Prenatal Record - National Archives and Records Administration

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ILLNESS OR DISABILITY CODES OB-5 00 None Cardiovascular and Blood Systems 01 Cardiovascular (general) 02 Rheumatic Fever 03 Thrombophlebitis 04 Anemia 05 Cardiovascular Surgery 06 Leukemia and Lymphomas 07 Pericarditis o8 Purpura (all types) 09 Combination of codes Ol-o8 Pulmonary Systems 10 Respiratory Diseases (general) ll Tuberculosis (all sites and procedures) 12 Pneumona and Pneumonitis 13 Bronchial As~hma 14 Pulmonary Surgery 15 Hemoptysis and Pulmonary Embolism 16 Sarcoidosis (all sites and procedures) 19 Combination of codes 10-16 Metabolic System 20 Metabolic Diseases (general) 21 Glucose Metabolism Disorders 22 Thyroid Diseases 23 Endocrine Surgery 24 Glycosuria (nbt specified as diabetes) 29 Combination of codes 20-24 genito-Urinary System 30 Genitourinary (general) 31 Glomerulonephritis 32 Genito-Urinary Infection 33 Genito-Urinary Surgery 34 Hematuria 35 Genito-Urinary Stones 36 Nephrosis 37 Genito-Urinary Tumors 39 Combination of codes 30-37 Gynecological System 401 Gynecological (general) Gynecological Tumors Infertility and Sterility 41 42 43 Venereal Diseases 44 Gynecological Surgery 45 Complications of Pregnancy 46 Termination of Pregnancy ( =xcept ectopic and mole) 47 48 49 Ectopic Pr,egna.ncy Trophoblastic Tumors Combination of codes 40-48 Neurological Surgery Neuroses and Psychiatric Disorders, n.o.s. 55 Psychoses 56 Alcoholism 57 Drug Addiction 58 Cerebral Palsy 59 Combination of codes 50-58 chiatric Gastro-Intestinal Systems 60 Abdominal and Gastrointestinal Diseases (general) 61 Jaundice and Hepatitis 62 Gallbladder and Pancreatic Dis :?..ses 63 Gastrointestinal Diseases 64 Hernia (Hiatal only) 65 Abdominal and Gastro-intestinal Tumors (not elsewhere specified) 66 Abdominal and Gastro-intestinal Surgery 67 Hematemesis and Melena 68 ~plenic Diseases and Surgery 69 Combination of codes 60-68 II.A.84 OB-5 Reproduced at the National Archives
ILL..'1ESS OR DISABILITY CODES (Continued) Skin, Breast and Alrendages 70 Skin Diseases (General. 71 Burns 72 Breast Diseases 73 Diseases of the Head and NeCk 74 General Diseases of Extremities (including :fractures) 75 Breast Surger,y 76 Surgery of skin, head, neck and extremities 77 Bone inf'ections and tumors (any site) 79 Combination of codes 79~~;-··- Inf'ectious Diseases "80 Infections (site and type not specified) 81 Viral Infections 82 Bactex:ial Infections 83 Intestinal Parasitic Infections 84 Fungal. Infections 85 Scabies 86 RiCkettsial Infections 88 Immunization Procedures and .Antitoxin Adm1 ni stration 89 Cemoination of codes 80 ...88· other Diseases and Conditions 90 Other Diseases and Procedures (General and Unspecified site) not elsewhere specified 91 Observation and Diagnostic Procedures 92 Diseases ami Procedures of Back and Side 93 Poisoning 1 chemical (All types except alcohol) 94 Trauma and Fractures ot Pelvis 98 !~Jgpbinatien of codes 90-.94 99 Unknown Reproduced at the National Archives II.A.85 OB-5
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NINCDS COLLABORATIVE PERINATAL PROJ
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NINCDS COLLABORATIVE PERINATAL PROJ
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INTRODUCTION DOCUMENT OBJECTIVES AN
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Forms The first forms used in the s
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Reproduced at the National Archives
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selection. A n1n was used for patie
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, researcher is more likely to look
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TABLE 3. Abbreviations for Person,
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TABLE 4. Definition of Person, Time
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TABLE 4. Definition of Person, Time
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CONTENTS AR-1/0B-1 OB-2 OB-3 OB
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AR-1 Obstetrical Administrative Rec
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DEFINITION OF CODES {Continued) FOR
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... 1;:: I ~ .J.I'40JI.!9d jl5 !
