[US Standard Certificate Of Birth Field 55]. This class represents a congenital anomaly of the newborn. On the form, this is a multiple-choice question (i.e., "check all that apply"), although one of the choices is "None of anomalies listed above", so if that one is chosen, there should not be any others chosen. Possible values include: Anencephaly; Meningomyelocele/Spinal bifida; Cyanotic congenital heart disease; Congenital diaphramic hernia; Omphalocele; Gastroschisis; Limb reduction defect (excluding congenital amputation and dwarfing syndromes); Cleft lip with or without cleft palate; Cleft palate alone; Down Syndrome, Karyotype confirmed; Down Syndrome, Karyotype pending; Suspected chromosomal disorder, Karyotype confirmed; Suspected chromosomal disorder, Karyotype pending; Hypospadias; None of anomalies listed above.