24.04.2013 Views

APPENDIX F SPELLING WORDS FOR SuperMICAR DATA ENTRY

APPENDIX F SPELLING WORDS FOR SuperMICAR DATA ENTRY

APPENDIX F SPELLING WORDS FOR SuperMICAR DATA ENTRY

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

<strong>APPENDIX</strong> J <strong>FOR</strong>MAT –– EXERCISE 3 - ANSWERS<br />

Certificate 6<br />

Certificate Number Sex Date of Death<br />

100006 M 01/01<br />

Age Unit Age Field State of Death<br />

54 YEARS AS<br />

Part I Duration<br />

a. CARDIAC ARREST<br />

CIRRHOSIS OF LIVER<br />

c. ALCOHOLISM<br />

d.<br />

Part II:<br />

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

death<br />

Y<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<br />

Injury Description<br />

Transportation, Specify<br />

Certifier State Specific Data<br />

N<br />

J-6 2s January 2006

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!