EXAMPLE:
32. UNDERLYING CAUSE
121
OF DEATH/SEP
1
e. The underlying cause of death or principal cause of separation/retirement, or
the principal cause for failure to meet medical fitness standards appears in the field
indicated by the data code in the following table.
DESCRIPTION
DATA CODES
Field 36
1
Field 37
2
Field 38
3
Field 39
4
Field 40
5
Field 41
6
Field 42
7
Field 43
8
Table 4-19. Underlying cause of death/separation codes.
4-52. RESIDUAL DISABILITY (FIELD 33, COLUMNS 122 THROUGH 124)
Leave this field blank. Residual disability collection has been discontinued.
4-53. DATA FILLER (FIELD 34, COLUMNS 125 THROUGH 133)
Leave this field blank. This field is reserved for future use.
4-54. CAUSE OF INJURY (FIELD 35, COLUMNS 134 THROUGH 136)
a. Source of data. Item 33, ITRCS.
b. Enter a cause of injury code for any injury diagnosis (codes 8000 to 9999,
692.71, V71.3 to V71.6, and E9300 to E9499) appearing in diagnostic fields 36 to 43
MD0753
4-53