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DOE-STD-1187-2005
10.
Death Date
Date of death
Text abstracted from death certificate, immediate
Immediate Cause
cause
11.
Text abstracted from death certificate, first "Due to
First Cause
or as a consequence of" section
12.
Text abstracted from death certificate, second
13.
Second Cause
"Due to or as a consequence of" section
Other significant conditions contributing to the
Other Cause
death
14.
15.
*Old Unique ID
Unique ID from previous site, if applicable
Text field that contains the name of the previous
site where the worker was employed as a
16.
*Previous Site
beryllium worker
3.1.1. Site Code: A unique code that identifies a site. The Beryllium
Registry Data Center will provide a site code to each Registry
coordinator. Sites currently participating in the IISP should use their
current site codes.
3.1.2. Unique ID: This is an encrypted identification number unique to each
beryllium-associated worker. It is assigned by the site and is used to
link multiple records to one worker. Every record submitted to the
Data Center must include the Unique ID. Sites enrolled in the IISP
should use the workers' IISP identifiers as the Unique ID.
3.1.3. Status Code: Indicates whether this is a new record (N) to be added
to the roster or a delete record (D) for a worker already in the roster.
Only a new record (N) should be submitted for workers first entering
the roster. To make changes to information for workers already in the
roster, the site should submit both a delete (D) and a corresponding
new record (N) that will replace all previous roster data for the worker.
3.1.4. Year Born: Only the year of birth is requested in the Roster data set.
This is a measure to help ensure privacy and prevent identification of
individuals by using a specific date of birth.
3.1.5. Gender: Provide the code for the gender of the worker as either male
or female.
9


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