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Fatal injury surveillance data collection form (short version)
1
1.1 FACILITY NAME1.2 FACILITY TYPE
Mortuary1.3 CASE IDENTIFICATION NUMBER
Hospital /
Health
facility
1.5 INTERNAL AUTOPSY PERFORMED?1.4
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How to fill out fatal injury surveillance data
How to fill out fatal injury surveillance data
01
Gather all necessary information including the victim's demographics, location of the injury, cause of the injury, and any contributing factors.
02
Ensure all data fields are filled out completely and accurately.
03
Submit the completed surveillance data to the appropriate authorities or agencies responsible for collecting and analyzing this information.
Who needs fatal injury surveillance data?
01
Healthcare professionals
02
Public health officials
03
Law enforcement agencies
04
Government organizations
05
Researchers and academics
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What is fatal injury surveillance data?
Fatal injury surveillance data is information collected and analyzed to track and monitor fatal injuries occurring in a certain population or region.
Who is required to file fatal injury surveillance data?
Healthcare providers, medical examiners, coroners, and other relevant authorities are required to file fatal injury surveillance data.
How to fill out fatal injury surveillance data?
Fatal injury surveillance data can be filled out by documenting detailed information about the circumstances surrounding the fatal injury, cause of death, demographic information of the deceased, and other relevant data.
What is the purpose of fatal injury surveillance data?
The purpose of fatal injury surveillance data is to identify trends, risk factors, and areas of concern related to fatal injuries in order to develop prevention strategies and interventions.
What information must be reported on fatal injury surveillance data?
Information that must be reported on fatal injury surveillance data includes details on the deceased individual, the circumstances of the fatal injury, cause of death, location, and other relevant data.
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