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34. ADDITIONAL REMARKS (Show tiem number to which extended entry applies.
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INSTRUCTIONS FOR ITEM 23: Enter primary cause of admission first, followed by additional diagnoses present in order
of importance; then by later diagnoses in chronological order preceded by dates made. Number diagnosis in order. Record
fully—including causative agent, how, when, where, doing what, for injuries—in accordance with separate directives. For
all diagnoses established by pathological findings, so state. Each chronic condition must be indicated as either “PR” (previously recorded) or “Not PR.” Similarly, any other condition which has been recorded in a previous admission will be so
indicated, showing the previous diaprosis.” In all cases designatéd as previously recorded, show place, date, and register
number of previous admission. Every condition that existed prior to service will be indicated as “EPTS.” Diagnoses of
venereal disease and malaria will be characterized either as “EPTS” or as ‘“‘Not EPTS.” In the case of diagnosis from
which recovery occurs prior to disposition of the case, a date will be shown, thus: ‘Recovered, 11 May 1951.” For each
diagnosis line of duty status must be shown in accordance with separate directives, thus: “LD, No, EPTS,” “LD, No,
Misconduct,” “LD, Yes, EPTS, Aggrevated by Service,” ete.
35.
CAUSE OF DEATH
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MEAN
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MODE
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DYING,
1a, DISEASE
SUCH AS HEART FAILURE, ASTHEMA, ETC. IT MEANS
DEATH
THe DISEASE, INJURY, or COMPLICATION.
WHICH CAUSED DEATH
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CONDITION
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ANTECEDENT CAUSES
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MORETD CONDITIONS, IF ANY. GIVING, RISE TO
THE ABOVE cause fitem Ia) STATORG THK UNDEIR-
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THIS MEANS CONDITIONS CONTRIBUTING TO THE
DEATH BUT NOT RELATED TO TRE DISEASE OF |
CONDITIONS CAUSING DEATH.
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OTHER SIGNIFICANT CONDITIONS
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34.
AUTOPSY PERFORMED (ff ‘Yes’ indiagte dase and place
37.
HOUR AND DATE OF DEATH
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38. EXACT PLACE OF DEATH
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