LAYOUT FOR AVSS DEATH RECORD FILE

 

#

LEN

COLUMNS

FIELD

DESCRIPTION

1

1

1-1

 

TRANSACTION CODE (1=ORIG CERTIFICATE)

2

6

2-7

SFN

STATE FILE NUMBER (BLANK)

3

1

8-8

FORM

EVENT TYPE (3=DEATH CERTIFICATE)

4

2

9-10

7

EVENT YEAR

5

2

11-12

XIND

LOCAL REGISTRATION DISTRICT

6

6

13-18

LFN

LOCAL FILE NUMBER/CERTIFICATE NUMBER

7

13

19-31

1

DECEDENT'S FIRST NAME

8

13

32-44

2

DECEDENT'S MIDDLE NAME

9

30

45-74

3

DECEDENT'S LAST NAME

10

8

75-82

7

DECEDENT'S DATE OF DEATH (MMDDYYYY)

11

4

83-86

8

HOUR OF DEATH

12

1

87-87

6

DECEDENT'S SEX

13

2

88-89

I16

DECEDENT'S RACE CODE

14

1

90-90

15

DECEDENT'S SPANISH/HISPANIC CODE

15

8

91-98

4

DECEDENT'S DATE OF BIRTH (MMDDYYYY)

16

1

99-99

7

DECEDENT'S AGE AT DEATH (TYPE)

17

2

100-101

5

DECEDENT'S AGE AT DEATH (UNITS)

18

3

102-104

9

DECEDENT'S STATE OF BIRTH

19

3

105-107

 

CITIZEN OF WHAT COUNTRY (BLANK)

20

13

108-120

31

FATHER'S FIRST NAME

21

13

121-133

32

FATHER'S MIDDLE NAME

22

30

134-163

33

FATHER'S LAST NAME

23

3

164-166

34

FATHER'S STATE OF BIRTH

24

13

167-179

35

MOTHER'S FIRST NAME

25

13

180-192

36

MOTHER'S MIDDLE NAME

26

30

193-222

37

MOTHER'S LAST NAME (MAIDEN)

27

3

223-225

38

MOTHER'S STATE OF BIRTH

28

4

226-229

11A

BLANK: WAS MILITARY SERVICE (BEGINNING YEAR)

29

4

230-233

11B

BLANK: WAS MILITARY SERVICE (ENDING YEAR)

30

9

234-242

10

DECEDENT'S SOCIAL SECURITY NUMBER

31

1

243-243

12

DECEDENT'S MARITAL STATUS

32

13

244-256

28

SPOUSE'S FIRST NAME

33

13

257-269

29

SPOUSE'S MIDDLE NAME

34

30

270-299

30

SPOUSE'S LAST NAME

35

25

300-324

17

DECEDENT'S USUAL OCCUPATION

36

25

325-349

18

DECEDENT'S USUAL BUSINESS/INDUSTRY

37

25

350-374

16

DECEDENT'S RACE (TEXT)

38

2

375-376

19

YEARS IN USUAL OCCUPATION

39

2

377-378

13

HIGHEST GRADE COMPLETED

40

30

379-408

20

RESIDENCE STREET ADDRESS

41

30

409-438

21

CITY OF RESIDENCE

42

9

439-447

23

ZIP CODE

43

2

448-449

24

NUMBER OF YEARS IN COUNTY

44

4

450-453

101

PLACE OF DEATH

45

1

454-454

102

HOSPITAL STATUS

46

3

455-457

104

COUNTY OF DEATH

47

1

458-458

108

DEATH REPORTED TO CORONER

48

1

459-459

109

BIOPSY PERFORMED

49

1

460-460

110

AUTOPSY PERFORMED

50

1

461-461

111

AUTOPSY USED FOR CAUSE OF DEATH

51

1

462-462

113

OPERATION PERFORMED

52

7

463-469

116

PHYSICIAN/CERTIFIER LICENSE NUMBER

53

8

470-477

117

DATE CERTIFIER SIGNED

54

8

478-485

127

DATE CORONER SIGNED

55

1

486-486

119

MANNER OF DEATH

56

2

487-488

123

PLACE OF INJURY

57

1

489-489

120

INJURY AT WORK

58

8

490-497

121

DATE OF INJURY

59

4

498-501

122

HOUR OF INJURY

60

1

502-502

41

DISPOSITION

61

8

503-510

39

DATE OF DISPOSITION

62

7

511-517

45

FUNERAL DIRECTOR LICENSE NUMBER

63

8

518-525

47

DATE ACCEPTED FOR REGISTRATION

64

1

526-526

C

TYPE OF CERTIFIER

65

6

527-532

CT

CENSUS TRACT

66

2

533-534

 

YEARS IN STATE (BLANK)

67

4

535-538

UCOD

UNDERLYING CAUSE OF DEATH

68

20

539-558

107

5 CAUSES OF DEATH

69

2

559-560

UCOD

GROUP CAUSE OF DEATH

70

3

561-563

 

DISEASE INDICATOR (BLANK)

71

1

564-564

 

TYPE OF FACILITY (BLANK)

72

3

565-567

I22

COUNTY OF RESIDENCE

73

8

568-575

AMND

BLANK: RESERVED FOR DATE OF LAST AMENDMENT

Updated February 11, 2004  by RL Williams

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