fatal_injury_survey
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ABCDEF
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typenamelabelhintappearance
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todaytoday
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begin groupgroup11
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textfacility_name1.1 Facility Namew4
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integerage1.2 Deceased Agew1
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select_one age_unitsage_unitSelect age unit
w1 horizontal-compact
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select_one sexsex1.3 Deceased Sexw2 horizontal
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end group
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begin groupgroup22
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datedate_injury2.1 Date of Injuryw2
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datedate_death2.2 Date of Deathw2
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end group
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begin groupgroup33
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select_one injury_placeinjury_place3.1 Place of Injury Occurrencew4 horizontal
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select_one death_placedeath_place3.2 Place of Death Occurrencew2
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select_one mechanismmechanism3.3 Mechanism of Injuryw2
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end group
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begin groupgroup44
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textnarrativeIncident Summary Narative
(From the autopsy report, police records, and bystander reports) Describe the cause of the injury.
multiline
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end group
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