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ADMINISTRATIVE RECORD MANUAL PHS-30
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ADMI!liSTRATIVE RECORD ;fl.A.TI.TUA
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-· IID'~7-- '·"'-- ':!e- ~ l·-~
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OB-1: OBSTETRICAL· ADMINISTRATIVE
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Par. 3 10 - Religion. Record as Cat
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OB-2 Reproductive History Form OB-2
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COLIII:•IOoa-& ,.., REPRODUCTIVE
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DEFTIITTION OF CODES (Continued) FI
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1 Reproduced at the National Archiv
Page 55 and 56: R~PRODUCTI\~ HISTORY (Con't.) C3-2
Page 57 and 58: REPRODUCTIVE HISTORY (Con•t.) C3-
Page 59 and 60: OB-3 History Since Last Menstrual P
Page 61 and 62: Reproduced at the National Archives
Page 63 and 64: eoL"-aooa.a ACV. n-et • HISTORY S
Page 67 and 68: DEFINITION OF CODES (Continued) FOR
Page 69 and 70: DEFJNITION OF CODES (Continued) FOR
Page 71 and 72: "' 1: : ~~ :; "':J. !~ ~ ~ :~ ~ ; :
Page 73 and 74: HISTORY SINCE LAST 1-ENSTRUAL PERIO
Page 75 and 76: HISTORY SINCE ~T MENSTRQ~ P~RIOD {C
Page 77 and 78: OB-4 Gynecological History Form OB-
Page 81 and 82: COL.,.-aaaa-4 RIEV. tt-11 • GYNEC
Page 83 and 84: DEFINITION OF CODES GYNECOLOGICAL H
Page 85 and 86: DEFINITION OF CODES (Continued) FIE
Page 87 and 88: '? I~ 1: :1\ j; t:: t; ....J 7 ,.
Page 89 and 90: GY1~F..COLOGICAL HISTORY (Con't.) O
Page 91 and 92: 08-5 Recent Medical History Form 08
Page 99 and 100: DEFINITION OF CODES RECENT MEDICAL
Page 101 and 102: DEl!'INITION OF CODES (Continued) F
Page 103 and 104: DEFINITION OF CODES (Continued) FOR
Page 105: DEFINITION OF CODES (Continued) FOR
Page 111 and 112: RECENT MEDICAL HISTORY (Con 1 t) OB
Page 113 and 114: OB-6 Past Medical History Form OB-6
Page 117 and 118: z PAST MEDICAL HISTORY (Interviewer
Page 121 and 122: DEF'll'UTION OF CODES PAST MEDICAL
Page 123 and 124: DEF'INli'ION OF CODES (Continued) F
Page 125 and 126: DEFINITION OF CODES (Continued) u.
Page 127 and 128: DEFINITION OF CODES (Continued) FOO
Page 131 and 132: PAST HEDICAL HISTORY (Con't) Item 1
Page 133 and 134: HISTORY TAKEN BY PAST MEDICAL HISTO
Page 135 and 136: OB-7 Infectious Disease and System
Page 139 and 140: COLIII.•I00 ..7 ,... INFECTIOUS D
Page 141 and 142: C:OLft-IOOa-7 1··· INFECTIOUS DI
Page 143 and 144: DEFINITION OF CODES nlFECTIOO'S DIS
Page 145 and 146: DEl''ll'IITION OF C:JDES ( Conti:::
Page 147 and 148: i i :a :: ·• 1: !: ! I! ::
Page 149 and 150: l!:i i!;T!IJIJ;: IIJ;;:..f,;:l·: .
