Variable Names and Field Numbers For
California Death Record (CDC)

Sorted By Death Certificate Field Number

Field #	Death Record Field Name
1	NAME OF DECEDENT -- FIRST
2	MIDDLE NAME
3	LAST NAME
3V	VERIFY LAST NAME OF DECEDENT
4	DATE OF BIRTH
5	AGE
5A	AGE IN MONTHS
5B	AGE IN DAYS
5C	AGE IN HOURS
5D	AGE IN MINUTES
6	SEX
7	DATE OF DEATH
8	24 HOUR CLOCK TIME OF DEATH
9	STATE OF BIRTH
10	SOCIAL SECURITY NUMBER
11	MILITARY SERVICE
11A	STARTED MILITARY SERVICE
11B	ENDED MILITARY SERVICE
12	DECEDENT'S MARITAL STATUS
13	EDUCATION - HIGHEST LEVEL/DEGREE
14	WAS DECEDENT SPANISH/HISPANIC?
15	SPECIFY HISPANIC
16	DECEDENT'S RACE
16A	DECEDENT'S RACE #1
16B	DECEDENT'S RACE #2
16C	DECEDENT'S RACE #3
17	DECEDENT'S PRIMARY OCCUPATION
18	KIND OF INDUSTRY OR BUSINESS
19	YEARS IN OCCUPATION
20	DECEDENT'S USUAL STREET ADDRESS
21	CITY OR TOWN OF RESIDENCE
22	COUNTY OF RESIDENCE
23	ZIP CODE OF DECEDENT'S RESIDENCE
24	NUMBER OF YEARS IN THIS COUNTY
25	STATE OF RESIDENCE
26	INFORMANT'S NAME AND RELATIONSHIP
27A	INFORMANT'S MAILING ADDRESS
27B	INFORMANT'S RESIDENCE CITY OR TOWN
27C	STATE OF INFORMANT'S RESIDENCE
27D	ZIP CODE OF INFORMANT'S RESIDENCE
27E	COUNTY OF INFORMANT'S RESIDENCE
28	NAME OF SURVIVING SPOUSE (FIRST)
29	SPOUSE'S MIDDLE NAME
30	LAST (MAIDEN NAME)
31	FIRST (GIVEN) NAME OF FATHER
32	MIDDLE NAME OF FATHER
33	LAST (FAMILY) NAME OF FATHER (SURNAME)
34	FATHER'S STATE OF BIRTH
35	FIRST (GIVEN) NAME OF MOTHER
36	MIDDLE NAME OF MOTHER
37	BIRTH LAST (FAMILY) NAME OF MOTHER (MAIDEN SURNAME)
38	MOTHER'S STATE OF BIRTH
39	DATE OF DISPOSITION
40	PLACE OF FINAL DISPOSITION
41	DISPOSITION
42	EMBALMER
43	EMBALMER'S LICENSE NUMBER
44	NAME OF FUNERAL DIRECTOR
45	FUNERAL DIRECTOR LICENSE NUMBER
47	DATE ACCEPTED BY LOCAL REGISTRAR
101	PLACE OF DEATH
102	IF HOSPITAL, SPECIFY
103	FACILITY OTHER THAN HOSPITAL
104	COUNTY OF DEATH
105	STREET ADDRESS OF PLACE OF DEATH
106	CITY OR TOWN WHERE DEATH OCCURRED
107A	IMMEDIATE CAUSE OF DEATH
107AI	ICD CODE FOR 107A
107AT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
107B	DUE TO OR AS A CONSEQUENCE OF
107BI	ICDA CODE FOR 107B
107BT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
107C	DUE TO OR AS A CONSEQUENCE OF
107CI	ICDA CODE FOR 107C
107CT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
107D	DUE TO OR AS A CONSEQUENCE OF
107DI	ICDA CODE FOR 107D
107DT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
108A	REFERRAL NUMBER
108	WAS DEATH REPORTED TO CORONER?
109	BIOPSY PERFORMED?
110	AUTOPSY PERFORMED?
111	WAS AUTOPSY USED IN DETERMINING CAUSE OF DEATH
112	OTHER SIGNIFICANT CONDITIONS
112A	OTHER SIGNIFICANT CONDITIONS (CONT)
112AI	ICDA CODE FOR 112A
112B	OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH
112BI	ICDA CODE FOR 112
112C	OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH
112CI	ICDA CODE FOR 112
112D	OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH
112DI	ICDA CODE FOR 112
112I	ICDA CODE FOR 112
113A	IF FEMALE, PREGNANT IN LAST YEAR?
113B	DATE OF OPERATION
113.1	LIST OPERATION AND DATE
113.2	LIST OPERATION AND DATE (CONT)
114A	PHYSICIAN ATTENDED DECEDENT SINCE
114B	PHYSICIAN LAST SAW DECEDENT ALIVE
115	DEGREE OR TITLE OF CERTIFIER
116	CERTIFIER LICENSE NUMBER
117	DATE CERTIFIER SIGNED
118	ATTENDING PHYSICIAN'S NAME AND ADDRESS
119	MANNER OF DEATH
120	INJURY AT WORK?
121	DATE OF INJURY
122	HOUR OF INJURY
123	PLACE OF INJURY
124	DESCRIBE HOW INJURY OCCURRED
125	LOCATION OF PLACE OF INJURY
127	DATE CORONER SIGNED
128	CORONER
AKA	ALSO KNOWN AS
AMO	ANY MENTION OF
COM	COMMENT
CT	CENSUS TRACT
FAN	FAX AUTHORIZATION NUMBER
I14	DECEDENT'S RACE CODE
I15	HISPANIC CODE
LFN	ASSIGNED LOCAL FILE NUMBER
LFNV	ASSIGNED LOCAL FILE NUMBER

