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Prenatal Record - National Archives and Records Administration

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OB-42<br />

Past Medical History<br />

Form OB-42, Past Medical History, was used to record details of the<br />

patient•s previous medical <strong>and</strong> surgical history up to the time of interview.<br />

Information on childhood diseases <strong>and</strong> diseases of cardiovascular, respiratory<br />

<strong>and</strong> digestive systems was included, as well as gynecological <strong>and</strong> venereal<br />

diseases, other surgery, diseases of the renal <strong>and</strong> urinary tract, <strong>and</strong> other<br />

disorders. First used as a pretest form in July 1961, the form was implemented<br />

into the study in April 1962, replacing page 2 of OB-9. No revisions were made<br />

on the form. Data were punched onto card 0342 in the master file (Table OB-42.1).<br />

Some aspects of the patient•s past medical history were also recorded on form<br />

OB-6, where radiological treatments <strong>and</strong> results of other treatments <strong>and</strong> exams<br />

were recorded.<br />

TABLE OB-42.1<br />

Cards <strong>and</strong> Data <strong>Record</strong>s by Revision for Form OB-42<br />

CARD REV. NUMBER<br />

CARD NAME NUMBER NO. RECORDS<br />

OB-42: Past Medrcal Hrstory 0342<br />

0 31,313<br />

31,313<br />

total for form 31,313<br />

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

:U.A.l95<br />

OB-42

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