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Prenatal Record - National Archives and Records Administration

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DEl!'INITION OF CODES (Continued)<br />

FORM OB-5<br />

Card 2305<br />

l.<br />

2.<br />

3·<br />

4.<br />

Card Number <br />

Code: 2 <br />

:Basic Data * <br />

Code: Same as in colllmns 2-20 of Card l <br />

Non-cont'ining Illness or Disability During<br />

1<br />

Preeeding l2 Months<br />

Item ll<br />

Two-digit code for:<br />

Total Number Reported (col. 21)<br />

Total Illnesses for Which Physician, Hospital<br />

or Clinic was Visited (col. 22)<br />

Code for each column: ·<br />

a·.;. .None<br />

l-1 - As given <br />

8 - 8 or more <br />

9 -Unknown<br />

NON-cONOB'lNING ILim!SS OR DISABILITY I<br />

Illness or Disability - Type (cols. 23-24) <br />

Item l2 <br />

Code: See Attachment "Illness or Disability Codes" <br />

page O:B 5 - lO-ll<br />

CARD<br />

COIZJMN<br />

l<br />

2-20<br />

21-22<br />

23-31<br />

* <br />

Date of Onset (cols. 25-30)<br />

Item 13<br />

Si%-digit code for ~nth ( cols. 25-26) 1<br />

Day<br />

(cols. 27-28), a.IId Year (cols. 29-30)<br />

Code: As given<br />

000000 - None.<br />

99 -Month,. day azul/or. year unknown<br />

~lemental code for day:<br />

- Earl¥, beginning of month, first week<br />

ll - Second week<br />

1.6 -Middle<br />

20 - Third week<br />

27 - Last week, end of month, late<br />

UnJ.ess specified, Fields, Codes azul Card Colllmns refer to Revisions<br />

"O" azul "l". ItE!Il mmibers refer to Form Dated: ll/59·<br />

Reproduced at the <strong>National</strong> <strong>Archives</strong><br />

II.A.79<br />

OB-5

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