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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 14<br />

Certificate Number Sex Date of Death<br />

000014 F 01/01<br />

Age Unit Age Field State of Death<br />

74 YEARS AS<br />

Part I Duration<br />

a. CARDIOGENIC SHOCK<br />

b. FRACTURE OF ARM AND LEG<br />

c.<br />

d.<br />

Part II<br />

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

death<br />

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

Code<br />

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

Place of Injury HOME<br />

Injury Description FALL<br />

Transportation, Specify<br />

Certifier UNKNOWN State Specific Data<br />

A<br />

I-14 2s January 2006<br />

N

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