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APPENDIX F SPELLING WORDS FOR SuperMICAR DATA ENTRY

APPENDIX F SPELLING WORDS FOR SuperMICAR DATA ENTRY

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<strong>APPENDIX</strong> I BASIC <strong>DATA</strong> <strong>ENTRY</strong>– EXERCISE 2 - ANSWERS<br />

Certificate 13<br />

Certificate Number Sex Date of Death<br />

000013 F 01/05<br />

Age Unit Age Field State of Death<br />

58 YEARS AS<br />

Part I Duration<br />

a. FRACTURE OF RIB<br />

b. METASTATIC CANCER TO BONE<br />

c. CANCER OF RIGHT BREAST<br />

d.<br />

Part II:<br />

Was Autopsy Performed Were Autopsy Finding Uses Tobacco Use Contribute to<br />

death<br />

N P<br />

Pregnancy Manner of Death Date of Surgery Activity<br />

Code<br />

1 N<br />

Date of Injury Time of Injury Injury at Work<br />

01/05/2003 08:00 A N<br />

Place of Injury HOME<br />

Injury Description FRACTURED RIB WHILE TURNING IN BED<br />

Transportation, Specify<br />

Certifier CORONER State Specific Data<br />

I-13 2s January 2006

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