Page 151 and 152: INF~TIOUS DIS~S~ ;~D SYSTEM REVIEW
Page 153 and 154: OB-8 Repeat Prenatal History Form O
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I. ftATIIMT IDfNTIPICATIOM REPEAT P
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DEFINITION OF CODES (Continued) FOR
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DEFINITION OF CODES (Continued) FIE
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~ :: : j: ~ : I~ =r ; Ia ~ ~ !~ ;
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,;.-~ 1•1. 1J;,.... - ~ .. u;W'o'
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OB-9 Prenatal Record Form OB-9, Pre
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C:OL.II.·- I•It NU\E IHOSPITAL
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•• 'HISTORY NO. diRIRXL IXXMI l
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~~J2ITTIGN OF CODES (Co~~i~ued) FCa
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DEFINITION OF CODES (Continued) FOF
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DEF~~ION OF CODES (Continued) PELVI
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DEFTIHTION OF CODES (Continued) FQR
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ZEFT1ITTIO:i OF CODES (Con"'c:..!!U
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DEFINITION OF CODES ( Con~inued) FC
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:t , I~ I ~ It II! I~ ::: .. ~ .. ~
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!:: llil\41.0 ~ ~~ ~'~"'~ -N OB-9 -
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PRENATAL RECORD (Con 1 t) PRESENT P
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PRENATAL RECORD (Con 't) complete a
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PRENATAL RECORD (Can't) EVALUATION
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PRENATAL RECORD (Con't) GENERAL IDl
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OB-42 Past Medical History Form OB-
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-· eoL"-aooa-..a 08-42 PAST MEDICA
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Instruction Manual for Obstetric Fo
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OB-43 Initial Prenatal Examination
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COL ..-3008-41 UIIYe 10.U) 1. PATIE
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DEFINITION OF CODES miTIAL PRENATAL
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DEFINITION OF CODES (Continued) FOB
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DEF'INITION OF CODES (Continued) FO
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I ,rnrn:r s YIN.Ct:l S6¥:;~rn I
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I, I'ATIENT IDENTI,.ICATIDN OB-43 I
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OB-10 Return Visit and Laboratory R
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DEFTIUTION OF CODES (Continued) FOR
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DEFINITION OF CODES (Continued) FOB
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4/16/61 OB-10 RETURN VISIT AND LAB
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~"........ ,... ~,_~.a., RETURN VIS
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OB-44 Prenatal Observations Form OB
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..... C:Ol..llt-IOOa-44 1. PATIENT
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:FDRMS 03-10 DEFINITION OF CODES (C
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DEFINITION OF CODES (Continued) ~·
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Instructional Manual for Obstetric
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OB-45 Laboratory Record Form OB-45
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DEFllUTION OF CODES LABJRATORY RECO
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DEFJNITION OF CODES (continued) FIE
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DEFINITION OF CODES (continued) FOR
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DEFINITIDN OF CODES (continued) FOR
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DEFTIUTION OF CODES (continued) FOR
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DEFINITION OF CODES (continued) FIE
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DEFINITION OF CODES (continuted) FI
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DEFTIHTION OF CODES (continued) FIE
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DEFTIUTION OF CODES (continued) FIE
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OB-11 Record of Current Pregnancy F
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CO~A·3C03·11 lltEV. '7·58 I. PAT
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RECORD OF CURRENT PREGNANCY (For Fo
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,... RECORD OF CURRENT PREGNANCY IN
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OB-46 Physician•s Clinic Record,
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COLR-1001-4e 4-a I. PATIENT IDENTII
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Instruction :\l:J.nual for Obstetri
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OB-12 Summary of Hospitalization fo
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SUMMARY OF HOSPITALIZATION FOR ANY
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SUMMARY OF HOSPITALIZATION FOR ANY
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':.::-•••suMMARY OF HOSPITALI
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OB-47 Summary of Antepartum Hospita
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· COLIII-IOOa..7 (CHANGIED 2-8a)
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OB-15 Drugs in Pregnancy Form OB-15
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PH S.300S.18 ..... PATIENT IDENTIFI
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.... PMS•3003•18 PATIENT IDENTI
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PHI·IOOI .. 1B P"TIENT IOENTIFIC"T
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PATI~NT IDENTIFICATION OB-15 DRUGS
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..... PHS .. 3003 ... 11 PATII!NT I
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DEFINITION OF CODES DRUGS lN PREGN
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Drugs in Pregnancy (08-15) Blank 0
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Drugs in Pregnancy (cont.} 2128 Par
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Orugs in Pregnancy (cont.) 4256 Hyo
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. Drugs in Pregnancy (cont.) 7154 S
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1 Drugs in Pregnancy (cont.) 7482 O
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Drugs in Pregnancy (cont.) 9169 917
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Drugs in Pregnancy (cont.) 9949 995
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