X X X X X X Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Z Z Z Z Z Z Z Z [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ \ \ C C C E V V V Z Z Z Z Z Z Z Z [ [ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ \ ] ] ] ] ] ] ] ] ] ] ^ ^ ^ ^ ^ ^ ^ ^EEWXXX X ZZ Z Z ]]]]]] ] ] ] ] ]]]^^ ^ ^ ^ ^ ^^^^^^^^^^^^^^^^^^ __X X X Z ^________ _ WWWWWWXXXXX_ _ _ ________` _``````` ` ` ` ````````````````aaaaaaaaaa a a a a aaaaaa=vB!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!B!Baaaaaaabbbbbbbbbb b b b b bbbbbbbbbbbbbbbcccccc c c c c cccccccccccaaaaabbcccddddddddddddddeeeeeeeeee e e e e eeeeeiiiiiiiiiiiiiiiijjjjjjjjjjjjjj kkkkkkkkkk k k k k kkkkkkkkkkkkd d d d d dddddeeeiiiiiiiiii i i i i jjjjjj j j j j jjjjjjjjjkkkk```cccklllllllmmmmmmm m m m m mmmmmmmmmmnnnnnnnoooooooooo o o llnnnnnniil l l l l lllllllclllllmmmn n n n n nnnnnnno o oooooooooooooooopppppppppp p p p p ppppppppppppppqqqqqqqqqq q q q q qq q q q q q q q q r r r r r r r r r r r r r r r r r r s s s s s s s s s s s s s s s t t t t t t t t t t t !q!q!s !s !s!s!s!s!t mmmmnnnnnnnoooooooooo o o llnnnnnniil l l l l lllllllclllllmmmn n n n n nnnnnnno o oooooooooooooooopppppppppp p p p p ppppppppppppppqqqqqqqqqq q q q q qq q q q q q q q q r r r r r r r r r r  r  r  r  r  r r r r s s s s s s s s s s  .Y!hingUnNyy!!!!Y  Y FY  Y  Y TableIDTableNameTotalFieldsFormDisplayNameFormNametLtwy{Tiwicy|DaY=YY.rCPrimaryKeyTableIDv1x!K K `  w 1 N  { & M  p#5! DiagramsInvestigation DiagramsDiagrams6,  5ResidencePrimary Residence InvestigationResidenceA6 ExtraCaregiverAdditional Primary CaregiverExtraCaregiverH8 OtherCaregiverOther Primary CaregiversOtherCaregiverD4 PrimaryCaregiverPrimary CaregiversPrimaryCaregiverB0 BioFatherBiological Father InformationBioFather?4 FatherAdoptive/Foster Father InformationFather>6 BioMotherBiological Mother InformationBioMother?4 MotherAdoptive/foster Mother InformationMother>6  ParentalParental InformationParental4* 1ResponderNon Professional Responder InterviewResponderF; AdditionalMaterialsAdditional MaterialsAdditionalMaterialsJ5 3MaterialsMaterials Collection LogMaterials:/ dLawEnforcementLaw Enforcement InterviewLawEnforcementE5 `InformantInformant ContactInformant3(  SickChildrenChildren in Daycare who were SickSickChildrenI; ContactsAll Persons in Contact with InfantContactsB8 ExposureInfant Exposure HistoryExposure7- 0ImmunizationImmunization RecordImmunization;- TreatmentsTreatments Administered to Infant at the HospitalTreatmentsUI  4HospitalHospital InterviewHospital2(  MedicationsMedications Given to InfantMedicationsA4  AEMSEMS InterviewEMS#  -PathologistSummary to PathologistPathologist</  SummaryInvestigation SummarySummary3* ;SceneScene InvestigationScene-& :PregnancyPregancy HistoryPregnancy2' &DietaryInfant Dietary HistoryDietary4+ VaccinationsVaccinations GivenVaccinations:, RMedicalInfant Medical HistoryMedical4+ CoSleepersInfant Co-SleepersCoSleepers6* WitnessWitness InterviewWitness/& InfantInfant DemographicsInfant/'  x @ @ @ @zzzzzzzz z z  z  z  z z zzzzzzzzzzzzzzzzz z!z  x @ @ @ @zzzzzzzz z z  z  z  z z zzzzzzzzzzzzzzzzz z!z ) YhingUnN  ~~Y  Y  Y  Y  Y Y Y   Y dY  Y   dUniqueID SceneDiagramPathBodyDiagramPath.SceneDiagramDescription,BodyDiagramDescriptionCompletionDateCompletionTimeCompletedByConductedMethodConductedByd~enh~nCY~YYYMainDiagramsPrimaryKeyUniqueIDv1@ }