Sorted By Death Certificate Field Name

Field #	Death Record Field Name
8	24 HOUR CLOCK TIME OF DEATH
5	AGE
5B	AGE IN DAYS
5C	AGE IN HOURS
5D	AGE IN MINUTES
5A	AGE IN MONTHS
AKA	ALSO KNOWN AS
AMO	ANY MENTION OF
107AT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
107BT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
107CT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
107DT	APPROX. INTERVAL BETWEEN ONSET AND DEATH
LFN	ASSIGNED LOCAL FILE NUMBER
LFNV	ASSIGNED LOCAL FILE NUMBER
118	ATTENDING PHYSICIAN'S NAME AND ADDRESS
110	AUTOPSY PERFORMED?
109	BIOPSY PERFORMED?
37	BIRTH LAST (FAMILY) NAME OF MOTHER (MAIDEN SURNAME)
CT	CENSUS TRACT
116	CERTIFIER LICENSE NUMBER
21	CITY OR TOWN OF RESIDENCE
106	CITY OR TOWN WHERE DEATH OCCURRED
COM	COMMENT
128	CORONER
104	COUNTY OF DEATH
27E	COUNTY OF INFORMANT'S RESIDENCE
22	COUNTY OF RESIDENCE
47	DATE ACCEPTED BY LOCAL REGISTRAR
117	DATE CERTIFIER SIGNED
127	DATE CORONER SIGNED
4	DATE OF BIRTH
7	DATE OF DEATH
39	DATE OF DISPOSITION
121	DATE OF INJURY
113B	DATE OF OPERATION
12	DECEDENT'S MARITAL STATUS
17	DECEDENT'S PRIMARY OCCUPATION
16	DECEDENT'S RACE
16A	DECEDENT'S RACE #1
16B	DECEDENT'S RACE #2
16C	DECEDENT'S RACE #3
I14	DECEDENT'S RACE CODE
20	DECEDENT'S USUAL STREET ADDRESS
115	DEGREE OR TITLE OF CERTIFIER
124	DESCRIBE HOW INJURY OCCURRED
41	DISPOSITION
107B	DUE TO OR AS A CONSEQUENCE OF
107C	DUE TO OR AS A CONSEQUENCE OF
107D	DUE TO OR AS A CONSEQUENCE OF
13	EDUCATION - HIGHEST LEVEL/DEGREE
42	EMBALMER
43	EMBALMER'S LICENSE NUMBER
11B	ENDED MILITARY SERVICE
103	FACILITY OTHER THAN HOSPITAL
34	FATHER'S STATE OF BIRTH
FAN	FAX AUTHORIZATION NUMBER
31	FIRST (GIVEN) NAME OF FATHER
35	FIRST (GIVEN) NAME OF MOTHER
45	FUNERAL DIRECTOR LICENSE NUMBER
I15	HISPANIC CODE
122	HOUR OF INJURY
107AI	ICD CODE FOR 107A
107BI	ICDA CODE FOR 107B
107CI	ICDA CODE FOR 107C
107DI	ICDA CODE FOR 107D
112BI	ICDA CODE FOR 112
112CI	ICDA CODE FOR 112
112DI	ICDA CODE FOR 112
112I	ICDA CODE FOR 112
112AI	ICDA CODE FOR 112A
113A	IF FEMALE, PREGNANT IN LAST YEAR?
102	IF HOSPITAL, SPECIFY
107A	IMMEDIATE CAUSE OF DEATH
27A	INFORMANT'S MAILING ADDRESS
26	INFORMANT'S NAME AND RELATIONSHIP
27B	INFORMANT'S RESIDENCE CITY OR TOWN
120	INJURY AT WORK?
18	KIND OF INDUSTRY OR BUSINESS
33	LAST (FAMILY) NAME OF FATHER (SURNAME)
30	LAST (MAIDEN NAME)
3	LAST NAME
113.1	LIST OPERATION AND DATE
113.2	LIST OPERATION AND DATE (CONT)
125	LOCATION OF PLACE OF INJURY
119	MANNER OF DEATH
2	MIDDLE NAME
32	MIDDLE NAME OF FATHER
36	MIDDLE NAME OF MOTHER
11	MILITARY SERVICE
38	MOTHER'S STATE OF BIRTH
1	NAME OF DECEDENT -- FIRST
44	NAME OF FUNERAL DIRECTOR
28	NAME OF SURVIVING SPOUSE (FIRST)
24	NUMBER OF YEARS IN THIS COUNTY
112	OTHER SIGNIFICANT CONDITIONS
112A	OTHER SIGNIFICANT CONDITIONS (CONT)
112B	OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH
112C	OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH
112D	OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH
114A	PHYSICIAN ATTENDED DECEDENT SINCE
114B	PHYSICIAN LAST SAW DECEDENT ALIVE
101	PLACE OF DEATH
40	PLACE OF FINAL DISPOSITION
123	PLACE OF INJURY
108A	REFERRAL NUMBER
6	SEX
10	SOCIAL SECURITY NUMBER
15	SPECIFY HISPANIC
29	SPOUSE'S MIDDLE NAME
11A	STARTED MILITARY SERVICE
9	STATE OF BIRTH
27C	STATE OF INFORMANT'S RESIDENCE
25	STATE OF RESIDENCE
105	STREET ADDRESS OF PLACE OF DEATH
3V	VERIFY LAST NAME OF DECEDENT
111	WAS AUTOPSY USED IN DETERMINING CAUSE OF DEATH
108	WAS DEATH REPORTED TO CORONER?
14	WAS DECEDENT SPANISH/HISPANIC?
19	YEARS IN OCCUPATION
23	ZIP CODE OF DECEDENT'S RESIDENCE
27D	ZIP CODE OF INFORMANT'S RESIDENCE

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