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Prenatal Record - National Archives and Records Administration

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DEFINITION OF CODES {ContiiiUed)<br />

FORM OB-5<br />

Card 2305<br />

CARD<br />

corm.m<br />

4. NON-CONli'INING' ILLNESS OR DISABILITY I *: 23-31<br />

(contiiiUed)<br />

Physician Consulted (col. 31)<br />

Item 14<br />

Code: 0 - No<br />

l .. Yes<br />

9 - Unkno"Wn<br />

Note: No ill.ness = "O' s" for entire field<br />

5· NON-CONli'INING ILL."'IiESS OR DISABILITY II* 32-4o<br />

Code: Same as in Field 4<br />

6. NON-CONFINING :cr..nrESS OR DISABILITY ~ 41-49<br />

Code: Same as in Field 4<br />

ImrmlDi zation {Revision "1" only) 50<br />

Item 16<br />

Code: 0 - No<br />

l - Yes, before LMP<br />

2 - Yes, since LMP<br />

3 - Combination of codes l <strong>and</strong> 2<br />

8 - Unknown ·<br />

9 - Not evaluat~d, not on I.=v-. "-0"<br />

8. Antibiotic Injection {Revision. "1" only) 51<br />

Item 17<br />

Code: Same as in Field 7<br />

9·<br />

ection 52<br />

Coo e: Ss..me as in Field 7<br />

10. Other Injection (Revision "1" only) 53<br />

Item 19<br />

Code: Same as in Field 7<br />

ll. UP..knoYm Type of Injection (Revision "1" only) 54<br />

Item 20<br />

Code: Same as in Field .7<br />

* An i].lness or disability rr,ay be recorded in .xn.y of the three f:.elds<br />

(4-6); therefore, all fie~ds must be checked for data.<br />

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

II.A.80<br />

OB-5

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